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Updated: Dec 31, 2025

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Published on: September 19, 2014
Prevalence of renewal of problem behavior during context changes
Colin Muething1, Nathan Call1, Alexis Pavlov1
1Marcus Autism Center, Emory University School of Medicine.
Renewal, the return of eliminated problem behavior after a context change, was observed in 42.3% of cases. This renewal effect was significant but temporary, with behavior rates decreasing over time.
Area of Science:
- Behavioral science
- Clinical psychology
- Psychology
Background:
- Renewal describes the reemergence of previously eliminated behaviors after a change in environmental context.
- Understanding renewal is crucial for clinical practice, particularly when patients transition between settings, like returning home after treatment.
- Anticipating renewal can help mitigate the resurgence of problem behaviors in real-world clinical scenarios.
Purpose of the Study:
- To determine the prevalence and magnitude of the renewal effect in clinical settings.
- To assess how often previously treated problem behaviors reemerge following a context change.
- To quantify the impact of renewal on behavior rates in the initial sessions post-context change.
Main Methods:
- A consecutive case-series analysis was conducted.
- Data were collected across 182 instances of context change.
- Behavioral treatment data for problem behavior were analyzed to identify and measure renewal.
Main Results:
- Renewal was observed in 77 out of 182 context changes (42.3%).
- Following a context change, problem behavior rates initially increased by a factor of 3.
- These elevated rates transiently decreased across subsequent sessions.
Conclusions:
- The renewal effect appears to be a common phenomenon in clinical practice.
- While renewal can lead to a temporary increase in problem behavior, it is transient.
- Behavioral rates following renewal tend to return to pre-context change levels over time.
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