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Using Technology to Improve Outcomes in Behavioral Treatment |
Monday, May 26, 2025 |
10:00 AM–11:50 AM |
Marriott Marquis, M4 Level, Liberty I-K |
Area: AUT/CBM; Domain: Translational |
Chair: Ellie Kazemi (Behavior Science Technology (BST) & California State University-Northridge) |
Discussant: David J. Cox (Endicott College; Mosaic Pediatric Therapy) |
CE Instructor: Ellie Kazemi, Ph.D. |
Abstract: Decades of research and clinical service delivery support the use of treatments based on applied behavior analysis to decrease challenging behavior (e.g., aggression, disruptive behavior, self-injury) and teach skills (e.g., social, academic, verbal behavior). Although highly efficacious, behavioral treatment can be time- and resource-intensive. Technology is one way to improve efficiency and reduce costs. The presentations in this symposium will focus on using technology to augment, improve, or maintain treatment outcomes in behavioral treatment. The first presentation will describe the use of an artificial intelligence notetaker to increase efficiency and accuracy of clinicians’ treatment notes. The second presentation will discuss research on using virtual reality in parent and staff training. The third presentation will explore gamification of behavioral interventions. Finally, the fourth presentation will compare outcomes of a digital parent training tool to treatment by a clinician. Collectively, these presentations cover various ways to incorporate technologies into behavioral service delivery. |
Instruction Level: Intermediate |
Keyword(s): artificial intelligence, gamification, technology, virtual reality |
Target Audience: The target audience is BCBAs, BCaBAs, or students training to become BCBAs. Audience members should broadly understand the principles of ABA and basic approaches to assessment and treatment. |
Learning Objectives: 1. Describe at least three ways to use technology in ABA service delivery 2. Identify barriers to effective, timely, and cost-efficient care 3. Discuss potential next steps for the use of AI, virtual reality, gamification, or digital tools |
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Reducing Cognitive Load and Giving Time Back to Board Certified Behavior Analysts (BCBAs): The Promise of Artificial Intelligence (AI)-Assisted Interviews |
(Service Delivery) |
Megan Griffin (Whitworth University), MICHAEL GAO (Alpaca Health), Deirdre M. Muldoon (The Center for Autism, Research Foundation, SUNY) |
Abstract: LeBlanc and colleagues (2019) note that inefficiency in managing caseloads can have significant adverse impacts on the quality of services, development of therapeutic relationships, and agency finances. Tools that increase fluency and efficiency are important to the effective work of behavior analysts. This study investigates the use of an Artificial Intelligence (AI) Notetaker by students studying Applied Behavior Analysis (ABA). A pilot participant summarized two brief simulated parent interviews, once with and once without the AI Notetaker. The participant strongly endorsed the AI Notetaker in that it allowed for easier and more efficient task completion (~20 min time savings). Next, we will conduct a multiple-baseline-across-participants design; data will be collected on duration of task completion, quality of work (as assessed by a rubric), and social validity. Although current data are limited to one participant, our findings are promising; data from the multiple-baseline study will be presented at the conference. Additionally, presenters will share promising applications of the AI Notetaker to mealtime interventions. Its usefulness will be considered in the context of the complex qualitative information gathered during caretaker interviews and how this might help assessment of past and present narratives that shape caregivers’ feeding experiences and subsequent interventions. |
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Virtual Reality Training for Assessment and Intervention of Challenging Behavior: Procedural Fidelity Analysis |
(Service Delivery) |
CASEY J. CLAY (Utah State University) |
Abstract: Virtual reality (VR) offers several useful applications for behavior analysts in clinical and training positions. VR training has been shown to be effective in other fields including medicine and industry. One application for behavior analysts is the use of fully immersive training environments for stakeholders trying to reduce challenging behavior and increase adaptive behavior skills. VR provides a safe environment that allows trainees to practice with limited risks related to challenging behavior. Further, VR can be programmed to produce the same scenario to fine tune feedback and rehearsal opportunities. This presentation includes summaries of fully immersive VR simulations used to build assessment and intervention skills (i.e., conducting functional analysis and conducting functional communication training) for challenging behavior in two populations (i.e., pre-service clinicians and parents). Overall, training in VR has been shown to be effective and successful. Specifically, the presentation will discuss analysis of procedural fidelity issues of trainees to maximize effectiveness of VR training. |
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Leveling Up Behavioral Therapy: Enhancing Interventions With Video Gamification |
(Service Delivery) |
EDWARD JUSTIN PAGE (Simcoach Games) |
Abstract: In Applied Behavior Analysis (ABA), the gamification of interventions—particularly through video games—represents an exciting yet underexplored frontier. Over the past two years, Simcoach Games, a leader in transformational game development, has partnered with behavior analysts to integrate evidence-based practices into the game design process. This collaboration merges expertise from both fields, resulting in video games grounded in well-established ABA interventions, assessments, and research-based strategies. This presentation will showcase the step-by-step process of translating applied behavior analytic literature into engaging, transformative games. Through live video demonstrations, we will highlight the effectiveness of using technology to enhance skill acquisition and streamline behavioral assessments. The presentation will also explore data produced by learner behavior within these games, illustrating how gamified interventions offer not only educational engagement but also rich, actionable data for clinicians. Attendees will gain valuable insights into how these digital tools can be employed in clinical and educational settings, delivering data-driven, interactive experiences that enrich both the teaching process and learner outcomes. This integration of technology and ABA interventions promises to drive innovation and enhance the effectiveness of behavior analysis for practitioners and clients alike. |
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Across the Spectrum of Service Delivery: Using Digital Tools to Achieve More for Less |
(Applied Research) |
MICHAEL F. CATALDO (Kennedy Krieger Institute), Jessica L Becraft (Kennedy Krieger Institute), Jacqueline Carrow (Kennedy Krieger Institute), Kissel Joseph Goldman (Kennedy Krieger Institute) |
Abstract: Twenty percent of children are diagnosed with a behavior disorder. Behavioral treatment by a highly trained and skilled clinician such as a Board Certified Behavior Analyst (BCBA) is the standard of care. However, with approximately 7 million U.S. children in need of treatment and fewer than 70,000 BCBAs, there are substantial waitlists and limited access to care. Further, because behavioral interventions tend to be intensive, the cost of care can be quite high. We have developed a digital parent training tool to address common behavioral concerns and tested it with families awaiting services in our large-volume outpatient clinic. Families reported daily frequency data on challenging behavior while they used the tool. Preliminary outcomes suggest families that are highly engaged with the digital tool have comparable outcomes to families treated by a clinician both in person and via telehealth. The digital tool requires minimal interaction with a clinician, and therefore requires substantially fewer resources. Direct costs of treatment by a clinician in our clinic are approximately $16,000-$20,000 per person, whereas the digital tool has about $100 of direct costs per person. These data suggest that the digital tool may be able to provide the same outcome for more people at a fraction of the cost of direct services with a clinician. |
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