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Early Intervention is All Grown Up: Applying Evidence-Based Individualized Interventions in Group Settings to Adolescents and Adults Across the Autism Spectrum |
Wednesday, November 15, 2017 |
8:00 AM–8:50 AM |
Forum GHIJ, Niveau 1 |
Area: AUT; Domain: Service Delivery |
Chair: Cecilia Knight (Institute for Behavioral Training) |
CE Instructor: Allison Jones, M.S. |
Abstract: The efficacy of Applied Behavior Analysis in treating young children with autism in one-to-one settings has been well-established in research, but what happens when those children grow into adolescence and adulthood? For many teens and adults on the spectrum, continued life-long services are critical to creating independent and happy lives, and a change in approach is essential. At Project HOPE Foundation, these needs are being addressed in a variety of ways. Hope ALIVE provides group services to young adults on the spectrum with the goals of building independence and gaining meaningful employment; Hope ALIVE Junior provides a classroom for adolescents focusing on life skills, communication, reduction of severe maladaptive behavior, community engagement, and preparation for the vocational and service options that students will face as adults; and Bridging the Gap utilizes Applied Behavior Analysis in classrooms that focus on traditional academics as well as social skills and classroom readiness. These programs apply evidence-based individualized interventions in group settings to adolescents and adults across the autism spectrum in innovative ways to continue to meet their changing needs. |
Instruction Level: Intermediate |
Keyword(s): adolescence, adult services, classroom settings, non-traditional applications |
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Hope ALIVE: Expanding Academics, Life Skills, Interests, Vocational Skills, and Experiences for Adults on the Autism Spectrum Through Applied Behavior Analysis |
Allison Jones (Project HOPE Foundation, Inc.), MARK KNIGHT (Hope Reach) |
Abstract: Hope ALIVE transfers the principles of Applied Behavior Analysis to a group setting to help participants build independence and gain meaningful employment. Hope ALIVE focuses on Academics, Life skills, Interests, Vocational Opportunities, and Experiences, while using evidence-based principles to prompt, shape, and reinforce new and growing skills, and to reduce the occurrence of maladaptive behaviors that serve as a barrier to successful outcomes. This innovative program applies the well-documented techniques and principles of Applied Behavior Analysis in a group setting with young adults; participants have shown measurable and significant progress. Although the vast majority of behavior analytic services available to people on the autism spectrum serve young children, the principles of behavior apply to adults, as well. Hope ALIVE seeks to expand the vast base of research in ABA to help young adults achieve greater independence, meaningful employment, and happy lives. |
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Expanding Classroom Models for Adolescents Across the Autism Spectrum Using Applied Behavior Analysis |
MARK KNIGHT (Hope Reach), Allison Jones (Project HOPE Foundation, Inc.), Andrea Hudspeth (Hope Reach) |
Abstract: The efficacy of Applied Behavior Analysis in therapy for children with autism is well established, but the transfer of ABA into classrooms is critical. By shifting learning from one-on-one therapy to a more natural group setting, ABA classroom options pave the way for successful transition into adult life. Project HOPE Foundation employs ABA in a variety of classroom models, both inclusion-based and autism-specific. Bridging the Gap is an ABA educational program with classrooms ranging from preschool through high school, emphasizing group and social skills within a classroom environment along with an individualized curriculum approach to teaching academics. Classroom experiences are supplemented with life skills instruction and pre-vocational experiences. Hope Alive Junior targets children with more severe challenges with communication, social interaction, and problem behavior. This program uses ABA to build peer relationships, encourage group interaction, and develop community engagement. Students work in a variety of venues – classroom, specially designed life skills house, and the community at large – to foster communication and independence. |
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Topics in Autism: Basic Research |
Wednesday, November 15, 2017 |
8:00 AM–8:50 AM |
Forum EF, Niveau 1 |
Area: AUT |
Instruction Level: Intermediate |
Chair: Saba Torabian (University of California Davis) |
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Very Early Behavioral Markers of Autism Spectrum Disorder: A Systematic Review |
Domain: Basic Research |
AMY E. TANNER (Queen's University Belfast; Monarch House), Katerina Dounavi (Queen's University of Belfast; Magiko Sympan) |
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Abstract: Recent research suggests that Autism Spectrum Disorders (ASD) symptoms can be detected between 6 and 18 months of age, however the average age of diagnosis is 4 years of age or older. Optimal outcomes in children with ASD are linked to the age at which the child began intervention, with the most significant gains being observed in children who begin behavioral intervention prior to 2 years of age. Therefore it remains a priority to continue to identify the earliest markers of ASD, to allow children to access intervention services as early as possible.
Research looking at early ASD signs can be categorized into three domains (a) Retrospective studies (b) Video-tape review and (C) prospective studies, however this review exclusively examined prospective studies. The purpose of the current review was to systematically identify and analyze the prospective research which identifies early behavior signs of ASD in children less than 18 months of age. Systematic searches were conducted in four electronic databases: Medline, PubMed Resources Information Center (ERIC) and PsycINFO. Searches were limited to peer-reviewed journal articles, written in English and published within the previous 15 years (January 2001- January 2016). To be included in this review, studies met the following criteria: (1) the study included at least one participant aged18 months or younger (2) a pre and/or post screening or diagnostic tool or coding system was administered to determine the presence of ASD symptoms or a diagnosis (3) the symptoms were behavioral and observable (4) operational definitions of the symptoms were provided (5) an experimental design was used (6) Studies were prospective in nature. The reliability of the database searches was measured by calculating the total identical articles out of the total articles the independent researcher retrieved. Additional articles retrieved from references or from independent researcher were then filtered by the inclusion criteria. Additional articles that had 100% agreement between researchers were included in this review. |
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Assessing Language Disfluency in School-Aged Children With Autism Spectrum Disorder in a Virtual Public Speaking Task |
Domain: Basic Research |
SABA TORABIAN (University of California Davis) |
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Abstract: Higher-functioning children with autism (HFA) may display language on par with typical controls (TD) on standardized measures, yet they may not use language fluently in social contexts. In this study, a virtual reality public speaking paradigm was used to compare rates of disfluency in children with HFA, children with ASD/ADHD comorbid group, children with Attention Deficit Hyperactivity Disorder (ADHD), and TD children. The attention demands were varied to examine the effects of differences in cognitive load on language disfluency. The participants were 140 children ranging in age from 8 to 16 years old at the onset of the study. Of those 140 children, 77 had HFA and 52 of these children had clinical elevations of ADHD on the Conners-3 Parent Report. Therefore, they were categorized in the ASD/ADHD comorbid group. Twenty-five of 77 were categorized as ASD only. 33 of the 140 were ADHD only, and 30 children as TD matched to IQ (FSIQ =75). Their speech was audiotaped, transcribed, and analyzed for seven measures of disfluencies (partial-words, repetition, abandon, incomplete, revision, ums, and uhs). The results revealed that children in ASD/ADHD comorbid group displayed the highest rate of language disfluency with tasks that require more attention demands (more cognitive loads) than tasks with less attention demands compared to all the other three groups of children. The same group of children in ASD/ADHD comorbid group was especially prone to using word repetitions among the seven types of language disfluencies. Greater rates of disfluency were also significantly correlated with Autism Diagnostic Observation Schedule (ADOS) among the two ASD groups (with or without ADHD sympotoms) but was not significantly correlated with ADOS among the ADHD-only sample. Comorbidity of autism with other forms of mental disabilities that are less debilitating are often ignored. These data suggest that the risk for language impairment and in this case language disfluency could be intensified when the child is not only affected by autism but also by other forms of mental disabilities such as ADHD. When it comes to language impairment, considering the comorbidity of autism with other forms of mental disabilities such as ADHD could have clinical implications not only for better understanding the interfering factors but also for finding better treatments |
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Temporal Control: A Spencean Model, Its Strengths and Limitations |
Wednesday, November 15, 2017 |
8:00 AM–8:50 AM |
Scene AB, Niveau 0 |
Area: EAB; Domain: Basic Research |
CE Instructor: Armando Machado, Ph.D. |
Chair: Peter R. Killeen (Arizona State University) |
ARMANDO MACHADO (University of Minho) |
Dr. Armando Machado obtained his Ph.D. in 1993 from Duke University. His doctoral research examined the conditions in which pigeons generate highly variable, random-like behavior, and received a Behavior Analysis Dissertation Award from Division 25. Dr. Machado currently teaches and conducts research at the University of Minho in the north of Portugal, where he continues to study a variety of issues related to behavior and learning (e.g., time and number discrimination, choice). His studies contrast the results of laboratory experiments with the predictions of simple mathematical models of behavior and learning. In addition to the psychology of learning, Dr. Machado's interests include mathematics, evolutionary biology, philosophy, and the history of psychology. His work has been funded by the National Institutes of Mental Health (USA) and the Portuguese Foundation for Science and Technology and published in Animal Cognition, Behavioural Processes, Journal of the Experimental Analysis of Behavior, and others. He has served as the program chair and president for the Society for the Quantitative Analysis of Behavior, and as president of the Portuguese Association of Experimental Psychology. |
Abstract: Dr. Machado willpresent a Spencean, synthetic approach to interval timing in animals, an approach grounded on the hypothesis that temporal generalization gradients may combine to produce complex forms of behavior. The hypothesis is instantiated by the Learning-to-Time (LeT) model. First,he will review how LeT accounts for the generalization gradients obtained in prototypical timing procedures. Then,he will show how, by combining these gradients, LeT accounts for more complex data and some surprising findings. Finally,he will discuss some current obstacles to our understanding of timing, including the boundary conditions of generalization gradients, the possibility of inhibitory temporal gradients, and how temporal memories are created, accessed, and retrieved. |
Target Audience: Licensed behavior analysts, psychologists, graduate students. |
Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) describe the main behavioral properties of temporal generalization gradients; (2) describe how, using a Spencean approach, these gradients may be combined to explain more complex behavior; (3) explain how some laboratory findings related to temporal performance challenge our theoretical understanding of timing. |
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Behavioral History in Contexts of Self-Control, Relapse, and Resistance to Change |
Wednesday, November 15, 2017 |
8:00 AM–8:50 AM |
Loft B, Niveau 3 |
Area: EAB; Domain: Translational |
Chair: Josele Abreu Rodrigues (Universidade de Brasilia) |
Abstract: Behavior is determined by interactions between current and past contingencies. As such, investigations on the potential effects of behavior history are essential to the understanding of human and nonhumans behavior. The present studies offer examples of history effects on self-control behavior, relapse and resistance to change with both humans and nonhumans (pigeons and rats). Moreira and Abreu-Rodrigues observed, with obese individuals, that a history with self-control training promoted adherence to prescriptions, but did not affect impulsivity as measured by delay discounting procedures. Calmon-Rodegheri and Abreu-Rodrigues isolated the effects of response and reinforcer rates upon the resistance of a target response to extinction and its recurrence with additional contingency changes. They found no covariation between resistance and three relapse phenomena (reinstatement, resurgence and renewal). Finally, Al�, Abreu-Rodrigues, Can�ado, Doughty, Louzada and Silva de Deus manipulated the variation requirement across components of a multiple schedule and observed a negatively accelerated relation between resistance to prefeeding and behavioral variation. Taken together, these studies can help both basic and applied researchers in the task of promoting desirable and weakening undesirable effects of historical variables. |
Instruction Level: Intermediate |
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Self-Control Training as a Facilitator of Healthy Behaviors in Obese People |
(Applied Research) |
JUNNIA MARIA MOREIRA (Universidade Federal do Vale do São Francisco / Universidade de Brasilia), Josele Abreu Rodrigues (Universidade de Brasilia) |
