Evidence map›Paper›PMID 35340377›Full record

ArticleBehavior analysis in practice2022

Minimizing Escalation by Treating Dangerous Problem Behavior Within an Enhanced Choice Model.

Adithyan Rajaraman, Gregory P Hanley, Holly C Gover, Johanna L Staubitz, John E Staubitz, Kathleen M Simcoe, Rachel Metras

Open access · greenAbstract read
In one paragraph

Article in Behavior analysis in practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
18.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  17. Distance-Based Collaborations for Assessing and Treating Challenging Behavior.Journal of autism and developmental disorders · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Adithyan RajaramanDepartment of Psychology, UMBC, 1000 Hilltop Cir, Baltimore, MD 21250 USA.ORCID 0000-0002-3671-8327
Gregory P HanleyDepartment of Psychology, Western New England University, Springfield, MA USA.
Holly C GoverDepartment of Psychology, Western New England University, Springfield, MA USA.
Johanna L StaubitzDepartment of Special Education, Vanderbilt University, Nashville, TN USA.
John E StaubitzDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN USA.
Kathleen M SimcoeDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN USA.
Rachel MetrasDepartment of Psychology, Western New England University, Springfield, MA USA.
Western New England University · USVanderbilt University · USUniversity of Maryland, Baltimore County · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To address dangerous problem behavior exhibited by children while explicitly avoiding physical management procedures, we systematically replicated and extended the skill-based treatment procedures described by Hanley, Jin, Vanselow, and Hanratty (2014) by incorporating an enhanced choice model with three children in an outpatient clinic and two in a specialized public school. In this model, several tactics were simultaneously added to the skill-based treatment package to minimize escalation to dangerous behavior, the most notable of which involved offering children multiple choice-making opportunities, including the ongoing options to (a) participate in treatment involving differential reinforcement, (b) "hang out" with noncontingent access to putative reinforcers, or (c) leave the therapeutic space altogether. Children overwhelmingly chose to participate in treatment, which resulted in the elimination of problem behavior and the acquisition and maintenance of adaptive skills during lengthy, challenging periods of nonreinforcement. Implications for the safe implementation of socially valid treatments for problem behavior are discussed.

Indexed as

Dangerous problem behaviorEnhanced choice modelExtinction without physical guidancePractical functional assessmentSkill-based treatment

Identifiers

PMID35340377
PMCPMC8854458
OpenAlexW3159873915

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.