Assessment & Research

The maintenance of behavior change as an indicator of social validity.

Kennedy (2002) · Behavior modification 2002
★ The Verdict

Use real-world maintenance as your social-validity report card—if it doesn’t last where it counts, it doesn’t count.

✓ Read this if BCBAs who write treatment plans for schools, homes, or community sites.
✗ Skip if Researchers running brief lab-only studies with no follow-up plan.

01Research in Context

01

What this study did

Iversen (2002) wrote a think-piece, not an experiment. The author asked one question: what if we stop asking parents and teachers whether they like a program and start watching if the behavior sticks?

The paper pulls examples from weight-loss, social-skills, and classroom studies. Each case shows the same pattern: short-term graphs look great, but six months later the gains are gone.

02

What they found

The finding is a rule, not a number: if the behavior does not survive in the places where the client actually lives, the intervention is not socially valid—no matter how happy everyone says they are on a questionnaire.

Iversen (2002) argues that maintenance data should replace smile-sheet ratings as the main yard-stick.

03

How this fits with other research

Friedling et al. (1979) warned that small weight regain is normal biology, not client failure. Iversen (2002) builds on that idea: stop blaming clients when skills vanish; blame the plan that never planned for long-term cues and reinforcers.

Washio et al. (2018) later urged behavior analysts to check social validity before paying pregnant women to quit smoking. Iversen (2002) gives them the tool: follow the moms after the checks stop—if the cigarettes stay gone, the plan is valid.

Saunders et al. (2005) wants the field to grow from clinic demos to city-wide programs. Iversen (2002) supplies the pass-fail test: only scale interventions that already show durable change in everyday settings.

04

Why it matters

Next time you write a treatment plan, add a maintenance phase before you start. Pick one natural cue (the school bell, mom’s car keys) and one natural payoff (peer laughter, extra free time). Track it monthly. If the behavior fades, tweak the plan instead of declaring victory. You will stop wasting hours on interventions that look good in the clinic but die in the real world.

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Add one post-discharge data point to your current case—observe the skill in the natural setting next week and chart it.

02At a glance

Intervention
not applicable
Design
narrative review
Finding
not reported

03Original abstract

This article reviews research pertaining to use of social validity and presents a rationale for expanding the conceptualization and use of this construct. It is proposed that the degree to which obtained treatment gains maintain across time within natural contexts be considered as a primary indicator of social validity. Traditional forms of social validation--subjective evaluation and normative comparison--are presented as measures that, when used within the framework of maintaining behavior change, form an iterative and heuristic process in which behavior change goals, procedures, and outcomes are altered to increase and/or sustain their social value. Procedural guidelines for research using maintenance as the benchmark of social validity are discussed.

Behavior modification, 2002 · doi:10.1177/014544502236652