Association for Behavior Analysis International

An organizational approach to psychopharmacology in a behavior analytic residential treatment program is discussed. Our treatment teams and psychiatrist collaborate to reduce psychotropic medications, when clinically appropriate, for individuals with severe problem behavior. Our clients have typically attended previous residential treatment facilities, have been rejected from other placements, and are admitted to our program on a variety of psychotropic medications. We discuss changes in major problem behaviors following medication reduction and discontinuation. In many cases, we are able to successfully discontinue the use of psychotropic medications while concurrently implementing a comprehensive and intensive behavioral treatment program. Effective, program-wide behavioral interventions are reviewed. Several case studies highlight various level and trend changes observed when titrating psychotropic medications. Subsequently, a retrospective analysis examines the impact of clonidine withdrawal or discontinuation on the frequency of aggressive and self-injurious behavior. Aggressive and self-injurious behavior decelerates following clonidine discontinuation for the majority of the sample. Treatment providers should also be aware of temporary increases (i.e., agitation withdrawal) in problem behavior following medication reduction. Ethical considerations surrounding boundaries of competence, consultation, treatment efficacy, and least restrictive procedures are discussed.

behavior analysts, psychologists, behavioral scientists

Single-case designs have been central to the development of a science of behavior analysis. However, other health and social sciences have not embraced their adoption as widely as behavior analysts. Potential explanations for this lack of adoption include the complexity of analyzing single-case data objectively as well as the limited consideration of group data. The purpose of our symposium is to present recent research that addresses the aforementioned limitations. The first presentation will describe a script designed to automatically analyze functional analysis data based on previously published rules. The second presentation will examine whether artificial intelligence can accurately make decisions using AB graphs. The third presentation will discuss the validity of using nonoverlap effect size measures to aid clinical decision-making. The final presentation will introduce hybrid designs, which involve a combination of single-case and group methodologies. As whole, the presentations will provide an overview of innovations in the use of single-case methodology for both practitioners and researchers.

BCBAs BCBA-Ds

Visual analysis is the most commonly used method for interpreting data from single-case designs, but levels of interrater agreement remain a concern. Although structured aids to visual analysis such as the dual-criteria (DC) method may increase interrater agreement, the accuracy of the analyses may still benefit from improvements. Thus, the purpose of our study was to (a) examine correspondence between visual analysis and models derived from different machine learning algorithms, and (b) compare the accuracy, Type I error rate and power of each of our models with those produced by the DC method. We trained our models on a previously published dataset and then conducted analyses on both nonsimulated and simulated graphs. All our models derived from machine learning algorithms matched the interpretation of the visual analysts more frequently than the DC method. Furthermore, the machine learning algorithms outperformed the DC method on accuracy, Type I error rate, and power. Our results support the somewhat unorthodox proposition that behavior analysts may use machine learning algorithms to supplement their visual analysis of single-case data, but more research is needed to examine the potential benefits and drawbacks of such an approach.

Single-case experimental designs often require extended baselines or the withdrawal of treatment, which may not be feasible or ethical in some practical settings. The quasi-experimental AB design is a potential alternative, but more research is needed on its validity. The purpose of our study was to examine the validity of using nonoverlap measures of effect size to detect changes in AB designs using simulated data. In our analyses, we determined thresholds for three effect size measures beyond which the type I error rate would remain below .05, and then examined if using these thresholds would provide sufficient power. Overall, our analyses show that some effect size measures may provide adequate control over type I error rate and sufficient power when analyzing data from AB designs. In sum, our results suggest that practitioners may use quasi-experimental AB designs in combination with effect size to rigorously assess progress in practice.

Functional analysis (FA) has been an important tool in behavior analysis. The goal of an FA is to determine problem behavior function (e.g., access to attention) so that treatments can be designed to target causal mechanisms (e.g., teaching a socially appropriate response for attention). Behavior analysts traditionally rely on visual inspection to interpret an FA. However, existing literature suggests interpretations can vary across clinicians (Danov & Symons, 2008). To increase objectivity and address interrater agreement across FA outcomes, Hagopian et al. (1997) created visual-inspection criteria to be used for FAs. Hagopian and colleagues reported improved agreement but limitations of the criteria were noted. Therefore, Roane, Fisher, Kelley, Mevers, and Bouxsein (2013) addressed these limitations when they created a modified version. Here, we describe a computer script designed to automatically interpret FAs based on the above-mentioned criteria. A computerized script may be beneficial because it requires objective criteria (e.g., 10% higher vs. ‘substantially’ higher) to make decisions and it is fully replicable (i.e., does not rely on interobserver agreement). We outline several areas where the published criteria required refinement for the script. We also identify some conditions in which the script provides interpretations that disagree with expert clinician interpretations.

