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| CBM Saturday Poster Session: Odd-Numbered Posters |
| Saturday, May 28, 2022 |
| 1:00 PM–2:00 PM |
| Exhibit Level; Exhibit Hall A |
| Chair: Nichole D. Collins (CCSN Behavioral Health) |
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| 77. Pattern-Setting as a Behavioral Technology to Reduce Smoking Behavior |
| Area: CBM; Domain: Applied Research |
| JUAN PABLO MOLANO GALLARDO (Universidad Nacional de Colombia), Alvaro A. Clavijo Alvarez (Universidad Nacional de Colombia) |
| Discussant: Nichole D. Collins (CCSN Behavioral Health) |
| Abstract: Around 60% of smokers attempt to quit smoking, but only 4% of those attempts without cessation assistance are successful, and proven behavioral and pharmacological interventions raise the percentage between 7% to 15% (World Health Organization, 2021). This study aimed to assess a pattern-setting program as a behavioral technology to reduce smoking behavior. First, we report a single case pre-experiment based upon a proposal advanced by Rachlin for establishing patterns within his soft commitment framework (2016). When the program started, the participant smoked around 11 cigarettes per day and ceased to smoke entirely at the end of the intervention after 117 days. The next step is to run an experiment with a larger sample, a control group, and a group evaluating only the effect of self-monitoring over smoking behavior. Finally, we discuss some limitations and suggest strategies to assess pattern-setting to help smokers who want to quit smoking and how new and effective behavioral technologies facilitate smoking cessation. |
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| 79. Behavioral Interventions for Selective Mutism: A Review |
| Area: CBM; Domain: Applied Research |
| NIRUBA RASURATNAM (Brock University), Kimberley L. M. Zonneveld (Brock University) |
| Discussant: Nichole D. Collins (CCSN Behavioral Health) |
| Abstract: Selective mutism is characterized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as the consistent failure to speak in specific social situations (American Psychiatric Association, 2013). There are several treatment approaches in the literature for the treatment of selective mutism, including pharmacological, psychodynamic, cognitive, family systems, multimodal, and behavioral (Cohan et al., 2006). The behavioral conceptualization of selective mutism is that it is a learned behavior – and one that typically serves an attention or escape from anxiety function (Cohan et al., 2006). Behavioral interventions typically combine strategies, such as contingency management (Amari et al., 1999), graduated exposure/systematic desensitization (Ale et al., 2013), intensive exposure (Bunnell & Beidel, 2013), systematic prompt fading (Beare et al., 2008), self-modeling (Blum et al., 1998; Kehle et al., 1990), role-playing (Fisak et al., 2006; Lang et al., 2011), social skills training (Rye & Ullman, 1999), prompting and practice opportunities (Howe & Barnett, 2013), and Social Effectiveness Therapy (SET; Fisak et al., 2006). The purpose of this poster is to present the results of a literature review of behavioral interventions to treat selective mutism. Results will be discussed within the context of practical implications and suggestions for future research. |
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| 81. A Behavioral Analytic Perspective on Resilience. |
| Area: CBM; Domain: Theory |
| RACHEL KRILCICH (University of North Texas ), Daniele Ortu (University of North Texas) |
| Discussant: Nichole D. Collins (CCSN Behavioral Health) |
| Abstract: One thing is for certain, many of us are emerging from the COVID-19 pandemic with a new sense of resilience. Resilience is often quoted as an intangible personality trait. However, as behavior analysts, we cannot help but trying to understand what are the environmental variables involved in selecting resilient behavior. While other accounts have not gone in vain, an environment-based analysis of resilience may help creating behavioral technologies to facilitate adaptation during especially trying times. Here we offer a theoretical perspective on resilient behavior based on basic research on resistance to extinction and behavioral momentum. These interpretations may supplement the current clinical literature on resilience by providing a pragmatic set of possible interventions. |
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| 83. Trauma-informed functional analysis of severe behavior |
| Area: CBM; Domain: Theory |
| LAUREN CHRISTINE NARDUCCI (UNMC-Munroe Meyer Institute), Tara A. Fahmie (University of Nebraska Medical Center, Munroe-Meyer Institute), Amanda Zangrillo (University of Nebraska Medical Center, Munroe-Meyer Institute) |
| Discussant: Nichole D. Collins (CCSN Behavioral Health) |
| Abstract: The field of behavioral health has an evolving understanding of trauma. While behavior analysis has contributed a robust technology for assessing and treating severe challenging behavior in individuals with intellectual and developmental disabilities, there is not much currently known about the effect of trauma on the outcomes of these evidence-based practices. Recently, the vast literature on trauma-informed care (TIC) has been applied to behavior analytic practice broadly. The field is overdue for a more nuanced discussion about the intersection of trauma and challenging behavior as it relates to the functional behavior assessment process. Behavior analysts often work with niche populations, who are at higher risk of trauma or already carry their own. The inclusion of TIC within functional analyses can help to provide enhanced care resulting in quicker rates of behavior change while helping prevent new trauma or causing re-traumatization. In this poster, we review existing literature on TIC through conceptual analysis, dissect the functional assessment and treatment process, and highlight practical considerations for the care of individuals with trauma. Lastly, we emphasize the many avenues for future research needed in this area. |
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| 85. Training Caregivers How to Implement Feeding Assessments with Integrity |
| Area: CBM; Domain: Applied Research |
| LINDSEY ELSON (University of Nebraska Medical Center - Munroe Meyer Institute), Laura E Phipps (Munroe-Meyer Institute, University of Nebraska Medical Center), Bethany Hansen (Munroe Meyer Institute ) |
| Discussant: Nichole D. Collins (CCSN Behavioral Health) |
| Abstract: Clinical feeding assessments, such as structured mealtime observations, help to inform the development of successful, individualized treatments for children with feeding disorders (Bachmeyer et al., 2019). One variable of concern when caregivers conduct structured mealtime observations, instead of trained therapists, is the degree of their procedural integrity. Research suggests multicomponent training packages that include written protocols, verbal instructions, and modeling are effective at increasing caregiver’s procedural integrity of feeding interventions (Mueller et al., 2003). In this study, we used a nonconcurrent multiple baseline design across three caregivers, as well as a concurrent multiple baseline design across presentation formats (e.g., nonself and self) with each caregiver, to evaluate the effects of modeling and verbal feedback with written instructions on the caregiver’s procedural integrity of a feeding assessment. We added therapist modeling and verbal feedback to written instructions to train caregivers to reach 100% integrity for 3 consecutive sessions. The results suggest that modeling and verbal feedback with written instructions is an effective multicomponent training package for increasing caregiver procedural integrity of feeding assessment implementation. |
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