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Charting to Improve Personal Health, Emotion
and Self Management Skills
Elizabeth Lefebre, M.A., BCBA
Organization for Research and Learning
•Urgesto eat and eating
•Urgesto eat and caloriesconsumed
•Water Drinking
•Weight Loss
•Exercise
•Smoking
•Nail Biting
Personal Health and Self Management
Think “I want to eat”/ Ask “am I hungry”
Purpose: Noticed that eating wasnot alwayscorrelated with hunger, and
wanted to decreasethefrequency of eating throughout theday.
Dependent Variable: eating only when hungry, and stopping when full
Independent Variable: Counting, review datadisplayed on Chart
•= had urgeto eat, asked “am I hungry?”, and ateif theanswer wasyes.
X= had urgeto eat, asked “am I hungry?”, and ateif theanswer wasno
or
didn’t ask “am I hungry” beforeeating.
O= stopped eating when full
10/04/0911-Oct 18-Oct25-Oct11/01/098-Nov 15-Nov22-Nov11/29/096-Dec 13-Dec 20-Dec12/27/093-Jan 10-Jan 17-Jan01/24/1031-Jan 7-Feb 14-Feb02/21/10
-16 h
-8 h
-4 h
-2 h
-1 h
-30 m
-10 m
-5 m
-2 m
-1 m
-20 s
-30 s
-10 s
-6 s
500
50
5
0.5
0.05
0.005
Start counting "stop
eating when full"
0.001
0.01
0.1
1
10
100
1000
0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140
SUCCESSIVE CALENDAR DAYS
COUNT PER MINUTE
CALENDAR WEEKSSUCCESSIVE
COUNTIN
Performer: Liz, Grade/Age:
Acceleration Movement (circles): Eats when hun
Deceleration Movement (X's): Eats when not hun
Ceiling: Stops eating when full
Supervisor: L. Lefebre, Manager: , Adviser:
Organization: Private, Agency:
Counter: L. Lefebre, Timer: , Charter:
Daily
Count per
Minute
Celeration Line Labels: cel value;
total bounce; absolute mean ratio
Urgesto Eat and CaloriesConsumed
Purpose: To determineif higher caloric intakecorrelateswith morefrequent
urgesto eat.
Dependent Variables: Urgesto eat, and Caloriesconsumed
Independent Variables: Counting, review datadisplayed on chart
o=caloriesconsumed
•=urgesto eat
09/06/0930-Aug23-Aug16-Aug08/09/092-Aug26-Jul19-Jul07/12/095-Jul28-Jun21-Jun06/14/097-Jun31-May24-May05/17/0910-May3-May26-Apr04/19/09
-6 s
-10 s
-30 s
-20 s
-1 m
-2 m
-5 m
-10 m
-30 m
-1 h
-2 h
-4 h
-8 h
-16 h
0.005
0.05
0.5
5
50
500
0.001
0.01
0.1
1
10
100
1000
0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140
SUCCESSIVE CALENDAR DAYS
COUNT PER MINUTE
CALENDAR WEEKSSUCCESSIVE
COUNTIN
#REF!
Supervisor: FS, Manager: , Adviser:
Organization: Private, Agency:
Counter: FS, Timer: , Charter:
Daily
Count per
Minute
Celeration Line Labels: cel value;
total bounce; absolute mean ratio
Acceleration mvmt 1: urges to eat
Acceleration mvmt 2: calories consumed
Water Drinking
Purpose: Monitoring and increasing water consumption.
Dependent Variable: Water consumed. Ideally sipswould havebeen counted, but
oz of water waseasier to measure.
Independent Variable: Datadisplay on that SCC posted on refrigerator
•= oz of water consumed
02/08/0915-Feb22-Feb1-Mar 03/08/0915-Mar22-Mar29-Mar04/05/0912-Apr19-Apr 26-Apr05/03/0910-May17-May24-May05/31/097-Jun 14-Jun 21-Jun06/28/09
-16 h
-8 h
-4 h
-2 h
-1 h
-30 m
-10 m
-5 m
-2 m
-1 m
-20 s
-30 s
-10 s
-6 s
500
50
5
0.5
0.05
0.005
STOP
0.001
0.01
0.1
1
10
100
1000
0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140
SUCCESSIVE CALENDAR DAYS
COUNT PER MINUTE
CALENDAR WEEKSSUCCESSIVE
COUNTIN
#REF!
Supervisor: L. Lefebre, Manager: , Adviser:
Organization: Private, Agency:
Counter: , Timer: , Charter:
Daily
Count per
Minute
Celeration Line Labels: cel value;
total bounce; absolute mean ratio
Accelleration Movement: oz of water consumed
CumulativePoundsLost
Purpose: Motivation????
Dependent Variable: lbslost
Independent Variable: Display of dataon SCC and equal interval graphs
posted on my refrigerator.
Cumulativecount of lbslost acrossmonths!
