Behavior Analyst Certification Board Research Articles

Parent-Led Applied Behavior Analysis to Impact Clinical Outcomes for Individuals on the Autism Spectrum: Retrospective Chart Review.

Autism spectrum disorder (ASD) can have traits that impact multiple domains of functioning and quality of life, which can persevere throughout life. To mitigate the impact of ASD on the long-term trajectory of an individual's life, it is imperative to seek early and adequate treatment via scientifically validated approaches, of which applied behavior analysis (ABA) is the gold standard. ABA treatment must be delivered via a behavior technician with oversight from a board-certified behavior analyst. However, shortages in certified ABA therapists create treatment access barriers for individuals on the autism spectrum. Increased ASD prevalence demands innovations for treatment delivery. Parent-led treatment models for neurodevelopmental conditions are effective yet underutilized and may be used to fill this care gap. This study reports findings from a retrospective chart review of clinical outcomes for children that received parent-led ABA treatment and intends to examine the sustained impact that modifications to ABA delivery have had on a subset of patients of Montera, Inc. dba Forta ("Forta"), as measured by progress toward skill acquisition within multiple focus areas (FAs). Parents received ≥40 hours of training in ABA prior to initiating treatment, and patients were prescribed focused (<25 hours/week) or comprehensive (>25-40 hours/week) treatment plans. Retrospective data were evaluated over ≥90 days for 30 patients. The clinical outcomes of patients were additionally assessed by age (2-5 years, 6-12 years, 13-22 years) and utilization of prescribed treatment. Treatment encompassed skill acquisition goals; to facilitate data collection consistency, successful attempts were logged within a software application built in-house. Improved goal achievement success between weeks 1-20 was observed for older age, all utilization, and both treatment plan type cohorts. Success rates increased over time for most FAs, with the exception of executive functioning in the youngest cohort and comprehensive plan cohort. Goal achievement experienced peaks and declines from week to week, as expected for ABA treatment; however, overall trends indicated increased skill acquisition success rates. Of 40 unique combinations of analysis cohorts and FAs, 20 showed statistically significant positive linear relationships (P<.05). Statistically significant positive linear relationships were observed in the high utilization cohort (communication with P=.04, social skills with P=.02); in the fair and full utilization cohorts (overall success with P=.03 for the fair utilization cohort and P=.001 for the full utilization cohort, and success in emotional regulation with P<.001 for the fair utilization cohort and P<.001 for the full utilization cohort); and in the comprehensive treatment cohort (communication with P=.001, emotional regulation with P=.045). Parent-led ABA can lead to goal achievement and improved clinical outcomes and may be a viable solution to overcome treatment access barriers that delay initiation or continuation of care.

Exploring The Efficacy Of Acceptance And Commitment Therapy (ACT) Group Sessions In Reducing Maternal Stress Among Mothers With Autism

This study investigates the impact of Acceptance and Commitment Therapy (ACT) group sessions on maternal stress among six mothers of children diagnosed with autism, in India. The sessions were facilitated by a team consisting of a clinical psychologist and a Board Certified Behavior Analyst who implemented evidence based techniques combining Relational Frame Theory and culturally modified ACT. Maternal stress is a critical concern, particularly in the context of individuals with autism, where ASD specific challenges may amplify the daily pressures both social and parenting that is experienced by mothers. The study utilized a pre-post intervention design, assessing maternal stress levels before and after participants attended ACT based group sessions. The results revealed a significant reduction in maternal stress scores following participation in the ACT group sessions, measured using tools such as the Autism Parenting Stress Index (APSI) and The Family Adjustment to Childhood Developmental Disability (FICD). The findings suggest that the structured and supportive environment provided by ACT counselling sessions contributed to a meaningful decrease in stress levels among the mothers who participated in the study. The cultural context of India adds depth to the understanding of how therapeutic interventions can be adapted to diverse populations, emphasizing the need for use of evidence based methods such as ACT in parent training and counselling. Additionally, the use of this method furthers the parent’s acceptance of Autism as a lifelong condition and transforms their parenting approach. This research not only contributes to the growing body of literature on interventions for individuals with autism and their families but also underscores the adaptability of evidence-based practices in diverse cultural settings. Further exploration and replication of these findings with larger sample sizes are recommended to strengthen the evidence supporting the use of ACT group sessions as a valuable tool in mitigating maternal stress among mothers with autism in the Indian context.

