SSRD

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5313_Module3_SSRD.pptx

Single System Research Designs

Holli Slater, PhD

School of Social Work

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The Research Process

Step 1

Step 4

Step 7

2

Formulate the problem

Review the Literature

Design the Study

Collect the Data

Analyze the Data

Interpret Findings

Write Research Report

Experimental vs Single System

Experimental designs: Consists of a sample of multiple cases

Experimental

Pretest-posttest control group design

Posttest-only control group design

Solomon four-group design

Quasi-Experimental

Time-Series

Cross-Sectional

Longitudinal

Non-equivalent comparison groups

Pre-Experimental

Pilot studies

One-shot case study

One-group pretest-posttest design

Post-test only design with nonequivalent groups

Single System: Consists of studying a single case

3

SSRD Sample Size and Unit of Analysis

Sample size of one (N = 1)

Unit of analysis

Individual

Incident, phenomenon

Group, family, community

4

SSRD Design Considerations

Identify the appropriate target problem

Operationally Define it

Triangulation

Determine appropriate intervention

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Step 1: Identify Target Client, Problem, and Intervention

Identify your subject/client

Must be looking for a change in something

Identify your target problem

Be sure you and the client agree on target problem

How are you going to measure it?

Will you use more than one measure?

Determine appropriate intervention

Look at the literature to guide your selection

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SSRD Designs

Terminology in SSRD

Phases

Notation

Graphs

Questions in SSRD

Evaluation - Did the client systems improve during the intervention?

Experimentation - Did the client system improve BECAUSE of the intervention?

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Sample SSRD Design: Generic

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Baseline Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 9 7 8 7 9 7 8 Intervention Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 5 6 4 7 3 4 2

Days

Behavior

Sample AB Design: Anxiety Management with Play Therapy Intervention

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Baseline Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 9 7 8 7 9 7 8 Intervention Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 5 6 4 7 3 4 2

Days

Level of Anxiety

Sample AB Design: Anxiety Management with Cognitive Behavioral Therapy Intervention

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Baseline Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 10 9 9 8 7 7 6 Intervention Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 5 5 4 5 3 3 2

Days

Level of Anxiety

Baseline(A Phase)

Before the introduction or withdrawal of the intervention (independent variable)

Baseline phase behaviors compared to intervention phase behaviors

Extended until a stable trend in the data are evident

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SSRD Baseline Phase

Observations gathered pre-intervention

Many observations points (5-10 ideally)

Stable pattern in desired direction (if anxiety is high, it remains high throughout the baseline)

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Baselines

Day of Week # Times Participated in Class
Monday ||||
Wednesday |
Monday |||
Wednesday ||
Monday ||||

Purpose of Baselines

Establish base-rate of target behavior

Determine magnitude of problem in its “natural” state

Demonstrate whether intervention is making a difference

Without a baseline – no internal validity

Types of Baselines

Concurrent/prospective

Reconstructed/retrospective

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How Long is Baseline Phase?

Must establish

Utility

Stability

How many data points?

Ideally 5-10 data points

At least 3 data points

Enough data points to establish trend

Not too many data points that target behavior begins to change naturally

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Types of Single System Research Designs

Take a moment and take a deep breath. We are about to go into the different types of research designs.

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Evaluation: The Baseline

Baseline Only – No Intervention

Assessing to determine if there is a problem or severity of the problem

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Evaluation: The B Design

NO Baseline – Only Intervention

Assessment of Outcome takes place in one phase

Limitations

Cannot claim change was due to intervention

Cannot claim change was due to other alternative hypotheses

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Evaluation: The AB Design

Includes Baseline Phase and Intervention Phase

A phase – Baseline - No attempt to effect change

B phase – Intervention

Assessment of outcome takes place in two phases

Limitations

Time to collect baseline data

Difficult to claim change was due to intervention

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Experimental SSRD Designs

Purpose

To help maximize internal validity

Control for rival hypotheses

Types of Experimental Designs

Reversal/Withdrawal

Multiple Baselines

Changing Criterion

Multiple Treatments

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Internal Validity - Causality

X caused Y

The confidence with which the researcher can assert that an observed change was caused by a prior event, phenomenon, intervention, etc.

