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| Accumulated Evidences for Effectiveness of ABA in Korea |
| Saturday, May 29, 2010 |
| 2:30 PM–3:50 PM |
| 217B (CC) |
| Area: DDA/AUT; Domain: Applied Behavior Analysis |
| Chair: Kyong-Mee Chung (Yonsei University) |
| CE Instructor: Adel Najdowski, Ph.D. |
| Abstract: The effectiveness of applied behavior analysis for treating severe problem behaviors are well document in the USA. However, the ABA is a relatively new field in Korea and limited research and clinical services are available at this time. Fortunately, a specialty clinic for treating severe problem behaviors was open in 2007 at the Seoul Metropolitan Children's Hospital. The clinic has both in & outpatient services and recently opened a day treatment center. Authors in the symposium present assessment and treatment outcome data accumulated in this clinic for the past 3 years. Although more data should be accumulated, the current data clearly show the effectiveness of applied behavior analysis. Practical considerations of managing the clinic as well as clinical/research implications will be discussed. |
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| The Predictors of Behavioral Parent Training for Children With Developmental Disabilities |
| KYONG-MEE CHUNG (Yonsei University), Hyunsun Ahn (Yonsei University) |
| Abstract: The purpose of this study was to examine the predictors for effectiveness of behavioral parent training (BPT) on reducing problem behaviors in children. Participants were 31 mothers of children with developmental disabilities aged from 4 to 7 (22 boys, 9 girls). The BPT was conducted in a small group format (6-7 per group) for 12 weeks. Mothers learned basic behavior principles as well as actual application of acquired skills to their child. Measures were direct observation (coded using FOR-?) of parent-child interaction and self-report scales such as PSI, Behavior Vignettes Test, Mother’s efficacy scale. In addition, difference scores for each measure from pre to post training were calculated. The data was analyzed with hierarchical multiple regression model. The results showed that positive child’s behaviors were explained only by BVT and negative child’s behaviors were explained by difference scores in mother’s behavior from direct observation and BVT. This suggested that BPT is effective for reducing negative behavior than increasing positive behavior. |
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| Treatment Outcome Evaluation for Persons With Severe Problem Behaviors: Preliminary Results |
| MIN-JUNG SHIN (Yonsei University), Yeonjin Jo (Seoul Metropolitan Children's Hospital), Boo Yeol Choi (Yonsei University), You-na Kim (Seoul Municipal Children's Hospital), Jean H. Choi (Yonsei University), Yealee Kim (Yonsei University) |
| Abstract: The ABA based treatment is an evidence-based treatment for severe problem behaviors. Yet it has not been widely used in Korea. The purpose of this study is to evaluate the effectiveness of function based ABA treatment for 10 children & adolescents with self-injurious or aggressive behaviors in Korea. Participants were 8 boys and 2 girls aging from 7 to 17 and diagnosed with autism, PDDNOS and/or MR. FBA was conducted first then a function based treatment was developed and implemented for each participants. The treatment effectiveness was evaluated the % reduction in rate of problem behaviors from baseline to the last week of treatment. FBA results showed that the function of problem behaviors were diverse and various treatment procedures (e.g., 3-step prompt, parental training, extinction, FCT, Stimulus control, etc) were used. The result showed 80% or greater reduction in problem behaviors in 8 of 10 participants, suggesting the effectiveness of treatments conducted in Korea. Several suggestions (e.g., small N, diverse outcome measures, etc) and practical issues (e.g., therapist training, supervision, etc.) are also discussed. |
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| Examining the Consistency in Results From Functional Assessment (FA) and Questions About Behavior Function (QABF): The Preliminary Results |
| BOO YEOL CHOI (Yonsei University), Hyeonsuk Jang (Seoul Municipal Children's Hospital), U-jin Lee (Yonsei University), Yealee Kim (Yonsei University), SoYeon Lee (Seoul Municipal Children's Hospital), Hyunsun Ahn (Yonsei University), Minhee Kim (Yonsei University), Jean H. Choi (Yonsei University) |
| Abstract: FA is a recommended assessment method in ABA, yet has been conducted infrequently in real setting due to cost. Instead, an indirect assessment instrument, QABF, is commonly used to assess functions of problem behaviors. Yet not much information is available in term of their interchangeability. The purpose of this study was to investigate the consistency between results of FA and QABF. Participants were 8 children and 3 adolescents with MR/DD aged from 7 to 17 years (8 boys and 3 girls). The 4 common conditions were selected for comparison; Tangible, Escape (Demand), Sensory (Alone), and Attention. The highest and second highest conditions in FA results for each participant were compared to those in QABF. In results, only 2 participants (18.18%) showed consistency between the two measurements. This result implied that the inconsistency might exist between direct (FA) and indirect (QABF) measures. This supported the previous literature showing that results from indirect and direct assessments should be integrated to identify the function of problem behaviors, instead of used separately. Practical difficulties and concerns were discussed. |
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| The Effects of the Summer Treatment Program for Korean Children With Disruptive Behaviors |
| HYUNSUN AHN (Yonsei University), Ji-Myeong Shin (Seoul Municipal Children's Hospital), Min-Jung Shin (Yonsei University), Minhee Kim (Yonsei University), Boo Yeol Choi (Yonsei University), Seung-Hee Hong (Seoul Municipal Children's Hospital), Joo-hee Kim (Yonsei University) |
| Abstract: The summer treatment program (STP) that developed by W. Pelham in State University of New York at Buffalo was modified and implemented to Korean children with Disruptive Behavior Disorders (DBD). The modified program was implemented during 6 hours each day, 5 days per week and comprised of scheduled program, token economy, social skills training, group problem-solving discussions, parent training, and the Daily Report Cards (DRC). Participants were 4 children from 11 to 14 years of age. Three were with ADHD and the one was with mental retardation. They all failed to adjust at their home school and referred to our program due to poor social skills and disruptive behaviors. The effects of the STP were measured by DBD rating scale, Conners Rating Scale and direct observations for target behaviors. Results showed that the STP was effective on reduction of disruptive behaviors for all 4 participants in all 3 measures, indicating the successful replication of the STP in a day treatment center in Korea. In addition, this results so implied that the STP is also effective for children with MR who shows disruptive behaviors. Few issues including generalization to home and school are remained to be discussed |
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