Evidence map›Paper›PMID 38840711›Full record

ArticlePolicy insights from the behavioral and brain sciences2023

Barriers to Accessing Effective Treatments for Destructive Behavior.

Brian D Greer

Abstract read
In one paragraph

Article in Policy insights from the behavioral and brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

1 author.

Brian D GreerRutgers Brain Health Institute.ORCID 0000-0001-8256-9994

Funding

Basic and Clinical Studies in Reinforcing Positive Behaviors in Intellectual and Developmental DisabilitiesR01HD093734 · NICHD · UTAH STATE UNIVERSITY · PI Timothy A Shahan · 2018 to 2026
$5.2M
Stimulus Control Refinements of Functional Communication Training in IDR01HD079113 · NICHD · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI FISHER, WAYNE WILLIAM · 2014 to 2023
$4.5M
Basic and applied research on extinction bursts when treating problem behaviorR01HD109266 · NICHD · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI WAYNE WILLIAM FISHER · 2023 to 2026
$2.1M
NICHD NIH HHS R01 HD079113NICHD NIH HHS R01 HD093734NICHD NIH HHS R01 HD109266
6 · The paper itself

Abstract

The field of applied behavior analysis has developed and refined a comprehensive methodology for the assessment and successful treatment of destructive behavior: An individualized approach emphasizes (a) function of responding (or its cause) over its form; (b) objective and reliable measurement of behavior; (c) systematic procedures and their application; (d) rigorous, single-case experimental designs; and (e) determinations of successful intervention judged by improvements in the same individual's performance. Outcomes of this approach are often dramatic and reliably surpass those obtained by alternative means. However, significant barriers limit the accessibility of this proven therapy. Too few intensive behavioral intervention units, diagnosis- and age-dependent insurance authorization and reimbursement practices, long waitlists and slow approval processes, and the possibility of treatment relapse represent a few such barriers. This article describes these barriers and suggests some potential solutions.

Indexed as

applied behavior analysisdestructive behaviorfunction-based treatmentintensive behavioral intervention unitsreducing barriers to care

Identifiers

PMID38840711
PMCPMC11150915

What OpenQuestion holds

Textmetadata
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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.