Abstract: Among the treatments for obesity, there are the dietetics prescriptions and physical activity, often combined with behavioral intervention aimed to increase the adherence to prescriptions. The adherence behavior can be understood as choosing a self-control alternative rather than choosing an impulsivity alternative. The goal of this study was to investigate the effects of a behavioral intervention (Self-Control Training) on adherence with three obese participants. Several measures were used to evaluate those effects: (1) behavioral measures of adherence (number of daily meals according to the diet, frequency of weekly physical activity, goal achievement); (2) anthropometric (weight, BMI, waist circumference) and laboratorial (blood glucose, cholesterol and triglycerides) measures; measures of (3) quality of life (SF-36) and (4) impulsivity (BIS-11 and delay discounting). The participants showed weight loss and an increase in the behavioral measures of adherence and perception of quality of life. There was also a reduction in anthropometric and lab measures, with the exception of glucose levels in the blood. Regarding impulsivity measures, there was a decrease in most of the BIS-11 sub scales, but not in delay discounting. Self-Control Training was effective in the treatment of obesity, producing beneficial behavioral changes, but without reducing delay discounting. |
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Response and Reinforcer Rates as Factors in Relapse and Resistance to Change |
(Basic Research) |
AMANDA CALMON NOGUEIRA DA GAMA RODEGHERI (Universidade de Brasília), Josele Abreu Rodrigues (Universidade de Brasilia) |
Abstract: This study compared the effects of response and reinforcer rates upon the recurrence and resistance to change of a target response with three procedures: reinstatement, resurgence and renewal. In Training, a target response (R1) was reinforced according to a multiple FR DRL schedule. In Elimination, R1 was extinguished in all procedures, but in the resurgence procedure, another response (R2) was reinforced, and in the renewal procedure, another context replaced the previous one. In Testing, extinction remained in effect for R1, but in the reinstatement procedure, non-contingent reinforcers were delivered; in the resurgence procedure, R2 was also extinguished; and in the renewal procedure, the initial context returned. In Phase 1, response rates were similar and reinforcer rates differed across components in Training, and in Phase 2, the opposite was in place. With the three procedures, resistance to extinction (Elimination) was greater in the component with lower response rates and higher reinforcer rates. Recurrence of R1 (Testing) was greater in the FR than in the DRL component in the reinstatement procedure, but differed unsystematically across components in the other procedures, despite of response and reinforcer rates. It was concluded that relapse and resistance are not similarly controlled by response and reinforcer rates. |
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The Resistance to Change of Different Levels of Behavioral Variability |
(Basic Research) |
Raquel Moreira Alo (Universidade de Brasilia), JOSELE ABREU RODRIGUES (Universidade de Brasilia) |
Abstract: Resistance to prefeeding was evaluated as a function of the degree of behavioral variability required for reinforcement. Rats were exposed to a two-component multiple schedule in which a four-response sequence distributed in two levers would lead to reinforcement or timeout, depending on whether a variability requirement was met. This requirement changed across multiple-schedule components, but reinforcement rates were equated between schedule components. Across six to ten cycles of baseline and test conditions, variability was manipulated using different threshold requirements across components. Yoke and repeat components also were used to test the effects of the absence of a variability requirement and the requirement of no variability. There was a negatively accelerated relation between baseline U values and U-value changes from baseline, for all three rats. Thus, small increments in the variability requirement produced substantial increases in resistance to change, but these increases became smaller as the variability requirement became more stringent. |
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Academic Performance and Outcomes |
Wednesday, November 15, 2017 |
8:00 AM–8:50 AM |
Studio AB, Niveau 2 |
Area: EDC |
Instruction Level: Basic |
Chair: Daniel Pyle (Weber State University) |
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The Effects of Group Contingencies and High and Low Preference Reinforcers on the Academic Performance of Junior High Students in a Summer School Math Course |
Domain: Applied Research |
NATALIE A. WILLIAMS (Weber State University), Melina Alexander (Weber State University) |
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Abstract: The purpose of this study was to measure the effects of dependent group contingencies on the academic performance of 7th 8th and 9th grade students receiving math instruction in a summer program. Group contingencies involve providing all students in the class access to preferred activities or tangibles contingent upon the behavior of one or more students (Kelshaw-Levering, Sterling-Turner, Henry, & Skinner, 2000). For example, all students may receive five minutes of free time if three randomly selected students had completed their math assignment at 80% correct or higher. Either a high or low preference reinforcer was delivered contingent upon all three students having met the criteria for completion and accuracy. An alternating treatments design (Kazdin, 1982), was used. Treatment A consisted of students receiving one of the three highest ranked reinforcers, and Treatment B consisted of the students receiving one of the three lowest ranked reinforcers. Results of the study indicate that a functional relationship was established between group contingencies and completion and accuracy of math assignment. However, there was little difference between high and low preference reinforcers. |
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The Effects of a Unidirectional Peer Tutoring Intervention for Students With Learning Disabilities in a High School Mathematics Classroom |
Domain: Applied Research |
DANIEL PYLE (Weber State University), Benjamin Lignugaris/Kraft (Utah State University), Natalie A. Williams (Weber State University), Melina Alexander (Weber State University) |
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Abstract: This session presents the findings of a single case research design, a multiple baseline across participants research design, that examined the effects that a unidirectional peer tutoring intervention had on the academic outcomes for students with learning disabilities in a general education, high school mathematics class. Findings on measures of daily work completion/accuracy, weekly quiz grades, and percent of intervals of academic engagement will be presented. |
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Build a Better Mousetrap: An Innovative Public School Applied Behavior Analysis Hybrid Model |
Wednesday, November 15, 2017 |
8:00 AM–8:50 AM |
Studio DE, Niveau 2 |
Area: OBM/EDC; Domain: Translational |
CE Instructor: Leaora L. Wagner, M.A. |
Chair: Richard E. Laitinen (Peronalized Accelerated Learning Systems (PALS)) |
LEAORA L. WAGNER (Sarah Dooley Center for Autism) |
SARA GARBARINI (David Gregory School) |
ADAM DREYFUS (Sarah Dooley Center for Autism) |
Abstract: Panelists will discuss how they implemented a clinically sound Applied Behavior Analytic (ABA) public school hybrid model in a failing private day school serving children diagnosed with Autism and Intellectual Disability. The failing school had parents who were outraged with the programming, along with funding agents and public school liaisons removing students at alarming rates. Panelists will highlight the implementation of structured teaching, verbal behavior interventions, the use of technology, fidelity checklists, and Organizational Behavior Management methodology that increased the goals met by 430% and a data collection system that last resulted in over 1.6 million data points gathered and graphically displayed. Unlike many ABA-based schools, , the Sarah Dooley Center is modeled on the look, rhythm and feel of a public school which has resulted in a tremendous increase in students being transferred back to their local public schools. We have also partially implemented a cloud-based verbal curriculum. Results of on-going studies on the efficiency and efficacy of cloud-based assessment, instruction and curricula will be discussed. |
Instruction Level: Intermediate |
Keyword(s): OBM, Special Education, Technology, Verbal Behavior |
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Establishing Early Social Skills in Young Children At Risk of Autism and Developmental Disorders via Operant Learning Procedures |
Wednesday, November 15, 2017 |
8:00 AM–9:50 AM |
Forum Auditorium, Niveau 1 |
Area: AUT/DDA; Domain: Translational |
Chair: Martha Pelaez (Florida International University) |
Discussant: Per Holth (Oslo and Akershus University College of Applied Sciences) |
CE Instructor: Hayley Neimy, M.S. |
Abstract: We have initiated, replicated, and extended a programmatic line of research for establishing operant procedures to investigate infant learning and to help young children who are at risk for developing autism or other developmental disorders acquire social repertoires. Infant engagement responses such as vocalizations, eye contact, joint attention, and social referencing are critical developmental milestones that serve as prerequisites for early communication and social skills (Pelaez, 2009). The emphasis in this symposium is that operant learning procedures can be successful in establishing early social-learning repertoires. The first presenter identifies the early behavioral indicators of at-risk infants. She examines the typical infant operant responses studied (e.g., vocalizations, gaze, kicking, smiles, gaze away) and the social conditioned reinforcers used (e.g., adult smiles, touch, nods, cooing, imitating, picking up) in the study of infant social learning. The presenter highlights the operant-learning procedures that have been useful in investigating infant phenomena like mother-infant attachment, acquisition of fears, joint attention, social referencing, and early communication. The second presentation analyzes previous research on behavioral procedures used to establish infant eye contact using a synchronized reinforcement procedure. The third presentation reviews existing research on procedures using two forms of social reinforcement (adult vocal imitation and motherese speech) for increasing early vocalizations among infants and young children. The fourth presentation examines the acquisition of joint-attention and social referencing repertoires via the operant-learning paradigm among typically and atypically developing infants and toddlers. The discussant will comment on these ongoing programs of research and future directions and implications of the research. |
Instruction Level: Intermediate |
Keyword(s): at risk, child development, infants, social skills |
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Operant-Learning Procedures With Infants |
(Applied Research) |
MARTHA PELAEZ (Florida International University) |
Abstract: Operant conditioning procedures have been used very effectively to investigate infant social learning (Gewirtz & Pelaez, 1992; Novak & Pelaez, 2004; Pelaez, Virues, & Gewirtz, 2011, 2012). Infants and young children who are at risk of developing autism or other developmental disorders can benefit from early interventions that use operant principles and procedures (Neimy, et al., in press). In this presentation we will identify the early behavioral indicators of at-risk infants; examine the typical infant operant responses studied (e.g., vocalizations, eye gaze, kicking, smiles, gaze away) and discuss the conditioned social reinforcers often used in the study of infant social learning (e.g., adult smiles, touch, nods, cooing, imitating, picking up). We will highlight the infant phenomena that has been studied, including mother-infant attachment, the effects of maternal depression on infant learning, the acquisition of fears, joint attention, social referencing, and early learning of imitation. |
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Improving Eye Contact Among Infants and Toddlers at Risk of Developmental Disorders With Synchronized Reinforcement Procedure |
(Applied Research) |
JACQUELINE MERY-CARROW (Caldwell University), Martha Pelaez (Florida International University), Jonathan J. Tarbox (FirstSteps for Kids; University of Southern California) |
Abstract: Parents can successfully increase engagement behaviors such as eye contact and positive affect with young children at risk of autism and other developmental disorders. This presentation reviews and discusses a synchronized reinforcement procedure, described by Pelaez and colleagues (1996), that can strengthen infant eye contact. The procedure includes brief parental training where mothers are taught to provide simultaneous behaviors such as smiling, verbal praise, and rhythmic touch contingently to reinforce infant eye contact in the natural environment. The assumptions is that establishing eye contact in young children can aid the learning of other foundational skills required to build social communicative behaviors. The current presentation stresses the importance of establishing contingencies of reinforcement during mother-child interactions. |
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Promoting Early Vocalizations Among Infants and Toddlers Using Contingent Social Reinforcement |
(Applied Research) |
HAYLEY NEIMY (Shabani Institute), Martha Pelaez (Florida International University), Jonathan J. Tarbox (FirstSteps for Kids; University of Southern California) |
