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Exploring factors that influence the efficacy of functional communication training.
Weber, Jessie; Fahmie, Tara; Walker, Seth; Lambert, Joseph; Copeland, Bailey; Freetly, Thomas; Zangrillo, Amanda.
Afiliación
  • Weber J; Severe Behavior Department, University of Nebraska Medical Center's Munroe Meyer Institute, Omaha, NE, USA.
  • Fahmie T; Severe Behavior Department, University of Nebraska Medical Center's Munroe Meyer Institute, Omaha, NE, USA.
  • Walker S; Severe Behavior Department, University of Nebraska Medical Center's Munroe Meyer Institute, Omaha, NE, USA.
  • Lambert J; Department of Special Education, Vanderbilt University, Nashville, TN, USA.
  • Copeland B; Department of Special Education, Vanderbilt University, Nashville, TN, USA.
  • Freetly T; Applied Behavioral Science Department, University of Kansas, Lawrence, KS, USA.
  • Zangrillo A; Severe Behavior Department, University of Nebraska Medical Center's Munroe Meyer Institute, Omaha, NE, USA.
J Appl Behav Anal ; 57(3): 709-724, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38698667
ABSTRACT
Understanding factors that influence the efficacy of functional communication training has both practical and conceptual benefits. The current study extended research in this area by exploring data from 95 consecutive applications of functional communication training with extinction across two independent clinics. We selected candidate predictor variables based on conceptual analysis, conducted preliminary exploratory analyses, and then selectively applied quantitative methods that are used in precision medicine to examine their accuracy and predictive utility. Treatment outcomes were better when challenging behavior was maintained by a single function than they were when it was maintained by multiple functions; however, these differences were most apparent among cases with an escape function. We also analyzed within-session responding to explore the potential influence of unprogrammed establishing operations on decrements in treatment efficacy. Our within-session measure only distinguished responders from nonresponders when escape was one of the multiple functions. Additional research is needed to validate these findings with an independent sample and to address a number of clinical conceptual issues.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Conductista / Comunicación Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Appl Behav Anal Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Conductista / Comunicación Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Appl Behav Anal Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos