Treatments based on differential reinforcement may inadvertently increase the recurrence of problem behavior in the face of challenges because reinforcers for appropriate behavior occur in the same context as problem behavior. The current study evaluated one potential approach to mitigating these problems with differential reinforcement treatments based on behavioral momentum theory. Specifically, appropriate behavior was trained in contexts without a history of reinforcement prior to intervening with problem behavior. Participants were 4 children with autism spectrum disorder. Treatment used telehealth to implement functional communication training (FCT) in three alternative contexts with minimal or no history of reinforcement for problem behavior before initiating FCT in the treatment context. Evaluations of the effects of treatment and tests of resurgence were conducted intermittently during treatment to evaluate maintenance. When FCT treatment was initiated in alternative contexts, initial results were comparable to more typical implementations of FCT. Resurgence was reduced to similar levels during tests of resurgence for all participants when compared to more typical previously published implementations of FCT, but clinically significant reductions in resurgence occurred more quickly in the present study. These findings support training appropriate behavior in an alternative context to mitigate the resurgence of problem behavior during differential reinforcement treatments.
Congratulations to Dr. Janice Staber (Hematology/Oncology) on two new publication recognitions through the American Society of Hematology (ASH).
First, she was named a co-author of the ASH Daily News, which is the daily publication of the ASH annual meeting which takes place December 7-10, 2019. This involves 4 separate issues over the four days of the annual meeting and features informative articles on a wide rage of Education Program sessions, Scientific Committee sessions, and abstract presentations.
For more than 20 years the Pediatric Diabetes Research Group at the University of Iowa has studied pediatric Type 1 diabetes, and more recently Type 2 diabetes and Cystic Fibrosis-Related Diabetes with clinical studies and trials.
Pivotal studies on continuous glucose monitoring, on prevention of diabetes in relatives of type 1 diabetes patients, on immune modulation of new onset Type 1 diabetes have been performed as part of consortiums funded federally or from foundations such as the Juvenile Diabetes Research Foundation and the Helmsley Foundation. In addition, the group has been part of a five clinical center NIH funded consortium studying hypoglycemia prevention in Type 1 diabetes and most recently performed neuroanatomical and neurocognitive studies evaluating the effect of hyper and hypoglycemia on the developing brain of young children with Type 1 diabetes. Findings have been original and unprecedented in literature. See here and here.
Clinical trials conducted by the group in adolescents with Type 2 diabetes have led to identifying appropriate pharmacologic approaches for this recently common adolescent disease.
In recent years, Dr. Katie Larson-Ode has joined the group and her studies have identified abnormal glucose metabolism in young children with Cystic Fibrosis. This finding has led to multiple clinical studies with impactful outcomes and funding by the Cystic Fibrosis Foundation for a multicenter consortium to conduct pivotal studies in these young children. Dr. Larson Ode and the Pediatric Diabetes Research Group are one of the clinical centers and the coordinating center for the consortium.
Dr. Terry is Clinical Assistant Professor in the Division of Hematology/Oncology.
I moved from New York City in October, 2015 to work in the Division of Pediatric Hematology-Oncology. In Pediatrics, I focus on pediatric solid tumors and cancer predisposition. I also co-manage the Cancer Survivorship Program. In addition, I am the Director of the Adolescent and Young Adult Cancer Program, which is an awesome collaboration between the Stead Family Children’s Hospital and the Holden Comprehensive Cancer Center. Our program helps to coordinate care for cancer patients ages 13-35.
My husband, Jody, is a dance teacher at Nolte Academy. We have a 7 year old son, Micah, who will be in 2nd grade at Wickham.
Some people say I have an addiction to gardening, but I like to consider it a healthy obsession. If I’m not in the garden, we like to take family bike rides and have lots of parties at our house for friends.
My dream job? A job where I can help improve outcomes for kids and young adults with cancer. My current position allows me to do all the things I want to do in order to build programs that can make a difference.
One of the favorite places I’ve lived is in Sevilla, Spain. It is a fascinating city that mixes Europe and the Middle East. Travel to the rest of Europe and Northern Africa is relatively easy and the people, food and culture are amazing.