Abstract: The emission of vocalizations during early infancy serves as the preverbal foundation for the development of subsequent functional language skills later in childhood (Novak & Pelaez, 2004). Research that facilitates the acquisition of these preverbal skills is presented. The research illustrates the use of two forms of contingent social reinforcement (maternal vocal imitation and motherese speech) as effective means for increasing the rate of infant vocalizations (Pelaez et al., 2011a; 2011b, Neimy, et. al., in press). The current presentation reviews, analyzes, and extends previous literature on the use of both contingent and noncontingent vocal imitation and motherese speech on increasing the rate of infant vocalizations among typically and atypically developing infants through a parent-training model. The presenter concludes that establishing pre-verbal vocalizations may help facilitate the development of subsequent verbal vocalizations among at risk infants and potentially mitigate language delays in later childhood. |
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Establishing Joint Attention Skills to Facilitate Social Referencing Repertoires in Infants and Toddlers via Operant Learning Procedures |
(Applied Research) |
KATERINA MONLUX (Stanford University), Martha Pelaez (Florida International University), Jonathan J. Tarbox (FirstSteps for Kids; University of Southern California) |
Abstract: Deficits in social engagement are among the main developmental problems observed among children with autism spectrum disorders (ASD). In particular, joint attention and social referencing skills are critical for the development of more complex social interactions. The use of behavioral techniques and brief parent-infant engagement training has shown to be successful in promoting these social skills. Our assumption is that targeting joint attention and social referencing skills in the natural environment by using caregivers as therapists can potentially mitigate and prevent the development of later onset behavior language problems commonly associated with ASD. The current presentation reviews and extends previously published procedures for the training of joint attention and social referencing modeled after Pelaez and colleagues’ (2012) operant learning paradigm. Further, a model for expanding previous findings to the natural environment is proposed where joint attending skills can be taught first to aid in the acquisition of social referencing. While very similar social behavior chains, joint attention and social referencing have functional differences. Specifically, social referencing adds another component to the joint attention chain where the learner reacts to the novel stimulus in a manner that is in accordance with another’s facial expressions or emotional cues. |
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From Efficacy to Effectiveness Studies: Data From Evaluations of Applied Behavior Analysis Programs in Autism and Real-Life Settings |
Wednesday, November 15, 2017 |
8:00 AM–9:50 AM |
Forum ABC, Niveau 1 |
Area: AUT/CSS; Domain: Translational |
Chair: Melina Rivard (University of Quebec, Montreal) |
Discussant: Melina Rivard (University of Quebec, Montreal) |
Abstract: The volume of specialized services offered to children with ASD continues to increase to reflect the constantly increasing prevalence rate of the disorder. Access to early, intensive and individualized intervention services is crucial to prevent crystallization of symptoms and ensure optimal development of children. In real life settings, access to early intervention services and their effectiveness are hindered by three major challenges: 1) waitlists for obtaining diagnostic and services, explained in part due to lack of resources; 2) the variable response of children to treatment; and 3) lack of services regarding the support provided to parents. Service providers are challenged to expose all children (quantity, accessibility and equity) to quality interventions (scientifically proven, as for example, Early Intensive Behavioral Intervention programs). This symposium presents different research projects carried out by our team in order to evaluate alternatives to give access to ABA programs to children with ASD and their families in the best possible conditions and in taking into account the ressources of the public clinical settings. |
Instruction Level: Intermediate |
Keyword(s): differential diagnostic, early intervention, parental program, program evaluation |
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The See Things My Way Assessment Centre: A Pilot Service Model to Eliminate Waitlists |
(Service Delivery) |
NADIA ABOUZEID (UQAM), Melina Rivard (University of Quebec, Montreal), Diane Morin (Universite du Quebec a Montreal), Marjorie Morin (Université du Québec à Montréal), Céline Mercier (Université de Montréal) |
Abstract: To help eliminate current waitlists in Montreal (Canada) for preschool children requiring assessments to confirm the presence of Autism Spectrum Disorder, Global Developmental Delay or Intellectual Disabilities, the See Things my Way Assessment Centre was launched in 2015. The interdisciplinary diagnostic centre aims to offer the highest quality assessments, to support families in accessing and understanding the much needed early intensive behavioural interventions (EIBI). ABA-based recommendations are also provided in the interim. Objective: The Centres implementation is currently being carefully studied to ensure its viability, sustainability and replicability. Method: Instruments: standardized questionnaires, semi-structured interviews, patients records. Participants: 6 staff members and 35 families. Analysis: quantitative (descriptive) and qualitative (thematic analysis). Preliminary results in regards to its implementation (first year of operation), the overall trajectory of services across Montreal as well as parental satisfaction will be discussed. These findings will highlight the utmost importance of obtaining a diagnosis in order to access EIBI as well as the impact of a seamless continuum of services from first signs to intervention on families well-being and quality of life. |
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Beyond Efficacy Studies: Program Evaluation Perspective on the Global Services Dispensation Around Early Intensive Behavioral Intervention |
(Service Delivery) |
CÉLINE MERCIER (Université de Montréal), Melina Rivard (University of Quebec, Montreal), Amélie Terroux (Université du Québec à Montréal) |
Abstract: Considering that efficacy of early intensive behavioral intervention (EIBI) programs has been well documented in the rigorous experimental framework, the overall objective of this presentation is to show, in a broader program evaluation perspective, the potential contributions of various types of evaluation studies on the implementation and generalization of the EIBI in real life settings. The reported results are part of a large research project on the evaluation of global public services for children with ASD and their familiy (more than 300 participants). Participants were enrolled in different programs offered by a public rehabilitation center in Quebec (French province of Canada). Data and methodological issues on different questions of the project will be presented : 1) the quality of trajectory of services according to 176 parents, the social validity of waitlist intervention and EIBI program for 94 parents and the effectiveness of EIBI programs on different outcomes for 93 children. In conclusion, two issues will be discussed : 1) the importance of the fluidity of the trajectory of services, from the moment of the diagnostic, to the access of EIBI services until the integration in school ;2) the critical place of the families in the overal process, with a premise that more intervention and research should be family-oriented. |
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Adaptation of Early and Intensive Behavioral Intervention (EIBI) Services for Children With Concurrent Disorders |
(Service Delivery) |
ZAKARIA MESTARI (Université du Québec à Montréal), Melina Rivard (University of Quebec, Montreal), Amélie Terroux (Université du Québec à Montréal), Diane Morin (Universite du Quebec a Montreal), Jacques Forget (UQAM) |
Abstract: Although the majority of children with ASD show significant gains during EIBI program in terms of intellectual functioning, level of development, adaptive behavior and reduction of autistic symptoms, some children still present fewer improvements after the intervention. The current research in ASD and EIBI does not fully understand the factors that could explain this variability. Our previous work highlighted that Challenging Behaviors (CB) could be one of those factors (Rivard et al., 2013, 2015, 2016). With the goal of offering suitable intervention alternatives for children with ASD and comorbidities, we validated a French version of the Developmental Behavior Checklist Under 4 (DBC-U4, preschool age) on 650 children with ASD. By doing so, we want to better understand the CB : their prevalence, their associated factors and their impacts on the prognostic of children as well as their family. The goal of this presentation is twofold: 1) presenting an overview of the validation of the French version of the DBC; 2) providing the results of a three year follow-up of the DBC for a sub-sample of 37 children (24 boys and 13 girls), from all across the province of Qubec, Canada. By analyzing the evolution of CB over time, we want ultimate to suggest an optimal sequences of interventions, adapted for children with heterogeneous profiles. |
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Topics in Autism: Video Modeling |
Wednesday, November 15, 2017 |
8:00 AM–9:50 AM |
Scene DEF, Niveau 0 |
Area: AUT |
Instruction Level: Intermediate |
Chair: Sherene Alicia Powell-Okafor (HOPE Autism Care Centre) |
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The Effectiveness of Video Modeling Intervention Package on Social-Skill Performance With Students who Have Autism Spectrum Disorder |
Domain: Applied Research |
ONUR KOCAOZ (University of Aksaray), Jennifer Gallup (Idaho State University) |
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Abstract: The purpose of this study was to investigate the effectiveness of an intervention package that combined Skillstreaming procedures for the development of social skills with the use of video modeling for middle school students identified with Autism Spectrum Disorder (ASD). The Skillstreaming procedures in the research package include: (a) introduce the target social skill behavior; (b) model the skill; (c) discuss/review the components of target social skills with visual cards; (d) practice/role model; (e) provide feedback and; (g) present visual and oral prompt. A multiple-probe design across participants was employed to assess the effects of the video modeling intervention package on two beginning social skills (i.e., initiate greetings and initiate a conversation). Participants included three middle school-aged students diagnosed with ASD, enrolled in a self-contained classroom, at an urban middle school. The results of this research indicated that all three students improved their social skills performance following the implementation of the video modeling intervention package. Furthermore, during the maintenance phase, the social skills performance of each student was maintained. The research design, resutls and recommendations for further study for teachers of students with ASD will be presented |
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Video Modelling and Classical Conditioning: Which is More Efficient in Helping Children With a Diagnosis of Autism Spectrum Disorder Develop New Interests? |
Domain: Applied Research |
SHERENE ALICIA POWELL-OKAFOR (HOPE Autism Care Centre), Jennifer Sheridan (Hope Autism Care Centre) |
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Abstract: Autism is defined by the triad of impairments that includes social interaction, communication and restricted behaviour. There are many interventions for improving the lives of children diagnosed with autism |Spectrum Disorder (ASD) but research has demonstrated that Applied Behaviour Analysis (ABA) is the most effective. A significant issue with autistic children is their lack of variation of interests and obsessions in activities or play. However, due to this potentially limited and narrow ranges of interest in activities for children with ASD, this may make it difficult for professionals working with them to identify potential reinforcers to increase their educational and social opportunities. The study investigated how to expand otherwise fixated interests in children with ASD using a multiple baseline design. This was done by using: ? Conditioning: In which the highest preferred item is conditioned with the lowest. ? Video Modelling: Which entailed watching typical developing children playing with the lowest preferred item in different ways. Participants consisted of seven children, between the ages of three and six years, with varying levels of severity along the spectrum, all currently enrolled in early intervention services. Two types of preference assessment (PA) were used: paired stimulus (PS) which is also known as 2-choice paired stimulus and free operant (FO). PA was used to identify the hierarchy of participants preference in order of one to six and to assess if this hierarchy changes throughout the study. The results of this study showed that both conditioning and video modelling were effective at changing preferences for young children with ASD. However, the video modelling condition was superior as it helped changed preference faster and in different way. |
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Sexuality and the Spectrum: Lessons on Sex, Dating, and Love, Autism Style |
Domain: Applied Research |
AMY GRAVINO (A.S.C.O.T Coaching) |
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Abstract: Individuals on the autism spectrum are sexual beings, yet they are often not taught the necessary skills to be successful in romantic relationships. This session features a firsthand personal narrative from a woman on the autism spectrum, and gives an inside perspective on both the triumphs and heartbreaks of young adulthood.The potential for using principles of Applied Behavior Analysis to teach these skills and challenges that may arise in doing so will be addressed, as well as differences between males and females on the autism spectrum and challenges they may face as they encounter adolescence, puberty, and young adulthood. Strategies for professionals and parents to discuss issues and assist individuals on the spectrum in navigating relationships, avoiding victimization, and becoming empowered will also be discussed. |
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Teaching Complex Social Skills Using Video-Based Group Instruction for Adolescents With Autism Spectrum Disorder |
