605 pt. 1Behavior Interventions Flashcards
In the article on Treatment Acceptability, Miltenberger (1990) quoted Kazdin and Wolf who “suggested that the term social validity refer to the”:
social significance of the target behavior and the appropriateness or the acceptability of the treatment procedure
Acceptability refers to the judgments about the treatment procedures by:
nonprofessionals, lay persons, clients, and other potential consumers of treatments
Analogue research is conducted by having researchers present the raters with a written case description and then the rater completes an acceptability rating scale (often a Likert scale) to rate the treatment as it applies to the problem behavior. Although this type of research takes less time it may lack:
ecological validity
Several factors may influence acceptability among rates. The Miltenberger article stated that the following variables may influence treatment acceptability:
setting an individual works in, behavioral v. developmental orientation of staff, income and race of parents, age of rater - child or parent
Reimers and Wacker (1988) demonstrated that the variables of effectiveness and compliance with a procedure are associated with:
treatment acceptability/social validity of the procedure
In Iqbal (2002) ethical issues were involved in the implementation of a differential reinforcement of inappropriate behavior program for the treatment of social isolation and ritualistic behavior in an individual with intellectual disabilities. The author identifies the following ethical considerations associated a DRI program which incorporates removal of the patient’s meal after a certain amount of time.
-many staff felt it was ethically wrong to withdraw food, therefore the intervention was inconsistently implemented
-there was a lack of informed consent from the subject since he did not understand the issues in question, nor the treatment objectives
-removal of the food resulted in aggression and the need for restraint and seclusion
-all of the above
Ethics help behavior analysts address three basic questions. Which question below is NOT one of the three basic questions designed to help behavior analysts?
How do I increase my client base?
Section 2 of the Ethics Code for Behavior Analysts addresses which of the following areas?
Responsibility in Practice
Obtaining informed consent prior to providing treatment is an ethical obligation associated with the role of the behavior analyst. This informed consent must meet the requirements of three essential components. They are:
information, capacity and voluntariness
Elizabeth is a BCBA providing home services for a pre-school student with autism. His parents do not have family who are able to care for him as a result of his significant behavioral challenges. The parents ask Elizabeth if she would consider babysitting so that they could have a night out. What guidance does the Ethics Code give to Elizabeth?
The code clearly states that as a behavior analyst you must guard against multiple relationships and conflicts of interest
Brodhead (2015) states that it is recommended that BCBA’s collaborate with related services professionals, when applicable. Brodhead states this is desirable because it can not only enhance treatment outcomes, but also contribute to what?
treatment fidelity
Interventions are selected based on a combination of factors including and are directly linked to:
Functional Assessments
Jessica is collecting data on a TPRA data sheet of one of her staff. The staff made 3 learn unit errors out of 20 learn units and took 14 minutes to implement the program. Calculate the staff member’s correct rate per minute. In other words, how many correct learn units did the staff member engage in per minute?
1.2 correct / minute
Janaya is overseeing a clients home programming and every week that she co-visits with the client’s direct service staff, she collects some IOA data as well as treatment integrity data. Last week, when Janaya was out with the client, she got a report from one of the direct staff that the client had ‘mastered’ a particular program. After Janaya collected and analyzed treatment integrity data on this program, she realized that the staff was not implementing the intervention correctly and was, in fact, giving the answer away while she was running the program. This is called what?
false positive
The strongest interventions are supported by what type of evidence?
Evidence of efficacy and effectiveness
Brianna has verbally proposed an intervention to a client’s treatment team (parents, teachers and specialists). Afterward, she asked them to fill out a Pre-Intervention Rating Form. The form has 15 statements, each followed by a Likert scale (range of points 1 - 6, per item). A rating of 1 point, indicates that the rater strongly disagrees with the acceptability statement and a rating of 6 points, indicates that the rater strongly agrees with the acceptability statement. Brianna got rating forms back from all 5 raters. The average acceptability rating score was 30. Brianna should:
Reassess the intervention proposed
Frida is a BCBA who has been transitioned on to a case of a client who engages in severe problem behavior. The client is a 17-year old male who resides at home with his parents and is able to adequately communicate his wants and needs (mand), can talk about his environment (tacts), and engages in conversations (intraverbals). Frida has noticed that the former therapist on the case had implemented a treatment procedure that was unsuccessful prior to his departure and when Frieda asked the family, including the client, about this intervention, they all expressed that the previous therapist, “Didn’t listen to us when we told him we didn’t understand. He just kept doing it and telling us to do it.”