Response Allocation of Board-Certified Behavior Analysts toward Categories of Evidence-Based Practice

Response Allocation of Board-Certified Behavior Analysts toward Categories of Evidence-Based Practice

Generalized Linear Mixed Effects Modeling (GLMM) of Functional Analysis Graphical Construction Elements on Visual Analysis

Multielement designs are the quintessential design tactic to evaluate outcomes of a functional analysis in applied behavior analysis. Protecting the credibility of the data collection, graphing, and visual analysis processes from a functional analysis increases the likelihood that optimal intervention decisions are made for individuals. Time-series graphs and visual analysis are the most prevalent method used to interpret functional analysis data. The current project included two principal aims. First, we tested whether the graphical construction manipulation of the x-to-y axes ratio (i.e., data points per x- axis to y-axis ratio [DPPXYR]) influenced visual analyst’s detection of a function on 32 multielement design graphs displaying functional analyses. Second, we investigated the alignment between board certified behavior analysts (BCBAs; N = 59) visual analysis with the modified visual inspection criteria (Roane et al., Journal of Applied Behavior Analysis, 46, 130-146, 2013). We found that the crossed GLMM that included random slopes, random intercepts, and did not include an interaction effect (AIC = 1406.1, BIC = 1478.2) performed optimally. Second, alignment between BCBAs decisions and the MVI appeared to be low across data sets. We also leveraged current best practices in Open Science for raw data and analysis transparency.

An Internal Consistency Reliability Study of the Catalyst Datafinch Applied Behavior Analysis Data Collection Application With Autistic Individuals.

Introduction Many psychometric studies have scrutinized the dependability of different instruments for evaluating and treating autism using applied behavior analysis (ABA). However, there has been no exploration into the psychometric attributes of the Catalyst Datafinch Applied Behavior Analysis Data Collection Application, namely, internal consistency reliability measures. Materials and methods Four datasets were extracted (n=100, 98, 103, and 62) from published studies at The Oxford Center, Brighton, MI, ranging from March 19, 2023, through January 8, 2024, using Catalyst Datafinch as the data collection tool. All data were gathered by Board Certified Behavior Analysts (BCBAs) and behavioral technicians and designed to replicate how practitioners collect traditional paper and pencil data. SPSS Statistics (v. 29.0) computed internal consistency reliability measures, including Cronbach's alpha, inter-item, split-half, and interclass correlation coefficients. Results Dataset #1: Cronbach's alpha was 0.916 with seven items, indicating excellent reliability. Cronbach's split-half reliability for Part 1 was 0.777, indicating good reliability, and for Part 2 was 0.972, indicating excellent reliability. Guttman split-half coefficient was 0.817, indicating good reliability. Inter-item correlation coefficients ranged from0.474 to0.970. The average measures interclass correlation (ICC) was 0.916, indicating excellent reliability. Single measures (ICC) reliability was 0.609, indicating acceptable reliability. Dataset #2: Cronbach's alpha was 0.954 with three items, indicating excellent reliability. Cronbach's split-half reliability for Part 1 was 0.912, indicating excellent reliability, and for Part 2 was 0.975, indicating excellent reliability. Guttman split-half coefficient was 0.917, indicating excellent reliability. Inter-item correlation coefficients ranged from0.827to0.977. Average measures (ICC) was 0.954, indicating excellent reliability. Single measures (ICC) reliability was 0.875, indicating good reliability. Dataset #3: Cronbach's alpha was 0.974 with three items, indicating excellent reliability. Cronbach's split-half reliability for Part 1 was 0.978, indicating excellent reliability. Split-half reliability for Part 2 was 0.970, indicating excellent reliability. Guttman split-half coefficient was 0.935, indicating excellent reliability. Inter-item correlation coefficients ranged from0.931to0.972. The average measures (ICC) was 0.974, indicating excellent reliability. Single measures (ICC) reliability was 0.926, indicating excellent reliability. Dataset #4: Cronbach's alpha was 0.980 with 12 items, indicating excellent reliability. Cronbach's split-half reliability for Part 1 was 0.973, indicating excellent reliability. Split-half reliability for Part 2 was 0.996, indicating excellent reliability. Guttman split-half coefficient was 0.838, indicating good reliability. Inter-item correlation coefficients ranged from0.692to0.999. The average measures (ICC) was 0.980, indicating excellent reliability. Single measures (ICC) reliability was 0.804, indicating good reliability. Conclusions These results suggest that Catalyst Datafinch demonstrates high internal consistency reliability when used with individuals with autism. This indicates that the application is reliable for collecting and analyzing behavioral data in this population. The ratings ranged from good to excellent, indicating a high consistency in the measurements.

