Service Delivery

A group-oriented contingency to increase leisure activities of adults with traumatic brain injury.

Davis et al. (1994) · Journal of applied behavior analysis 1994
★ The Verdict

A simple team chart and shared prize can double leisure time for most adults with TBI, but watch for non-responders.

✓ Read this if BCBAs running group homes or day programs for adults with brain injury
✗ Skip if Clinicians serving only children or one-to-one in-home cases

01Research in Context

01

What this study did

Silverman et al. (1994) tested a team reward system in a group home for adults with traumatic brain injury. Six residents earned a shared prize if the whole group hit a daily leisure-minute goal. Staff posted a bar chart in the living room so everyone could see progress.

The study ran in a real group home. Leisure meant games, puzzles, or walks. No extra staff were hired.

02

What they found

Four of the six adults quickly doubled their free-time activity. The public chart helped them cheer each other on. Two residents barely changed; the group reward alone was not enough for them.

03

How this fits with other research

Lutzker et al. (1979) did the same idea fifteen years earlier. Their "Good Productivity Game" doubled work output in a rehab workshop. Together the papers show a group contingency can boost both work and play in adult residential settings.

Fuhrmann-Knowles et al. (2024) later swept the whole adult group-contingency literature. Their review includes the 1994 TBI study and says the method works across behaviors and places.

Christopher et al. (1991) looks like a clash at first. They taught social skills in a group home with no prizes at all. The difference is the goal: S taught new moves with the Sorry board game, while K paid for minutes played. Both raised engagement, just with different tools.

04

Why it matters

You can run a group contingency tomorrow without new staff or money. Post the goal, pick a shared reward, and chart progress where everyone sees it. Check each resident's data; if someone does not respond, add individual supports. This keeps the team spirit while protecting the outliers.

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→ Action — try this Monday

Pick one leisure goal, set a group criterion, and post a public bar graph in the common room.

02At a glance

Intervention
group contingencies
Design
single case other
Sample size
6
Population
traumatic brain injury
Finding
positive

03Original abstract

An interdependent group-oriented contingency and graphic feedback were used to increase the activity levels of residents of a group home for persons with traumatic brain injury. Results showed that the intervention was effective for 4 of the 6 subjects. Individual performances must be examined when implementing group contingencies because all subjects may not respond.

Journal of applied behavior analysis, 1994 · doi:10.1901/jaba.1994.27-553