TL-Wilczynski Text Learning-Assignment 1- Chapter 1 & 2

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Wilczynski Text Learning Assignment 1: Chapter 1 Systematic Reviews Taylor LaNasa Department of Special Education Introduction to Persons with Autism Spectrum Disorder 680 809 January 14, 2023

The responsibilities of a Board Certified Behavior Analyst (BCBA) are not limited to being a mandated reporter and an Applied Behavior Analyst (ABA) provider. The BCBA also has an obligation to find the most effective, relevant, and reliable treatment plan for their client’s behavior. Finding the most dependable treatment might mean that a BCBA uses a plan that is not perfectly tailored for their client but is proven to be safe and accountable. When researching effective treatment plans, a BCBA must be wary of systematic reviews that tend to be experimental or have “emerging evidence” (Wilczynski, 2017, p. 6); a systematic review with emerging evidence may not be the best or safest option for a client. As a BCBA, the client’s safety, treatment plan, and dignity must be the top priority. The BCBA must also be aware of the age, developmental level, implementer, and setting of which the studies were conducted, and whether it will yield comparable results for their client. Two methods for starting a systematic review were provided. The first, Method #1, is a large and accountable singular treatment study of all populations. Conversely, Method #2 relies on multiple varieties of treatments for a smaller, more specific population. To oversimplify, my takeaway was quality (specificity and few participants/studies) versus quantity (greater participants/studies and less specificity). In such a unique, frequently evolving field of study, ABA proves that neither Method #1 nor Method #2 is superior to the other, but instead relies more on the individual who will be the participant in the treatment. If a BCBA were to go with a treatment having less research but more specific data, would this be the best option for the client? If a BCBA were to implement a treatment plan with substantial amounts of supporting data, that wasn’t necessarily client specific or provided specific data, would this be the best option for the client? The decision falls upon the BCBA’s best judgment, use of ethics and familiarity with the client, and their specific behavior.

Reference Wilczynski, S. M. (2017). A practical guide to finding treatments that work for people with autism . Academic Press, an imprint of Elsevier.

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Wilczynski Text Learning Assignment 1: Chapter 2 Other Sources of Evidence Taylor LaNasa Department of Special Education Introduction to Persons with Autism Spectrum Disorder 680 809 January 14, 2023

Systematic reviews can be outdated, biased, not relevant, or not even conducted at all. In this case, other options are available to an evidence-based practitioner (EBT): narrative reviews, scientific principles of behavior, client history, evidence-based practice guidelines, and current client data. In addition, an EBT should also be aware of and look for discrepancies in studies as well. Narrative reviews, which are based on consensus and critical reviews, could be biased via the expert selection and the research the expert chooses to use. The scientific principles of behavior have not been systematically reviewed; however, they should be used when there is a lack of straightforward evidence in a treatment. To myself, I find similarities between the scientific principle of behavior and the “golden rule” (do unto others as you would have them do unto you). The “golden rule” is not a law, but you will still find many people that live by it. EBT’s should also research their client’s history regarding previous attempts to provide treatment for a behavior. Thus, EBT’s using practice guidelines should be wary whether recommendations are offered based on scientific evidence or expert opinion/experience. Expert opinions are not evidence based and are nonscientific; therefore, opinions from experts should only be used when all other options are exhausted. Current client data should also be considered when researching a treatment for a behavior. Moreover, EBT’s could conduct a functional behavior assessment, interview(s), and ABC data on said behavior. Finally, fidelity should be considered as well since it is responsible for the fashion and quantity of trials. As you can see, there are numerous avenues for an EBT. Many options have their flaws, but the practitioner should examine the studies closely before ruling them out for treatment. The client’s best interest should be given priority and multiple methods of treatment should be explored.

Reference Wilczynski, S. M. (2017). A practical guide to finding treatments that work for people with autism . Academic Press, an imprint of Elsevier.

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