Stimulus Avoidance Assessment: A Systematic Literature Review.

Board certified behavior analysts are ethically required to first address destructive behavior using reinforcement-based and other less intrusive procedures before considering the use of restrictive or punishment-based procedures (ethics standard 2.15; Behavior Analyst Certification Board, 2020). However, the inclusion of punishment in reinforcement-based treatments may be warranted in some cases of severe forms of destructive behavior that poses risk of harm to the client or others. In these cases, behavior analysts are required to base the selection of treatment components on empirical assessment results (ethics standard 2.14; Behavior Analyst Certification Board, 2020). One such preintervention assessment is the stimulus avoidance assessment (SAA), which allows clinicians to identify a procedure that is likely to function as a punisher. Since the inception of this assessment approach, no studies have conducted a systematic literature review of published SAA cases. These data may be pertinent to examine the efficacy, generality, and best practices for the SAA. The current review sought to address this gap by synthesizing findings from peer-reviewed published literature including (1) the phenomenology and epidemiology of the population partaking in the SAA; (2) procedural variations of the SAA across studies (e.g., number of series, session length); (3) important quality indicators of the SAA (i.e., procedural integrity, social validity); and (4) how the SAA informed final treatment efficacy. We discuss findings in the context of the clinical use of the SAA and suggest several avenues for future research.

A Survey of the State of the Field of Applied Behavior Analysis in Vermont.

As the number of and demand for board certified behavior analysts (BCBAs) grows across the United States, it is increasingly important to evaluate the status of the applied behavior analysis (ABA) workforce. The goal of this study was to evaluate the current status of the field of ABA within the state of Vermont. We surveyed practicing RBTs, BCaBAs, BCBAs, BCBA-Ds, and ABA professionals within Vermont. We gathered and analyzed information regarding practitioner training and supervision experiences, current work conditions, strengths and barriers related to education, supervision, and practice within the field of ABA in Vermont, and historical and demographic information. Survey responses were analyzed using quantitative and qualitative methods and themes and results are discussed. This study may serve as a model for other states to conduct similar analyses to better meet the needs of the changing landscape of the field of ABA.

Overlapping Training and Roles: An Exploration of the State of Interprofessional Practice between Behavior Analysts and School Psychologists.

Board certified behavior analysts (BCBAs) working in the schools often are charged with supporting students with and without disabilities who engage in challenging behavior. Meeting the unique needs of these students often requires a collaborative approach with other school-based professionals. We specifically sought to understand how behavior analysts engage in interprofessional collaboration with school psychologists (SPs), professionals who also have training to support students who engage in challenging behavior. We disseminated a survey across the United States targeting school-based BCBAs and SPs to further understand how their training and job responsibilities overlap. We also asked respondents about the extent to which they collaborate with the other professionals, modes of their collaboration, and barriers and facilitators in effective collaboration. Our findings in this exploratory study indicate BCBAs' and SPs' training and responsibilities do indeed overlap in relevant areas. Roles diverge in the frequency each professional participates in common educational and behavioral practices. Both groups report similar barriers when engaging in interprofessional collaboration, although BCBAs are more likely to report differing philosophies as a barrier. For both groups, findings suggest that BCBAs and SPs can find common ground if their professional colleagues indicate that they also value collaboration. Recommendations for future research and study limitations are also discussed.

The Need for Greater Training in Consultation for Behavior Analysts.

