Table 1.
Summary of Treatment Components for Standard Behavior Therapy and Modified Behavior Therapy
| Component | Standard Behavior Therapy | Modified Behavior Therapy |
|---|---|---|
| Point System | • Earn points for exhibiting positive behavior or failing to exhibit negative behavior • Lose points for exhibiting negative behavior |
• Earn points for exhibiting positive behavior or failing to exhibit negative behavior |
| Morning Module | • Awards for High Point Kid, Most Improved Kid • Award for Best Social Skills • Social Skills Training Module |
• Awards for High Point Kid, Most Improved Kid • Award for Best Helper • Emotion Skill Training Module |
| Daily Check In | • None | • Counselor initiated brief positive “check-in” encounter with each child at least twice per day |
| Sit-Out Cards | • None | • Each child is allowed to use up to 3 “I need a break” cards each day |
| Time Out Procedure | • Starts at 10 minutes • Must serve last 2 minutes appropriately • Escalated to 20 minutes for misbehavior during TO • End TO by asking why they were assigned TO |
• Starts at 10 minutes • Must serve last 2 minutes appropriately • Reduced to 5 minutes by serving TO appropriately • End TO by asking how they are feeling and what can be done to help them improve |
| Daily Behavior Consequences | • Positive consequences (recess) for positive daily behavior • Negative consequences (writing sentences, set apart from group) for negative daily behavior |
• Positive consequences (recess) for positive daily behavior • Group-based positive consequences (end of day fun activity chosen by kids) for positive daily behavior exhibited by treatment group |
| Weekly Behavior Consequences | • Positive consequences (field trip) for positive weekly behavior • Negative consequences (chores, boring tasks) for negative weekly behavior |
• Positive consequences (field trip) for positive weekly behavior. Extra incentives added to weekly field trip to make it more rewarding. |
| Intermittent Rewards | • None | • “Caught you being good” ticket system backed up by material rewards (toy store). |
Notes: Differences between conditions highlighted by italic font