Prevalence of renewal of problem behavior during context changes

J Appl Behav Anal. 2020 Jul;53(3):1485-1493. doi: 10.1002/jaba.672. Epub 2020 Jan 7.

Abstract

Renewal is defined as the reemergence of a previously eliminated behavior following a context change. Determining the prevalence of this effect in clinical practice would allow clinicians to better anticipate the reemergence of problem behavior, such as when a patient is discharged from a treatment facility to return to their home. The current consecutive, case-series analysis determined the prevalence and magnitude of renewal when implementing behavioral treatments for problem behavior. Across 182 context changes, renewal was observed 77 times (42.3%). In the first session following the context change, problem behavior rates increased by a factor of 3 and then decreased across successive sessions. These results indicated that renewal effects may be common, but are also transient and return to rates observed before context changes.

Keywords: prevalence; problem behavior; relapse; renewal.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Conditioning, Operant
  • Extinction, Psychological
  • Female
  • Humans
  • Male
  • Prevalence
  • Problem Behavior / psychology*
  • Reinforcement, Psychology*
  • Young Adult