Domain: Applied Research |
DAISY WANG (Autism Spectrum Therapies) |
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Abstract: Social skills deficits are a key characteristic of autism spectrum disorder (ASD) and many social skills programs in community-based clinical settings take an eclectic approach. These programs often include discussions, role play, and group activities, leading to variable outcomes. A recent study documented a favorable outcome when using video modeling to teach complex social skills in a group setting. The current study seeks to replicate these findings and examine the effectiveness of using video-based group instruction for adolescents with autism. Participants were recruited from a community-based social skills training program in which they have participated for at least 1 year; video modeling had not been presented as an instructional strategy prior to this study. Preliminary results suggest that participants responded favorably and expediently to the video models, and the high levels of success were maintained to date. It is an encouraging first step. The author anticipates monitoring long-term maintenance, as well as generalization to natural settings, with the current group. The efficacy of video-based group instructions is currently under further investigation with the instruction of different complex social skills and with learners of different ages. |
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Topics in Autism: Parent Experiences and Training |
Wednesday, November 15, 2017 |
8:00 AM–9:50 AM |
Scene C, Niveau 0 |
Area: AUT |
Chair: Jonathan Sailer (Rochester Center for Autism) |
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Training Parents in Saudi Arabia: Assessing Learning From Doing and Learning From Seeing |
Domain: Applied Research |
ALANOUD AL SAUD (Center For Autism Research at King Faisal Specialist Hospital and Research Center , Riyadh), Ahmad Khamis Eid (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Sultana Asfahani (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Ohud Alhaqbani (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Mashail AlAql (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Hesham Aldhalaan (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Rafat Mohtasib (Center For Autism Research at King Faisal Speciali), Mitch Fryling (California State University, Los Angeles) |
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Abstract: A considerable amount of attention has been given to parent training efforts in Applied Behavior Analysis. Still, much remains to be learned, including the extent to which common training protocols are effective with a diverse range of individuals and are viewed as socially valid in different cultural contexts. The present study trained six parents of children with Autism Spectrum Disorder to implement the Natural Language Paradigm in Saudi Arabia. Three of the parents received training using a Behavioral Skills Training model involving instructions, modeling, rehearsal, and feedback. All three of the participants who were taught using this protocol learned to implement the intervention effectively. As each parent was being trained individually, an additional parent observed the training (i.e., there were three observer-trainee dyads). While all of the parents learned from observing other parents being trained directly, only one observer parent met the predetermined performance criteria, with the other two reaching criteria after being trained directly. All six parents demonstrated maintenance of their skills at follow-up, and indicated that they enjoyed and training and learned a lot from it. Moreover, parents indicated that their childs behavior improved at home, suggesting strong social validity. Implications for further training research are provided. |
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Training Parents in Saudi Arabia to Implement Discrete-Trial Teaching With Their Children With Autism Spectrum Disorder |
Domain: Applied Research |
Ahmad Khamis Eid (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), AlAnoud Al Saud (Center For Autism Research At King Faisal Specialist Hospital and Research Center, Riyadh), Sultana Asfahani (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Ohud Alhaqbani (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Rafat Mohtasib (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Hesham Aldhalaan (Center For Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh), Mitch Fryling (California State University, Los Angeles), SARAH MOHAMMED ALJASER (Center for Autism Research at King Faisal Specialist Hospital and Research Center, Riyadh) |
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Abstract: Abstract: Applied Behavior Analytic (ABA) services for children with autism in Saudi Arabia are presently scarce. Children with autism who could benefit from such services are unable to obtain them. Involving parents in the implementation of certain ABA techniques may help increasing the number of children who may benefit from the training. The present study evaluates the effects of a behavioral skills training package on parents implementation of discrete-trial teaching with their children with Autism Spectrum Disorder. Three mothers of children with autism participated in the study. The training package improved implementation for all three of the mothers. Moreover, these improvements generalized to skills that were not taught during training, maintained during follow-up probes, and resulted in improvements in child behavior. We discussed the implications of these outcomes in expanding the reach of the limited ABA resources in Saudi Arabia. Overall our results support pervious published studies using this behavioral skills training. |
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How Can Families Best Prepare Their Autistic Child for the Transition Into School? |
Domain: Service Delivery |
JONATHAN SAILER (Rochester Center for Autism), Jaclyn Burton (Rochester Center for Children) |
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Abstract: Objective Using a combination of case study and research we intend to present a best practice guide to helping families and professionals prepare for the transition from intensive services to a typical educational setting. Method In the examples included in my talk we will follow 3 different students as they transition from intensive one-on-one ABA therapy to a variety of more generalized settings. We will show step by step how the Rochester Center for Autism worked hand in hand with a local preschool, a local private school, and a local public school to help transition students into their next educational setting. Throughout the talk we will provide a review of literature surrounding best practice with regard to transitions into school in typical and special education. Results Because this is a guide more than a research project our results are very case specific. We will present the research, show how we adapted the research to meet each students needs, and then review the results for each student. Conclusion Because of the well-documented importance of the transition into a typical educational setting it is crucial that families are able to access well researched information. Rous stated Early transitions often set the stage for future positive or negative transition experiences. Professionals must work together to give our families the support they need. |
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Transformation in Medical Education: A New Frontier for Behavioral Systems Analysis |
Wednesday, November 15, 2017 |
8:00 AM–9:50 AM |
Studio F, Niveau 2 |
Area: CSS/OBM; Domain: Translational |
Chair: Ramona Houmanfar (University of Nevada, Reno) |
Discussant: Maria E. Malott (Association for Behavior Analysis International) |
CE Instructor: Ramona Houmanfar, Ph.D. |
Abstract: Through recent empirical work in behavioral systems analysis, behavior analysis is increasingly placing itself in a position to theorize effectively and test empirically educated guesses about the functioning of leadership decision making in organizations. Change in complex organizations such as medical schools is a challenging and lengthy process. In their role as guides, leaders create new verbal relations between the current and future state of the organization, and between the future organization and its niche in the future environment. On the other hand, by recognizing individuals' implicit responding and values, leaders can design and implement effective organizational contingencies that promote wellness and effective team dynamics. This symposium will outline the collaborative efforts of the School of Medicine and Behavior Analysis Program at the University of Nevada, Reno. Presentations will highlight the creation, and adoption of behavior analytic assessments and interventions throughout an organization-wide curricular restructuring at the School of Medicine. |
Instruction Level: Intermediate |
Keyword(s): behavioral systems, burnout, interprofessional communication |
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Integrating a Behavior Analytic Framework into a School of Medicine's Strategic Planning Process |
(Applied Research) |
MELISSA PATRICIA PIASECKI (UNR Med), Carolyn Brayko (University of Nevada, Reno) |
Abstract: In 2012, the University of Nevada, Reno School of Medicine (UNR Med) adopted a behavioral analytics framework to guide a number of change processes including curricular restructuring. Over the following few years, this framework was also applied to faculty development and the creation of a new office for continuous institutional assessment. In the context of significant state wide changes in medical education, we extended our behavioral analytical framework for strategic planning. Over the course of one year we applied an iterative approach to institution-wide strategic planning that relied upon data-based decision making and continuous feedback loops. The process produced a systemic plan to guide us through our next phase of development. The newly articulated direction of UNR Med will be actualized through both strong leadership and by engaging the entire school of medicine community. Re-evaluating institutional goals and objectives will facilitate UNR Meds effective interaction with larger metacontingencies of healthcare and medical education in the state of Nevada. |
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Burnout of Medical Students: An Epidemic on the Rise |
(Applied Research) |
Thomas L. Schwenk (University of Nevada, Reno School of Medicine), MELISSA PATRICIA PIASECKI (UNR Med) |
Abstract: Despite having seemingly greater access to medical and mental health care, as well as medical and behavioral knowledge, medical students and residents suffer from a higher prevalence of depression than do age-matched controls, and physicians have a higher risk of suicide than the general population. The prevalence of depression in medical students and residents appears to have increased over the last 20 years. The prevalence of burnout, a different but related construct to depression, is roughly 50% in all recent studies of medical students and physicians. Depression, if undiagnosed and untreated, is associated with cognitive dysfunction, loss of empathy, professional dysfunction and low esteem, and suicide risk. Burnout is associated with exhaustion, depersonalization, low professional satisfaction and unethical professional behaviors.These data areof great concernto medical educators,and are considered one of the major challenges facing medical education today. This concern is leading to new approaches to assessment, building resilience, eliminating the stigma of seeking diagnosis and treatment, and reducing adverse educational environments, requiring new tools for enhancing self-awareness, providing measurable feedback on behavioral changes, and developing new approaches to teaching. |
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A Behavioral Systems Approach Toward Assessing and Alleviating Burnout Among Medical Students |
(Applied Research) |
ALISON SZARKO (University of Nevada, Reno), Ramona Houmanfar (University of Nevada, Reno), Nicole Jacobs (University of Nevada, Reno School of Medicine), Gregory Scott Smith (Chrysalis, Inc.; University of Nevada, Reno School of Medicine), Carolyn Brayko (University of Nevada, Reno), Mary Froehlich (University of Nevada, Reno School of Medicine) |
Abstract: The rising epidemic of burnout among medical students has led to an increased interest in medical schools seeking curricular elements that can increase student resilience. Although wellness programs have been developed nationwide to address the needs of student’s mental health, stigmatization of seeking help and students’ compact schedules have led to consistently low rates of students actively taking advantage of the services provided. By using a curriculum-based intervention, all medical students are taught skills to prevent burnout and depression when the inevitable stressors set in. Understanding the implications of behavioral assessment tools (i.e. the Implicit Relational Assessment Procedures; IRAP) and the effects of behavioral interventions, such as, Acceptance and Commitment Training (ACTraining), are necessary steps toward the active prevention and understanding of burnout in a medical school setting. This presentation will discuss the development of modules teaching six essential components of ACTraining as a potential means of decreasing the likelihood of medical student burnout. A variation of the IRAP has been developed to specifically meet the needs of a medical school population. The variation of the IRAP and measures taken from it to assess burnout will also be discussed and explained from a behavior analytic perspective as a means of assessing the effectiveness of an ACTraining approach. |
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An Interprofessional Approach to the Training and Assessment of Interprofessional Communication With Medical and Nursing Students |
(Applied Research) |
AMBER MARIE MARACCINI (Renown Health), Ramona Houmanfar (University of Nevada, Reno), Anthony Slonim (Renown Health), Melissa Patricia Piasecki (UNR Med) |