Maximizing student learning outcomes is a goal at every level of instruction. For undergraduate and graduate students in behavior analysis, the stakes may be even higher given the clinical implications and leadership roles BCaBAs and BCBAs take on immediately following graduation and certification. Therefore, it is critical to identify evidence-based approaches to engage students with course content, not only to pass the certification exam, but also to enhance client outcomes. The four studies in this symposium describe ways in which to do just that. The first study evaluated the effects of active student responding and competition among on-campus undergraduate students. The remaining three studies were conducted with graduate students in a fully online asynchronous program. This included two intervention studies, one examining choice of practice activity and the second evaluating the effects of self-monitoring on quiz grades. The final study examined academic procrastination using a delay discounting task with the aim of identifying possible interventions to decrease procrastination. Taken together, these research findings expand the scope of effective instructional strategies in both the face-to-face and online classrooms.

Behavior analysts who teach undergraduate and graduate students

Self-monitoring is an evidence-based intervention that has been shown to be widely effective in addressing a range of target behaviors (Weston et al., 2019; Wills & Mason, 2014). In the academic context, it has demonstrated increases in the performance of elementary, middle, and high school students both with and without disabilities (Graham-Day, Gardner, & Hsin, 2010; Wolfe, Heron, & Goddard, 2000), but there is limited information available regarding use of self-monitoring among graduate students. Graduate students struggle with time management given the many competing contingencies they are faced with (Hanshaw, Mason, & Loh, 2019). This study evaluated the effect of self-monitoring on quiz grades among graduate students in a fully online, asynchronous behavior analysis course. There were three conditions that were evaluated including instructions only, instructions with self-monitoring, and control wherein there were no expectations stated for daily engagement with the course content. Students allocated more time across days during the self-monitoring condition and performed better on quizzes in comparison to the instruction only condition. Results will be discussed with regard to social validity and implications for instructors.

The field of Applied Behavior Analysis has experienced tremendous growth since its inception. According to the Behavior Analyst Certification Board®, between the years 2016 and 2018, the total number of certified behavior analysts has increased by over 30%, and the total number of registered behavior technicians® has nearly doubled. An essential component for obtaining and maintaining these certifications include supervision hours. The Behavior Analyst Certification Board® has provided task lists regarding the items and topics required for adequate supervision; however, no components of cultural responsiveness and awareness are included. With the increase of behavior analysis within culturally diverse populations, it is imperative that our field develop new and innovative ways of including cultural competency into the Board Certified Behavior Analyst® and Registered Behavior Technician® supervision experience. Many behavior analysts have reported not receiving sufficient training within the areas of diversity and cultural responsiveness and feel unprepared to serve diverse clients and communities adequately. This workshop is designed to address the gap in formal training specific to the lack of diversity and cultural responsiveness across the supervision continuum.

Registered Behavior Technicians; Board Certified Assistant Behavior Analysts; Board Certified Behavior Analysts

Recent behavior-analytic efforts to the competent dissemination of acceptance and commitment training (ACT) have dramatically increased. The current symposium seeks to add to the ways in which practicing behavior analysts may more confidently-equipped to use ACT within their practices. The first presentation investigates the extent to which coherence between values and self-management strategies may improve treatment outcomes in a college population.We then empirically explore practical applications of ACT within an ASD population. Finally, we introduce evidence of the success of ACT via the AIM curriculum with a rather unique population. Implications to the overall successes and utility of ACT in daily practices, as well as ways to increase positive outcomes, are discussed.

beginner-intermediate behavior analyst

This presentation describes the development of a custom-made “ACT for Kids” workbook and the initial phases of testing its effectiveness for decreasing challenging behaviors and increasing self-management skills in children with Autism Spectrum Disorder. The study is still currently in the data collection phase and initial data suggest it is effective. In this presentation, we will describe in a practical manner the steps that were taken to transform the ACT Hexaflex and Matrix into stimuli that children with ASD would be able to consume and respond to independently. Results from the one participant completed thus far showed that the “ACT for Kids Workbook” decreased the participant’s maladaptive behaviors while consequently increasing his use of ACT-based self-management skills in his daily life. Findings from the social validity interview revealed that parents of this participant saw a significant increase in independent self-management skills across settings and environments, when ABA team members were not present.

