Many people in the United States do not engage in the recommended levels of physical activity. Self-management strategies, including self-monitoring and goal setting, are among the interventions that have been used to increase physical activity in adults. Visual feedback has also been incorporated into interventions to increase physical activity. Minimal research has focused on increasing swimming behavior. The current study investigated the effectiveness of self-management strategies to increase swimming activity in adults. An automated recording device (watch) was used to collect data on participants’ swimming behavior. The effect of self-monitoring in the form of a self-graphing intervention to increase swimming activity was evaluated. If self-graphing alone was not effective, goal setting was added to the intervention. Three participants showed an increase in swimming activity when self-graphing was implemented. Two participants showed little or no change in activity across all phases. This study did not include any reinforcement contingencies for engaging in an increase in swimming activity. Future research directions are discussed.

Numerous studies from various research groups have already shown the usefulness of alcohol expectancies as predictors of long-term future alcohol consumption. The present study extends this line of research by directly testing whether alcohol expectancies measured in the moment using free association are useful as predictors of alcohol consumption in the next few hours. An ecological momentary assessment (EMA) procedure was used to examine how alcohol expectancies might fluctuate during days in which many people expect to drink (e.g. Fridays, Saturdays) and how these fluctuations in alcohol expectancies might predict future drinking and/or co-vary with important contextual variables during that same day. The results supported our main hypothesis that increases in positively-valenced alcohol expectancies would be observed a few hours to minutes before engaging in alcohol consumption. These findings provide further evidence that anticipatory information processing is a key part of the motivational system that directs future behavior, and that probing expectancies in real-time can be useful for predicting alcohol consumption in the near future.

Post Intensive Care Syndrome-Family (PICS-F) refers to acute and chronic psychological effects of critical illness on family members of patients in intensive care units (ICU). Evidence about the increase and persistence of PICS-F warrants the need for prevention interventions. This study evaluated the feasibility of providing Sensation Awareness Focused Training (SĀF-T) during the ICU stay for spouses of mechanically ventilated patients. Methods: A randomized controlled trial of SĀF-T versus a control group was conducted (n=10) to assess safety, acceptability, feasibility, and effect size of the intervention on PICS-F symptoms. Symptoms assessed as outcome measures included stress, anxiety, depression, posttraumatic stress disorder, and sleep efficiency. Those randomly assigned to SĀF-T received one session daily over 3-days in the ICU. Repeated measures (day 1, day 3, day 30, and day 90) of PICS-F symptoms in both groups were analyzed. Results: Mean age was 58 ± 12 years; 70% were female. Feasibility success criteria were met in weekly recruitment (8 ± 3.5), enrollment rate (67%), SĀF-T acceptability (100% of doses received, no adverse events) with significantly lower post SĀF-T stress levels (p<.05) compared to pre SĀF-T stress levels, ActiWatch acceptability rate (90% agreed to wear, no adverse events) with no significant difference in sleep efficiency between groups (p>.05), and repeated measures completion rate (>90%). Conclusions: This study provided guidance for modifications to protocol outcome measures and evidence of a large effect size, which will inform a larger clinical trial to assess the effectiveness of the SĀF-T intervention in reducing PICS-F.

The Caught Being Good Game (CBGG) is a classroom management intervention used in schools. The purpose of this study was to evaluate the effects of point visibility on appropriate behavior, to examine the degree to which points earned by the opposing team affected the other team’s behavior, to examine both teacher and student preference for the intervention, the effect of student and teacher choice on appropriate behavior, and to systematically replicate previous research showing the effectiveness of the CBGG relative to business as usual. Consistent with previous research, CBGG increased on-task behavior compared to business as usual. Modest and temporary differentiation was observed between salient and hidden points, with hidden resulting in slightly better outcomes. A unit-price analysis further supported that on-task behavior was higher during the hidden points condition. The teacher and students reported preference for the CBGG, and we expect to see higher levels of on-task behavior during the student-choice condition.

Disparities in the use, quality, and outcomes of treatments, and the barriers that deter Hispanics from receiving healthcare services have been widely studied. Yet, similar efforts have been slow in the field of Applied Behavior Analysis (ABA). A way to decrease treatment disparities is to assess the influence of cultural variables in behavior analytic interventions, and to evaluate whether manipulations to these variables improve the overall results of the interventions among Hispanic families. During this study, we adapted functional communication training (FCT) to Hispanic parent’s cultural values, we assessed the preference for culturally adapted and non-culturally adapted functional communication responses (FCR), and we evaluated the social validity of both FCRs. We achieved this by creating the Culturally-Adapted Response Evaluation Survey (CARES) for behavior analysts to use as a guide when interviewing parents to identify an FCR that adheres to the families’ cultural values. We evaluated parents’ preference for each FCR using a multiple-baseline design in which parents were trained to implement procedures to maintain the FCR that was taught and we provided parents an opportunity to choose the FCR they wanted to reinforce. The results of the study and their implications for ABA services are discussed.

