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| Experimental, Clinical, and Organizational Research in Brain Injury and Developmental Disabilities |
| Monday, May 31, 2004 |
| 1:30 PM–2:50 PM |
| Constitution B |
| Area: DDA/EAB; Domain: Applied Research |
| Chair: Megan M. Ziomek (Southern Illinois University) |
| Discussant: Michael P. Mozzoni (Timber Ridge Group, Inc.) |
| Abstract: Learning Objectives
Learn about new research in OBM in rehabilitation facilities
Learn about how to apply relational frame theory to clinical populations
Learn about designing effective bonus plans for direct care workers |
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| Incorporating Functional Rehabilitation Activities into a NeuroBehavioral Treatment Model |
| JOHN M. GUERCIO (Center for Comprehensive Services Personal Intervention Program: Mentor ABI Network) |
| Abstract: The following study was designed to investigate how functional rehabilitation activities (FRAs) could be integrated into a post-acute NeuroBehavioral treatment setting for individuals with an acquired brain injury (ABI). Baseline data were taken on the documentation of these activities. A comprehensive FRA program was then introduced across 3 residences in the NeuroBehavioral program and secondary reinforcers were provided to both staff and participants participating in the program. A comparison was then made with a return to baseline procedure to determine the effectiveness of the reinforcement contingency. The results demonstrated that providing reinforcement drastically increased the number of FRAs that were documented within each residence. A return to baseline resulted in these numbers decreasing significantly. Once the reinforcement was reinstated, the frequency of documentation increased, but was well below the levels observed initially. It was necessary to implement FRA completion as a part of the job duties of the direct care staff to more fully incorporate this intro the programmatic agenda of the facility. |
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| Teaching the Relational Frame of “If-Then” to Participants with Brain Injury Using a pREP Training Procedure |
| SUSAN A. PARKER-SINGLER (Southern Illinois University, Carbondale), Mark R. Dixon (Southern Illinois University, Carbondale), Ashton J. Robinson (University of Wisconsin-Eau Claire), John M. Guercio (Center for Comprehensive Services), James L. Soldner (Southern Illinois University, Carbondale), Stacey L. Small (Southern Illinois University, Carbondale) |
| Abstract: The present study attempted to extend the empirical research on Relational Frame Theory to participants suffering from traumatic brain injuries. Participants were taught “If-Then” relational frames using a pREP training procedure between A-B, B-C, C-D, and D-E stimulus classes and were tested using that same procedure for derived relations between A-C, A-D, A-E, B-C, B-D, B-E, C-D, C-E, and D-E stimuli. Participants were able to easily respond with high accuracy levels through training procedures, and most had some success with the derivation of the many of derived temporal relations. These data suggest that a Relational Frame Theory conceptualization and the pREP training procedure have utility for the clinical population of brain injury. Furthermore, exposure to the pREP training procedure may allow for persons with brain injury to derive at the delayed consequences which may follow from engaging in a specific behavior to a greater degree than through the conventional means of verbal description of those consequences by caregivers. |
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| The Effects of a Pay Incentive on Direct Care Staff Behavior: Participation in Training and Meeting Attendance |
| KATHERINE M. JOHNSON (CARITAS Peace Center), Beth A. Duncan (CARITAS Peace Center), Janice L. Marley (CARITAS Peace Center), Mollie J. Horner-King (CARITAS Peace Center), Erin G. Moreschi (CARITAS Peace Center), Scott D. Mckenzie (CARITAS Peace Center) |
| Abstract: The effectiveness of pay incentive for direct care staff meeting training requirements was assessed using a multiple baseline design across 3 units in a psychiatric hospital. During baseline all staff received a noncontingent additional one-dollar per hour over their base rate. During the intervention phase, the dollar per hour was made contingent upon attending a training meeting and testing out as competent on behavior plans. The percent of staff trained on designated plans and percent of staff that attended a monthly training meeting will be reviewed. Test Scores before feedback, after feedback and in one-week maintenance probes will also be presented. The advantages and disadvantages of pay incentives will be discussed. |
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