Abstract: Preventable adverse events have been identified as the nation's third leading cause of death in the United States. Faulty teamwork and communication amongst healthcare providers has been identified as the root cause of such adverse events. To enhance teamwork, communication, andas a resultpatient safety, the incorporation of interprofessional education (IPE) into healthcare training has been advised. Introduced in June 2011, the I-PASS handoff bundle curriculum is one evidence-based technology currently used in IPE settings. Interprofessional teams who have completed the I-PASS handoff curriculum demonstrate improved communication, coordination, and leadership skills within groups. One component that remains missing, however, is the psychological training of individual values and perspective-taking skills. Within behavior analysis, a methodology known as ACTraining exists to address these psychological deficits. Given this information, the current study implemented a comprehensive IPE programbased on the I-PASS curriculum, ACTraining literature, and descriptive analytic measurement methodsinto a medical and nursing school. Behavioral assessment procedures (e.g., simulated patient handoffs) and measures related to interprofessional communication were taken before, during, and after exposure to the curriculum intervention. |
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Stimulus Equivalence, Control and Fading |
Wednesday, November 15, 2017 |
8:00 AM–9:50 AM |
Loft GH, Niveau 3 |
Area: EAB |
Keyword(s): Complex Discrimintation, Conditional Discrimination, Perception, Sensory Preconditioning |
Chair: Camilo Hurtado-Parrado (Konrad Lorenz Fundación Universitaria) |
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Number of Stimuli Presentations in the Observation of Sensory-Preconditioning |
Domain: Basic Research |
CHARLOTTE RENAUX (University Lille), Vinca Riviere (University Lille) |
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Abstract: Good spatiotemporal contiguity has long been suggested to be essential for associative learning to occur. But there are only a few demonstrations of this need in the spatial domain, and they all did so with one associate being biologically relevant phase (e.g., Rescorla & Cunningham, 1979). Here we report evidence of the benefit to associative learning of spatial contiguity between two neutral cues. We used a sensory preconditioning preparation with visual CSs in which CS2-CS1 trials during phase 1 were followed by CS1-US trials during phase 2, and then tested on CS2 as well as CS1. The CSs were colored squares and the US was an entertaining video clip. The conditioned response was the participants' looking at the location where the USs appeared. Critically, across groups (ns = 20), in phase 1 we varied the distance between CS2 and CS1. At test, greater conditioned responding to CS2 was observed when CS2 and CS1 were adjacent then when there was a small space between them. Within-subject control conditions assured that responding was due to Pavlovian conditioning of eye gaze direction. Thus, good spatial contiguity appears to enhance the formation of associations between neutral stimuli. |
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When Errorless Learning Enhances Visual Perception of Stimuli During Discrimination Training |
Domain: Basic Research |
MARGOT BERTOLINO (Univ. Lille, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000 Lille, France), Vinca Riviere (Univ. Lille, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000 Lille, France) |
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Abstract: Previous studies have shown that physical properties of a stimulus have impact on discrimination learning (Hanson, 1959 ; Guttman & Kalish, 1956). Others studies modified this properties during discrimination learning. This procedure has been called errorless learning (Terrace, 1963). Nonetheless, modifications are arbitrary, and it is unknown in what extended it can enhance learning and reduce error. The aim of this study to replicate results obtained by anterior study in errorless learning, by using an interdimensional stimulus. Nineteen participants with proper vision in colors were used. Half of the participants had as first condition the "errorless learning" one and "trial and error" as the second one. For the other half the order was reversed. Participants gaze was used as a remote to control stimulus with an eye tracking system. In "errorless learning" condition, the luminance of the S- was modified according 12 modifications based on preset criteria. Our results show an acquisition of the discrimination in errorless learning, and no acquisition during "trial and error" procedure for some participants. These results suggest learning transfer between the two conditions. Discrimination learning can be enhanced by modifying only one property of a stimulus, and experience with a stimulus can blocked discrimination learning. |
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Comparing the Effectiveness of Two Stimulus Fading Strategies to Teach a Complex Discrimination |
Domain: Basic Research |
VICTORIA MARKHAM (University of South Wales), Richard James May (University of South Wales), Victoria Adshead (University of South Wales), Aimee Giles (University of South Wales) |
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Abstract: Stimulus fading is an errorless teaching approach commonly employed in the basic and applied research literatures to teach discriminations. While there are a number of variants of stimulus fading (Pashler & Mozer, 2013), very few studies have compared their relative efficacy. The present study compared the effectiveness of two frequently used stimulus fading approaches to teach categorization skills. The first fading condition involved systematically reducing the opacity of the S- stimuli. The second fading condition involved systematically reducing the size of the critical feature of the S+ stimuli. Both conditions were compared to a third, control, condition which involved the use of corrective feedback alone (i.e., trial and error). One hundred and fourteen adult participants were randomly assigned to one of the three conditions and completed the experiment online. Results indicated that participants in the critical feature fading condition responded with significantly greater accuracy during training, and during a final categorisation test compared to either the opacity fading or the control condition. In contrast, opacity fading did not result in greater accuracy than the control condition during the categorisation test. Results are discussed in terms of possible implications for using stimulus fading strategies to teach complex discriminations. |
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Keyword(s): Complex Discrimintation, Conditional Discrimination, Perception, Sensory Preconditioning |
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Theoretical Topics in PCH |
Wednesday, November 15, 2017 |
8:00 AM–9:50 AM |
Loft A, Niveau 3 |
Area: PCH |
Instruction Level: Basic |
Keyword(s): Film Noir, Love, Stimulus Control, Stimulus Equivalence |
Chair: Travis Thompson (University of Minnesota) |
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Behavior Analysis and Private Events: Love Looks Not With the Eyes, but With the Mind |
Domain: Theory |
TRAVIS THOMPSON (University of Minnesota) |
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Abstract: Love's causal role must become part of behavior analysis as a mature science. Love is the most powerful factor in our daily lives, yet we have scientifically ignored it. Empirical research indicates private states are associated with neurotransmitters binding to brain receptors, manipulateable experimentally. Skinner suggested (1945) the names for private states are learned through pairing the external circumstances. In or daily lives, such externally events from our original learning may no longer be present. Depression may occur in our room alone, longing for love, anxiety about a trip occur independently from those distant causes. Love provides discriminative stimuli, love can be a response class (e.g. as in making love), or a setting event (e.g. motivative). Loss of love is an EO for irrational, or sometimes violent behavior. Private events usually serve as Aristotelean Efficient causes. While proximal causes may be traceable in principle to a distant past reinforcement history, i.e. Aristotelean Formal Causes, such distant relationships are not essential to understanding current behavior and may not be relevant in practice. Behavior analysis can contribute to the understanding the causal role of love and other private emotional states if we began to systematically examine their role |
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When We Speak of the Mental |
Domain: Theory |
JAY MOORE (University of Wisconsin-Milwaukee) |
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Abstract: When we speak of the mental, we might be speaking about any of five things, either singly or in combination: (a) private behavioral events, (b) physiology, (c) dispositions, (d) stimulus control, or (e) explanatory fictions. Talk about private behavioral events is concerned with how events not accessible to others participate in contingencies controlling subsequent behavior. Talk about physiology is concerned with the structure and operating characteristics of physiological systems, where that knowledge is achieved through direct investigation rather than inference. Talk about dispositions is concerned with the probability of behavior engendered by contingencies, rather than underlying mental phenomena. Talk about stimulus control often invokes such terms as attention, generalization, and discrimination, and is concerned with relations between antecedent environmental circumstances and behavior, rather than mediating mental processes. Talk about explanatory fictions is concerned with supposed causal factors in other domains, such as the mind, and owes its strength to the everyday social reinforcement inherent in “folk psychology.” An understanding of the sources of control over verbal behavior leads in turn to a greater understanding of theories and explanations in a science of behavior, and their relation to prediction and control of behavioral events. |
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Keyword(s): Film Noir, Love, Stimulus Control, Stimulus Equivalence |
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Qualified Applied Behavior Analysis (QABA) Behavior Technician Credentialing: The Road to Quality Autism Services |
Wednesday, November 15, 2017 |
9:00 AM–9:50 AM |
Forum GHIJ, Niveau 1 |
Area: AUT/EDC; Domain: Service Delivery |
Chair: Thomas McCool (QABA Credentialing Board) |
VICKI MOELLER (Innovative Learning LLC) |
MICHAEL REID (College Of Applied Human Services) |
THOMAS MCCOOL (QABA Credentialing Board) |
Abstract: No one is surprised that pharmacy technicians, EKG technicians, clinical medical assistants, patient care technicians, and a host of others in the workforce must adhere to basic qualifications and be licensed or certified as a demonstration that at least minimum level skills are in place. In 2012, no such standardized system of accountability applied to the applied behavior analysis paraprofessional, also known as a behavior technician. Unofficial survey results estimated that more than 80% of direct behavioral services were being provided by unlicensed, uncertified personnel. The fact that the services were being overseen by licensed or certified professionals appeared to be an acceptable level of oversight for these services. As the need for ABA services continues to grow exponentially the sector was forced to reassess this particular workforce and examine whether the behavior technician should be included in the growing list of allied healthcare professionals. Although there have been several job analyses on the behavioral health paraprofessional workforce including the direct support professional workforce supporting those individuals with a wide-range of intellectual and developmental disabilities, the Qualified Applied Behavior Analysis Credentialing Board (QABA) completed a comprehensive job analysis specifically looking at the paraprofessional role in providing applied behavior analysis treatment and support to individuals diagnosed with Autism Spectrum Disorder. In conducting the study, the Task Team chose methods that adhered to established standards in conducting a job analysis study. These principles and procedures are clearly outlined in the US federal regulation (Uniform Guidelines on Employee Selection Procedures) and those of the American National Standards Institute (ANSI). The job analysis consisted of the following steps: 1. Initial Development and Validation 2. Validation Study 3. Development of Competency Areas 4. Validation of Competency Areas. This panel will review the process, results, and potential outcomes of this analysis. |
Instruction Level: Basic |
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Behavior Analysis to Assist the Military |
Wednesday, November 15, 2017 |
9:00 AM–9:50 AM |
Studio DE, Niveau 2 |
Area: CBM/CSS; Domain: Applied Research |
Chair: Laurie Dickstein-Fischer (Assistant Professor & Program Coordinator for School Counseling
School of Education
Salem State University) |
Discussant: Karola Dillenburger (Queen's University Belfast) |
CE Instructor: Darlene E. Crone-Todd, Ph.D. |
Abstract: Armies across the world have used both respondent and operant conditioning in initial training and task implementation for millennia. However, no military organization credits its use of such conditioning in the training of its troops. Grossman (On Killing, 1996), in his retrospective analysis of training is one of the very rare authors who stated that the US Army and Marine Corps rely on applications of the conditioning techniques of Pavlov and Skinner. The transition back to civilian life can prove difficult for those who have been deployed. The two studies presented here and their analyses are grounded in behavior analysis and standard celeration chart methodology. One presentation reports data from the US Air Force on suicide issues with deployed and returning troops. It also gives the estimated occurrence of post-traumatic stress disorder (PTSD) and of traumatic brain injury (TBI) in all branches of the US military. Salem State University (Massachusetts, US) has implemented a program to assist returning military veterans with university success through the use of SAFMEDS cards (Say All Fast, Minute Every Day, Shuffled). Conclusions from both studies lead to the importance of using behavior analysis, both respondent and operant, with deployed and returning troops. |