Behavior analysts can be found in a variety of settings including homes, schools, hospitals, workplaces, residential group homes, nursing homes, and universities (Association for Professional Behavior Analysts [APBA], 2019). As the field expands, behavior analysts find themselves performing a variety of tasks outside of traditional service delivery. A role of significant importance is that of the consultant. This article examines the status of training for behavior analysts. Our work finds that relatively few (11% of board certified behavior analyst programs and 3% of board certified associate behavior analyst programs) verified course sequences (VCSs) in behavior analysis include courses devoted specifically to consultation. Compared to other allied professions, there appears to be a disconnect between training and practice, especially when considering that behavior analysts are increasingly engaged in indirect service delivery through consultees. Finally, we discuss the benefits of consultation and why further devotion to and consistent requirements for training in consultation are needed. Several models of consultation appropriate for training behavior analysts are suggested, as well as information regarding how we might examine the effectiveness of consultation training.

Contextualizing Contemporary Research Ethics Policies and Practices in Significant Historical Events

AbstractTheEthics Code for Behavior Analysts(BACB Code; Behavior Analyst Certification Board®, 2020) includes six items in “Section 6—Responsibility in Research'' that cover the protection of human participants in research activities conducted by Board Certified Assistant Behavior Analysts® and Board Certified Behavior Analysts®. This article provides a brief primer regarding significant historical events and foundational documents that have resulted in the contemporary research ethics policies and practices in the field of behavior analysis. This walk through the last century from the Nuremberg Code to the Declaration of Helsinki, the Belmont Report, and 45 CFR Part 46—Protection of Human Subjects provides a summary of why the codification of requirements such as “informed consent” and “Institutional Review Board” oversight was necessary. The linkages between these historical events and the current BACB Code items are discussed. In addition, situations in which the BACB Code does not provide explicit instruction but foundational documents may provide additional guidance are considered. Finally, opportunities for future data-driven decision making in research ethics are offered.

Recommendations for Working with Culturally and Linguistically Diverse Families: A Report from the Field.

Given the persistent shift in racial and ethnic demographics in the United States, board certified behavior analysts (BCBAs) will increasingly serve culturally and linguistically diverse families. There has been a recent increase in published resources to help behavior analysis practitioners navigate working with diverse populations. The purpose of this article is to add to these resources and demonstrate how these recommendations can be put into action. We outline five recommendations for working with culturally and linguistically diverse families in the context of a small company that has incorporated these practices in their own work focused on serving a large percentage of immigrant families.

A Preliminary Investigation of a Tool to Measure BCBA Supervisory Behaviors.

Board certified behavior analysts (BCBAs) are in high demand. However, given the fast growth of the field, most behavior analysts who serve as supervisors have recently been certified and thus, have had limited opportunities to refine their supervisory repertoires. Although supervision best practices have been a topic of frequent discussion in behavior analytic publications, little research has been conducted to empirically assess these recommendations with BCBA supervisors. One reason for the lack of research may be due to the scarcity of a method to systematically identify and measure supervisory behaviors. The Operant Supervisory Taxonomy and Index (OSTI; Komaki, 1986Journal of Applied Psychology, 71(2), 270-279,1998) was developed to identify and categorize supervisory behaviors of effective supervisors in organizational settings. To demonstrate the feasibility of the OSTI with BCBA supervision, this study applied the OSTI with two masters-level students completing a verified course sequence (VCS) as a part of pursing their BCBA credential. Future directions for research and application of the OSTI as a measurement framework for BCBA supervisory behavior and behavior analytic training are discussed.

Behavioral contrast: An exploratory survey of practitioner experiences.

Behavioral contrast is defined as a change in reinforcement conditions in one context that causes a change in behavior in the opposite direction in another, unchanged context. Although behavioral contrast has implications for applied behavior analysts, researchers have not examined ramifications or identified common methods of mitigating contrast in applied settings. Therefore, we surveyed Board Certified Behavior Analysts in an exploratory investigation to determine practitioner experiences with behavioral contrast. Participants' responses reflected a variety of themes: contrast resulted in conversations with stakeholders; supporting stakeholders and mitigating factors are important; contrast is due to inconsistencies across settings; and contrast affects stakeholder buy-in, hurts rapport or relationships, and produces negative emotions. Our results suggest that contrast is not an innocuous occurrence in applied settings. We recommend a variety of areas for future research to further predict and control contrast and to identify the extent to which it affects clinical practice.

