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Alternating treatments designs

Interpretation challenges and design solutions for validating and comparing interventions

Bibliographic Data

ID21375856
AuthorsChristopher H Skinner (0000-0003-0023-6024, Educational Psychology and Counseling The University of Tennessee Knoxville Tennessee USA, corresponding author), Virginia McClurg (0000-0002-4852-8408, Educational Psychology and Counseling The University of Tennessee Knoxville Tennessee USA), Margaret Crewdson (0000-0002-5855-4722, Educational Psychology and Counseling The University of Tennessee Knoxville Tennessee USA), Mari Beth Coleman (0000-0002-5122-8983, Educational Psychology and Counseling The University of Tennessee Knoxville Tennessee USA), Jade Bennett (Educational Psychology and Counseling The University of Tennessee Knoxville Tennessee USA), JL Bennett (Tennessee Department of Education), Kristen Fowler (Educational Psychology and Counseling The University of Tennessee Knoxville Tennessee USA), J Brooke Killion (Educational Psychology and Counseling The University of Tennessee Knoxville Tennessee USA), Jeffrey B Killion (Tennessee Department of Education)
Year2022
Volume59
Issue4
Pages678-697
Publication date2022-04-01
Open AccessYes
TypeARTICLE
VenuePsychology in the Schools (JOURNAL)
Journal identifiersISSN: 0033-3085 • E-ISSN: 1520-6807
PublisherWiley (PUBLISHER • GB)
DOI10.1002/pits.22638
OpenAlexW4200119312
LanguageEN
Citations received4
References cited29

The purpose of this paper is to demonstrate and describe why alternating treatments design (ATD) researchers should consider employing a no‐treatment series during the alternating treatments phase. To identify limitations associated with excluding this design element, we obtained examples of ATD studies published in five school psychology journals published over 10 years. Next we read, scored, and analyzed these articles with our primary focus being authors' isolated and comparative effectiveness conclusions. After taking into account authors' relative effectiveness conclusions, we describe why some isolated treatment effectiveness conclusions may not be warranted because threats to internal validity were not controlled. Also, we describe how including a no‐treatment series during the alternating treatments phase can address these limitations by allowing researchers to assess and possibly rule out many threats to internal validity. Discussion focuses on how including this design element may increase the number of studies validating specific interventions, yield better relative effectiveness conclusions, and prevent researchers and consumers of research from concluding that an intervention was effective when observed changes were caused by uncontrolled threats to internal validity

Element (criminal law) · External validity · Internal validity · Interpretation (philosophy) · Intervention (counseling) · Management science · Psychiatry · Psychological intervention · Psychotherapist · Research design · Statistics · Applied Psychology · Autism Spectrum Disorder Research · Behavioral and Psychological Studies · Child and Adolescent Psychosocial and Emotional Development · Computer Science · Engineering · Mathematics · Medicine · Psychology · Social Psychology

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Citations per year1.33
Citation span2023 - 2026 (4)
Highly citedNo

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