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Implementing multiple schedules with naturally occurring stimuli via telehealth.

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Title: Implementing multiple schedules with naturally occurring stimuli via telehealth.
Authors: Exline, Emily, Davis, Tonya N., Avery, Suzannah K., Gerow, Stephanie, Liu, Renming, Austin, Monserrat
Source: Behavioral Interventions. Feb2024, Vol. 39 Issue 1, p1-20. 20p.
Subjects: Diagnosis of autism, Special education, Caregivers, Speech therapy, Home care services, Hispanic Americans, Movement disorders, Reinforcement (Psychology), Human services programs, Occupational therapy, Attention-deficit hyperactivity disorder, Sleep apnea syndromes, Assistive technology, Research funding, Medical appointments, Rehabilitation of autistic people, Telemedicine, Communication education, Educational outcomes, Education, Children
Abstract: Functional communication training (FCT) is an effective intervention to decrease challenging behavior. However, the continuous reinforcement of mands commonly implemented within FCT is difficult to implement in natural settings. Schedule thinning using a multiple schedule arrangement addresses this barrier, yet most studies evaluating this approach have been conducted in clinical environments and using implementer‐arranged stimuli to signal reinforcer availability. The purposes of the current study are to (a) evaluate the effectiveness of caregiver‐implemented multiple schedules in the home setting with caregiver coaching via telehealth and (b) evaluate the effectiveness of transferring stimulus control from caregiver‐arranged to naturally occurring stimuli to signal reinforcer availability within a multiple schedule arrangement. The results indicated FCT was effective in reducing challenging behavior and increasing manding. For one participant, discriminated manding was established with caregiver‐arranged stimuli within 7 sessions and transferred to naturally occurring stimuli with a three‐step fading procedure across 33 sessions. For the other participant, discriminated manding was established with the caregiver‐arranged stimuli within 21 sessions and transferred to naturally occurring stimuli with a three‐step fading procedure across 23 sessions. Both caregivers implemented FCT and multiple schedules with fidelity. Given the preliminary nature of the results, more research is needed to determine if this strategy is effective and if there is a more efficient approach to teach discrimination of naturally occurring stimuli. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Interventions is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Implementing multiple schedules with naturally occurring stimuli via telehealth.
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Interventions%22">Behavioral Interventions</searchLink>. Feb2024, Vol. 39 Issue 1, p1-20. 20p.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+autism%22">Diagnosis of autism</searchLink><br /><searchLink fieldCode="DE" term="%22Special+education%22">Special education</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Movement+disorders%22">Movement disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Reinforcement+%28Psychology%29%22">Reinforcement (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+therapy%22">Occupational therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+apnea+syndromes%22">Sleep apnea syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+technology%22">Assistive technology</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+of+autistic+people%22">Rehabilitation of autistic people</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Communication+education%22">Communication education</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+outcomes%22">Educational outcomes</searchLink><br /><searchLink fieldCode="DE" term="%22Education%22">Education</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
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  Label: Abstract
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  Data: Functional communication training (FCT) is an effective intervention to decrease challenging behavior. However, the continuous reinforcement of mands commonly implemented within FCT is difficult to implement in natural settings. Schedule thinning using a multiple schedule arrangement addresses this barrier, yet most studies evaluating this approach have been conducted in clinical environments and using implementer‐arranged stimuli to signal reinforcer availability. The purposes of the current study are to (a) evaluate the effectiveness of caregiver‐implemented multiple schedules in the home setting with caregiver coaching via telehealth and (b) evaluate the effectiveness of transferring stimulus control from caregiver‐arranged to naturally occurring stimuli to signal reinforcer availability within a multiple schedule arrangement. The results indicated FCT was effective in reducing challenging behavior and increasing manding. For one participant, discriminated manding was established with caregiver‐arranged stimuli within 7 sessions and transferred to naturally occurring stimuli with a three‐step fading procedure across 33 sessions. For the other participant, discriminated manding was established with the caregiver‐arranged stimuli within 21 sessions and transferred to naturally occurring stimuli with a three‐step fading procedure across 23 sessions. Both caregivers implemented FCT and multiple schedules with fidelity. Given the preliminary nature of the results, more research is needed to determine if this strategy is effective and if there is a more efficient approach to teach discrimination of naturally occurring stimuli. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Behavioral Interventions is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=175303026
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        Value: 10.1002/bin.1982
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      – Code: eng
        Text: English
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      – SubjectFull: Diagnosis of autism
        Type: general
      – SubjectFull: Special education
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Speech therapy
        Type: general
      – SubjectFull: Home care services
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      – SubjectFull: Hispanic Americans
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      – SubjectFull: Movement disorders
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      – SubjectFull: Reinforcement (Psychology)
        Type: general
      – SubjectFull: Human services programs
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              Text: Feb2024
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              Y: 2024
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