Derived relational responding (DRR) has a seat at the operant table. The present symposium seeks to extend the reach of DRR and relational training procedures to populations not often targeted using methods not often implemented. First, we explore relational training efforts within an elderly population and discuss implications of DRR as it relates to neuroplasticity. Second, we discuss the novel ocular observing responses and their relation to DRR. Finally, we take an inside look to PEAK-Life by exploring both basic and applied implications of its pending release.

intermediate-advanced

In this symposium, different interdisciplinary approaches to the understanding and efficient intervention in social contexts will be presented. The so-called "social progress" has been identified through the development of living conditions that affect society in various fields such as urban development, economic and working conditions, living conditions, which imply an improvement in the quality of life of individuals who participate in social groups. However, this development has some repercussions that are identified as “social problems”, that can paradoxically represent a negative impact on individual quality of life such as coexistence problems, corruption, bullying, drug abuse, social inequality. In this presentation a prescriptive framework of the applicability of psychological knowledge is discussed taking into account four features that are considered by Ribes (2018) for the development of a technology-based on scientific knowledge: a) a theory of individuation; b) formulation of interface concepts associated with the circumstance identified as problematic; c) design of methods and procedures for the transfer of scientific knowledge into social problems, and; d) identification of the social criteria that guide the meaning of the intervention.

By living in groups that are conventionally structured, shaped, and maintained, humans face behavioral challenges to maintain their own individual environmental adjustment and the cohesion of their groups. That is to say, humans strive to maintain an often-delicate balance between their individual needs and those of the group. Social problems arise when this balance does not obtain. A major aim of Psychology is the analysis of individual behavior and its interaction with its environmental conditions. A key assumption in pursuing this aim is that behavior allows the individual to adjust to its changing environment. In the case of humans, a substantial part of their environment is conventional in character. Due to this character, shared social practices are stronger determinants of humans’ adjustments to their environments than the physicochemical or ecological aspects are. As a part of an interdisciplinary approach, Psychology could supply a conceptual basis for how individuals interact in groups, identifying the variables that affect social coexistence processes. Similarly, such knowledge could be used to design interventions oriented to behavioral change in different social contexts, such as bullying at school and workplaces, public security issues, traffic and use of public spaces, and addictions.

Interbehavioral Psychology, as the discipline entrusted with studying the relation between the individual and its functional environment, can contribute knowledge towards the solution of problems in education as long as a general process theory is linked the before-mentioned knowledge. Psychological understanding, as applicable knowledge, can only result as an outcome of theory and technological investigation that adapts analytical knowledge from basic (general) science to the situational circumstance that the technology entails. In this respect, the notion of didactic interaction, as the functional unit of the teaching-learning process, has allowed the examination of the appropriateness of relationships between teacher, student and object referent. Thus, contributing to a pertinent formation before the new requirements that the context to discipline and social establishes.

This symposium presents some of the latest developments in behavioral variability research. The opening paper outlines a comparison of video-modelling (VM) and VM plus lag schedules to increase variability of intraverbal responses to social questions among adults with autism spectrum disorder (ASD). Issues with generalization and maintenance of intervention outcomes and how to measure same will be discussed. The next study used lag schedules to increase variability in toy selections of children with ASD. There was an associated increase in appropriate play and decrease in stereotypy, while multiple generalization probes revealed generalization across people and settings but not stimuli. Next is a long-awaited investigation into the level of variability in activities of neurotypical preschoolers that details a novel measurement system. This study provides important information for those working on increasing variability in play and other activities in children with developmental disabilities; these are increasingly frequent topics of applied variability research. The final paper describes a basic study investigating generalization of reinforced variability in rats. In the applied field, researchers are striving to understand generalization effects of variation across multiple repertoires; this study adds to our understanding of these processes. This set of papers, together with our Discussant, the leading expert in this field, aims to address some of the many interesting questions that have been raised as more and more researchers identify behavioral variability as an important field of study.

BCBAs, BCBA-Ds, anyone interested in variability in basic or applied fields.

This study investigated the effects of video modelling alone (VM) and video modelling plus a lag 2 schedule of reinforcement (VM + lag 2) on the variability of intraverbal responses to social questions for two adults with autism. It used an alternating treatments design with embedded multiple baseline. The questions ‘How are you?’, ‘What do you like to do?’, and ‘Can you tell me something about you?’ were targeted in this study, with different questions being randomly allocated to either VM, VM + lag or best treatment conditions. Variability in responding was measured by calculating, for each session, the mean number of responses from which each one differed. For both participants, variability was higher in the VM + lag 2 condition, hence, this was used in the best treatment condition. Novel responses emerged in both treatment conditions so, while variability did not increase in the VM alone condition, participants did learn new responses from the video models. A one-month maintenance check revealed that responses to questions targeted with VM+ lag 2 were more variable than those targeted by VM alone. During generalization sessions in novel settings, variability was concordant with that observed in the training location for all questions.

