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Structured flexibility and context-sensitive behavioral support for the chronically cranky.

Timothy J Feeney1, Jason Achilich1

  • 1Transitional Services for Youth and Families, Burlington, VT, USA.

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|May 3, 2014
PubMed
Summary
This summary is machine-generated.

A multicomponent behavioral intervention effectively reduced challenging behaviors and increased pro-social behaviors in adolescents and young adults with acquired brain injury (TBI). This approach integrates cognitive and executive function support for community living.

Keywords:
Behavior disorderscognitive-behavioral interventioncontext sensitive treatmentfunctional assessmentmulti-component interventionneurorehabilitationpositive behavior supporttraumatic brain injury

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Area of Science:

  • Neuroscience
  • Behavioral Science
  • Rehabilitation Psychology

Background:

  • Individuals with brain injuries often experience behavioral challenges impacting community integration.
  • Implementing effective treatments in natural settings remains a significant challenge.

Observation:

  • This study investigated a multicomponent behavioral intervention for an adolescent and young adult with escalating behavioral concerns post-acquired brain injury (TBI).
  • A multiple baseline design was employed to assess the intervention's impact on severe challenging behaviors in natural environments.

Findings:

  • The intervention package, integrating cognitive and executive function supports, successfully reduced the frequency and intensity of aggressive behaviors.
  • Participants showed an increase in participation in scheduled activities, indicating enhanced pro-social behaviors.

Implications:

  • This research demonstrates the efficacy of a flexible, support-oriented intervention for managing behavioral challenges after TBI.
  • The findings support the integration of behavioral, cognitive, and executive function components for successful community reintegration in individuals with acquired brain injury.