Practitioner Development

Ethical Behavior Analysis: Evidence-Based Practice as a Framework for Ethical Decision Making

Contreras et al. (2022) · Behavior Analysis in Practice 2022
★ The Verdict

Use the EBP triangle—aily to balance research, client values, and your skill when ethical questions pop up.

✓ Read this if BCBAs who make daily ethical calls in clinics, schools, or homes.
✗ Skip if Researchers looking for new data instead of practice tools.

01Research in Context

01

What this study did

Contreras et al. (2022) wrote a how-to paper. They explain the evidence-based practice (EBP) triangle. The three sides are: best research, client values, and your clinical skill.

They show how to use this triangle every time you face an ethical question. No new data. Just a clear roadmap for BCBAs.

02

What they found

The paper says ethical choices get easier when you balance all three EBP parts. Example: a parent wants to drop all table work. You check the research (some DTT is useful), ask what matters most to the family (less stress at home), and use your skill to blend both needs.

The authors give scripts and worksheets so you can walk through the steps in real time.

03

How this fits with other research

Graber et al. (2023) extends this idea. They use the same EBP triangle to answer the neurodiversity critique. Instead of forcing neurotypical goals, you let autistic self-determination guide the client-values side.

Wilson et al. (2024) gives you the data you need. Their parent survey shows families see ABA as effective but cold. That is the client-values evidence you must weigh in the triangle.

Vivanti et al. (2025) shows the gap this paper tries to close. Even with strong evidence, policies can block good practice. The EBP triangle pushes you to advocate for policy change, not just perfect sessions.

Cox (2020) offers the next step. Once you decide an action is ethical, you can bring it to an ethics committee instead of deciding alone.

04

Why it matters

You already know the three EBP parts. This paper gives you a quick checklist to use them when ethics feel murky. Print the worksheet. Keep it in your session binder. Next time a parent, teacher, or insurance rep pushes back, walk through the three sides out loud. You will make faster, defensible choices and show others how ethical BAs think.

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Print the EBP worksheet from the paper and use it during your next parent meeting to decide a goal change.

02At a glance

Intervention
not applicable
Design
theoretical
Finding
not reported

03Original abstract

As the number of applied behavior analysts continues to grow, ethical practice and decision making become increasingly important. Specifically, improving behavior analysts’ ethical decision-making repertoires is critical to effective and ethical behavioral service delivery within the field of applied behavior analysis (ABA). This article proposes that the evidence-based practice (EBP) of ABA (Slocum et al., 2014) provides a framework to support fluent ethical decision making. The purpose of this article is to (a) review the importance of ethical decision making related to the practice of ABA, (b) introduce and summarize EBP of ABA, (c) review the three main components of EBP of ABA, and (d) discuss the broader role that EBP of ABA can play in the field of ABA. We tie the EBP of ABA to current Behavior Analyst Certification Board ethical standards and present actions that behavior analysts can engage in to support their ethical decision making throughout.

Behavior Analysis in Practice, 2022 · doi:10.1007/s40617-021-00658-5