Pilot Trial for Mitigating Relapse of Severe Problem Behavior
This study is testing ways to help children and adolescents (ages 6-17) with intellectual and developmental disabilities (IDD) maintain good behaviors and communication skills. It focuses on reducing severe problem behaviors (SPB) that are often used to get attention or desired items. Researchers are using several behavioral interventions, including Functional Communication Training (FCT), which teaches appropriate ways to communicate needs, and Extinction-Correlated Stimuli, which helps children understand when certain behaviors won't get a reward. The goal is to make these behavior changes last longer, even when situations or people change. Success will be measured by how much challenging behavior is reduced and how well new skills are maintained over 16 weeks.
- Study design
- This is a single-arm interventional pilot study, meaning all 10 participants will receive the same treatment. The study is not blinded, and the phase is not specified.
- What's involved
- You would complete assessments to understand your preferred activities and the reasons for challenging behaviors. You would then participate in training sessions to learn new communication skills and reduce challenging behaviors.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your challenging behavior will be measured from enrollment until the end of the intervention at 16 weeks.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
A Single-Arm Pilot Trial for Mitigating Relapse of Severe Problem Behavior
At a glance
Conditions
Where it's being run
2 sites across 2 statesStudy leadership
- John Falligant, PhD · PRINCIPAL_INVESTIGATOR · Auburn University
Who to contact
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What this trial measures
- Renewal and Resurgence of Challenging BehaviorFrom enrollment to the end of the intervention at 16 weeks
The prevalence and magnitude of relapse (e.g., renewal or resurgence) in severe problem behavior (SPB). To assess relapse, we will calculate the highest single-session rate of SPB from the five most recent treatment sessions before a context change or reinforcement downshift (prechange period) and up to the first three sessions after the change (postchange period). If fewer sessions are available in either period, all available data will be used. Relapse will be identified if the maximum rate of SPB in any postchange session exceeds the maximum rate observed during all prechange sessions. The magnitude of relapse will be quantified using the log proportion rate of response, which normalizes session-by-session rates and allows for proportional comparisons across individuals. Outcome data will be collected during schedule thinning, generalization, and treatment challenges and compared to pooled relapse data from external controls to provide a benchmark for interpretation