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Sample AB Design: Anxiety Management with Play Therapy Intervention with Downward Trend

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Baseline Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 9 7 8 7 9 7 8 Intervention Phase 1 2 3 4 5 6 7 8 9 10 11 12 13 14 5 6 4 7 3 4 2

Days

Level of Anxiety

The ABAB Design

How it works

Baseline (A)

Intervention (B)

Remove Intervention (A)

Reintroduce Intervention (B)

Purpose

To establish that a behavior change observed during the intervention phase occurs only when the intervention is present

Predict – Verify - Replicate

Limitations

Not willing to withdraw effective intervention

Improvements my not be reversible during removal of intervention phase

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When To Use ABAB

When a clear relationship between the independent and dependent variables needs to be demonstrated

When the target behavior can be reversed

When withdrawal of treatment does not cause harm or conflict with ethics

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The ABCD Design (Changing Conditions)

How it works

A= Baseline

B = Intervention 1 (I1)

C = Discontinue Intervention 1 (I1) and Introduce Intervention 2 (I2)

D = Discontinue Intervention 2 (I2) and Introduce Intervention 3 (I3)

Purpose

To make changes if original intervention is not working

To determine which, among a variety of interventions, is effective

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The ABCD Design

Baseline

Intervention #1

Stop Intervention #1 and Start Intervention #2 OR Modify Intervention #1

Stop Intervention #2 and Start Intervention #3 OR Modify Intervention #2

Multiple Baseline Designs

How it works

Repeated AB designs stacked on top of one another

Across Clients: AB with multiple clients

Across Settings: AB with multiple settings

Across Problems: AB with multiple problems

Purpose

Allows research to replicate the effects of the IV without withdrawing the treatment

Limitations

Possible covariance

Functional relationships may not be clearly demonstrated

Time consuming and requires substantial resources

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Multiple Baseline Design: Across Clients

Morgan, D. L., & Morgan, R. K. (2009). Multiple-baseline designs. In Single-case research methods for the behavioral and health sciences. (pp. 125-161). Thousand Oaks, CA: SAGE Publications, Inc.

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Multiple Baseline Design: Across Settings

Morgan, D. L., & Morgan, R. K. (2009). Multiple-baseline designs. In Single-case research methods for the behavioral and health sciences. (pp. 125-161). Thousand Oaks, CA: SAGE Publications, Inc.

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Multiple Baseline Design: Across Problems

Morgan, D. L., & Morgan, R. K. (2009). Multiple-baseline designs. In Single-case research methods for the behavioral and health sciences. (pp. 125-161). Thousand Oaks, CA: SAGE Publications, Inc.

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Step 2: Identify Your Design

What type of SSRD will you have?

B Only or AB or ABA or ABCD or Multiple Baselines

Will you have a baseline phase?

What type of baseline will you have?

How long is your baseline phase going to last?

When will your baseline be collected?

How feasible is the design you are selecting?

Consider time constraints and resources.

What are the limitations?

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Inferring Causality in SSRD

Timing of behavioral change

occurs after the intervention OR

co-occurs with intervention

Repeated co-occurrence of intervention and desired behavioral change (when intervention present, behavior change occurs)

Behavior change only occurs in presence of intervention

Consistent change over time

Relationship between behavioral change and intervention makes empirical and theoretical sense

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Threats to Internal Validity: Alternative Explanations of Change – History & Maturation

History

Unaccounted for events that may affect the dependent variable during the course of the research

Maturation/Passage of Time

Naturally occurring mental or physical changes in participants over the course of the study

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Threats to Internal Validity: Alternative Explanations of Change – Instrumentation & Testing

Instrumentation

Measurement bias that affects outcomes

Instrument fails to measure consistently

Testing

Testing experience affects outcome variable

Pre-test affecting post-test scores

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Threats to Internal Validity: Alternative Explanations of Change – Statistical Regression and Experimental Mortality

Statistical Regression

Tendency of extreme scores to move toward the mean score upon retesting

Severe behaviors fall to average

Experimental Mortality