Approximately 50% of individuals who undergo total knee arthroplasty (TKA) fail to achieve a full functional recovery. Current physical therapy practices commonly utilize neuromuscular electrical stimulation (NMES) to passively activate quadriceps muscles. This passive approach does not directly reteach the lost response, but can strengthen the atrophied muscle. Study 1 compared surface electromyography with biofeedback (sEMGBF) with a changing criterion design to NMES alone. Study 2 compared static sEMGBF to NMES with feedback. Study 3 compared surface electromyography (sEMG) with instructions only to NMES. All other methods were constant across the three studies, where I compared the passive and active approach within-subject, across knees, and across groups while controlling for condition order and leg dominance. Each participant receives both NMES and the shaping procedure. Each condition lasts five minutes and consists of 30 muscle contractions. Each contraction lasts 5 seconds and was followed by a 5 second rest. I compared pre and post adapted maximal voluntary isometric contraction (A-MVIC) tests to determine the effectiveness of each condition. Results of the three studies demonstrated that actively teaching voluntary vastus medialis oblique (VMO) engagement using sEMG is more effective than NMES at increasing maximum voluntary isometric contractions of the VMO.

This research aimed to determine the effects of an online training program on the accurate articulation of the concepts and elements needed to conduct a matrix analysis, the accuracy with which participants embedded these elements in a matrix analysis diagram, and the qualitative value of those elements. The development of the online training program was completed through a series of recursive steps. First, four literature searches regarding the matrix analysis, its foundational concepts, and underlying theoretical frameworks; systems analysis; culturo-behavior science; behavior analytic approaches to education; wicked and super wicked problems; and behavioral community psychology were conducted. Second, a tentative list of definitions for each element that collectively forms a matrix analysis was formed used to complete a component-composite analysis for each of the elements, and to determine the component skills individuals would need to develop to complete a matrix analysis and corresponding diagram. The component-composite analysis served as the basis for the general outline of the training program and the structure for the development of the training program presentations, activities, and assessments using Google Classroom. The online training program was piloted with 17 individuals enrolled in a graduate level course on behavioral systems analysis. Following the pilot of the …

An important predictor of the success of a peer-mentoring program is the quality of the relationship between the peer mentor and the mentee. A previous study identified target outcomes, operationally defined target behaviors, and developed a computer-based instruction (CBI) training module to teach peer mentors relationship skills. The previous study suggested that the CBI training module increased target behaviors in pre-and post-tests that were typed. The current study replicated and extended the previous study with additional participants and analyzed responding during a video-chat generalization assessment. We observed an increase in target behaviors during the CBI post-test for 7 out of 8 modules across two participants and an increase in target behaviors for 5 out of 12 target behaviors across three participants for the generalization assessment. Results suggest that the CBI training modules may be an effective way to teach behaviors that contribute to a high-quality relationship when participants engage in typed responses. However, the extent to which these behaviors generalize to a video-chat generalization assessment may need further research.

When autism interventionists within behavioral intervention programs continually assess the child's behavior and context and adjust their teaching behaviors accordingly, the child can quickly progress towards their goals. While evaluations of flexible behavior-change techniques implemented by experienced clinicians are present in the literature, systematic evaluations of staff training procedures to train interventionists in responsive decision making are lacking. In the current study, flexible training procedures were utilized to not only teach direct-line staff to make decisions based on the learner's behavior, but also to understand and articulate the variables they were responding to. During in vivo training sessions, trainers tailored their use of instructions, modeling, practice, feedback, narration modeling and shaping, and decision-making guidance to the dynamic needs of the staff and child. The effects of the treatment package, which consisted of an in-service training and in vivo training sessions, were measured by observing staff teach vocal manding, which was chosen based on the importance of the skill for the child and because it afforded many opportunities for the staff to learn to make decisions about how to occasion and shape responses. The three children with autism who participated in the study made progress in terms of increasing their frequency …

Evidence-based practice in ABA is a complex decision-making process involving frequent adjustments in goals and procedures as informed by science, client need, and clinical wisdom. Consistent with the science's foundations, incredible gains are possible for children with autism when practitioners are systematically trained to understand, produce, and be responsive to shifting conditions for change. However, minimal standards for training promote inflexibility and rule following, at the expense of frequent and responsive adjustments. Although research has demonstrated that well-trained staff can effectively implement flexible procedures using in-the-moment assessment and clinical judgment, minimal research has targeted and evaluated the development of these repertoires. Therefore, the purpose of this study was to evaluate the effects of a staff training package, including an in-service training and in vivo training sessions, on staffs' ability to make responsive, goal-directed, and rationale-based decisions directed towards accelerating progress with vocal manding for children with autism. The evaluation was the second part of the larger Change AGENT Project. Results suggested the training was effective at producing socially validated progress across staff and child measures. In essence, the trainer, staff, and child acted as change agents for one another's behavior within the flexible paradigm. Implications, limitations, and future directions are …

Despite the growing recognition of the importance of compassionate, collaborative, and culturally responsive care in behavior analysis, the training programs to develop relevant skills are meager. The purpose of the current study is to evaluate the effectiveness of Skilled Dialogue training for behavior analysts in improving the use of six strategies–welcoming, allowing, sense-making, appreciating, joining, harmonizing–when engaging in conversations with clients, colleagues and other professionals. While one participant's verbal responses in all six strategies during the role plays improved after the training, the other participant showed mixed results. High variability in both participants' data suggests that the effectiveness of the training can be better evaluated with tighter control of the components of the training and the measurement system. The potential ways to improve the experimental control in future studies are discussed.