01-Jan-17 01-Jan-1801-Jan-1601-Jan-1501-Jan-1401-Jan-1301-Jan-1201-Jan-1101-Jan-1001-Jan-0901-Jan-08
10%
20%
40%
60%
80%
100%
0.5
5
50
500
5000
50000
1
10
100
1000
10000
100000
1000000
0 6 12 18 24 30 36 42 48 54 60 66 72 78 84 90 96 102 108 114 120
SUCCESSIVE CALENDAR MONTHS
FREQUENCY COUNT
CALENDAR YEARSSUCCESSIVE
Performer: L, Age/Grade:
Acceleration Movement (circles): cumulative poun
Deceleration Movement (X's
Supervisor: L, Manager: L, Adviser: L
Organization: Private, Agency:
Counter: , Timer: , Charter:
Monthly
Count Per
Month
COUNTING
Celeration Line Legend: 1) Celeration Value; 2) Total Bounce;
3) Absolute Mean Ratio
Cumulative Pounds Lost
0
5
10
15
20
25
30
35
40
45
50
0 5 10 15 20 25 30 35 40 45 50
Months
lbs
Workout Time
Purpose: To meet weekly goalsfor timespent exercising.
Dependent Variable: exercise- becausethetypeof exercisevaried each day,
specific measuresof behavior weredifficult to record. Timespent engaging in
activitieswasmeasured.
Independent Variable: Goal setting
-=amount of timespent exercising. Each week, timeisshown cumulatively working
toward goalsset for each week.
12/20/0913-Dec6-Dec29-Nov11/22/0915-Nov8-Nov1-Nov10/25/0918-Oct11-Oct4-Oct09/27/0920-Sep13-Sep6-Sep08/30/0923-Aug16-Aug9-Aug08/02/09
-6 s
-10 s
-30 s
-20 s
-1 m
-2 m
-5 m
-10 m
-30 m
-1 h
-2 h
-4 h
-8 h
-16 h
0.005
0.05
0.5
5
50
500
Goal=90 minutes cardioGoal=110 minutes cardioGoal=120 minutes cardio
Goal=120 miutes with 4 types of work outs
Goal= 120 minutes cardio
0.001
0.01
0.1
1
10
100
1000
0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140
SUCCESSIVE CALENDAR DAYS
COUNT PER MINUTE
CALENDAR WEEKSSUCCESSIVE
COUNTIN
#REF!
Supervisor: , Manager: , Adviser:
Organization: Private, Agency:
Counter: , Timer: , Charter:
Daily
Count per
Minute
Celeration Line Labels: cel value;
total bounce; absolute mean ratio
A
AAA
A
AA
A A AA A A A A A
sick
Smoking Cessation
Purpose: To examine theeffectsof public posting of dataand self-monitoring
on smoking.
Dependent Variable: Puffson cigarette
Independent Variables: public posting of dataand interval monitoring
Phases:
1. Baseline
2. Public posting of datain school hallway
3. 6 hour interval monitoring and public posting- every 6 hourscounted number
of cigarettessmoked
4. 5 hour interval monitoring and public posting- every 5 hourscounted number
of cigarettessmoked
5. Baseline
6. Public posting of datain school hallway
7. 5 hour interval monitoring and public posting- every 5 hourscounted number
of cigarettessmoked.
25-Jul-1020-Jun-1016-May-1011-Apr-107-Mar-1031-Jan-1027-Dec-0922-Nov-0918-Oct-0913-Sep-099-Aug-095-Jul-0931-May-0926-Apr-0922-Mar-0915-Feb-0911-Jan-097-Dec-082-Nov-0828-Sep-0824-Aug-08
0.5
5
50
500
5000
50000
pubilc posting6 hr interval monitoring and publ..
5 hr interval monitoring and public pos...baseline baseline public posting5 hr interval monitoring and public p...
1
10
100
1000
10000
100000
1000000
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100
SUCCESSIVE CALENDAR WEEKS
FREQUENCY COUNT
CALENDAR MONTHSSUCCESSIVE
COUNTIN% OF
Performer: K, Age/Grade:
Acceleration Movement (circle
Deceleration Movement (X's): Puffs on Ciga
Supervisor: , Manager: , Adviser:
Organization: , Agency:
Counter: , Timer: , Charter:
Weekly
Count
Per Week
Nail Biting
Purpose: To grow finger nails.
Dependent Variable: biting nails
Independent Variable: Display of dataon Chart
•= hasurgeto bitenail, but stopsbeforefinger nail reachesmouth
X= hasurgeto bitenail, and bitesnail or placesfinger in mouth to bitenail
08/02/099-Aug 16-Aug23-Aug08/30/096-Sep 13-Sep20-Sep09/27/094-Oct 11-Oct 18-Oct10/25/091-Nov 8-Nov 15-Nov11/22/0929-Nov6-Dec 13-Dec12/20/09
-16 h
-8 h
-4 h
-2 h
-1 h
-30 m
-10 m
-5 m
-2 m
-1 m
-20 s
-30 s
-10 s
-6 s
500
50
5
0.5
0.05
0.005
Stop counting
Start CountingCount "stops before biting"
0.001
0.01
0.1
1
10
100
1000
0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140
SUCCESSIVE CALENDAR DAYS
COUNT PER MINUTE
CALENDAR WEEKSSUCCESSIVE
COUNTIN
#REF!
