Putting Techniques Together to Design a Program

1
Putting Techniques Together to Design a Program

• Chap 8

2
Initial Considerations

• Multidimensional Programs
• Functional Analysis
• Target behavior
• Operant? Respondent? Both?
• Behavioral excesses or deficits?
• Problem-solving (brainstorming)

3
A Good Program

• Target behavior(s)
• Consequences
• Patient as an active participant
• Train helpers
• Data accuracy
• Data as feedback
• Program Adjustments
• Behavior Durability Generalization
• Commitment Motivation

4
Which Techniques to Use?

• Nature of Problem
• Practicality
• Aversive control techniques

5
People's Readiness to Change

• Stages of Change Model
• Precontemplation
• Contemplation
• Preparation
• Action
• Maintenance

6
Motivational Factors in Change

• Self-efficacy
• Realistic Expectations
• Lapse vs. Relapse
• Methods to resist temptation
• Rules Release
• Commitment to change
• Social Support

7
Behavioral contracts

• Target behavior(s) and antecedents
• Consequences
• Bonuses
• Loopholes and Rules Release
• Progress Review
• Signatures

8
Tips on Designing a Program

• techniques should address behavior, antecedents,
  and consequences
• develop separate programs for each target
  behavior
• use at least six but usually no more than ten
  intervention techniques
• confirm the accuracy of data, preferably by
  having an independent observer

9
Tips on Designing a Program (cont.)

• early on, immediately reinforce every instance of
  behavior
• vary consequences to maintain strength
• reinforce self-management exercises
• make programs cost-effective
• identify responsibilities of all involved and
  conduct periodic review