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| International Symposium - Transforming Coercive Processes in Family Routines: Experimental Analyses of Family Centered Positive Behavior Support |
| Sunday, May 27, 2007 |
| 9:00 AM–10:20 AM |
| Edward C |
| Area: CBM; Domain: Applied Research |
| Chair: Joe M. Lucyshyn (University of British Columbia) |
| Discussant: Robert H. Horner (University of Oregon) |
| Abstract: Preliminary results of a 5-year study of an ecological, family centered approach to positive behavior support (PBS) with families of children with developmental disabilities will be presented. The purpose of the study is to examine the efficacy and acceptability of an approach to behavioral family intervention that is theoretically-linked to an ecological unit of analysis: Coercive processes in family routines. The unit of analysis includes three levels of ecology: (a) child problem behavior, (b) coercive patterns of parent-child interaction and (c) the activity settings of family routines. The unit of analysis informs an assessment and intervention approach that aims to improve child behavior, parent-child interaction, and the success of valued family routines. Eleven families of young children with developmental disabilities and severe problem behavior participated in the study. Dependent measures included problem behavior, routine steps completed, and social validity. A multiple baseline design across routines for each family assessed the functional relationship between implementation of the approach and child and family outcomes. Preliminary results show marked improvement in behavior and routine success in 9 of 11 families with high ratings of social validity. Results are discussed in terms of ecological behavior analysis and intervention from a lifespan perspective. |
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| Transforming Coercive Processes in Family Routines with Families of Diverse Cultural and Linguistic Backgrounds. |
| CHRISTY CHEREMSHYNSKI (University of British Columbia), Joe M. Lucyshyn (University of British Columbia), Brenda Fossett (University of British Columbia) |
| Abstract: Families of diverse cultural and linguistic backgrounds raising children with developmental disabilities and problem behavior present unique challenges to behavior analysts seeking to promote meaningful and durable improvements in child behavior and participation in family life. The challenge is to conduct assessment activities and develop behavior supports that are effective and culturally appropriate. Preliminary results of a family centered PBS approach designed to be culturally appropriate will be presented. A Japanese family of a boy with autism and a Chinese family of a girl with an intellectual disability participated. A functional assessment and family ecology assessment informed the design of a technically sound and culturally appropriate behavior support plan. A multiple baseline design for each family across three routines evaluated efficacy. Social validity and goodness of fit measures assessed acceptability and cultural fit. Baseline data showed moderate to high levels of problem behavior and low levels of routine steps completed. Intervention data evidenced a decrease in problem behavior to near zero levels and an increase in steps completed to 80-100% of total steps. Families perceived the intervention to be acceptable and a good fit. Results are discussed in terms of considerations for assessment and intervention with families of diverse cultures. |
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| Transforming Coercive Processes in Family Routines with Parents Experiencing Multiple Family Systems Challenges. |
| LAUREN BINNENDYK (University of British Columbia), Joe M. Lucyshyn (University of British Columbia), Lynn Miller (University of British Columbia) |
| Abstract: Parents raising children with developmental disabilities and problem behavior often face additional challenges within the family system. These may include sibling conflict, marital relationship difficulties, and/or other life stressors. Improving child behavior and parent-child interaction in family routines in this context can prove daunting. The challenge is to incorporate into a process of behavioral support for the child, family-centered adjunctive interventions that address family systems issues and stressors. These may include a behavior support plan for siblings, marital counseling for parents, and stress management strategies for family members. Preliminary results of an intervention designed to ameliorate coercive parent-child interaction in family routines and address the multiple systems needs of family members will be presented. The family of a child with autism and the family of a child with a moderate intellectual disability participated. A multiple baseline design for each family across four routines evaluated efficacy. Baseline data showed moderate to high levels of problem behavior. Intervention data evidenced improvements in problem behavior to near zero levels and steps completed between 80-100% of total steps. Families perceived intervention procedures and outcomes to be acceptable. Results are discussed in terms of considerations for behavioral assessment and intervention with families with multiple systems needs. |
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| Transforming Coercive Processes in Family Routines with a Parent Who Experiences an Anxiety Disorder. |
| BRENDA FOSSETT (University of British Columbia), Joe M. Lucyshyn (University of British Columbia), Lauren Binnendyk (University of British Columbia), Lynn Miller (University of British Columbia) |
| Abstract: Parents of children with disabilities may experience a psychological condition such as an anxiety disorder that can interfere with their ability to implement a behavior support plan. Unless the parents’ condition is addressed, the likelihood of improving child behavior and family life is small. The challenge is to secure psychological counseling for the parent in coordination with behavior support for the child. Preliminary results of an intervention designed to ameliorate coercive parent-child interaction in routines while concurrently treating a parent’s anxiety disorder will be presented. The family of a child with an intellectual disability and problem behavior participated. The child’s mother had a diagnosed anxiety disorder. A multiple baseline design across four routines evaluated the efficacy of the behavior support plan with the child. Family functioning measures assessed improvement in parent psychological health. Baseline data showed high levels of problem behavior. Intervention data evidenced a decrease in problem behavior to near zero levels and an improvement in routine steps completed to 90-100%. Family members viewed the intervention as acceptable. Family functioning measures indicated improvements in mother’s psychological health. Results are discussed in terms of the importance of adjunctive psychological supports for parents in coordination with behavior support to the child. |
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