Guidance and Recommendations When Developing an Introductory Graduate-Level OBM Course

ABSTRACT Recent developments in the field of behavior analysis have resulted in Board Certified Behavior Analysts® who typically deliver services in clinical settings engaging in activities that require training and experience in organizational behavior management (OBM). The Behavior Analyst Certification Board recognizes the need for credentialed professionals to receive OBM-specific training and currently requires 30 hours of graduate coursework in personnel supervision and management. However, the growth of faculty qualified to teach OBM courses does not match the growth in interest in OBM, which could result in instructors teaching topics outside their scope of competence. To provide OBM instructors with guidance on appropriate content when creating and teaching graduate-level OBM courses, the OBM Network Board of Directors created the Research and Education Committee. The committee was tasked with supporting quality education and research in OBM. This paper presents the committee’s initial recommendations for developing a graduate-level OBM course. Specifically, we provide information regarding core and supplemental content, and sourcing the materials needed for teaching these courses. We also outline several other variables that must be considered before finalizing an OBM course.

Therapeutic Relationships in Applied Behavior Analysis: Current Status and Future Directions.

For behavior analytic practitioners, skills related to building a therapeutic alliance (e.g., empathic statements, reflective listening, affirmations) may be as important as knowledge of and skills in implementation of the science of behavior analysis. We surveyed 277 board certified behavior analysts (BCBAs) to learn more about their training, use of these skills, and their perceptions of how their skills might have changed over years of practicing. The findings suggest that behavior analysts may benefit from explicit training in skills required to establish and maintain therapeutic relationships with parents of children with autism. In this article we review recent research in this area and suggest directions for training of behavior analysts. Further, motivational interviewing is introduced as an evidence-based clinical approach that encompasses many of the skills required to build a therapeutic alliance.

Priorities, barriers, and facilitators for nutrition-related care for autistic children: a qualitative study comparing interdisciplinary health professional and parent perspectives.

Children with autism spectrum disorder often face nutrition-related challenges, such as food selectivity, gastrointestinal issues, overweight and obesity, and inadequate nutrient intake. However, the role of routine nutrition-related screening or care by interdisciplinary health professionals is not well understood. This study aimed to compare the beliefs of health professionals with those of parents of autistic children regarding high-priority nutrition-related challenges, barriers and facilitators to care, and desired education and resources related to nutrition for autistic children. Interdisciplinary health professionals (n = 25) (i.e., pediatricians, occupational therapists, speech-language pathologists, board certified behavior analysts, registered dietitians) and parents of autistic children (n = 22). The study used semi-structured phone interviews, which were recorded, transcribed, verified, and double-coded using the Framework Method. Thematic analysis of transcripts revealed that while health professionals and parents of autistic children shared some perspectives on nutrition-related challenges and care, they also had distinct viewpoints. Parents emphasized the importance of addressing food selectivity, behavioral eating challenges, sensory issues, and sleep disturbances affecting appetite. Both groups acknowledged the need for tailored support, access to an interdisciplinary care team, and reasonable expectations. Some health professionals perceived parents as lacking motivation or the ability to make changes. In contrast, many parents felt that health professionals lacked the knowledge and motivation to take nutrition or growth concerns seriously. Health professionals acknowledged that their lack of knowledge or capacity to provide nutrition education or referrals was a common barrier to care, particularly given limited community resources. Health professionals who serve autistic children are motivated to address nutrition-related challenges but lack resources related to nutrition. To promote better health outcomes for autistic children, professionals should identify and support parent motivations around nutrition-related care. Both groups expressed interest in accessing autism-specific resources for education, referral, and screening guidance. Future research could explore the development of healthcare training models that improve the competency of health professionals in providing nutrition care and referral for autistic children.