Instruction Level: Intermediate |
Keyword(s): celeration chart, military veterans, SAFMEDS, suicide |
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Suicide and Post-Traumatic Stress Disorder Prevention in the Military |
Kent A. Corso (NCR Behavioral Health, LLC), ABIGAIL B. CALKIN (Calkin Consulting Center), James Meador (Xcelerate Innovations, LLC; graduate student), Michael Kondis (Xcelerate Innovations, LLC.) |
Abstract: Suicide, post-traumatic stress disorder (PTSD), and traumatic brain injury (TBI) are some of the current issues the US military. Even though US military suicides occur less frequently in the Air Force, Navy, Marines and Coast Guard than in the Army, data from the US Air Force is the most detailed and complete. All data, however, show that suicide remains an issue among US troops. Suicide rates have increased since deployments that came after 2001. PTSD (post-traumatic stress disorder) estimates remain about the same for troops returning from Vietnam and from the Afghanistan and Iraq wars, that is, between 18% and 25% of the returning veterans whether they are active duty, National Guard or reservists have PTSD. This presentation will include data displays from all branches of the US military and will include suicide, PTSD, and TBI data. |
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A Behavior-Based Intervention for Military Veteran University Students |
DARLENE E. CRONE-TODD (Salem State University) |
Abstract: Adjusting to an academic environment is challenging for many students, and especially the veteran student population. Transitions from military service to civilian life are often difficult due to a shifting role in identity and in the structure of the environments. Layering the challenges of beginning a new academic career and beginning their life as a student can be overwhelming. The goal of the current study was to provide students with a way to structure their time to become more effective at studying, and thus help with the adaptation to university. A series of workshops was developed that include instruction and practice using SAFMEDs (Say All Fast, Minute Each Day, Shuffled) and the PQ4R (Preview, Question, Read, Recite, Reflect, and Review) method. In this presentation, SAFMEDs fluency data will be presented along with an evaluation of the complexity of questions developed using the PQ4R method. In addition, discussion of longitudinal plans for evaluating and extending the workshop program will be included. |
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Topics in Organizational Behavior Management: Employee Well-Being and Behavior Based Safety |
Wednesday, November 15, 2017 |
9:00 AM–9:50 AM |
Studio AB, Niveau 2 |
Area: OBM |
Chair: Julie M. Slowiak (University of Minnesota Duluth) |
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Application of Scientific Methods for the Reduction of Risk Behaviors in Health Care: Follow-Up at One Year From the Implementation of Behavior-Based Safety (BBS) |
Domain: Applied Research |
PAOLA SILVA (AARBA - Association for the Advancement of Radical Behavior Analysis), Morgan Aleotti (AARBA - Association for the Advancement of Radical Behavior Analysis), Maria Gatti (AARBA - Association for the Advancement of Radical Behavior Analysis), Alessandro Valdina (AARBA - Association for the Advancement of Radical Behavior Analysis) |
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Abstract: In 2014 an Italian National Cancer Institute decided to apply a BBS process in an area of the surgery department because of its higher severity index (2011-2012) [cfr “The First Italian Research On The Efficacy of a B-BS Process in Healthcare Sector” (2015) Tosolin, F. et alii. 41st ABAI Annual Conference - San Antonio, May 24th 2015”]. The staff is committed in measuring behaviors in operating rooms, and providing the consequent feedback. This has allowed reaching a level of safe behaviors between 85% and 100%. Now, 2 years after the introduction of the behavioral process, the impacts on safety indices have been measured in terms of frequency and severity of accidents. On an average of 2,500 checklists compiled per year, with more than 2,000 feedbacks since 2014, the BBS protocol has been taking these results only in this area of the surgery department: - A reduction of accident frequency rate from 7.1 of 2013 to 0 at 2015; - A reduction of accident severity rate from 2.8 of 2013 to 0.1 at 2015. The reduction took indices at an even lower rate than other areas and departments (Intensive Care and High Doses, Ambulatory Surgery plate, Gastroenterology and all areas of Medical Oncology). Because of these results, in late 2016 the Institute decided to extend the BBS application to other departments. In late 2017 the researchers will likely show data relating different departments that started BBS process at different moments: the present case study will change into a multiple baseline design experiment. The aim of this project is to demonstrate the efficacy of ABA in healthcare, indeed to extend the ABA practices adoption in non-psychological fields. This speech will also be the chance to present the work done and the strategies used. |
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The Application of Organizational Behavior Managment to Supporting Everyday Workplace Behavior and Employee Wellbeing |
Domain: Applied Research |
JULIE M. SLOWIAK (University of Minnesota Duluth; InJewel LLC) |
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Abstract: Training is often the initial solution identified by managers or supervisors to "fix" performance problems in the workplace; however, there are situations in which training will not produce the desired outcome. Using behavioral systems analysis (BSA) to better understand how the training department interacts with the rest of the organizational system may lead to better and more appropriate use and evaluation of training in the workplace. BSA highlights vital internal and external feedback loops that can provide trainers with information about the necessity of trained behaviors, along with how well these behaviors are supported within the working environment. The identification of performance discrepancies and why discrepancies exist due to skill deficiency or lack of consequences will be covered as a critical first step to determine whether training versus another intervention is necessary. The importance of different types of feedback for both trainers and employees will be discussed in relation to maintaining training outcomes, along with other methods for supporting employee performance and wellbeing in order to promote employee engagement and retention. |
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The Language of Philosophy, Research, and Practice |
Wednesday, November 15, 2017 |
9:00 AM–9:50 AM |
Loft B, Niveau 3 |
Area: PCH/VBC; Domain: Translational |
Chair: Mitch Fryling (California State University, Los Angeles) |
Discussant: Peter R. Killeen (Arizona State University) |
CE Instructor: Mitch Fryling, Ph.D. |
Abstract: Scientists talk in a variety of ways. Some scientists primarily participate in philosophical discourse, whereas others may focus on research, and still others primarily apply the science in practice settings. By and large, workers in these different areas tend to speak in different ways, and this is likely related to their different aims. The present symposium involves two presentations which directly address ways of speaking about events in science, including common confusions engendered by different ways of speaking, and ways in which progress may be both stunted and enhanced by these different ways of speaking. The first presentation focuses on the relationship between philosophical discourse and investigation specifically, calling into question the extent to which philosophical discourse amounts to nothing more than talk and no action. The second presentation focuses on the relationship between theory and practice, and specifically, the extent to which different ways of speaking about different practices can both compromise and strengthen scientific progress. A discussant will provide commentary on these issues. It is hoped that attention to these topics will stimulate further conceptual work, research, and practice in the field of behavior analysis. |
Instruction Level: Intermediate |
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All Talk and No Action? |
(Theory) |
LINDA J. PARROTT HAYES (University of Nevada, Reno) |
Abstract: Sciences subjected to formal system building operations find their enterprises articulated in a collection of constructs serving to identify their unique subject matters, coupled with sets of premises pertaining to their origins, developments, structures, and relations with the subject matters of other sciences. This is what would ordinarily be called the philosophy of a systematic science. In accord with this philosophy and guided by it are organizations of specialized activity comprising the remaining aspects of a scientific enterprise, namely its investigative, interpretive and applied sub-domains. The manner in which the subject matter of a science is handled, including the terminology with which its operations are described, vary across these domains. For example, in the language of investigation, psychological events exhibit dependency relations; while in philosophical discourse, their interdependence is asserted. Failure to appreciate this variance, especially when the investigative domain of a science is over-valued, engenders spurious arguments among scientists. This paper addresses arguments of this sort among psychological scientists of the behavioral and interbehavioral varieties wherein the latter are held by the former to be all talk and no action. The aim of this paper is to dispel this confusion. |
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Theories in Practice - Is it all Just Semantics? |
(Theory) |
MITCH FRYLING (California State University, Los Angeles) |
Abstract: The growth and development of Applied Behavior Analysis (ABA) has led to widespread dissemination efforts around the globe. While this is a good thing, there have been a number of somewhat unforeseen consequences related to the rapid growth of ABA. This presentation describes the role of theories in the practice of ABA. The example of autism treatment will be considered as an example, especially the great variety of seemingly different more or less behavioral treatments, each with their own unique labels and descriptions. The implications of talking about interventions in this way are considered, and the eventual impact on science and clinical work is described. Ultimately, the audience is cautioned against placing too much emphasis on the language used to describe various intervention packages and urged to pursue a behavioral analysis of such packages. The perceived value of doing so rests upon an understanding of how scientific disciplines make progress, which will be a recurrent theme throughout the presentation. Surely, it isnt all just semantics, for descriptions of things impact how we respond to those things, including what research questions we ask about them, eventually impacting the clinical services we provide. |
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Practice Recommendations and Resources for Supervision in Behavior Analysis |
Wednesday, November 15, 2017 |
9:00 AM–9:50 AM |
Forum EF, Niveau 1 |
Area: PRA/TBA; Domain: Service Delivery |
Chair: Tyra P. Sellers (Utah State University) |
CE Instructor: Tyra P. Sellers, Ph.D. |
Abstract: The demand for employment in behavior analysis has more than doubled from 2012 to 2014 according to a recent report produced by Burning Glass Technologies for the Behavior Analyst Certification Board®. This shifting landscape means that more individuals are in need of supervision as they pursue becoming certified or registered through the BACB® and once they are employed in the field. In this symposium the speakers will cover a variety of considerations and practice recommendations for providing supervision in the field of behavior analysis. We will discuss the rationale for, and potential risks of failing to follow, our specific ethical code covering supervision (Professional and Ethical Compliance Code for Behavior Analysts 5.0, Behavior Analyst Certification Board®, 2014). We will present a series of recommendations and resources for establishing and maintaining high quality supervision. Finally, we will discuss strategies for detecting and addressing barriers that may develop within the supervisory relationship. |
Instruction Level: Intermediate |
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Considering Ethics and Supervision in Behavior Analytic Practice |
Shahla Ala'i-Rosales (UNT), Tyra P. Sellers (Utah State University), Rebecca P. F. MacDonald (New England Center for Children), LINDA A. LEBLANC (LeBlanc Behavioral Consulting LLC) |
Abstract: Supervision of professionals in the field of Behavior Analysis is multifaceted. The BACB® Professional and Ethical Compliance Code for Behavior Analysis provides guidance for effective supervisory practices, as supervision impacts both the supervisee and consumers. The purpose of this article is 1) to discuss rationales and consequences relative to supervision issues, 2) to provide directions for professional development in each of the seven identified supervisory areas within the code and 3) to set the occasion for critical discourse relative to supervision. Case examples are used to illustrate each of the seven supervisory subcomponents of the “Behavior Analysts as Supervisors” section of the Code. A rationale is provided for each component, as well as a discussion of possible undesirable consequences resulting from not following the rule. While the code provides clear expectations of the desired behavior, this article explores more of the subtle nuances inherent in each section of the supervision code, with the goal of achieving a better understanding of the Code and enhancing supervisory skills. |
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Recommended Practices for Individual Supervision in Practicum and Fieldwork Experiences in Preparation for Certification as a Behavior Analyst |
LINDA A. LEBLANC (Trumpet Behavioral Health), Amber Valentino (Trumpet Behavioral Health - Monterey Bay), Tyra P. Sellers (Utah State University) |