Behavior analysts work in diverse settings including clinics, centers, schools, hospitals, and other large, community-based "systems". Behavior analysts also work with a diverse population of clients (e.g., those with developmental disabilities, mental health disorders, comorbid diagnoses) and employees (e.g., direct care staff, nurses, doctors, teachers, behavior technicians, behavior analysts, administrators). Providing high-quality orientation, onboarding, and training experiences to employees with diverse experience and education requires significant development, implementation, and evaluation of these "staff training" systems to ensure the best outcomes for clients and their staff. Using a behavioral systems approach, each of the authors in this symposium will describe the orientation, onboarding, and/or training systems within their large systems while discussing the evaluation required to further inform system development.

Behavior Analysts, Supervisors, Administrators

Functional Behavior Assessment is an evidence-based practice used within high-quality ABA therapy programs to assess and help treat challenging behaviors exhibited by individuals. The specific pinpoints associated with performing these skills require training and supervision of clinicians, especially in large agencies providing geographically diverse applied behavior analysis services. Several effective staff training formats exist including behavioral skills training, video modeling, and performance feedback. The efficiency with which large agencies (and even educational institutions with geographically diverse learners) provide effective staff training opportunities is of great importance to our field and the clients we serve. Using a group experimental design, the current study will explore the effectiveness of various staff training formats on the functional behavior assessment skills of clinicians who provide ABA therapy to individuals with ASD. Results will include changes in observed performance of FBA skills across indirect assessments, descriptive assessments, functional analyses, data summarization and analysis, and reporting. Clinician feedback on preference for training formats and client data will also be discussed.

While much of the early research in Applied Behavior Analysis (ABA) focused on individuals with mental health disorders and individuals with developmental disabilities, more recent history in ABA with individuals with developmental disabilities has flourished while its active role with those with mental health diagnoses has diminished. Additionally, there is a proliferation of comorbid diagnosis of mental health conditions for individuals with developmental disabilities such as ASD. There is also a focus on utilizing psychotropic medication as either a primary or supplementary treatment component for behavioral excesses. The current paper describes an in-service staff training model aimed at orienting psychiatric nursing and support staff to the field of Applied Behavior Analysis, and how ABA can be an integral part of a multidisciplinary approach to assessment and treatment in an acute in-patient psychiatric unit for children and adolescents. Melding a psychiatric nursing model aimed at both acute behavioral stabilization and medication assessment and management with a functional behavioral approach and the resulting barriers to integration will be discussed.

Being sensitive and understanding one’s emotions and the emotions of others is considered critical to social behavior. Some may fail to adequately develop such sensitivity and understanding without direct intervention. One such intervention is to help a learner to tact private stimuli arising from their body as a particular emotion. Such training relies upon inferring what stimuli might be accompanying certain “emotional behavior.” This approach assumes that there are readily identifiable unique private stimuli associated with such behavior. The task is to help a learner identify and name (tact) these stimuli. Another approach is to help children to identify emotions that others are experiencing based upon facial expression. It is assumed that there are readily identifiable facial expressions linked to consistent private emotions. Analysis of data from hundreds of neuroscience studies and thousands of subjects suggest both of these approaches may be flawed. This symposium will first present neuroscience data which challenge the assumption that there are unique private stimuli or brain circuitry associated with emotion, and that suggests there is no evidence that facial expressions reflect emotion. It will then suggest a formulation and interventions consistent with both these data and a consequential contingency analysis.

Professional involved in the teaching or behavioral intervention with those who may be developmentally challenged, and those involved with clinical behavioral intervention.

Credentialed behavior analysts are expected to follow the Professional and Ethical Compliance Code (BACB, 2014). The Code itself provides general and specific guidance on acceptable behavior. As the practice of behavior analysis continues to expand (i.e., number of credentialed behavior analysts, breadth of applications of the science, and depth of application within a practice area), discussion of how the Code applies to various situations and variables is important. An area of need is understanding how credentialed behavior analysts and support personnel (e.g., finance, human resource) perceive the application of the Code in practice. Understanding these perceptions can guide the profession, organizations, and individual practitioners in developing preventive and responsive ethical practices. Additionally, current practice situations (i.e., rural practice and international dissemination) warrant specific discussion and relevance to specific Codes. The purpose of this symposium is to share survey data of employees from a mid-sized human service agency regarding ethical perceptions, discuss practice of behavior analysis in rural areas, and the ethical international dissemination of behavior analysis.

Practice organization administration, practitioners, university personnel responsible for training behavior analysts, supervisors of students completing fieldwork requirements, and students.

