Evidence map›Paper›PMID 41674209›Full record

ArticleJournal of applied behavior analysis2026

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

Ishita Aggarwal, Matthew J O'Brien, Alexander M Pauls, Sara R Jeglum, Christopher T Franck, Carla N Martinez-Perez, Christopher A Podlesnik

Abstract read
In one paragraph

Article in Journal of applied behavior analysis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Ishita AggarwalStead Family Department of Pediatrics, University of Iowa, Iowa City, IA, USA.ORCID https://orcid.org/0009-0009-0059-8755
Matthew J O'BrienStead Family Department of Pediatrics, University of Iowa, Iowa City, IA, USA.ORCID https://orcid.org/0000-0002-9096-3585
Alexander M PaulsDepartment of Psychological and Quantitative Foundations, University of Iowa, Iowa City, IA, USA.
Sara R JeglumBlank Children's Hospital, Des Moines, IA, USA.ORCID https://orcid.org/0000-0003-2911-0660
Christopher T FranckDepartment of Statistics, Virginia Tech University, Blacksburg, VA, USA.ORCID https://orcid.org/0000-0003-1251-4378
Carla N Martinez-PerezDepartment of Psychology, University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0002-9415-0928
Christopher A PodlesnikDepartment of Psychology, University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0002-8614-8158

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Behavior TherapyProblem BehaviorAdolescentAdultAmbulatory Care FacilitiesFemaleHumansMaleMiddle AgedYoung Adultbehavior therapychallenging behaviorconsecutive case serieslapserenewal

Identifiers

PMID41674209
PMCPMC12895135

What OpenQuestion holds

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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.