Evaluating the Long-Term Efficacy of a Trauma-Informed Approach to Addressing Challenging Behavior in the Home.
Behavioral interventions for challenging behavior often rely on the results of a functional analysis to identify environmental contributors. Multiple functional analysis formats have been developed to improve qualities of the process such as practicality, efficiency, and safety. More recently, the p...
| Publicado en: | Research & Practice for Persons with Severe Disabilities Vol. 51; no. 1; pp. 6 - 26 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191375864&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191375864 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15407969 MYX jtl: Research & Practice for Persons with Severe Disabilities issn: 15407969 maglogo: Y pubinfo: dt: Mar2026 vid: 51 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 191375864 183123344 191375864 191375864 10.1177/15407969251319255 191375864 ppf: 6 ppct: 20 formats: tig: atl: Evaluating the Long-Term Efficacy of a Trauma-Informed Approach to Addressing Challenging Behavior in the Home. aug: au: Leyman, Aaron MacDowell, Phoebe Jessel, Joshua affil: Queens College, City University of New York, USA sug: subj: Mental Disorders Prevention and Control Mental Health Services Evaluation Treatment Duration Evaluation Skill Acquisition Home Health Care Quality Improvement Human Adult Experimental Studies Interviews Caregivers Conceptual Framework Patient Safety Productivity Trauma Social Behavior Evaluation Communication Video Games Adult: 19-44 years ab: Behavioral interventions for challenging behavior often rely on the results of a functional analysis to identify environmental contributors. Multiple functional analysis formats have been developed to improve qualities of the process such as practicality, efficiency, and safety. More recently, the performance-based, interview-informed synthesized contingency analysis (IISCA) was developed as a functional analysis format that incorporates a trauma-informed framework. The performance-based IISCA (a) introduces evocative events following periods of calm to reduce dangerous escalation, (b) includes moment-to-moment measures of challenging behavior to allow for ongoing visual analysis of data, and (c) maintains measures of positive affect. We conducted this study to evaluate the treatment utility of the performance-based IISCA when it is used to inform a skill-based treatment. The performance-based IISCA was conducted for the challenging behavior of three autistic children before teaching communication, toleration, and cooperation during skill-based treatment in the home setting. Challenging behavior was reduced for all participants across different therapists and across time (1-, 2-, 3-month treatment extension). The results support the extension and longevity of treatment informed by the performance-based IISCA. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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