Improving Health Routines for Adults with Disabilities Using Synchronous Reinforcement Strategies: Inside JABA 24
The Behavioral Observations Podcast with Matt Cicoria
Release Date: 08/28/2025
Making ABA Research Matter: Practical Dissemination Strategies for Behavior Analytic Scholars, Inside JABA 25
The Behavioral Observations Podcast with Matt Cicoria
Episode Overview In this special episode of the Behavioral Observations Podcast, I had the honor of celebrating the 25th installment of the . This one was particularly meaningful because it also marks the final appearance of Dr. John Borrero in his role as Editor-in-Chief of . I invited John to reflect on his three-year tenure—what he learned from reading an enormous volume of manuscripts, how his thinking evolved, and why adapting our language is essential if we want behavior analysis to reach broader audiences. From there, we transitioned into an...
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Trauma-Informed Behavior Analysis, A Guide for BCBAs: Session 315 with Gabi Morgan and David Adams
The Behavioral Observations Podcast with Matt Cicoria
Thanks for joining me in Session 315 of The Behavioral Observations Podcast. In this episode, I spoke with Drs. and to dive deep into trauma-informed behavior analysis. Gabi brings her 30-year journey in the field—from undergrad roots to professorship at —while David shares his evolution from child and family therapy to clinical psychology, with a heavy focus on foster and adoptive parenting. Both guests are passionate about closing the divide between trauma therapy and behavioral strategies, and they credit mentors like for lighting the way. We...
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Supporting Schools in Hawaii with the Care Project: Session 314, Live from HABA 2025
The Behavioral Observations Podcast with Matt Cicoria
If you follow Behavioral Observations on , you might recall that I had the once-in-a-lifetime opportunity to travel to the 20th Annual conference to give the closing Keynote Address. I could devote an entire podcast episode to talking about all the wonderful people I met, the fun experiences I had, and the amazing sights I was able to take in. One of the biggest highlights though, was the opportunity to sneak in the following conversation I had with a panel of employees from Hawaii's Department of Education. It turns out that the State of Hawaii is doing some innovative work in...
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Client Assent in Behavior Analysis: Balancing Autonomy & Clinical Progress, Session 313 with Cody Morris
The Behavioral Observations Podcast with Matt Cicoria
In Session 313, Dr. Cody Morris from , and the newly re-launched podcast (please also see ), joins me to dive into a topic that has merited quite a bit of discussion in Applied Behavior Analysis. These days, you pretty much have to be living under a rock in ABA circles to not have noticed the increased focus on assent practices in treatment programming. Cody is one of the preeminent authorities on this topic, and in this episode, we talk about the definitions of assent, how assent has been conceptualized in other fields, and how it applies to the work we do as Behavior Analysts. In doing so,...
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From Amazon to Autism Care: AI Powered Tools for ABA and Diagnostics: Frontera Series on AI with Grant Sickle
The Behavioral Observations Podcast with Matt Cicoria
In this episode of The Behavioral Observations Podcast, I talk with , former Amazon product leader and current head of product at , a company building AI-powered platforms to improve autism care. Grant shares how his team is developing and tools to shorten waitlists, streamline reporting, and support clinicians in delivering more efficient ABA therapy. We also discuss how Frontera’s app enables HIPAA-compliant behavior tracking, parent engagement, and asynchronous supervision — while addressing the issue of . This conversation highlights...
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Culturally Sensitive Approaches to ABA Treatment: Session 311
The Behavioral Observations Podcast with Matt Cicoria
In Session 311, I sit down with Christina Nylander and Leah Hussain from to talk about culturally sensitive approaches to Autism intervention. We dive into three case studies that show how flexible, individualized care can make a huge difference in building the rapport that's so important in our clinical work. Along the way, we share strategies for gaining parent buy-in, supporting bilingual language development, and using AAC devices to help children communicate more effectively with their families. Here’s what we cover: The parent...
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Improving Health Routines for Adults with Disabilities Using Synchronous Reinforcement Strategies: Inside JABA 24
The Behavioral Observations Podcast with Matt Cicoria
In this episode of the Inside JABA Series podcast, we dive into a fascinating discussion on health-related routines for adults with intellectual and developmental disabilities (IDD). Dr. Katie McHugh, Dr. Claudia Dozier, and Editor-in-Chief Dr. John Borrero share insights from their recent study, Synchronous Reinforcement Schedules Promote Tolerance of Health-Related Routines for Adults with Disabilities. The conversation explores how synchronous reinforcement schedules—where reinforcement occurs in real time alongside behavior—can improve tolerance for essential routines like...
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Improving Autism and Law Enforcement Interactions through ABA: Session 309 with Lyndsy Coffield
The Behavioral Observations Podcast with Matt Cicoria
In Session 309, I welcome Dr. Lyndsy Coffield, Director of Client Success at , to share her unique journey in the field of Applied Behavior Analysis (ABA) and her groundbreaking work training law enforcement officers on autism awareness. Dr. Coffield’s path into ABA began with an undergraduate degree in speech pathology, later becoming an RBT and eventually a BCBA. Today, she oversees intake and marketing at a growing clinic network in Georgia while also dedicating her research to improving police interactions with individuals on the autism spectrum. This episode explores the...
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Sleep, Autism, and Screen Time: Session 308 with Emily Varon
The Behavioral Observations Podcast with Matt Cicoria
Episode Overview In this episode, sleep expert Emily Varon returns to the Behavioral Observations Podcast to share her deep expertise in sleep improvement—especially within the autism community. Drawing from 15 years of experience, Emily emphasizes personalized approaches, the role of wearable technology, and the importance of sensitivity when discussing sleep challenges with families. She also discusses new research on screen time and its true impact on sleep latency, offering insights that can reshape how behavior analysts approach sleep-related interventions. Key Topics Covered...
