Updating a meta-analysis of intervention research with challenging behaviour: treatment validity and standards of practice.

BACKGROUND: This meta-analysis of interventions with challenging behaviour in children with disabilities updates a comprehensive meta-analysis that previously addressed reported standards of practice and effectiveness of different strategies. METHOD: Four effect-size algorithms were calculated for p...

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Publicado en:Journal of Intellectual & Developmental Disability Vol. 34; no. 1; pp. 67 - 81
Autores principales: Harvey ST, Boer D, Meyer LH, Evans IM
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2009
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      pub: Taylor & Francis Ltd
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        atl: Updating a meta-analysis of intervention research with challenging behaviour: treatment validity and standards of practice.
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          Harvey ST
          Boer D
          Meyer LH
          Evans IM
        affil: Massey University, Palmerston North and Wellington, New Zealand.
      sug:
        subj:
          Behavior Therapy In Infancy and Childhood
          Child Behavior Disorders Therapy
          Children with Disabilities Psychosocial Factors
          Professional Practice Standards
          Adolescence
          Adult
          Algorithms
          Chi Square Test
          Child
          Child, Preschool
          Coding
          Confidence Intervals
          Descriptive Statistics
          Effect Size
          ERIC Database
          Experimental Studies
          Female
          Funding Source
          Infant
          Infant, Newborn
          Male
          Meta Analysis
          T-Tests
          Treatment Outcomes
          Validity
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Infant, Newborn: birth-1 month
          Female
          Male
      ab: BACKGROUND: This meta-analysis of interventions with challenging behaviour in children with disabilities updates a comprehensive meta-analysis that previously addressed reported standards of practice and effectiveness of different strategies. METHOD: Four effect-size algorithms were calculated for published intervention cases, and results analysed and compared to previous findings by behaviour target, intervention type, and other factors. RESULTS: The evidence largely supports intervention effectiveness, with some inconsistency reflecting the fact that the four metrics assess different aspects of change. Skills replacement, consequence combined with systems change, and antecedent interventions generated selective positive results, large enough to be clinically meaningful. CONCLUSIONS: Behavioural interventions effectively reduce challenging behaviour, particularly when preceded by a functional analysis. Teaching replacement skills was most effective, especially if used in combination with systems change and/or traditional antecedent and consequence manipulation. Positive changes as well as enduring limitations to both research design and standards of clinical practice in comparison to 18 years ago are discussed.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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