Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.


10th International Conference; Stockholm, Sweden; 2019

Event Details

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Paper Session #6
Topics in Clinical/Family/Behavioral Medicine
Sunday, September 29, 2019
8:00 AM–9:20 AM
Stockholm Waterfront Congress Centre, Level 2, C2
Area: CBM
Instruction Level: Intermediate
Chair: T. V. Joe Layng (Generategy, LLC)
Coordination of Care for Patients With Complex Medical Needs: An Integrated Treatment Model
Domain: Service Delivery
NICOLE LUKE (Brock University; Surrey Place)
Abstract: Patients with autism in a hospital treatment program in an urban Canadian setting were identified as requiring a variety of different professional services. Seeking to improve outcomes for children and families and to reduce health care costs, an interdisciplinary team was formed with the idea that shared decision making (SDM) could improve behavioral health in children with special health care needs (Cohen, Lacombe-Duncan, Spalding, MacInnis, Nicholas, Narayanan, Gordon, Margolis, & Friedman, 2012). Interprofessional collaboration is seen as essential to patient care in the medical field (Newhouse, 2018). The field of behaviour analysis has much to contribute to this idea of integrated care and its implementation in applied settings. This paper reviews the development of one model, its history of treatment for a small number of clients and discusses several case studies as an illustration of the potential benefits of developing such a plan for integrated care. Case studies include children with autism who were receiving intensive behaviour analytic intervention and required coordination of additional treatment to address their complex needs.
ACTonHEALTH Study: Fostering Healthful Lifestyle With Wearable Technology to Promote Psychological Flexibility and Modular Behavioral Change Intervention Based on Acceptance and Commitment Therapy
Domain: Applied Research
ROBERTO CATTIVELLI ( Scientific Board CASA GIOIA Post Doc at Catholic University of the Sacred Heart, Milan Clinical Psychology Lab San Giuseppe Hospital - Verbania, Italy I.R.C.C.S. Istituto Auxologico Italiano, ), Nicola Maffini (Scientific Board Casa Gioia Research Centre), Giorgia Varallo (PhD Candidate, Catholic University of the Sacred Heart, Milan Clinical Psychology Lab San Giuseppe Hospital - Verbania, Italy I.R.C.C.S. Istituto Auxologico Italiano), Anna Guerrini (Istituto Auxologico Italiano)
Abstract: Obesity and the state of being overweight are increasing steadily and becoming a global epidemic. Recent research reports 64% of the adult population as overweight in Europe and the USA. The social and economic impacts are increasing, and most of the rehabilitation programs, while effective in the short term, do not produce long-lasting results. An explanatory model from a behavioral perspective can describe the phenomena with the lack of sources of reinforcement related to healthful habits in a daily life context. A feasibility first clinical study combining single-subject studies and group design will be conducted to compare the effect of the current standard in obesity treatment to Acceptance and Commitment Therapy (ACT) and wearable technology. The goal of this project, is to develop an effective intervention, efficient and sustainable, which even after discharge can provide adequate contingencies of reinforcement in the natural environment, integrating systematic measurements, continuous feedback, and individualized, values-based objectives. The intervention is aimed to provide a contingent reinforcement for healthful behaviors instead of reinforcing only the achievement of a significant weight loss. The aim of the project, combining Acceptance and Commitment Therapy and Wearable Technology, is to develop an effective, efficient and sustainable intervention able to provide a contingent reinforcement for healthy behaviors. The intervention is aimed to promote adequate healthy behaviors in the natural environment, integrating systematic measurements, continuous feedback and individualized values-based objectives, instead of reinforcing only the achievement of a significant weight loss. Modular implementation of ACT are a promising field, enhancing deep understanding of psychological and behavioral processes implicated in health, and helping to create more efficient interventions. Preliminary results of a modular implementation are discussed, integrating analysis of group and repeated single subject research designs.
Was the Next Wave in Behavioral Clinical Intervention Discovered 40 Years Ago?
Domain: Service Delivery
T. V. JOE LAYNG (Generategy, LLC)
Abstract: Over the past several years, evidence-based therapies such as CBT, ACT, FAP, and others, have become increasingly popular. While differing in their procedures, they all share a common characteristic: they largely rely on what may be considered linear analyses and topical interventions. A different approach is described here that has the potential to add to the therapist's analytical tool box. In contrast to the more common therapies, it is derived from nonlinear consequential contingency analysis and offers the possibility of systemic as well as topical interventions. This approach and its developmental history, previously described by Layng (2009), is the result of decades-long research, much of which was conducted at the University of Chicago by Israel Goldiamond, his colleagues, and students over 40 years ago. This paper provides an introductory exploration and explanation of nonlinear contingency analysis illustrated with case studies often found among the most challenging.



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