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Identify, explain, and evaluate the four ways available for measuring baseline data.

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Why are case histories inferior to single-system designs as a source of clinical knowledge


A) Case histories exhibit only to a limited degree the characteristics that distinguish science from other sources of knowledge.
B) Case histories are generally only prepared on cases of success, not failures.
C) Case histories often fail to report valid and reliable data to support conclusions.
D) All of the answers represent reasons why case histories are inferior.

E) A) and D)
F) B) and D)

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Low cost and unobtrusiveness are reasons for considering this approach to data collection in single-system designs.


A) observation
B) paper and pencil measures
C) client self reports
D) existing records

E) A) and B)
F) A) and D)

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A fundamental force behind the development of single-system designs is:


A) researchers are looking for a more generalizable model than experiments.
B) human service professionals want to know how a client is responding to an intervention
C) service providers are facing expectations to publish in journals
D) survey research is too expensive.

E) B) and C)
F) None of the above

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Identify and distinguish between the three different criteria that can be used in assessing whether a treatment has been effective in a single-system design study.

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How do goals under the clinical-research model differ from goals that might be established under traditional practice


A) Only clinical-research goals deal with long-term outcomes.
B) Clinical-research goals cannot be operationalized.
C) Clinical-research goals are more specific and precisely defined than goals in traditional practice.
D) Goals under the clinical-research model represent a radical departure from traditional practice.

E) A) and B)
F) All of the above

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What is a changing criterion design in single-system research, and what are the requirements for its use

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When single-system designs and their replications are conducted, which of the following practices is considered crucial


A) Substantial information about client characteristics and background should be collected.
B) Treatments should be kept uniform across cases.
C) Standardized tests rather than observation should be used.
D) Substantial information about client characteristics and background should be collected, and treatments should be kept uniform across cases.

E) C) and D)
F) A) and B)

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Proximate goals in clinical research are:


A) the final goals to be achieved through treatment and for which evidence is sought in short term goals.
B) personal goals of the clinician.
C) personal goals of the client.
D) intermediate goals whose achievement is evidence of progress toward long term treatment goals.

E) All of the above
F) A) and D)

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Which term is synonymous with "clinical research model"


A) empirical practice model
B) qualitative evaluation model
C) practice-intervention model
D) case history model

E) B) and D)
F) B) and C)

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Which of the following is a major issue to be settled in establishing a baseline


A) What to measure for a baseline.
B) How to measure the variable for the baseline.
C) What intervention should be used.
D) What to measure for a baseline, and how to measure the variable for the baseline.

E) None of the above
F) All of the above

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In terms of assessing treatment effects, the most desirable type of baseline for a single-system design is:


A) a rising trend.
B) a stable one.
C) a descending trend.
D) an unstable one.

E) A) and D)
F) A) and C)

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Which of the following exemplifies reversal designs


A) ABBB
B) ABA
C) ABAB
D) Both ABA and ABAB are reversal designs

E) All of the above
F) B) and D)

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In general, clinician-researchers should choose the single-system design that:


A) has the most baseline measures.
B) is the most valid design.
C) has the fewest baseline measures.
D) requires no baseline measures.

E) B) and D)
F) All of the above

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The first few letters of the alphabet are used to identify the various single-system designs. What does the letter B always symbolize


A) the period before the client contacts the clinician
B) a treatment phase
C) a nontreatment phase
D) a nonmeasurement phase

E) A) and B)
F) B) and D)

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The major distinguishing characteristic of the changing criterion design is:


A) the client is led to achieve the final treatment goal in stages by achieving a series of subgoals.
B) that it ends in a nontreatment phase.
C) that it can accommodate several treatments either serially or in combination.
D) that it is very flexible and can be applied to virtually any client problem.

E) A) and B)
F) A) and C)

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In clinical research, the baseline phase is:


A) a series of measurements of the client's condition during the time treatment is in progress.
B) a series of measurements of the client's condition prior to the beginning of treatment.
C) a series of measurements of the client's condition after treatment has ended.
D) a series of measurements of the client's condition a year or more after an apparently successful treatment to assess long term effects.

E) B) and D)
F) None of the above

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The generalizability of single-system experiments is:


A) nonexistent.
B) very high if the treatment effects are strong.
C) only proved through successful replication.
D) not an issue.

E) A) and C)
F) B) and C)

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In single-system research, a treatment that leads clients to fully achieve the goals that have been set for them is called:


A) therapeutically effective.
B) experimentally effective.
C) statistically effective.
D) substantively effective.

E) A) and B)
F) C) and D)

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The application of the clinical research model is often impractical because:


A) clients are reluctant to participate in research.
B) it is difficult to integrate single-system designs into practice settings.
C) the most rigorous single-system designs are difficult to apply because of irreversible treatments.
D) baseline measurements are very difficult to obtain.

E) C) and D)
F) None of the above

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