First, identify if there has been an ethical violation by the previous therapist and then identify a description of the issue.
yes there has been an ethical violation of not including the client and stakeholders in treatment decisions
The use of treatment integrity tools (e.g. TPRA) by behavior analysts when implementing programming is key to evaluating the relationships between the dependent variable and independent variables. The use of the TPRA treatment integrity tool can be a positive asset in increasing the _____________ of the intervention.
effectiveness
Brodhead (2015) summaries that the use of social validity surveys presented to colleagues in a multidisciplinary team regarding BCBA behavior can assist the behavior analyst in what way?
-in evaluating the effectiveness of outcomes of the team
-in enhancing the professional behaviors of the analyst in the future
-in assessing the professional behavior of the analyst
all of the answer choices are correct
A measure of procedural integrity is used to determine:
all of the answer choices are correct
-the consistency of the application of the independent variable
-whether confounding variables can be ruled out
- if the intervention has been implemented correctly
Which of the following items below does NOT fall within the ethical responsibility of a behavior analyst?
become friends with the client and clients family
Alan, a BCBA, is consulting with a teacher who reports that one of Alan’s students is throwing spitballs at classmates. The teacher collected frequency data for a week and reported that she believes the student’s behavior is motivated by peer attention. The BCBA, has a large caseload and will not be able to observe the student for 2 weeks. In the interim, the BCBA recommended a 5-minute non-exclusionary time-out with the student. He also instructs the teacher to continue taking data so that he can see if the time-out procedure is working. His supervisor reviews the and decided that it was missing a component. The missing key component is:
the concomitant use of a reinforcement procedure
Scarlett has been collecting TPRA data on her staff when implementing a discrete trial program for one of the students she supervises. She has noticed that one particular staff member makes more than 50% errors on learn units every time she runs the program and has a very low rate of accuracy score. What should Scarlett’s next step be, given this information?
Scarlett should model correct implementation of the program with this staff member
Treatment Acceptability is also known as:
Social Validity
As a behavior analyst, sometimes we might come across situations in which we feel uncomfortable to speak up, either because we don’t want to cause waves or we aren’t fully sure we understand what is going on. Because our job requires us to maintain professional relationships and work collaboratively with others, we must be sure we don’t speak out of turn if it may cause a rift in that relationship.
False
A discrete trial arrangement contains which of the following elements?
Sd, response/prompt, reinforcement/correction and a pause
In this unit, you learned about three types of DTI arrangements. These are:
massed, spaced, and distributed
A behavioral tactic known as DTI utilizes:
-systematically planned antecedents and consequences
-carefully planned number of repetitions of trials
-all answers are correct
-carefully structured sequences of trials
Seeing a cracker, signing or requesting “cracker” (mand), and getting a cracker is a discrete trial arrangement in the natural setting.
True
In applied behavior analysis, who is recognized for conducting a study of 38 children with autism (with 19 in treatment and 19 not in treatment) and concluding after two years that 47% of the children from the treatment group achieved normal intellectual and educational
functioning?
O. Ivar Lovaas
Positive reinforcement is a:
Principle of behavior
The way reinforcement is carried out is:
more important than the amount and thought to be more important than the stimuli itself
Reinforcement results in:
an increase in future frequency of behaviors that immediately precede it
The three aspects that influence the effectiveness of reinforcement are:
immediacy, stimulus conditions, and motivating operations
The following are examples of unconditioned reinforcers:
food, water, warmth
The Premack principle, also known as Grandma’s rule, involves a first this and then that sequence. Which of the following best describes the typical application of this tactic:
less preferred/more challenging first then highly preferred/less challenging task
The article presented in this unit, written by Homme et al. (1963) exemplifies:
a preliminary, unsystematic application of the Premack hypothesis
Aubrey Daniels is featured in the video clip for this unit. Inspired by the work of B. F. Skinner and other behavioral scientists, Daniels began to consider how the Premack principle could be applied in the workplace. He discussed the Premack principle as a means to:
increase ones personal productivity and satisfaction at work
Premack’s principle states: If behavior B is of higher probability than behavior A, then behavior A can be made more probable by making behavior B contingent upon it.
