A laboratory model for evaluating relapse of undesirable caregiver behavior

Daniel R. Mitteer, Brian D. Greer, Wayne W. Fisher, Adam M. Briggs, David P. Wacker

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

The success of behavioral treatments like functional communication training depends on their continued implementation outside of the clinical context, where failures in caregiver treatment adherence can lead to the relapse of destructive behavior. In the present study, we developed a laboratory model for evaluating the relapse of undesirable caregiver behavior that simulates two common sources of disruption (i.e., changes in context and in treatment efficacy) believed to affect caregiver treatment adherence using simulated confederate destructive behavior. In Phase 1, the caregiver's delivery of reinforcers for destructive behavior terminated confederate destructive behavior in a home-like context. In Phase 2, the caregiver implemented functional communication training in a clinical context in which providing reinforcers for destructive or alternative behavior terminated confederate destructive behavior. In Phase 3, the caregiver returned to the home-like context, and caregiver behavior produced no effect on confederate destructive or alternative behavior, simulating an inconsolable child. Undesirable caregiver behavior relapsed in three of four treatment-adherence challenges.

Original languageEnglish (US)
Pages (from-to)252-266
Number of pages15
JournalJournal of the experimental analysis of behavior
Volume110
Issue number2
DOIs
StatePublished - Sep 2018

Keywords

  • parent training
  • persistence
  • procedural integrity
  • relapse
  • renewal
  • treatment adherence

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Behavioral Neuroscience

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