The practice of Applied Behavior Analysis in rural communities provides ample fodder for unique situations and ethical code violations. Surveys were sent to Board Certified Behavior Analysts (BCBAs) in the state of Oklahoma, a state with only 103 certified individuals, regarding ethical codes most observed to be violated. In addition to few practitioners in the state, almost 80% of Oklahoma’s certificants live within a 20 mile radius from two main hubs of service delivery. This leaves a small number to provide services for the rest of the state's mostly rural areas. Results of the survey indicate multiple relationships, poor supervision and boundary of competence as the greatest areas of concern. Aside from the short supply of supervisors putting a strain on the supervisee: supervisor ratio, other possible variables that contribute to these violations include a lack of resources within the schools, physical distance to other BCBAs for referrals, working in tight knit communities, and within a culture that defaults to the use of punishment procedures. Knowing the most violated codes within a particular community allows preventative strategies to be implemented. In this case, having a network of mentors, holiday gift reminders, and strict practices for social media are a few of those suggested for our rural practioners.

The current symposium is a synthesis of efforts at various points in the Relational Training System assessment and curriculum. The first talk provides a conceptualization as to how we might make better-informed decisions relative to program selection and intervention approaches in the context of PEAK using a case conceptualization tool. The second talk investigates relationships between derived relational responding and executive processing deficits in children. Finally, we highlight pre-post change scores relative to the PEAK Comprehensive Assessment for children diagnosed with autism given exposure to PEAK in a special education context. Implications and utility of these findings are discussed.

beginning-intermediate behavior analysts

The PEAK Relational Training System contains a comprehensive assessment and curriculum designed to target global language and cognitive skills in children with autism and related disabilities. Although research on PEAK has grown considerably, more research is needed within applied contexts in which this tool is likely to be utilized. We conducted PEAK at a special education school over the course of 3 months with 5 children with autism. PEAK instructions was systematically embedded within their school day for up-to 2 hours, supplementing other instructional strategies. The efficacy of PEAK instruction was evaluated using a multiple baseline across skills experimental design, replicated across the 5 children. We overview how this design can be embedded within any applied setting, allowing for the on-going experimental analysis of behavior within sacrificing assurance that children are receiving on-going effective education. In addition, we conducted the PEAK Comprehensive Assessment at the onset of the study and following 3 moths of training, where the PCA provides an estimate of global repertiores across direct training, generalization, equivalence, and relational learning skill sets. Results suggested a significant increase in PCA scores across all participants.

Advances in Relational Frame Theory have begun to allow Applied Behavior Analytic treatments for children with autism to focus on higher-order or global repertiores of behavior. Executive functioning deficits are common in children with autism that can severely impact quality of life in several domains. We review three studies that speak to the importance of targeting executive functioning deficits in children with autism using relational training and testing procedure. The first study provides a comprehensive literature review comparing functional neurological activity when completing traditional executive functioning tasks and when deriving combinatorially entailed relations. Results suggest that common neurological processes are involved in the completion of both tasks. The second study provides another systematic review that shows an exponentiation of research utilizing derived relational responding technologies to teach new skills to children with autism within the major behavior analytic journals. The third study empirically evaluates the construct validity of the PEAK Comprehensive Assessment (PCA) as a tool to measure verbal operants and relational operants that may be related to executive functioning processes. Convergent and divergent components of the PCA are discussed in the context of developing treatments for children with autism from a Relational Frame Theory account.

Promoting Emergence of Advanced Knowledge Relational Training System (PEAK) is a four-volume curriculum targeting Direct Training, Generalization, Equivalence, and Transformation. Research to date has shown behavioral skills training (BST) to be effective at training staff to implement PEAK. While timely, little is known about the extent to which staff’s self-efficacy (or verbal behavior about one’s competency) influences implementation of PEAK. Therefore, the purpose of the current study was to determine if a thorough case conceptualization model (CCM) can increase implementer self-efficacy. The CCM was developed to establish problem solving opportunities for implementers and supervisors to use during feedback sessions. Three implementer-child dyads were subjected to a multiple-baseline design wherein implementers were first trained how to implement PEAK before starting treatment as usual (baseline). Next, participants were handed the CCM tool during the instruction phase but were not given any specific feedback on how to use it. Finally, during the feedback phase, all implementers were instructed on how to use the CCM and how to derive feedback from it. Throughout all phases, client PEAK scores, implementation scores from staff, and self-reported self-efficacy Likert rating scale was assessed. Overall, all participants showed increase self-efficacy scores following CCM feedback. Implications will be discussed.