True
The low-probability behavior, of the 3 year olds, in the Homme et al. (1963) study was:
sitting in chairs when instructed to
Extinction is:
a tactic for behavior change
all answers are correct
a principle of behavior
a method of behavior change
Lerman & Iwata (1996) describe extinction of operant behavior as a process that involves terminating the reinforcement contingency that maintains a response, which results in a reduction in the behavior’s occurrence over time.
True
In applied research, the most frequently noted characteristic of extinction is:
The extinction burst
Exposing a behavior to extinction in one situation can lead to an increase of the behavior in another (untreated) situations. This phenomenon is referred to as:
behavioral contrast
After extinction has been achieved, responding sometimes temporarily reappears. This is referred to as:
spontaneous recovery
This type of differential reinforcement results in the reduction of some behavior by reinforcing an incompatible behavior:
DRI
This type of differential reinforcement increases behavior by reinforcing appropriate behavior and focuses on developing functional alternative behaviors:
DRA
This type of differential reinforcement reduces behavior to zero occurrences by focusing
on increasing the time of non-occurrence:
DRO
This type of differential reinforcement focuses on reducing behavior to acceptable levels by reducing the number of occurrences:
DRL
Differential reinforcement generally includes the omission of reinforcement that previously maintained the behavior. This behavioral principle is known as:
Extinction
What type of response is taught when using Functional Communication Training?
communicative
What is the best first step to implementing a Functional Communication Training program?
conduct a functional analysis
What is one advantage of the use of Functional Communication Training to decrease problem behavior over the use of other reductive procedures?
procedures have high social validity
Which of the following procedures describes the best alternative response in an FCT procedure for a vocal-verbal 5-year-old who engages in aggression and the function of the aggression is attention.
taping shoulder of adult
Which of the following describes the best alternative response for a non-vocal 8-year-old who engages in self-injury and the function of the self-injury is escape.
touching a card that says ‘break’
The most notable behavior analysts associated with the use of discrete trial teaching methodologies are:
Lovaas and Skinner
_________ is said to occur when the application of the independent variable during later stages of the treatment differs from it’s application at the outset.
treatment drift
BCBA John is implementing programming with his client working on the skill of matching. John presents a stimulus to the client, requires the client touch the stimulus, removes the card, then presentes an array of 3 picture cards on the table in front of the client and says ‘find the same’. Currently, John is waiting 2 seconds before moving the correct stimulus closer to the client. Once the client selects the correct stimulus, John provides a token and then pauses about 4 seconds before presenting the next trial. What is described here?
a discrete trial
Jessica emits minor disruptive behaviors when asked to complete math worksheets, such as grunting and huffing. An FBA suggests these behaviors are escape maintained. A preference assessment indicates that playing table hockey is a preferred activity.
Given the information provided in this scenario, which of the following is an example of how the Premack Principle may be employed?
Jessica is told that if she asks to take a break before she engages in disruptive behavior during math worksheets, she can play table hockey during the class break.
Marco recently implemented a functional communication training procedure with his client. After the first few weeks of running the intervention, the classroom staff report that the behavior has not decreased and they are not seeing many instances of the alternative/communicative response. Which option below provides an explanation to explore regarding the lack of progress the client is making.
-the schedule of reinforcement for the alternative response is too thin
-all choices are correct
-the reinforcing stimuli for the problem behavior may have been identified incorrectly
-the appropriate communicative behavior requires a higher response effort than the problem behavior
Which differential reinforcement schedule involves providing reinforcement at the end of a specific period of time if the instances of behavior are less than a specific number, and where that number is gradually decreased across time intervals?
differential reinforcement of diminishing rates
Extinction is the procedure of 1) ______ the delivery of a reinforcer contingent upon the occurrence of a specified target behavior and noting an eventual 2) _______ in the rate of the behavior.
withholding, reduction
Harry was working with Janice to increase the number of tacts (labels) she engaged in throughout her day. Currently, Harry provides contingent escape (she can leave the table) every time Janice tacts an average of 8 items. What schedule of reinforcement is Harry using?
variable ratio
Which of the following is NOT a criticism of discrete trial instruction (DTI):
all accomplishments are the result of learner direction
Marianne engaged in the behavior of face slapping at rates that were high enough to leave a red mark on her face after an episode of the behavior. Her instructors decided to implement a reinforcement procedure to try to get Marianne to engage in some other behaviors and reduce the amount of time she spent engaging in face slapping. Which description below best fits the most effective way to implement a reinforcement procedure.
