This comparison draws in part from “Exploring the Use and Implications of Artificial Intelligence in the Practice of Behavior Analysis” by Sara Gershfeld, BCBA (BehaviorLive), and extends it with peer-reviewed research from our library of 27,900+ ABA research articles. The decision framework, BACB ethics code references, and cross-links below are synthesized by Behaviorist Book Club.
View the original presentation →One of the most consequential decisions a behavior analyst makes is not just what intervention to use, but how to approach the clinical question in the first place. For exploring the use and implications of artificial intelligence in the practice of behavior analysis, the difference between an evidence-based, individualized approach and a traditional, protocol-driven one can significantly impact outcomes.
This guide lays out the key factors side by side to support your clinical decision-making.
| Factor | Evidence-Based Approach | Traditional Approach |
|---|---|---|
| Data analysis speed | AI processes large datasets rapidly and can identify patterns across many variables simultaneously | Human analysis is slower but incorporates contextual knowledge that algorithms cannot access |
| Clinical judgment | AI provides recommendations based on population-level patterns that may not fit individual clients | Human judgment integrates individual context, cultural factors, and relationship knowledge |
| Documentation efficiency | AI generates drafts quickly, reducing administrative burden but requiring clinician review | Manual documentation is slower but ensures the writer fully understands what they are recording |
| Data privacy risks | AI tools often transmit data to external servers, creating additional privacy exposure | Traditional methods keep data within the practitioner's existing systems |
| Bias potential | AI can perpetuate biases embedded in training data without the practitioner's awareness | Human biases exist but can be addressed through self-reflection, supervision, and training |
| Scalability | AI tools can support higher caseloads by automating routine tasks | Traditional practice is limited by individual clinician capacity |
| Practitioner skill development | Over-reliance on AI may reduce opportunities for clinicians to develop independent analytical skills | Manual processes require and reinforce strong clinical reasoning and data analysis skills |
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Use this framework when approaching exploring the use and implications of artificial intelligence in the practice of behavior analysis in your practice:
Does the data support a need for intervention? Is there a meaningful impact on the individual's quality of life, safety, or access to reinforcement?
YES → Proceed to assessment NO → Document reasoning, monitor
A functional assessment should guide intervention selection. Avoid defaulting to standard protocols without individual analysis. Consider environmental variables, setting events, and private events.
YES → Select evidence-based approach matched to function NO → Complete assessment first
Goals should be co-developed. Assent and informed consent are ethical requirements. The individual's preferences and values matter in selecting both goals and methods.
YES → Proceed with collaborative plan NO → Engage in shared decision-making
This course covers the clinical and ethical dimensions in detail with structured learning objectives and CEU credit.
Exploring the Use and Implications of Artificial Intelligence in the Practice of Behavior Analysis — Sara Gershfeld · 1 BACB Ethics CEUs · $20
Take This Course →We extended this decision guide with research from our library — dig into the peer-reviewed studies behind each approach, in plain-English summaries written for BCBAs.
279 research articles with practitioner takeaways
258 research articles with practitioner takeaways
252 research articles with practitioner takeaways
1 BACB Ethics CEUs · $20 · BehaviorLive
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All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.