What to do when Little or No Change Occurs

Question 1

Goal or Objectives Did NOT Address the Problem

Answer 1

Troubleshoot and reinforce how to overcome

the problem

Question 2

Modify Expectations

Answer 2

• Focus on a strategy for actively prompting the
individual to perform the behavior
• Increase the likelihood that the behavior will
occur by pinpointing a behavior closely related
to the one you wish to alter but which
precedes, or occurs more frequently than the
behavior you wish to modify
Rech
- Recheck the stage of readiness

-Failure to Identify Potential Barriers

Question 3

Changing Antecedents

Answer 3

Behavior change may be enhanced by changing antecedents
– Employing new antecedents
– Removing antecedents that promoted the old
behavior – Rearranging and controlling antecedents can be
useful in promoting behavior change by changing
the course of events
(first you eat breakfast, then you can have coffee)

Question 4

Changing Consequences

Answer 4

Behavior change may be enhanced by changing consequences
– Employing new desirable consequences
– Employing new undesirable consequences Remember: generally, the consequences immediately following a behavior are considered to be the most important factors influencing the strength of that behavior.

Question 5

Changing Reinforcers Material, Activity or Social

Answer 5

• Check reinforcement procedures • Reinforcers have to have positive
consequences for the individual seeking to
change • Reinforcers must be relatively strong • Reinforcers must be accessible • Reinforcers lose effectiveness over time.
Monitor & change reinforcers as needed.

Question 6

Punishment Decreases or Inhibits Behavior Change

Answer 6

• Usually results in avoidance of the punishing
person 
• Negative emotional side effects 
• Punishment is only effective as long as
someone is around to administer the
punishment 
• Not enthusiastically followed 
• Rarely works in healthcare

Question 7

Monitoring & Modifying the Plan

Answer 7

• Regularly check progress 
• Identify if objectives have been met 
• Do not proceed until success has been
achieved 
• May need to alter the goal or objectives