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Dissociative Identity Disorder through a Behavior Analytic Lens: Session 307 with Brady Phelps
The Behavioral Observations Podcast with Matt Cicoria
In this episode of the Behavioral Observations Podcast, I had the pleasure of speaking with , about a topic that has perplexed, and perhaps captivated both mainstream Psychology as well as pop culture: Dissociative Identity Disorder (DID). Our wide-ranging conversation explored the intersection of behavior analysis, mental health, and trauma, with a special focus on how we can understand DID through a scientific, behavioral lens. Brady’s Career Journey Brady shared how he discovered behavior analysis almost by accident as an undergrad at Utah State University,...
info_outlineIn this episode of the Inside JABA Series podcast, we dive into a fascinating discussion on health-related routines for adults with intellectual and developmental disabilities (IDD). Dr. Katie McHugh, Dr. Claudia Dozier, and Editor-in-Chief Dr. John Borrero share insights from their recent study, Synchronous Reinforcement Schedules Promote Tolerance of Health-Related Routines for Adults with Disabilities.
The conversation explores how synchronous reinforcement schedules—where reinforcement occurs in real time alongside behavior—can improve tolerance for essential routines like toothbrushing, bathing, wearing medical devices, and more. The research team highlights case studies, methodological considerations, and the broader implications for clinical practice.
Key Topics Covered
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✅ Synchronous reinforcement schedules and why they may be more effective (and preferred) than delayed reinforcement.
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✅ Applications for health routines such as toothbrushing, bathing, mask-wearing, GPS bracelets, helmets, and pulse oximeters.
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✅ Collaborative service delivery with nursing and medical professionals.
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✅ Challenges in participant consent and maintaining experimental control.
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✅ Importance of measuring both behavioral outcomes and affective states.
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✅ Future research directions, including reinforcer assessments, continuous vs. discontinuous schedules, and maintaining treatment effects.
Next Steps and Future Directions
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Editorial updates for broader keyword usage to increase accessibility outside of behavior analysis.
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Comparing graduated exposure with contingent vs. synchronous reinforcement interventions.
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Implementing more systematic preference and reinforcer assessments in future studies.
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Exploring hybrid approaches (e.g., combining graduated exposure with synchronous reinforcement).
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Collecting more comprehensive data on participant affect and treatment integrity.
Resources & References
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Dr. Dozier's lab website.
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Dr. Dozier's KU faculty page.
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DeLeon, I. G., Hagopian, L. P., Rodriguez-Catter, V., Bowman, L. G., Long, E. S., & Boelter, E. W. (2008). Increasing wearing of prescription glasses in individuals with mental retardation. Journal of Applied Behavior Analysis, 41(1), 137–142.
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Diaz de Villegas, S. C., Dozier, C. L., Jess, R. L., & Foley, E. A. (2020). An evaluation of synchronous reinforcement for increasing on-task behavior in preschool children. Journal of Applied Behavior Analysis, 53(3), 1660–1673.
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Hardesty, E. M., Lerman, D. C., & Hardee, J. L. (2023). A comparison of synchronous and noncontingent stimulus delivery on task engagement. Journal of Applied Behavior Analysis, 56(3), 664–673.
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Leslie, S. C., Dozier, C. L., Kamlowsky, M. E., McHugh, C. L., Diaz de Villegas, S. C., & Kanaman, K. C. (2024). Using synchronous reinforcement to increase mask wearing in young children. Behavioral Interventions, 39(1), 1–29.
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McHugh, C. L., Dozier, C. L., Diaz de Villegas, S. C., & Kanaman, N. A. (2022). Using synchronous reinforcement to increase mask wearing in adults with developmental disabilities. Journal of Applied Behavior Analysis, 55(4), 1157–1171.
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Williams, D. C., & Johnston, J. M. (1992). Continuous versus discrete dimensions of reinforcement schedules: An integrative analysis. Journal of the Experimental Analysis of Behavior, 58(1), 205–228.
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Ellis, E. M., Ala’i-Rosales, S. S., Glenn, S. S., Rosales-Ruiz, J., & Greenspoon, J. (2006). The effects of graduated exposure, modeling, and contingent social attention on tolerance to skin care products with two children with autism. Research in Developmental Disabilities, 27(6), 585–598.
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Halbur, M., Kodak, T., McKee, M., Carroll, R., Preas, E., Reidy, J., & Cordeiro, M. C. (2021). Tolerance of face coverings for children with autism spectrum disorder. Journal of Applied Behavior Analysis, 54(2), 600-617.
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Richling, S. M., Rapp, J. T., Carroll, R. A., Smith, J. N., Nystedt, A., & Siewert, B. (2011). Using noncontingent reinforcement to increase compliance with wearing prescription prostheses. Journal of Applied Behavior Analysis, 44(2), 375-379.
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Stark, L. J., Allen, K. D., Hurst, M., Nash, D. A., Rigney, B., & Stokes, T. F. (1989). Distraction: Its utilization and efficacy with children undergoing dental treatment. Journal of Applied Behavior Analysis, 22(3), 297-307.
About the Guests
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Dr. Catherine (Katie) McHugh – Researcher focused on health-related routines and intervention strategies for adults with disabilities.
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Dr. Claudia Dozier – Expert in reinforcement schedules and their applications across populations.
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Dr. John Barrero – Current JABA Editor-in-Chief and behavior analyst contributing to dissemination and accessibility of applied research.