This symposium includes three talks describing procedural variations for the establishment of stimulus control and equivalence classes. The first talk describes an applied go/no-go procedure to establish simple discriminative control over selection responses in two children with autism. The second study describes an alternative method for the establishment of conditional relations between auditory-visual stimuli involving a go/no-go procedure with successive matching. Finally, the third study explored a specific parameter of matching-to-sample training in which the incorrect trial was repeated, suggesting that such procedure enhances maintenance of skills. Overall, these data have directly implications for both basic research and clinical practice

Researchers and clinicians

The current study investigated the conditions necessary for stimulus to acquire control of skill acquisition. Two learners diagnosed with autism, ages 7 and 9, both with long history of little to zero rate of skill acquisition in their ABA programs. Skinner’s (1938) successive method, “Go and no-go” stimulus control training was used to teach pre-mand training with the Picture Exchange Communication System (PECS). The successive method was then followed by “Go-right/go-left successive procedure” developed by Harrison (1984), and then Go-right/go-left with simultaneous stimulus presentation (Harlow, 1950). The results show that participants acquired initial discrimination of PECS icons in approximately 88 sessions and maintained the skills 3 months after the introduction of first discrimination method.

To train baseline relations during equivalence class formation, match-to-sample (MTS) is commonly used. When an error occurs during training, feedback is provided but an opportunity to immediately respond a second time to the same trial following an error is typically not provided in studies with advanced learners. Although some equivalence studies within the literature incorporated the procedure of immediately repeating an incorrect trial during baseline, none has compared this to not repeating a trial when an error occurs. The present study made such a comparison. Two different sets of two 4-member equivalence classes of abstract stimuli were established with adults of typical development. Results showed that classes were established with similar accuracy, duration, and number of trials regardless of whether incorrect trials were repeated immediately following an error or not repeated. However, maintenance tests showed that the classes from the repeating a trial condition maintained at higher levels than those from the not repeating a trial condition. A social validity survey indicated that participants strongly preferred the repeating a trial condition. The implications of these results may provide clinicians with an alternative way to use stimulus equivalence-based instruction to facilitate maintenance of classes.

Behavior analysis can bring together multidisciplinary teams responsible for effective programming for diverse clients with concurrent mental health and medical diagnoses. Even so, the early experiences of many ABA program participants and supervisees are characterized by exposure to only a small slice of the many client populations who could benefit from ABA. This panel assembles professionals, professors, and practitioners spanning community practice, medical and university environments to address audience questions on the intersection between behavior analysis and treatment of behavior related to mental health. Discussion points will include answers to recent questions posed by community members and students to university professors and those disseminating behavior analysis on social media, including: What ethical considerations are involved as I treat behavior in a person with concurrent mental health diagnoses? How do we form effective collaborations in mental health and medical hospital settings? How does behavior analysis look in an interdisciplinary environment, and how can I expand my boundaries of competence related to more diverse settings?

Intermediate skill behavior analysis level

Many assessment tools have been developed to assess a specific range of behaviors with specific populations. In addition, they often have a substantial body of research supporting their effectiveness to do so. Two examples of this are Functional Analysis (FA) methodology and the Performance Diagnostic Checklist (PDC), with the former most commonly used with individuals with intellectual and developmental disabilities to assess significant behavioral excesses, and the latter most commonly used with adults in organizations to assess barriers to effective work performance. Such tools may have greater utility outside of these immediate areas and this symposium will present two examples of such expansion. The first presentation will discuss the use of FA procedures with 10 individuals on a simple data-entry task. Results suggest that the various antecedent and consequence variables presented were not differentially effective and that goal setting and rule-governed behavior may be responsible for the maintenance of behavior. The second presentation will discuss the use of the PDC to improve the health behaviors of four athletes. The resulting interventions produced some mixed results and the implications and future directions will be discussed. The symposium will conclude with some comments and thoughts from our esteemed discussant.

Practicing BCBAs, BCBAs who are administrators or supervise others, BCBAs practicing in areas of health behaviors or in the areas of sports performance

Behavior Analysis is a fast growing field, not only in the US, where it originated, but also around the world. The Behavior Analyst Certification Board (BACB) has become a widely accepted certification body both within the US and in many other countries. This not only creates opportunities for Board Certified Behavior Analysts (BCBAs) to find employment in various parts of the world, but also for professional organizations from around the world to standardize basic requirements for individuals who practice behavior analysis. The increasing acceptance of the BCBA certification abroad is reflected in the growing number of BCBAs practicing outside of the US as well as in the fact that the BCBA exam is now offered in an increasing number of languages. In addition to the BCBA certification, there are many other professional organizations who regulate the practice of behavior analysts in countries other than the United States. The profession of Behavior Analysts in various countries is shaped by variables such as local laws, licensure or certification processes, and funding sources. This panel will provide an overview of the field in Poland, Ecuador and Armenia.

