Quality Improvement in Behavioral Health

William, O’Donohue; Maragakis, Alexandros

doi:10.1007/978-3-319-26209-3

Cited by 2 publications

(1 citation statement)

References 240 publications

(312 reference statements)

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“…It is unclear exactly what the optimal trial rate is and how it changes for different patients with different clinical profiles. Nevertheless, opportunities for quality improvement typically present themselves where variability in provider performance or patient outcomes are observed (e.g., O'Donohue & Maragakis, 2016;Porter & Teisberg, 2006). ABA organizations can use these data to compare how their rate of trial variability compares, the factors that might influence their own variability, and to determine what is optimal for each patient.…”

Section: Discussionmentioning

confidence: 99%

Initial Description of 3.9 Million Unique ABA Sessions

Sosine,

Cox

2023

Preprint

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Researchers have typically described ABA session delivery by asking practitioners what they do. Here, we sought to contribute data to this conversation via 3.9 million ABA sessions spanning 5.42 years and 599 providers. We observed significant variability in how providers deliver services spanning skill acquisition trials per minute, correct and incorrect trials per minute, overall percentage correct within specific programs and across all programs, whether targets were custom or from a standard library, and the amount of behaviors targeted for reduction. We also analyzed how the above differed based on demographics, clinically-relevant variables, and potential staff contingencies. We failed to find a clinically-relevant reason why variability existed. However, the interaction between skill acquisition trial rate and the rate of behavior reduction targets resembled the dynamics of schedule-controlled behavior suggesting a functional relation. Future research will benefit from more complex modeling, analyzing varying levels of granularity, and incorporating temporal dynamics.

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Section: Discussionmentioning

confidence: 99%