Abstract: Practicing behavior analysts and behavior analysts in academic settings often provide supervision for young professionals who are pursuing certification as a behavior analyst. Effective supervision is critical to the quality of ongoing behavioral services, the professional development of the supervisee, the continued growth of the supervisor, and the overall development of our field and its’ practice. The Behavior Analyst Certification Board recently instituted several new requirements including training in supervisory practices prior to supervising those who are accruing hours towards the experience requirement for certification. However, few published resources exist to guide supervisor activities and recommended practice. We summarize five overarching recommended practices for supervision. For each practice, we will discuss detailed strategies and resources for structuring the supervisory experience. |
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Identifying and Addressing Barriers in the Supervisory Relationship: Recommendations for Supervisors |
TYRA P. SELLERS (Utah State University), Linda A. LeBlanc (Trumpet Behavioral Health), Amber Valentino (Trumpet Behavioral Health - Monterey Bay) |
Abstract: Behavior analysts who supervise staff are responsible for establishing a healthy supervisory relationship and for teaching basic behavior analytic skills (e.g., verbal repertoires, technical repertoires, clinical decision-making). In addition, supervisors should prepare their supervisees to succeed in their subsequent professional activities by developing their interpersonal skills and professionalism repertoires. Difficulties in the supervisor relationship and problematic personal and professional skills often become the focus of targeted supervision efforts after the effects of deficits (e.g., avoidance of supervision, complaints from consumers, persistent tardiness) are detected. The primary purpose of this paper is to provide guidance to the supervisor’s effort to identify and address barriers to successful supervision related to a damaged supervisory relationship and persistent interpersonal and professional skills of the supervisee. A secondary purpose of this paper is to act as a general call to supervisors to continually and thoughtfully reflect on their own history, repertoires, and behavior, such that they may continue professional growth as supervisors. |
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Food Intake Behavior and Eating Disorders: Inputs of Animal Models |
Wednesday, November 15, 2017 |
9:00 AM–9:50 AM |
Scene AB, Niveau 0 |
Area: PRA; Domain: Applied Research |
Instruction Level: Basic |
CE Instructor: Vinca Riviere, Ph.D. |
Chair: Vinca Riviere (University of Lille ) |
ODILE VILTART (Universite des Sciences et Technologies de Lille 1) |
Dr. Odile Viltart is currently an associate professor at the University of Lille 1. She has served as a referee for Pediatric Research, Journal of Applied Physiology, Hormones and Behavior, Psychoneuroendocrinology, Europoean Child and Adolescent Psychology, and several other journals. She has published over 100 journal articles and book chapters. |
Abstract: Feeding is a behavior essential for survival of every living organism. It guarantees adequate and varied supply of nutriments to maintain appropriate energy levels for basal metabolism, physical activity, growth, and reproduction. In mammals, the maintenance of a high metabolic rate to preserve constant temperature requires constant availability of a sufficient amount of energy stores. The balance between energy demand and expenditure is finely tuned by a constant dialog between homeostatic and hedonic brain systems, and peripheral signals to regulate feeding behavior and energy homeostasis. Understanding mechanisms that control feeding behavior remain a current and crucial scientific subject for understanding both etiology and potential therapeutic approaches of eating disorders that include some forms of obesity, on one hand, and severe forms of anorexia nervosa (AN) on the other. The purpose of this presentation is to describe some of the current animal models used to better understand the feeding behavior and eating disorders with a special focus on AN. |
Target Audience: Board certified behavior analysts, licensed psychologists, graduate students. |
Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) identify the complexity of food intake behavior, from homeostasis to motivation; (2) identify how animal models can be used to better apprehend behavioral dysfunction in eating disorders; (3) discuss the validity of animal models to understand human diseases. |
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Topics in Organizational Management: Leadership Behavior |
Wednesday, November 15, 2017 |
10:30 AM–11:20 AM |
Studio F, Niveau 2 |
Area: OBM |
Chair: Jonathan Krispin (Valdosta State University) |
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Leadership Versus Management: Does the Three-Term Operant Contingency Distinguish Between These Roles? |
Domain: Theory |
JONATHAN KRISPIN (Valdosta State University) |
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Abstract: Stogdill (1974) asserted that there were as many definitions of leadership as there were people trying to define it. This is evidently true among behaviorists as well despite our penchant for definitional precision. Some have defined leadership as effective application of operant principles leading to organizational success of some sort, while others have simply assumed the premise that leadership consists of behaviors exhibited by leaders, adding problem-solving, decision-making, and using verbal behavior to articulate organizational rules to the effective application of operant principles. Similarly, behavior analysis has struggled to define the distinction between manager and leader. The most common criterion for identifying a leader appears to be relative position on the organization chart; the superior is designated as leader, while the subordinate is designated as follower. The present paper presents a new conceptualization of leadership and management as complementary sets of behaviors explained in the three-term operant contingency. Simply stated, management behaviors are those related to organizational mechanics and are operations performed on the antecedent side of an operant/culturant, while leadership behaviors are those related to behavioral dynamics and, therefore are those operations performed on the consequence side of an operant /culturant in an organizational context. Implications are discussed. |
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Exploring the Issue of Leadership Succession During Large-Scale Organizational Change |
Domain: Theory |
DOUGLAS ROBERTSON (Florida International University), Martha Pelaez (Florida International University) |
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Abstract: Significant changes in a large organization often require interventions that produce immediate results and, simultaneously, interventions that build or transform the system to create sustained improvements. System building usually requires time, which means that leadership change may occur during the course of the change effort in an evolving organization. Previously, we have discussed a case study of interventions aimed at both immediate results and systems building at a large public metropolitan research university (enrollment: 56,000) that were designed to transform the administration of the undergraduate curriculum in order to reorient it toward significantly improving undergraduate student success. The complex set of university-wide interventions were branded the Graduation Success Initiative (GSI) and were able to improve the on-time graduation rate by 16 points in its four years of operation (2011-2015) and win a national award from the Association of Public and Land-Grant Universities. Both macrobehaviors (behavioral patterns shared by a large proportion of individuals who occupy various roles in the university) and metacontingencies (recurring patterns of interlocking behavior contingencies that occur in nested hierarchies and exist at the cultural level) were targeted for change. In 2014, leadership changed at the university, and in 2015, rolling reorganizations began. As a result, contingency fields for the universitys existing change projects were de-stabilized, and reinforcement systems became unclear. The universitys production on performance based funding were affected within a year, and it dropped from the top three among the states 11 public universities to fifth, facing the real possibility the next year of falling to the bottom three and losing $26 million in performance based funding. This case study of changes in the contingency fields and reinforcement systems related to new leadership behavior raises the issue of productive ways to handle leadership succession while large scale organizational change is in progress, which is the subject of this paper. |
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The Differential Outcomes Effect in Children With Autism Learning Novel Tacts |
Wednesday, November 15, 2017 |
10:30 AM–10:50 AM |
Scene DEF, Niveau 0 |
Area: VBC |
Instruction Level: Intermediate |
Chair: Jessica Catherine McCormack (The University of Auckland) |
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The Differential Outcomes Effect in Children With Autism Learning Novel Tacts |
Domain: Applied Research |
JESSICA CATHERINE MCCORMACK (The University of Auckland), Javier Virues Ortega (The University of Auckland), Douglas Elliffe (University of Auckland) |
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Abstract: The differential outcomes procedure has been found to enhance conditional discrimination learning in animals and humans. By pairing each discriminative stimulus with a unique reward or reinforcer it provides an addition cue to correct responding. This can lead to faster and more accurate learning, as well as the development of equivalence relations. In the present study, we taught novel labels to four boys with pervasive developmental disorders. Three of the four boys met mastery sooner in the differential outcomes condition relative to variable outcomes, and all three were more accurate in the differential outcomes condition. In addition, we tested for the emergence of equivalence relations, and found that stimulus-outcome or response-outcome relations emerged in three out of four students. In Phase II responses were transferred to novel visual stimuli. The study provides evidence for the effectiveness of the differential outcomes procedure for children with pervasive developmental disorders, and discusses potential applications for this procedure in the context of behavioural skill acquisition programmes. |
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Considerations in Cultural Diversity When Providing Applied Behavior Analysis Treatment to Individuals With Autism and Other Developmental Disabilities |
Wednesday, November 15, 2017 |
10:30 AM–11:20 AM |
Forum GHIJ, Niveau 1 |
Area: AUT/PCH; Domain: Service Delivery |
Chair: Rany Thommen (ABA Today) |
Abstract: According to the Oxford Dictionary, culture is defined as the customs, arts, social institutions, and achievements of a particular nation, people, or other social group. It includes beliefs, behavior, customs, traditions, and language. Although ABA has decades of research supporting its effectiveness in treating Autism and there are more ABA practitioners across the globe than ever before, there is little research on how to develop ABA programs for consumers in a way that adapts to cultures outside of Western culture. Increased prevalence of Autism and more awareness has resulted in families from all backgrounds seeking treatment. Because of this we must find more ways to provide ABA services to families in a way that is culturally sensitive. This presentation will discuss the role of culture in how consumers respond to treatment intervention. Sample intake interviews will be described. Selection of appropriate treatment objectives which are sensitive to cultural differences but still reflect research-based intervention will also be described. Screening, assessment, and treatment plan development will be discussed to provide participants with information on how to better meet the needs of cultural diversity among clients while still providing evidenced based treatment. |
Instruction Level: Intermediate |
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The Role of Culture When Developing Individual Treatment Plans |
RANY THOMMEN (ABA Today) |
Abstract: This presentation will define culture and describe the different aspects of culture that practitioners should consider when completing screenings, assessments, or other intake processes. Individuals from different countries may answer or respond to questions differently than those accustomed to western culture. For example, in some cultures families do not wish to receive a formal diagnosis of a disability so as to not stigmatize the child in society. And in other cases, some families do not perceive the absence of skills as a sign of developmental delay. Examples of cultural perception will be reviewed so that practitioners can consider modifying their intake processes to receive more accurate information from the clients they serve. Cultural sensitivity when providing parent education such as in understanding Autism Spectrum Disorder or other developmental disabilities will also be reviewed. |
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Considering Cultural Differences When Selecting Appropriate Treatment Objectives |
Gia Vazquez Ortega (Blossom Center for Children), Rany Thommen (ABA Today), LYNN YUAN (Forward Center) |
Abstract: It is our responsibility as practitioners to not only choose appropriate goals but to develop intervention plans that the individual's team can effectively implement. Behaviors that are considered appropriate or inappropriate by the practitioner may not always be considered the same by family members and it is important that goals be carefully selected to ensure they are in fact important to the client. In some cultures, development of speech and language is less important than learning how to respond to directions. In other cultures, it is more important to develop academic skills than develop appropriate social skills. Cultural considerations during goal selection and treatment plan development will be reviewed. |