BCBAs, BCaBAs, and other certified or licensed professionals

Behavioral medicine is an area of research that integrates behavior analysis and biomedical sciences to change behaviors associated with health and disease states. Behavioral medicine targets may focus on disease prevention, treatment to improve health and disease states, programming to facilitate maintenance of health behavior change, and treatments targeting adherence to medical regimes. As experts in functional analysis and behavior change, behavior analysts are well-equipped to work in the area of behavioral medicine. However, only a small percentage of articles published in behavior analytic journals focus on behavioral medicine research. There is a need for behavior analysts to produce more research in the area of behavioral medicine. One of the goals of the Behavioral Medicine Special Interest Group of ABAI is to provide opportunities for students to disseminate research. The purpose of the current symposium is twofold. First, research in two different areas of behavioral medicine (i.e., increasing physical activity in sedentary adults and improving sitting posture in adults with reported low back pain) will be presented to demonstrate how doctoral students and other researchers may effectively contribute innovative applications of behavior analysis to the field to address behaviors related to pain and wellness. Secondly, a discussion will follow, which will specifically address how to begin doctoral work in behavioral medicine, and provide suggestions and guidelines for future or current students who are interested in working in the area of behavioral medicine.

BCBA BCBA-D licensed behavior analysts

b. Optimal health outcomes are positively correlated with regular exercise, yet nearly one-quarter of adults in the United States reportedly do not participate in physical activity during their free time. The purpose of the current study was to evaluate the effects of gradually faded behavioral coaching for increasing physical activity frequency and duration during the study and once the intervention ended. Participants were divided into two groups and matched according to age and body mass index. The Faded Coaching group received behavioral coaching sessions once per week for the duration of the intervention, and the other group participated in gradual fading of behavioral coaching over the course of the intervention. Results for Continuous Coaching group showed increased duration and frequency of physical activity from baseline to end of intervention. During maintenance for the Continuous Coaching group, frequency and duration of exercise decreased. Results from the Faded Coaching group showed participants increased duration and frequency of exercise while they experienced weekly coaching calls, with less of a decrease in duration and frequency of exercise when coaching sessions were faded. Interobserver agreement data were collected on weekly duration goals set during coaching sessions.

This PDS features the editors of ABAI journals discussing the peer review process, its importance in science in general, and for consumers of scientific information. Panelists will describe the peer review process from article submission to addressing reviewer comments and understanding editorial decisions. The protections against misinformation that peer review offers are emphasized in this PDS.

All individuals interested in the publication process.

With its growth, the field of applied behavior analysis (ABA) is encountering practice issues ranging from negotiating insurance reimbursement, developing formal treatment guidelines, and gaining the trust of consumers. One controversial practice issue is the use of non-compete clauses (NCC’s) in employment contracts. NCC’s have the potential impact how, when, and who practitioners can serve. NCC's are used in some fields and banned in others (i.e., law practice, some human services/medical fields in some states). Although widely used in ABA businesses, to our knowledge no discussion of NCC's has occurred in our own field. Results of a recent survey and personal experiences of the panelists and audience will be used to engage the attendees in discussing practical and ethical issues related to the use of NCC's in ABA.

All BACB certificants (RBT's, BCaBA's, BCBA's, BCBA-D's), individuals who work in agencies services individuals with autism or other developmental disabilities, and owners of businesses providing services to individuals with disabilities.

The 2019 report of the National Academy of Medicine, Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth: A National Agenda, calls for a mobilization of the research and practice communities to address the problems of neighborhoods of concentrated disadvantage. The report documents the fact that urban and rural neighborhoods of concentrated poverty have multiple problems that contribute to high levels of inter-generational poverty. The report recognizes that efforts to promote healthy development of children and youth in the U.S. will be limited if we do not address the multitude of problems in these neighborhoods. This symposium is intended to advance efforts to study how conditions in these neighborhoods can be addressed both through more interdisciplinary research and through the adoption of policies that foster more nurturing conditions in these neighborhoods. We will describe the nature of these neighborhoods, he state of research on these neighborhoods, and the public policy needed to advance research and practice on this problem.

Researchers

Novice teachers and unlicensed classroom staff (aides or paraprofessionals) may not have sufficient training in evidence based practices to instruct, assess, and engage diverse learners. High teacher and staff turn-over negatively effects students and is costly to schools across the country. There is a high cost associated with finding, hiring, and training a new staff (Milanowski & Odden, 2007). School districts need to identify evidence-based strategies and provide effective training to keep novice teachers in the classroom. Teacher preparation programs provide limited instruction on classroom management strategies and school districts are left with the challenge of providing thorough and on-going professional development. Additionally, there is often limited time or opportunity for paraprofessionals to receive training in evidence based teaching and behavior reduction strategies, which puts time at a premium for any training which paraprofessionals do receive (Giangrecco, Suter, & Doyle, 2010). Schools need efficient and effective means to train classroom staff in evidence based practices. This presentation provides 3 examples of effective and efficient procedures for training school staff novel skills. First, we will review data from a study that used Behavior Skills Training (BST) and alternating methods of objective and evaluative feedback to increase the rate of behavior specific praise with novice teachers. The next presenter will examine the effects of BST for paraprofessionals on prompting and contriving communication exchanges with students who use augmentative and alternative communication devices. Finally, we will share the results of a workshop that included lecture, a card game, and video modeling to teach paraprofessionals how to conduct three conditions of a functional analysis.

