The Latency-Based Interview-Informed, Synthesized Contingency Analysis (IISCA): A Clinical Validation and Replication of 34 Applications in the USA and Brazil

Autor: Jessel, Joshua, Lemos, Felipe M., Fruchtman, Tess, Howard, Monica, MacDowell, Phoebe, Slaton, Jessica
Zdroj: Advances in Neurodevelopmental Disorders; 20240101, Issue: Preprints p1-13, 13p
Abstrakt: Objectives: Behavioral treatments for problem behavior are known to be more effective when informed by a functional analysis. However, evaluating problem behavior during a functional analysis requires observation of repeated instances of problem behavior, which could be a safety concern. Using latency as a measure can improve safety by reducing exposure to problem behavior. We conducted this two-part study to determine if latency could be integrated into the recently developed functional analysis format termed the interview-informed, synthesized contingency analysis (IISCA). Methods: Each of the nine participants from Brazil experienced two functional analyses (study 1): latency-based IISCA and rate-based IISCA. We then evaluated the generality of the latency-based IISCA from 16 replications in the USA and Brazil (study 2). Results: The results indicated a high level of correspondence between the two functional analyses, suggesting that latency is likely a valid measure of problem behavior during the IISCA. We found that the latency-based IISCA identified a function in less than 20 min with the observation of only three instances of problem behavior. In addition, clinicians provided high ratings of acceptability, helpfulness, safety, and efficiency. Conclusions: Clinicians may be able to avoid repeated instances of problem behavior during a functional analysis using the latency-based IISCA when safety or time is of concern.
Databáze: Supplemental Index