reinforce every response of the alternative behavior
Meghan was working in a rat laboratory during graduate school, running experiments evaluating the effects of different schedules on the behavior of the rats. Meghan was placing her rats under an extinction schedule and noticed that after the behavior had decreased to near zero levels, she would, all of a sudden, see behavior occur back at the previous levels of performance. This phenomenon Meghan witnessed is known as:
spontaneous recovery
Which of the following schedules of reinforcement is the most resistant to extinction:
intermittent
Fred doesn’t like to hear the school bell ring from inside the classroom as it is extremely loud, often leading to crying. His instructors have implemented a procedure allowing him to request to leave the room 1 minute before the bell rings to avoid the intense noise. Which procedure is described above?
DNRA
A group of employees is fed up with a fellow co-workers “gossiping” behavior during coffee breaks. This behavior involves talking about other (not present) workers’ personal and private matters. While this behavior is permissible among the group from time to time, the “gossiper” in question engages in the behavior far too often. The employees implemented a successful intervention: each day, at the start of the coffee break, the co-workers would covertly track the # of instances of gossip that were emitted. If the “gossiper” engaged in 3 instances, the employees made excuses and walked away. If, however, the “gossiper” engaged in less than 3 instances, all the co-workers stayed and visited with the gossiper.
Which differential reinforcement procedure does this scenario exemplify?
DRL
Timothy was a supervising BCBA who took quite a bit of TPRA data on his staff. He discovered that one particular student was not making progress on a program, despite the fact that the staff that implemented the program did so with 100% procedural integrity. What would Timothy’s next steps be, given this information gathered from the TPRA data?
-all answer choices are correct
-determine if he should go back and reteach a component of the behavior necessary for completion of this new program
-assess whether generalization from other skills learned played a factor in minimal progress
-assess whether the student had the necessary prerequisite skills for the program
When running a discrete trial procedure, an instructor begins with mass trials (i.e. presenting the same target multiple times in a row) and fades in distractors. For example, if the target is denoted by the letter “A” and the distractor is denoted by the letter “B”, the presentation of targets in a DTI format may look like:
AAAA B AAA B AA B A B
What discrete trial arrangement is this?
Collapsing trials
John was a night manager at a gas station in a busy city. His store closed at 1am every night but there were stores around him that remained open. He would often see employees or frequent customers of other shops come to his doors after 1am and try to open the doors. Often, these people would pull on the doors for 10-15 seconds, trying to open the locked doors, before giving up and walking away. Eventually, John stopped seeing the employees of the other shops come to his door. Which answer below describes why this occurred.
reinforcement for pulling on the doors was withheld as the doors no longer opened, therefore responding decreased
Heather is using a DRA procedure with her client to reduce instances of calling out in the classroom. She is teaching the client to raise their hand and wait to be called on when they would like to contribute to the conversation. After about 4 weeks, Heather noticed that the client’s rate of calling out has decreased to near-zero levels. What is the next step Heather should take in the treatment of the calling out behavior?
thin the schedule of reinforcement for the alternative behavior
Danielle was just starting work at an agency providing services to adults in a nursing home. She spent the first few weeks of employment observing her co-workers working and interacting with a few clients she would be assigned to work with after the training period. One of the instructional arrangements Danielle observed often was the client and the instructor sitting next to each other on the couch and the instructor would have a photo album with pictures of the client’s family and friends. She observed the instructor most often pointing to a picture and asking the client who it was. If the client correctly labeled the person, the instructor would smile and tell a brief story about the family member pictured, which seemed to make the client happy. Which type of instructional arrangement is described here.
discrete trial instruction
Hermonie is constantly raising her hand during each class period to answer the questions the teachers asks the group. The teachers want her to contribute but don’t want her to monopolize the class discussion. Each teacher sets a limit for Hermonie’s contributions at three during their period (e.g math period, english period). If Hermonie limits her contributions to three or fewer during each class period, she gets to be the teacher’s assistant the next period. If she goes above three, another student is picked to be the assistant and the teacher ignores her hand raises. Which procedure is described below
differential reinforcement of low rates of behavior
Mrs. Jones provides in home services and is utilizing the Premack Principle with one of her clients. The client’s low probability behavior is homework and the high probability behavior is coloring. Which situation described below would be most likely to reduce the effects of the Premack Principle in this case?
continuous free access to coloring
Sarah was successful in reducing Bob’s aggressive behaviors through the use of a differential reinforcement of alternative behavior procedure. After about 3 months, she was able to systematically remove the intervention and behaviors have maintained at zero rates for the last 3 weeks. However, this week, Sarah has noticed a slight uptick in the rate of aggression and upon further investigation, she notes that the alternative response she trained (to replace aggression) is no longer being delivered, which deviates from the plan she left for the team. What is the most likely explanation for this phenomenon?
resurgence
Which type of differential reinforcement procedure is functional communication training?