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Ethical Considerations When Providing Services to Families With Diverse Backgrounds |
Szu-Yin Chu (National Hsinchu University of Education, Taiwan), RANY THOMMEN (ABA Today) |
Abstract: This presentation will review sections 1.0, 2.0, and 4.0 of the BACB Guidelines for Responsible Conduct for Behavior Analysts related to relations with clients. When considering cultural practices, it can sometimes be difficult to determine which practices should be accepted and which practices should not be reinforced so that practitioners keep professional boundaries. In some cultural practices ignoring forms of appreciation offered by families can be perceived as insulting and fracture the practitioner client team dynamic. Ethical considerations related to meals, gifts, and other offerings will be discussed. |
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Using Behavioral Pharmacology to Investigate Factors That Alter Dopamine and Sensitivity to Reinforcement |
Wednesday, November 15, 2017 |
10:30 AM–11:20 AM |
Loft B, Niveau 3 |
Area: BPN/EAB; Domain: Basic Research |
Chair: Stephen H. Robertson (Idaho State University) |
Abstract: Behavioral pharmacology is a sub-discipline of the Experimental Analysis of Behavior that combines operant and pharmacological techniques to better understand brain-behavior interactions. Mesolimbic dopamine neurotransmission has been implicated as a neural basis of reinforcement. As such, behavioral pharmacological procedures that utilize dopaminergic drugs can be used to investigate factors that influence sensitivity to reinforcement. This symposium will feature a series of talks that explore the interaction between developmental, neurotoxicological (methylmercury), dietary (high-fat, high-sugar diet), and genetic factors that lead to changes in sensitivity to dopaminergic drugs, which results in an altered sensitivity to delay- and effort-based reinforcement. These experiments offer further evidence that dopaminergic neurotransmission is a neural mechanism that underlies sensitivity to reinforcement, and disturbing dopamine signaling can produce long-lasting behavioral impairment. Generally, these studies illustrate the utility of using behavioral pharmacology techniques to identify and characterize the extent to which factors impact dopamine signaling and sensitivity to reinforcement. |
Instruction Level: Intermediate |
Keyword(s): Delay Discounting, Dopamine, Effort |
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Haloperidol Unmasks Delay Discounting Effects in Rats Fed a High-Fat, High-Sugar Diet |
STEPHEN H. ROBERTSON (Idaho State University), Erin B. Rasmussen (Idaho State University) |
Abstract: Diet induced obesity (DIO) is a laboratory procedure in which rats are chronically exposed to a high-fat, high-sugar diet (i.e. cafeteria diet), which results in obesity, altered sensitivity to reward, and changes in the dopamine D2 system. In the current study, we exposed Sprague Dawley rats to a high-fat, high-sugar cafeteria-style diet or a standard rat chow diet for 8 weeks. Following the diet exposures, the rats were tested on a delay discounting task, in which preference for smaller, immediate vs. larger, delayed food outcomes were assessed. Once behavior was stable, acute administrations of haloperidol (0.03 0.1 mg/kg) commenced to assess the extent to which diet-induced changes in dopamine D2 influence impulsive food choice. Analyses revealed no baseline differences in percent larger, later choice as a function of diet; however, following an acute injection of 0.1 mg/kg of haloperidol, rats exposed to a high-fat, high-sugar diet showed a greater reduction in percent larger, later choice relative to rats fed a standard diet. As such, chronic exposure to a cafeteria-style diet alters dopamine signaling and results in an increased sensitivity to haloperidol that leads to increases in delay discounting relative to rats fed standard chow. |
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Amphetamine and Methylmercury Exposure During Adolescence Alters Sensitivity to Monoamine Uptake Inhibitors in Adulthood |
STEVEN R BOOMHOWER (Auburn University), M. Christopher Newland (Auburn University) |
Abstract: Adolescent exposure to methylmercury (MeHg), an environmental neurotoxicant, may alter monoamine neurotransmission to change behavior in adulthood. Male C57Bl/6n mice were assigned to two MeHg- (0 ppm and 3 ppm) and two d-AMP-exposure groups (saline and 1 mg/kg), producing four treatment groups (n = 10-12/group): Control, MeHg, d-AMP, and MeHg + d-AMP. MeHg exposure spanned postnatal day 21 to 60 (murine adolescence), and once daily injections of d-AMP or saline spanned postnatal day 28 to 42. In adulthood, lever pressing was maintained under a multiple fixed-ratio (FR) schedule of reinforcement for milk (FR 1, 5, 15, 30, 60 and 120). Following baseline, acute i.p. injections of d-AMP (dopamine uptake inhibitor), desipramine (norepinephrine uptake inhibitor), and clomipramine (serotonin uptake inhibitor) were given. Responding was analyzed using Mathematical Principles of Reinforcement, a model whose parameters reveal information about motor function, reinforcer efficacy, and the effects of delayed reinforcement. Adolescent MeHg exposure decreased the number of responses coupled to reinforcement, and adolescent d-AMP administration reversed this effect. Adolescent amphetamine exposure increased sensitivity to acute d-AMP, and adolescent MeHg exposure prevented this effect. These data provide indirect evidence for the hypothesis that disruption of DA neurotransmission is a mechanism of MeHg-induced behavioral toxicity. |
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The Interacting Roles of Genotype and Signaling Condition in Determining d-Amphetamine's Effects on Temporal Discounting: A Baseline-Dependent Account |
DEREK POPE (Auburn University), M. Christopher Newland (Auburn University), Blake A. Hutsell (Virginia Commonwealth University) |
Abstract: Amphetamine has been reported to increase or decrease preference for larger-delayed reinforcers depending on genotype, delay-progression, and signaling-conditions. To identify potential genotype X environment interactions responsible for these disparate findings, d-amphetamine's effects on delay discounting were assessed in two mouse-strains (BALB/c and C57Bl/6) responding under different stimulus conditions using a six-component, concurrent-chained schedule that randomized the within-session order of reinforcer delays. Across conditions, but within-subjects, components were presented without (mixed schedule) or with (multiple schedule) stimuli that signaled reinforcer delays and the effects of d-amphetamine were evaluated. Dose and schedule effects on generalized matching law magnitude and delay sensitivity were determined by a model-comparison approach. During baseline, magnitude and delay sensitivity were identical across stimulus conditions for BALB/cs and overall higher than the C57Bl/6s. For C57Bl/6s, magnitude and delay sensitivity were higher under the multiple than mixed schedule. Amphetamine decreased delay sensitivity under both schedules for BALB/cs, but this effect was attenuated by delay-specific stimuli. For C57Bl/6s, amphetamine decreased both magnitude and delay sensitivity under the multiple and increased each under the mixed schedule. Amphetamine decreased delay sensitivity when baseline levels were high and increased it when baseline levels were low, suggesting that effects were dependent upon baseline conditions. |
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Recent Advancements of a Function-Based Approach to Treating Pediatric Feeding Disorders |
Wednesday, November 15, 2017 |
10:30 AM–11:20 AM |
Studio DE, Niveau 2 |
Area: CBM/DDA; Domain: Applied Research |
Chair: Melanie H. Bachmeyer (University of North Carolina Wilmington) |
CE Instructor: Melanie H. Bachmeyer, Ph.D. |
Abstract: Decades of research demonstrate that some behavior-analtyic procedures are empirically-supported treatments for food refusal exhibited by children diagnosed with feeding disorders. However, studies examining assessment methodologies to determine the most specific, effective, and efficient function-based interventions are lacking in the behavioral feeding literature. Further, studies demonstrating the effectiveness of function-based interventions to specifically treat varied topographies of feeding problems are scarce. This symposium will discuss recent advancements to a function-based approach of treating pediatric feeding problems. Specifically, Sean Casey will discuss the use of descriptive analyses to determine which procedures are necessary for effective treatment. Melanie Bachmeyer will discuss the correspondence of descriptive and functional analyses of inappropriate mealtime behaviors and the outcomes of interventions matched to each. Finally, Kathryn Peterson will discuss the results of a comparison study between behavior-analytic treatment and a wait-list control group with children diagnosed with Autism Spectrum Disorder who exhibit severe food selectivity. |
Instruction Level: Intermediate |
Keyword(s): feeding disorders, food refusal, food selectivity, function-based treatments |
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Using Descriptive Analyses to Determine What Feeding Procedures to Retain, Discontinue and Add for Effective Treatment |
SEAN D. CASEY (The Iowa Department of Education) |
Abstract: The impact of applied behavior analysis methodologies to address feeding issues has enjoyed unparalleled success (Sharp et al., 2010). However, most of the literature has been demonstrated that treatment is most likely to occur in the medically oriented settings conducted with trained therapists. There are fewer published studies that are occurring in the naturalistic settings (i.e., schools and homes) with parents and school staff being utilized as the therapists during treatment meals (e.g., Gentry & Luiselli, 2008). Descriptive analyses (Mace & Lalli, 1991) offer the clinician the opportunity to see how each care provider responds to the childs bite acceptance and refusal behaviors which can lead to identification of the schedules of care-provider responses to the childs behaviors. This information can then be used to determine what schedule manipulations (i.e., bite acceptance, refusal, or both) to focus for treatment. The usefulness of this information can expedite and maximize treatment success and help to avid the usage of overly complex procedures and avoidance of highly intrusive procedures for some children. Such procedures may be difficult to maintain by feeders who are unlikely to have any training in applied behavior analysis (e.g., parents, school associates). In this study, descriptive analyses were used to identify the naturally occurring responses for bite acceptance and food refusal behaviors for the care-providers of several young children who possessed total food refusal or food selectivity. The results of these assessments and their concomitant treatment procedures are discussed. |
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A Comparison of Descriptive and Functional Analyses in the Treatment of Pediatric Feeding Disorders |
MELANIE H. BACHMEYER (University of North Carolina Wilmington), Jessica Ashley Keane (University of North Carolina Wilmington), Catherine Elizabeth Graham (University of North Carolina Wilmington), Jessica Woolson (University of North Carolina Wilmington), Sydney Ball (University of North Carolina Wilmington) |
Abstract: Previous research on the correspondence between hypotheses derived from descriptive and functional analyses has shown mixed findings (e.g., Lalli et al., 1993; Lerman & Iwata, 1993; Thompson & Iwata, 2007). Studies comparing the relative effects of treatments matched to each hypothesis when results of these analyses do not correspond are scarce. To our knowledge, no studies to date have conducted a systematic comparison of descriptive and functional analyses outcomes in the treatment of pediatric feeding problems. Therefore, we compared the results of a descriptive analysis and caregiver- and therapist-conducted functional analyses of the inappropriate mealtime behavior of eight children with feeding disorders. Results of the descriptive and functional analyses did not correspond for any of the children. We then compared extinction and reinforcement procedures matched to the results of each analysis using a reversal design. Results of the subsequent treatment evaluations showed that interventions matched to the functional analysis were more effective for all children. Interobserver agreement was collected on at least 33% of sessions and agreement was above 80% for each child. Clinical implications of these findings will be discussed. |
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Recent Advancements in the Treatment of Food Selectivity in Children With Autism Spectrum Disorders |
Kathryn M. Peterson (University of Nebraska Medical Center), Cathleen C. Piazza (Munroe-Meyer Institute, University of Nebraska Medical Center), Valerie M. Volkert (Marcus Autism Center and Emory School of Medicine), VIVIAN F IBANEZ (Munroe-Meyer Institute, University of Nebraska Medical Center) |
Abstract: Many children with autism spectrum disorder (ASD) have feeding difficulties, namely food selectivity (i.e., consumption of a limited variety of foods by type or texture). Food selectivity inevitably leads to inadequate dietary intake, which is associated with learning and behavior problems. If left untreated, children with food selectivity also may suffer from malnutrition or other health problems (e.g., constipation, Type II diabetes). Currently, treatments for pediatric feeding disorders based on ABA research have the most empirical support (Volkert & Piazza, 2012); however, there are not as many studies demonstrating the effectiveness of ABA in the treatment of food selectivity. Health professionals often recommend that caregivers wait to see if their child?s feeding difficulties resolve over time, independent of treatment, or suggest alternative treatments that do not have empirical support. In the current study, we compared ABA treatment to a wait-list control group. Independent acceptance of foods increased for children who received applied behavior analysis, but not for children in the wait-list control group. We subsequently implemented applied behavior analysis treatment with the children from the wait-list control and observed a similar increase in independent acceptance across all foods. |