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An evaluation of time in establishing operation on the effectiveness of functional communication training.

ABSTRACT: We examined whether different durations of exposure to relevant establishing operations (EO) during treatment of problem behavior affected treatment efficacy and response bursting. In Study 1, we compared 2 functional communication training (FCT) interventions. In the first treatment, we used a card touch as the target mand; this was associated with limited exposure to the EO because we could physically guide the mand at prescribed times. In the other treatment, we used a vocal response as the mand; this was associated with longer exposure to the EO because it was not possible to guide the response. In Study 2, we exposed participants to time-based reinforcement schedules that were yoked to the schedules of obtained reinforcement from the 2 FCT interventions in Study 1. Results indicated that limited exposure to the EO was associated with less response bursting, larger and more rapid reductions in problem behavior, and faster acquisition of the alternative mand.

SUBMITTER: Derosa NM

PROVIDER: S-EPMC5452981 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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An evaluation of time in establishing operation on the effectiveness of functional communication training.

Derosa Nicole M NM Fisher Wayne W WW Steege Mark W MW

Journal of applied behavior analysis 20141125 1

We examined whether different durations of exposure to relevant establishing operations (EO) during treatment of problem behavior affected treatment efficacy and response bursting. In Study 1, we compared 2 functional communication training (FCT) interventions. In the first treatment, we used a card touch as the target mand; this was associated with limited exposure to the EO because we could physically guide the mand at prescribed times. In the other treatment, we used a vocal response as the m ...[more]

PMID: 25420612

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Project description:At the University of Leipzig, the requirements of the Licensing Regulations for Doctors (Approbationsordnung für Ärzte) for the practical training of communication skills are actively implemented by a two-semester communication course. During this course, student tutors impart the basics of interpersonal as well as selected aspects of doctor-patient communication using interactive training methods. This article reports on the effect the training has on the self-assessed communication skills of the medicine students.The students' self-perceived communication skills were assessed, both at the beginning and after the completion of the first and second course semesters using questionnaires related to the course's learning goals. Pre-post comparisons were then carried out. 142 students (of 163 students in total) participated in the survey at the start of the course, of which 117 completed the T2-questionnaire at the end of the first course semester. Only the 84 students who also completed the questionnaires in the second course semester were included in the statistical analysis. These responses were analysed using both descriptive and inferential statistics.The comparison of the self-assessments between the four measurement points showed that statistically significant learning progress for all assessed communication skills had taken place from the point of view of the students. The largest changes between measurements, and therefore the greatest learning progress, could be seen in knowledge related skills.From the students' point of view the communication training contributes significantly to the acquisition of communication skills. The results suggest that this "hands-on" course concept is suited to successfully enhance the students' communication skills. The course concept should therefore be retained for both the course in its current form as well as for any extension of the course into the clinical part of medical school. However, further assessments on the exam results and long-term effects should take place.

Project description:BackgroundEffective communication between pharmacists and patients is essential and improves health outcomes. Simulated patients (SPs) are trained to reproduce real-life situations and can help pharmacy students to develop and adapt their communication skills in a safe, learner-centred environment. The aim of this research was to explore how SP and pharmacy student role-play supports communication training.MethodsA mixed methods realist evaluation approach was adopted to test an initial theory relating to SP role-play for pharmacy students. The intervention tested involved complex communication cases in a men's and women's health module in year three of a new MPharm programme. This SP session was the first such session, of the programme which exclusively focused on complex communication skills for the students. Data collected comprised video-recordings of both training and mock OSCE sessions, and from student focus groups. Communication videos were scored using the Explanation and Planning Scale (EPSCALE) tool. Scores from SP and mock OSCE sessions were compared using the Wilcoxon-signed rank test. Focus groups were conducted with students about their experience of the training and analysed thematically, through a realist lens. Data was analysed for Context-Mechanism-Outcome configurations to produce modified programme theories.ResultsForty-six students (n = 46/59, 78 %) consented to their video-recorded interactions to be used. Students identified contextual factors relating to the timing within the course and the setting of the intervention, the debrief and student individual contexts. Mechanisms included authenticity, feedback, reflection, self-awareness and confidence. Negative responses included embarrassment and nervousness. They distinguished outcomes including increased awareness of communication style, more structured communication and increased comfort. However quantitative data showed a decrease (p < 0.001) in communication scores in the mock OSCE compared with scores from training sessions. Modified programme theories relating to SP training for pharmacy students were generated.ConclusionsSP role-play is a valuable communication skills training approach. Emphasis should be placed on multiple stakeholder feedback and promotion of reflection. Time limits need to be considered in this context and adjusted to meet student needs, especially for students with lower levels of communication comfort and those communicating in languages different to their first language.

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An evaluation of time in establishing operation on the effectiveness of functional communication training.

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An evaluation of time in establishing operation on the effectiveness of functional communication training.

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