The majority of behavioral analytic interventions reflect European-American values. One useful intervention is discriminated functional communication training (DFCT), which may be implemented to increase the generalizability of functional communication training (FCT). However, the discriminative stimuli used during DFCT may not adequately reflect what is commonly used in various cultures. Thus, the purpose of the current study was to evaluate the effectiveness, feasibility (in the form of training parents to implement), and treatment acceptability of a culturally adapted version of DFCT with Afro-Caribbean families. Three children with ASD along with their mothers participated in the study. Results showed that culturally adapting DFCT was as effective as the traditional procedure in obtaining discriminated manding for 2 of 3 participants. An alternate DFCT procedure used with the third participant was also effective. Also, it was feasible to train parents to implement the intervention. Social validity measures indicated the study incorporated cultural values, and beliefs, and produced favorable effects on replacing problem behavior with discriminated manding that was culturally relevant.

A growing literature suggests that experiencing positive emotions provides psychological benefits (e.g., Coifman et al. 2007), and interventions increasing positive emotions may reduce depression risk (Geschwind et al., 2011). The present study tested whether reminiscence, a method of positive emotion savoring (Quoidbach et al., 2010), can mitigate depression risk by increasing positive emotions in an unselected sample and a subsample of at-risk anxious individuals. Female participants (n=336) were randomized to a reminiscence or control condition and asked to complete daily mental imagery exercises focusing on a positive memory (reminiscence) or a neutral laboratory memory (control) for one week. As expected, reminiscence exercises produced immediate positive emotion increases compared to control exercises. Contrary to prediction, reminiscence participants did not report higher positive affect or lower depression symptoms at the end of the study week or one month follow up period compared to controls. Future studies in treatment-seeking samples are needed before strong conclusions can be drawn about the long term affective benefits of reminiscence in at-risk or clinical populations. Findings in the anxious subsample revealed no greater benefit of reminiscence versus neutral mental imagery for those with high anxiety. However, across both conditions, anxiety was a strong predictor of positive emotional functioning, with high anxiety predicting low positive emotions even after accounting for depression symptoms. These findings add to prior work suggesting anxiety can blunt positive emotional functioning, and warrant future studies to further elucidate the impact of anxiety on positive emotional functioning and the potential utility of intervening on positive emotions in anxious individuals.

This study evaluated the relative contributions of behavior specific praise statements (BSPS) and the Caught Being Good Game (CBGG) on class-wide appropriate behaviors and examined teacher use of BSPS and corrective feedback. It also evaluated if changes in class-wide behaviors are maintained during follow-up and generalized to non-target academic periods. Data on teacher use of BSPS were also collected during follow-up and generalization probes to examine if the teachers continued to use BSPS during follow-up and generalize their use of BSPS to non-target academic periods. A multiple-baseline design across classrooms with an ABC sequence was used to evaluate the outcomes of the interventions. The results indicated that BSPS was sufficient in two classrooms to increase class-wide on-task behavior for over 90% of students just by explicitly giving attention for appropriate behaviors while the third classroom required implementation of CBGG which provided external reinforcers. Some evidence of generalization and maintenance was observed in all classrooms. All teaching staff's use of BSPS increased during implementation of the BSPS phase, but BSPS use decreased in follow-up, and support for generalization is lacking.

Researchers have successfully increased physical activity with self-monitoring, goal setting, and feedback. Goal attainment is a crucial part of what makes goal setting successful; however, it is often unreported in the literature or implied that goals were not reached consistently. A potential way to achieve this consistency is to create an action plan, or a detailed account of exactly how and when the individual will engage in the desired physical activity to reach his or her goal. This study evaluated whether making a detailed action plan would allow individuals to reach their physical activity goals more consistently than when using goal setting and self-monitoring alone. Action planning increased goal attainment for all participants but only resulted in increased physical activity for 2 of 3 participants. Future research should replicate this study to validate these findings and further explore methods for improving the success of goal setting as an intervention.

Children diagnosed with autism spectrum disorder (ASD) characteristically exhibit social communication and language deficits. Natural environment teaching (NET) is an intervention proven effective at improving social communication and language skills. Treatment fidelity is critical for an intervention to be effective. Research shows that training alone is often not sufficient to ensure proper implementation. Self-monitoring has shown to increase treatment fidelity, but performance feedback may be necessary to further improve the fidelity of individuals implementing interventions. Using a nonconcurrent multiple baseline design across participants with an ABC sequence, this study evaluated the impact of self-monitoring and video feedback on behavior therapist implementation of NET procedures and maintenance of the skills during fading. Results indicated that self-monitoring slightly improved fidelity of implementation. Fidelity improved further with the addition of video feedback. The results also indicated that implementation of NET with fidelity by the therapists led to improvement in participating children's verbal language skills.