Deck 12: Monitoring Client Progress

Question 1

Which of the following is NOT a main aim of Step 5 in the EBP process?

A) To ascertain the effectiveness of an intervention using an approach intended to maximize internal validity.
B) To monitor whether the client achieves the desired outcome after the chosen intervention is implemented.
C) To ascertain whether the client appears to be among those people who don't benefit from the intervention.
D) To help determine whether you need to continue or alter the intervention in light of the degree of progress.

Answer 1

A

Question 2

The B+ design:

A) is simply the B phase of an AB design.
B) can include the possible only one preintervention data point.
C) can include subsequent phases as needed in case the desired level of progress is not reached during the B phase.
D) All of the above are correct about the B+ design.

Answer 2

D

Question 3

The choice of what to measure for the purpose of monitoring client progress requires that you translate the target problem or treatment goal into something that:

A) is observable.
B) is feasible to measure.
C) has a reasonable chance of fluctuating from one data point to the next.
D) All of the above.

Answer 3

D

Question 4

An advantage of your measuring your client's progress yourself is:

A) measurement will be unobtrusive.
B) you can be sure the measurement is done properly.
C) it will save you time.
D) All of the above.

Question 5

Which of the following statements is/are correct about using a significant other to observe and record client behavior?

A) It is less feasible for the practitioner.
B) It is more obtrusive.
C) They might not follow through consistently.
D) All of the above.

Question 6

Which of the following statements is/are correct about using a available records to monitor client progress?

A) It is highly obtrusive.
B) It is too time consuming.
C) You can be sure that the data were gathered in a systematic and careful a manner.
D) You could go back in time and feasibly obtain more than one baseline data point.

Question 7

Which of the following statements is/are correct about when and where to measure client progress?

A) Record your measure as soon as possible after the observation is made.
B) Measurement should occur as often as possible short of becoming an aversive burden to the people involved in the measuring.
C) The times of measurement should be predesignated and consistent.
D) All of the above.
E) None of the above.

Question 8

The main point of step 5 of the EBP process is make causal inferences about the effectiveness of an intervention.

Question 9

By monitoring client progress you'll be better equipped to determine whether you need to continue or alter the intervention in light of the degree of progress.

Question 10

The B+ design is more feasible for practitioners to implement than the AB design.

Question 11

The B phase in a B+ design can be terminated at any point when you and the client agree that the desired level of progress has been achieved and sustained long enough so that continuing the intervention is no longer needed-in a manner no different than in usual practice.

Question 12

An advantage of self-monitoring is its unobtrusiveness.

Question 13

An advantages of using significant others to observe client behavior is their lack of bias in the way they perceive those behaviors.

Question 14

One advantage of using available records is their unobtrusiveness.

Question 15

The key priority in selecting or developing an instrument for behavioral recording is to keep it simple and nonaversive for the person doing the recording.

Question 16

To ensure adequate sensitivity to meaningful changes, individualized rating scales should contain no more than two or three scale rating points per item.

Question 17

As a general rule when monitoring client progress, measurement should occur as often as possible short of becoming an aversive burden to the people involved in the measuring.

Question 18

Explain why step 5 of the EBP process does not require inferring causality.

Question 19

Describe the components of the B+ design and discuss why it is more feasible for practitioners than the single-case AB design.

Question 20

Discuss the advantages and disadvantages of the various options for monitoring client progress regarding: (a) what to measure; (b) who should measure; (c) what measurement instrument to use; and (d) when and where to measure.