Practitioners, graduate students, and teachers

Goal setting has utilized across populations and settings to promote behavior change. An extensive literature documents the effectiveness of goal setting to increase a myriad of desirable behaviors including physical activity, academic responding, vocational task completion and beyond. Relatively fewer studies have involved the use of goal setting to decrease or eliminate responding. Performance feedback has been demonstrated to enhance the effects of goal setting. The current symposium examines utilization of goal setting and performance feedback with varied populations and target behaviors. First, a study examining the impact of goal setting and text message feedback on daily step counts of participants employed by a behavioral health organization will be presented. Next, the outcomes obtained for general education students exposed to a treatment package involving goal setting and daily feedback will be discussed. Finally, an analysis of the effectiveness of goal-setting combined with performance feedback and differential reinforcement of diminishing rates of behavior for decreasing challenging behavior exhibited by students with autism in a school setting will be discussed.

Behavior Analysts and students

This study examined the effectiveness of goals setting, behavioral contracting, performance feedback, and a reinforcement contingency on goal mastery for general education students ranging from the elementary to high school levels. Each of the 13 participants had ended the preceding school year with a failing grade in one more core academic subjects. In addition to a failing grade, participants were identified by school site team administrators as students of ‘concern’ due to poor attendance, limited classroom engagement, and/or failure to complete homework. During the initial intervention phase, participants worked with a ‘coach’ to set a goal related to performance in a specific core academic subject. Participants received daily feedback related to their goal via paper, email, or text message depending on grade level and each attended a brief weekly meeting with a ‘coach’ during which they received feedback via a graph of their performance relate to their goals. Goal specific measures included percentage of weekly assignments submitted, percentage scores on homework submitted, and overall grade percentages. A component analysis was initiated with 3 of the final participants to examine the effects of each component of the intervention package. Overall results indicate that this relatively low-cost and minimally invasive intervention was effective in increasing student performance on goal related tasks.

The ways in which Acceptance and Commitment Training (ACT) is made accessible for individuals within mainstream ABA are predominantly couched in the ACT "hexaflex". The current panel discussion will highlight other, potentially viable conceptualizations of facilitating competence regarding ACT's core processes for practicing behavior analysts. Further, we aim to tether objective process and outcome measures to the core processes such that practitioners may be better equipped to confidently use ACT within their efforts to promote habilitation in the individuals with whom they work. Finally, we seek to demystify stigma around ACT as being unethical in behavior analysis.

Beginning-Advanced BACBs/behavior analysts; graduate students of behavior-analytic programs

In this symposium, the authors will discuss topics related to both private and public verbal behavior. The first presenter compared skill acquisition rates across two different conditions: similar versus different response topographies across operants. Results showed that the participants acquired skills in fewer trials during the similar-responses teaching condition when compared to the different-responses teaching condition. The second presenter will discuss a literature review examining three types of private events--emotions, non-pain sensations, and pain--studied in six behavior analytic journals. Studies were coded according to the publishing journal, a decade of publication, population, dependent and independent variables, nature of privacy, and data collection methods used. The final presenter will discuss mnemonic recognition from a behavior analytic perspective. He will argue that the relevant response is covert, more specifically a discriminated sensory/perceptual response, and that such responses can acquire divergent stimulus functions, both 1) functioning as a reinforcer and 2) changing the probability of emission of subsequent responses.

Clinicians interested in Verbal Behavior

This study compared skill acquisition rates across two different conditions in children with Autism Spectrum Disorder (ASD). The first condition presented similar response topographies across different operants, including tacts, intraverbals, and listener selection responses (e.g., “chocolate” taught as a tact, intraverbal, and listener selection response). The second condition presented different response topographies across the operants (e.g., “tea” taught as a tact, “milk” taught as an intraverbal and “sugar” taught as a listener selection response). Secondary measures included functional independence of the operant classes and children’s teaching condition preference. We used an adapted alternating treatment design embedded in a nonconcurrent multiple baseline across participants to examine rates of skill acquisition. Results showed that the participants acquired skills in fewer trials during the similar-responses teaching condition when compared to the different-responses teaching condition. The participants did not show generalization across the operants, supporting prior research on the functional independence of the operants. The participants showed idiosyncratic preferences for the two teaching conditions.