Renewal of challenging behavior in an intensive outpatient clinic: Replication and extension to task changes.

Retrospective analyses have shown that renewal of challenging behavior following person or setting changes is common. This study replicates and extends prior work by evaluating renewal after a third type of context change: task changes. Among 98 patients in an intensive outpatient clinic who experie...

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Publicado en:Journal of Applied Behavior Analysis (John Wiley & Sons, Inc.) Vol. 59; no. 2; pp. 1 - 13
Autores principales: Aggarwal, Ishita, O'Brien, Matthew J., Pauls, Alexander M., Jeglum, Sara R., Franck, Christopher T., Martinez‐Perez, Carla N., Podlesnik, Christopher A.
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
      vid: 59
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      pub: John Wiley & Sons, Inc.
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        10.1002/jaba.70057
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        atl: Renewal of challenging behavior in an intensive outpatient clinic: Replication and extension to task changes.
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          Aggarwal, Ishita
          O'Brien, Matthew J.
          Pauls, Alexander M.
          Jeglum, Sara R.
          Franck, Christopher T.
          Martinez‐Perez, Carla N.
          Podlesnik, Christopher A.
        affil: Stead Family Department of Pediatrics, University of Iowa, Iowa City IA,, USA
      sug:
        subj:
          Disruptive Behavior
          Ambulatory Care Facilities
          Behavior Therapy
          Attitude to Change
          Task Performance and Analysis
          Human
          Male
          Female
          Child
          Adolescence
          United States
          Retrospective Design
          Case Studies
          Cognition
          Autism Spectrum Disorder
          Attention Deficit Hyperactivity Disorder
          Communicative Disorders
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Retrospective analyses have shown that renewal of challenging behavior following person or setting changes is common. This study replicates and extends prior work by evaluating renewal after a third type of context change: task changes. Among 98 patients in an intensive outpatient clinic who experienced 749 context changes, overall renewal prevalence was 25.23% using a max‐of‐5 criterion (39.79% using a mean‐of‐2 criterion), consistent with prior reports across this large sample. Of the 63 patients who experienced at least one task change, 36 (57.14%) exhibited renewal. Task changes produced higher renewal rates than person or setting changes across criteria, but differences were not statistically significant. Renewal magnitude generally declined across sessions; however, challenging behavior rarely returned to prechange levels, even after five sessions. Findings highlight the broader range of contextual variables that may evoke renewal and the need for strategies to reduce its intensity and persistence during treatment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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