Favorite meal or restaurant? Any place outside, by the water, eating seafood.
Favorite book or movie? My most recent favorite book is “A Man Called Ove” by Fredrik Backman.
Dr. Conrad is Assistant Professor in the Division of Developmental and Behavioral Pediatrics.
I am in the Division of Developmental and Behavioral Pediatrics and my time is split between outpatient clinical care and research. Clinically, I evaluate children for learning disabilities with a focus on dyslexia. My research uses a combination of neuropsychological testing and neuroimaging to evaluate the development of children with different medical diagnoses. Currently, my research focuses on children with isolated oral clefts as well as children of premature birth. I graduated from the doctoral program in Counseling Psychology from the University of Iowa in 2004 and started in the Department of Psychiatry as a Research Assistant in the lab of Dr. Peg Nopoulos. After nearly 10 years managing research projects in her lab, I moved into a faculty position in the Department of Pediatrics so I could return to some clinical work and focus on my own research interests. I maintain close collaboration with the Nopoulos lab.
I live in Mount Vernon with my husband (Chad) and two children (Rebecca [14 years old] and Nathan [11 years old]). Our kids keep us pretty busy, but when things are slow we like to re-watch episodes of The Office or Parks and Rec; quoting every line and laughing like crazy.
I grew up in Solon and my family is still in the area, so a lot of my free time is spent with family and friends. I am hooked on kettlebells and am trying to convince myself that I am a runner (haven’t been successful yet).
I honestly have my dream job right now. (Okay, less difficulty with the grant process would make it more dreamy – but every job needs some level of challenge.) I love the fact that no day is ever the same. I get to work with patients, develop and conduct research projects, run statistics and present my work, and I get to teach and mentor students. I get to help people in a variety of ways every day.
Most fascinating place I’ve ever visited? A bioluminescent bay in Puerto Rico. My mother met me there right before a conference I was attending and took me to the bay. It was absolutely stunning – the water shimmered with what looked like millions of diamonds.
Favorite sports team? The Hawkeyes! I grew up watching Hawkeye football with my father and look forward to every season.
Favorite book or movie? The Season of Passage, by Christopher Pike.
Congratulations to Deb Bruene, MA, RN-BC on winning the Clinical Poster Award at the 29th National Conference of the American Society for Pain Management Nursing (ASPMN) that was held in Portland September 18-20, 2019.
Everyone working, learning, and volunteering at UI Hospitals and Clinics is reminded that the Professional Appearance Policy (HR-03.21) prohibits holiday or event-themed costumes, including Halloween costumes.
Because play is an evidence-based and critical component of care for pediatric patients at UI Stead Family Children’s Hospital, two exceptions to the policy will be allowed on Thursday, Oct. 31:
From 7 a.m. to 7:30 p.m., UI Stead Family Children’s Hospital faculty and staff whose primary clinical assignment is in UI Stead Family Children’s Hospital inpatient units and clinics may wear appropriate, kid-friendly costumes. As always, clinical staff must always wear their ID badges without attachments and with picture/name visible while on duty (no lanyards, badge worn at lapel level, NOT on waist or belt).
From 2:00 to ~4 p.m. faculty and staff members who are participating in the UI Stead Family Children’s Hospital “Trunk or Treat” event in the Gerdin Family Lobby (Level 1) may wear appropriate, kid-friendly costumes for the event only.
The following costumes/accessories are not permitted:
Masks or other full-face coverings
Costumes that interfere with clinical duties and/or patient safety
Costumes depicting monsters, death, controversial political figures or other frightening characters
Items resembling guns or weapons
Costumes which promote harmful stereotypes, including those based on race, creed (religion), color, national origin, age, gender, disability, sexual orientation, or gender identity
Costumes that are of a revealing nature that would not be considered acceptable under normal work circumstances
Unclean or soiled clothing items
All other faculty, staff, student employees, and volunteers are expected to adhere to the Professional Appearance policy by not wearing Halloween costumes, masks, or makeup.
Thank you for helping to ensure a safe and respectful work environment.