Putting Techniques Together to Design a Program 7/27/2019 Putting Techniques Together to Design a Program Dr. Alan H. Teich Chap 8

Initial Considerations 7/27/2019 Initial Considerations Multidimensional Programs Functional Analysis Target behavior: Operant? Respondent? Both? Behavioral excesses or deficits? Problem-solving (brainstorming)

A “Good Program” Target behavior(s) Consequences 7/27/2019 A “Good Program” Target behavior(s) Consequences Patient as an active participant Train helpers Data accuracy Data as feedback Program Adjustments Behavior Durability & Generalization Commitment & Motivation

Which Techniques to Use? 7/27/2019 Which Techniques to Use? Nature of Problem Practicality Aversive control techniques

People's Readiness to Change 7/27/2019 People's Readiness to Change Stages of Change Model Precontemplation Contemplation Preparation Action Maintenance

Motivational Factors in Change 7/27/2019 Motivational Factors in Change Self-efficacy Realistic Expectations Lapse vs. Relapse Methods to resist temptation Rules Release Commitment to change Social Support

Behavioral contracts Target behavior(s) and antecedents Consequences 7/27/2019 Behavioral contracts Target behavior(s) and antecedents Consequences Bonuses Loopholes and Rules Release Progress Review Signatures

Tips on Designing a Program techniques should address behavior, antecedents, and consequences develop separate programs for each target behavior use at least six but usually no more than ten intervention techniques confirm the accuracy of data, preferably by having an independent observer

Tips on Designing a Program (cont.) early on, immediately reinforce every instance of behavior vary consequences to maintain strength reinforce self-management exercises make programs cost-effective identify responsibilities of all involved and conduct periodic review