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Research has shown that reinforcing novel behaviors can increase the number of different ways that an individual behaves (Goetz & Baer, 1973; Pryor, Haag, & O'Reilly, 1969). However, it was not until more recently that researchers began to consider variability to be a reinforceable operant in and of itself (Neuringer, 2002). More specifically, Neuringer suggested that variability can be taught using a Lag x schedule of reinforcement, in which x refers to the number of previous responses from which the current response must differ in order for reinforcement to occur (Page & Neuringer, 1985). The purpose of the present study was to extend one of the first studies of a Lag x schedule on verbal responses with human subjects (Lee, McComas, & Jawor, 2002), by increasing the lag criteria while attempting to address some of methodological limitations of the study. The participant was a 7-year-old male with autism. A changing criterion design was used and results showed that 3 novel responses were acquired and varied according to the lag schedule of reinforcement.
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http://dx.doi.org/10.1007/BF03393113 | DOI Listing |
Cureus
August 2025
Internal Medicine/Infectious Disease, Kern Medical, Bakersfield, USA.
Background Historically, lower pneumococcal vaccination (PV) coverage in minority populations and those with newly diagnosed chronic medical conditions, and increased hospitalizations for pneumococcal infections at Kern Medical (KM), a teaching hospital that serves as a safety net in Bakersfield, California, we sought to identify potential missed opportunities for pneumococcal vaccination at KM. Methods This quality improvement review was conducted to evaluate the PV status of patients who were hospitalized for pneumococcal disease from January 2023 through June 2024. Eligibility for PV was based on the Centers for Disease Control and Prevention (CDC)'s 2025 adult immunization schedule.
View Article and Find Full Text PDFSleep Med
October 2025
Division of Sleep Medicine, Peking University People's Hospital, Beijing, China. Electronic address:
Background: Social jetlag, representing the misalignment between endogenous circadian rhythms and socially imposed sleep schedules, has been associated with various adverse health outcomes. However, its potential relationship with obstructive sleep apnea (OSA) severity, as quantified by the apnea-hypopnea index (AHI), remains unclear.
Methods: This retrospective study analyzed data from participants with OSA (AHI ≥5 events/hour) who completed sleep questionnaires and underwent polysomnography at our sleep center.
BMC Health Serv Res
August 2025
Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Background: Over the past decade, many well-resourced health plans and systems surpassed the 80% colorectal cancer screening rate goal, while lower resource environments such as federally qualified health centers (FQHCs) lag behind. FQHCs in rural areas are especially challenged with limited resources to reach diverse patients who often lack consistent engagement with clinical care. mHealth solutions, like mPATHCRC, can address these challenges by automating tasks and expanding patient outreach.
View Article and Find Full Text PDFBMC Public Health
August 2025
Department of Occupational Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel.
Background: Religious practices often structure daily behavior, yet their role in shaping sleep-wake patterns remains underexplored. While stable schedules and socially reinforced habits are known to support circadian alignment and sleep quality, few studies have examined religious observance as a behavioral framework that promotes sleep health in older adults. This study investigated whether Jewish religious lifestyle, particularly Sabbath observance, affects habitual sleep-wake patterns in late adulthood.
View Article and Find Full Text PDFCarbohydr Res
October 2025
K. T. Patil College of Pharmacy, Osmanabad, 413501, MS, India. Electronic address:
Chronomodulated diseases demonstrate circadian fluctuations. Conventional dosage forms are inadequate for mitigating these ailments; instead, time-scheduled drug release is necessary for pharmacological efficacy. The current investigation aims to develop natural, carbohydrate polymer-based novel plug-in capsule, pulsatile drug delivery system with engineered specificity of meloxicam with low aqueous solubility.
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