Service Delivery

Behavioral gerontology: application of behavioral methods to the problems of older adults.

Burgio et al. (1986) · Journal of applied behavior analysis 1986
★ The Verdict

Older adults deserve ABA too, and the basic tools you already know still work.

✓ Read this if BCBAs who consult in nursing homes, day programs, or with aging parents at home.
✗ Skip if Clinicians who only treat early-childhood cases and plan to keep it that way.

01Research in Context

01

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.

02

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.

03

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.

04

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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Pick one aging client, take baseline on a daily living skill, and reinforce the first baby step with immediate praise.

02At a glance

Intervention
not applicable
Design
narrative review
Population
mixed clinical
Finding
not reported

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