Self-Conducted and Skype-Mediated Exposure Therapy for a Severe Balloon Phobia: A Single-Case Design

Real-life exposure therapy involving Skype technology was used to successfully treat a 27-year-old woman with a debilitating fear of balloons. The majority of the therapeutic work consisted of self-conducted exposure by the client, augmented by two hours of therapist-modeled and guided exposure to blowing up and popping balloons, observed by the client via Skype and then emulated with therapist guidance. This case study was jointly documented by the client, a licensed clinical social worker (LCSW) and psychotherapist, and the therapist, also an LCSW as well as a board-certified behavior analyst. Apart from the client???s personal narrative, the outcomes of the case study were supported by two standardized behavioral approach tests conducted by the therapist prior to treatment and after three months of treatment. A novel aspect of this treatment was the use of Skype technology to make possible real-life exposure therapy conducted by the therapist and synchronously delivered to the client, who was more than 200 miles distant. The joint writing of first person perspectives of treatment by the client and therapist is another unusual element that we believe strengthens the credibility of this single-case study.

Putting Concepts Into Action: A Brief Description of 2022 BACB Ethics Code Standard 1.07 & Actionable Recommendations for Evolving Practices of Behavior Analysts.

For over a decade, behavior analysts have been calling for more culturally responsive practices. Within the newest edition of the Ethics Code for Behavior Analysts, one addition in particular was Standard 1.07 Cultural Responsiveness and Diversity (Behavior Analyst Certification Board, 2020b). The inclusion of this new standard shows positive movement but there is more to unpack. This article seeks to contextualize the relevance and necessity of Standard 1.07 both at a societal level and within the field of applied behavior analysis (ABA). A timeline of previous calls to actions and changes within ABA that align with the inclusion of this standard is discussed along with the obstacles that hindered progress. Lastly, directions are provided for how to make behavior analytic practices more culturally responsive through confronting our personal biases, using culturally responsive pedagogies, updating and adapting our practices regarding the selection of target skills and assessment administration, and collaborating with our clients and their teams. Through an understanding of its urgency and direct applications into our work, this article seeks to aid behavior analysts in shifting our practices to being more culturally responsive.

A Survey of Community Providers on Feeding Problems in Autism Spectrum Disorder.

Feeding problems, ranging from mild to severe, are common in children with autism spectrum disorder. We conducted a 15-item online survey of community providers to gather information on service demand and current treatment approaches for this clinical population. Respondents, speech-language pathologists, occupational therapists, registered dietitians, and Board-Certified Behavior Analysts, were recruited via e-mail listservs, professional conferences, continuing education programs, social media and electronic newsletters. The survey included questions about professional discipline, years in practice, patient population served, feeding problem types, therapeutic approaches, and level of interest in parent-mediated interventions. A total of 541 community practitioners responded to the survey; 419 provided usable data. Across all providers, 97% (n = 406) reported seeing children with ASD and feeding problems. Of these, 90% (n = 367) offered treatment. Providers (n = 23) who did not treat feeding problems cited "insufficient training." Most common presenting problems included limited dietary variety, texture sensitivity, and disruptive mealtime behavior. Although treatment approaches varied across disciplines, 89.3% indicated openness to parent-mediated treatment. These results indicate a high demand for treatment of children with ASD and feeding problems across disciplines. Food selectivity was the most common problem. Treatment approaches varied across disciplines. Dissemination and implementation of evidence-based, parent-mediated intervention is warranted.

Registered Behavior Technicians' Training Experiences for Severe Problem Behavior: A Survey.

Registered Behavior Technicians (RBTs) are the primary paraprofessionals who deliver applied behavior analysis (ABA) services to individuals with autism spectrum disorder (ASD) under supervision of a Board Certified Behavior Analyst (BCBA). Effective training and supervision for RBTs providing ABA services is critical, especially for technicians working with children who exhibit severe behaviors. Recent research has assessed the needs of BCBAs working with individuals who exhibit severe problem behavior (Colombo et al., 2021). However, no research exists to identify the needs and ongoing training offered to the RBTs who provide ABA services to clients who exhibit severe problem behavior. Thus, the purpose of the current study was to survey RBTs for their initial training experiences and ongoing supports offered when working with clients who exhibit severe problem behavior. Results indicated that some RBTs reported appropriate initial and ongoing training, however, 13% reported receiving no initial training and 29% reported receiving no ongoing training when working with clients who engaged in severe problem behavior. In addition, 75% of RBTs reported sustaining an injury themselves and 36% reported their client sustained some type of injury. Suggestions for improvement for training RBTs working with this population and directions for future research are discussed.