Use of the structured descriptive assessment to identify possible functions of challenging behaviour exhibited by adults with brain injury.

Behaviour modification procedures for challenging behaviour, based on principles of operant learning, benefit from an accurate appraisal of behavioural function. Numerous methods of direct and indirect functional assessment exist, which have relative strengths and weaknesses. In this study, structur...

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Publicado en:Neuropsychological Rehabilitation Vol. 23; no. 4; pp. 501 - 528
Autores principales: Rahman, B, Alderman, N, Oliver, C
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Aug2013
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Use of the structured descriptive assessment to identify possible functions of challenging behaviour exhibited by adults with brain injury.
      aug:
        au:
          Rahman, B
          Alderman, N
          Oliver, C
        affil: a School of Psychology , University of Birmingham , Birmingham , UK.
      sug:
        subj:
          Aggression
          Attitude
          Behavior Therapy Methods
          Brain Injuries Diagnosis
          Brain Injuries Physiopathology
          Brain Injuries Rehabilitation
          Adult
          Attention
          Caregivers Psychosocial Factors
          Human
          Probability
          Male
          Middle Age
          Observational Methods
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: Behaviour modification procedures for challenging behaviour, based on principles of operant learning, benefit from an accurate appraisal of behavioural function. Numerous methods of direct and indirect functional assessment exist, which have relative strengths and weaknesses. In this study, structured descriptive assessments were used to identify the function of challenging behaviour. The application of this hybrid approach has been unexplored in the neurobehavioural literature. The structured descriptive assessments involved the systematic manipulation of antecedent variables (only) that were conducted by typical caregivers in the normal environment. Also, observational software was used to provide a high degree of analytical detail. The methodology was found to be effective in generating hypotheses of behavioural function and also efficient as a clinical research tool. Only just over 2.25 hours of assessment data were collected for each participant, on average, and yet functional relationships emerged in respect of all four participants. The aggression exhibited by two participants was deemed to serve a demand escape function and the challenging behaviours of the other two participants were attributed to an attention gaining function. Future studies should implement additional validity measures by corroborating findings with other (experimental) functional assessment techniques or by implementing treatment programmes based on its results.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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