Behavioral gerontology: application of behavioral methods to the problems of older adults.
Older adults deserve ABA too, and the basic tools you already know still work.
01Research in Context
What this study did
The authors looked at every paper they could find on older adults and behavior change.
They wrote a big-picture review in 1986.
Their goal was to show that ABA tools work past the age of 65.
What they found
The review says behavior plans can curb problems like wandering, poor eating, and verbal outbursts.
Yet almost no one was doing this work in 1986.
The field was still focused on kids, so the authors urged BCBAs to move into nursing homes and senior centers.
How this fits with other research
Chock et al. (1983) made the same plea three years earlier, so Burgio et al. (1986) is a follow-up shout, not a brand-new idea.
Green et al. (1986) gives a live example in the same year: two wives used praise and ignoring to cut problem talk and kept their husbands at home.
Stock et al. (1993) later added hard data, showing that prompts, feedback, and a cheerful "nice job" tripled healthy food choices in every senior tested.
Kelly (2020) now pushes stimulus-equivalence drills for memory loss, proving the call is still echoing decades later.
Why it matters
If you serve adults, you now know the playbook is already written.
Start with simple reinforcement, teach staff or spouses to deliver it, and pick one clear target like safe walking or vegetable intake.
You do not need new technology—just bring the same ABC data and reinforcement you use with kids to the nursing-home unit.
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02At a glance
03Original abstract
Elderly persons are under-represented in research and clinical applied behavior analysis, in spite of data suggesting that behavior problems are quite prevalent in both community dwelling and institutionalized elderly. Preliminary investigations suggest that behavioral procedures can be used effectively in treating various geriatric behavior problems. We discuss a number of areas within behavioral gerontology that would profit from additional research, including basic field study, self-management, community caregiver training, institutional staff training and management, and geriatric behavioral pharmacology. Special considerations for adapting behavioral procedures are discussed, and suggestions for expanding the role of behavior analysis in geriatric care are offered.
Journal of applied behavior analysis, 1986 · doi:10.1901/jaba.1986.19-321