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By Matt Harrington, BCBA · Behaviorist Book Club · Clinical decision guide

Do Goals vs. Be Goals: Choosing the Right Goal Type for Lasting Change

In This Guide
  1. Side-by-Side Comparison
  2. Clinical Decision Framework
  3. Key Takeaways

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 new year, new you: obm strategies to (finally!) achieve your goals, 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.

Side-by-Side Comparison

Factor Evidence-Based Approach Traditional Approach
Definition Do Goal: Specifies a concrete behavior, frequency, duration, and context — observable and measurable Be Goal: Describes a desired state, quality, or identity — aspirational but not operationalized
Measurability Do Goal: Directly measurable through behavior tracking; enables objective progress assessment Be Goal: Requires translation into proxy measures; inherently subjective in assessment
Contingency Management Do Goal: Allows clear contingency: behavior occurs and reinforcement is delivered; supports shaping Be Goal: Contingency is unclear; difficult to identify the moment of success warranting reinforcement
Motivational Function Do Goal: Effective for daily execution and habit formation; may feel mundane without connection to deeper values Be Goal: Highly motivating at the level of identity and values; insufficient alone for behavioral maintenance
Risk of Failure Do Goal: Failure is specific and informative — provides data on what to adjust; setbacks are smaller in scope Be Goal: Failure is global and identity-threatening; harder to recover from than missing a single behavioral target
Best Use Do Goal: Daily execution targets, habit formation, performance management, short-to-medium term planning Be Goal: Values clarification, motivational context-setting, long-term direction, identity narrative
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Clinical Decision Framework

Use this framework when approaching new year, new you: obm strategies to (finally!) achieve your goals in your practice:

Step 1: Is intervention warranted?

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

Step 2: Have you conducted an individualized assessment?

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

Step 3: Is the individual/caregiver involved in decision-making?

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

Step 4: Verify your approach

Key Takeaways

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Clinical Disclaimer

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.

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