DRA
Jennifer is working in a clinic with a client who emits aggressive behaviors toward others for the primary function of escape, as identified in a functional analysis. The client has a limited verbal repertoire and is unable to emit vocal responses. She implemented an FCT procedure to reduce the aggression and increase an appropriate alternative response. She taught the client to clap his hands whenever there was an MO establishing escape as an effective reinforcer. Jessica was successful in reducing the aggression and increasing clapping in the clinic, but the parents report he is still having difficulties at home and in the community. Select the option that describes the most parsimonious concern with Jennifer’s intervention.
there was low social recognition of the alternative response
Which answer below describes a pragmatic view of positive reinforcement:
presenting the iPad for correctly completing math problems increased the number of math problems the student correctly completed
Cooper et al. (2007) describe negative reinforcement in the context of a four- term contingency. The four terms are:
establishing operations, discriminative stimuli, response and negative reinforcement
The following is an example of negative reinforcement. Your significant other has been nagging you to mow the lawn for days, you walk outside and notice the grass is almost a foot tall, you pull out the lawn mower and mow the lawn, your significant other stops nagging you.
True
Children with feeding problems present a unique challenge to parents. Many of these children have experienced medical problems that are likely to be associated with physical discomfort when eating. Even after the medical problems have been resolved, many children still refuse food and parents continue to remove or postpone the demand to eat the food. When this behavior continues to occur in the future, we can say that the continued refusal is maintained by:
negative reinforcement
In this procedure, a behavior previously maintained by negative reinforcement is no longer followed by the termination or postponement of the aversive stimulus. What is this procedure?
escape extinction
Exposure to this schedule of reinforcement can increase resistance to extinction:
intermittent reinforcement
The respective result of positive and negative punishment is best described as:
decrease/decrease
In positive punishment the addition of a stimulus to the environment is considered a(n)
operation
Fran has just worked a 16 hour day at the hotel where she is employed. She has been on her feet all day and as a result, they are very sore. As soon as she gets home, she sits down on her couch and takes her shoes off, and immediately she feels relief! Which of the following describes the effect the motivating operation has on her behavior and the reinforcer in this example.
evocative and establishing
“A process in which a consequence to a behavior results in a reduction of the future frequency of the behavior or similar behaviors” (Gulick & Kitchen, 2007) is known as:
punishment
A stimulus that is added immediately after the occurrence of a behavior that results in a decrease in the future likelihood that the behavior will occur again is:
positive punishment
If a stimulus is removed contingent upon a behavior and the result is a decrease in the future likelihood that the behavior will occur again, is known as:
negative punishment
Which of the following is not an unconditioned punisher?
verbal reprimand
A procedure that includes removing a child from access to reinforcement for a period of time following an occurrence of behavior is called:
time out
Contingent loss of money, tokens or privileges are examples of:
response cost
The 3 types of group contingencies are:
dependent, independent and interdependent
An agreement between two or more persons that lists specific behaviors the parties will perform and the consequences that will result is known as:
behavioral contract
An arrangement in which the consequences depend, at least in part, on the behavior of other group members is called a:
group contingency
Which of the following is NOT an advantage of a group contingency?
group contingencies can set the occasion for participants to become scapegoats
The 3 major components in a behavioral contract are:
description of the task, description of the reward, task record
In a token economy it is important to carefully select the type of token for use with each student. Which is NOT an example of good choices for tokens?
constructed in a way that has significant reinforcing qualities of their own
Backup reinforcers are:
tangible objects, activities, or privileges that serve as reinforcers and that can be purchased with tokens
When designing a token economy it is important to:
-identify target behaviors and rules
-select appropriate tokens
-establish a ratio of exchange
-Correct!
-all answer choices are correct