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Using Chained or Tandem Schedules With Functional Communication Training: A Systematic Review.
Jessica N Torelli1, Sage E Pickren2
1Western Kentucky University, Bowling Green, KY, USA.
Behavior Modification
|February 15, 2022
Summary
Chained and tandem schedules effectively reduce problem behavior when combined with functional communication training (FCT). Chained schedules showed greater efficacy than tandem schedules in this meta-analysis.
Area of Science:
- Behavioral Psychology
- Clinical Psychology
Background:
- Chained and tandem schedules are frequently used to thin reinforcement following functional communication training (FCT) for problem behavior.
- Systematic review and meta-analysis were employed to evaluate the efficacy of these schedules.
Approach:
- A systematic literature review and meta-analysis of 38 articles were conducted.
- Random-effects multilevel meta-analysis assessed the impact of chained or tandem schedules plus FCT on problem behavior compared to baseline.
Key Points:
- Significant reductions in problem behavior were observed across four measures.
- Chained schedules demonstrated greater effectiveness in reducing problem behavior than tandem schedules.
- Resurgence of problem behavior occurred in 77% of cases, and 31% of schedule-thinning transitions.
Conclusions:
- Chained or tandem schedules combined with FCT are effective in reducing problem behavior.
- Extinction, combined reinforcement, and delay/denial tolerance training may enhance treatment outcomes.
- Further research is needed to optimize schedule-thinning procedures and minimize resurgence.
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