Podlesnik Christopher A, Ritchey Carolyn M, Muething Colin, Falligant John Michael
Department of Psychology, University of Florida, Gainesville, FL, USA.
Department of Psychological Sciences, Auburn University, Auburn, AL, USA.
J Appl Behav Anal. 2025 Jan;58(1):225-231. doi: 10.1002/jaba.2927. Epub 2024 Dec 12.
Several studies have examined the prevalence of behavioral relapse among individuals with intellectual and developmental disabilities following common treatment challenges (context changes, schedule thinning). Most applied studies compare behavior during the treatment challenges with the maximum level of behavior from five preceding treatment sessions. This max-of-5 criterion could inadvertently capture behavior in transition during the preceding treatment phase, thereby underestimating the prevalence of relapse. In the current study, we reanalyzed existing clinical data with the max-of-5 criterion and an alternative criterion less likely to capture target behavior in transition-the mean of the last two sessions (mean-of-2 criterion) of the treatment phase. As hypothesized, the max-of-5 criterion produced lower prevalence estimates relative to the mean-of-2 criterion. We encourage researchers conducting these analyses to weigh different approaches to reporting prevalence data and discuss considerations for future areas of research and practice related to measurement of relapse.
几项研究调查了智力和发育障碍个体在常见治疗挑战（环境变化、日程安排变稀疏）后行为复发的发生率。大多数应用研究将治疗挑战期间的行为与前五个治疗疗程中行为的最高水平进行比较。这种5次最高值标准可能会无意中捕捉到前一治疗阶段处于转变过程中的行为，从而低估复发的发生率。在当前研究中，我们用5次最高值标准和一个不太可能捕捉到处于转变过程中的目标行为的替代标准——治疗阶段最后两个疗程的平均值（2次平均值标准），重新分析了现有的临床数据。正如所假设的，与2次平均值标准相比，5次最高值标准得出的发生率估计值更低。我们鼓励进行这些分析的研究人员权衡报告发生率数据的不同方法，并讨论与复发测量相关的未来研究和实践领域的考虑因素。