Supervisor: L. Lefebre, Manager: , Adviser:
Organization: Private, Agency:
Counter: , Timer: , Charter:
Daily
Count per
Minute
Celeration Line Labels: cel value;
total bounce; absolute mean ratio
Acceleration movement: have urge to bite nail and stop
Deceleration movement: have urge to bite nail and bite
Thanks!
A special thank you to Kyo, Fawna, and Ann for their contributions!

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IPTC 2014 health related charts

  • 1. Charting to Improve Personal Health, Emotion and Self Management Skills Elizabeth Lefebre, M.A., BCBA Organization for Research and Learning
  • 2. •Urgesto eat and eating •Urgesto eat and caloriesconsumed •Water Drinking •Weight Loss •Exercise •Smoking •Nail Biting Personal Health and Self Management
  • 3. Think “I want to eat”/ Ask “am I hungry” Purpose: Noticed that eating wasnot alwayscorrelated with hunger, and wanted to decreasethefrequency of eating throughout theday. Dependent Variable: eating only when hungry, and stopping when full Independent Variable: Counting, review datadisplayed on Chart •= had urgeto eat, asked “am I hungry?”, and ateif theanswer wasyes. X= had urgeto eat, asked “am I hungry?”, and ateif theanswer wasno or didn’t ask “am I hungry” beforeeating. O= stopped eating when full
  • 4. 10/04/0911-Oct 18-Oct25-Oct11/01/098-Nov 15-Nov22-Nov11/29/096-Dec 13-Dec 20-Dec12/27/093-Jan 10-Jan 17-Jan01/24/1031-Jan 7-Feb 14-Feb02/21/10 -16 h -8 h -4 h -2 h -1 h -30 m -10 m -5 m -2 m -1 m -20 s -30 s -10 s -6 s 500 50 5 0.5 0.05 0.005 Start counting "stop eating when full" 0.001 0.01 0.1 1 10 100 1000 0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140 SUCCESSIVE CALENDAR DAYS COUNT PER MINUTE CALENDAR WEEKSSUCCESSIVE COUNTIN Performer: Liz, Grade/Age: Acceleration Movement (circles): Eats when hun Deceleration Movement (X's): Eats when not hun Ceiling: Stops eating when full Supervisor: L. Lefebre, Manager: , Adviser: Organization: Private, Agency: Counter: L. Lefebre, Timer: , Charter: Daily Count per Minute Celeration Line Labels: cel value; total bounce; absolute mean ratio
  • 5. Urgesto Eat and CaloriesConsumed Purpose: To determineif higher caloric intakecorrelateswith morefrequent urgesto eat. Dependent Variables: Urgesto eat, and Caloriesconsumed Independent Variables: Counting, review datadisplayed on chart o=caloriesconsumed •=urgesto eat
  • 6. 09/06/0930-Aug23-Aug16-Aug08/09/092-Aug26-Jul19-Jul07/12/095-Jul28-Jun21-Jun06/14/097-Jun31-May24-May05/17/0910-May3-May26-Apr04/19/09 -6 s -10 s -30 s -20 s -1 m -2 m -5 m -10 m -30 m -1 h -2 h -4 h -8 h -16 h 0.005 0.05 0.5 5 50 500 0.001 0.01 0.1 1 10 100 1000 0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140 SUCCESSIVE CALENDAR DAYS COUNT PER MINUTE CALENDAR WEEKSSUCCESSIVE COUNTIN #REF! Supervisor: FS, Manager: , Adviser: Organization: Private, Agency: Counter: FS, Timer: , Charter: Daily Count per Minute Celeration Line Labels: cel value; total bounce; absolute mean ratio Acceleration mvmt 1: urges to eat Acceleration mvmt 2: calories consumed
  • 7. Water Drinking Purpose: Monitoring and increasing water consumption. Dependent Variable: Water consumed. Ideally sipswould havebeen counted, but oz of water waseasier to measure. Independent Variable: Datadisplay on that SCC posted on refrigerator •= oz of water consumed
  • 8. 02/08/0915-Feb22-Feb1-Mar 03/08/0915-Mar22-Mar29-Mar04/05/0912-Apr19-Apr 26-Apr05/03/0910-May17-May24-May05/31/097-Jun 14-Jun 21-Jun06/28/09 -16 h -8 h -4 h -2 h -1 h -30 m -10 m -5 m -2 m -1 m -20 s -30 s -10 s -6 s 500 50 5 0.5 0.05 0.005 STOP 0.001 0.01 0.1 1 10 100 1000 0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140 SUCCESSIVE CALENDAR DAYS COUNT PER MINUTE CALENDAR WEEKSSUCCESSIVE COUNTIN #REF! Supervisor: L. Lefebre, Manager: , Adviser: Organization: Private, Agency: Counter: , Timer: , Charter: Daily Count per Minute Celeration Line Labels: cel value; total bounce; absolute mean ratio Accelleration Movement: oz of water consumed
  • 9. CumulativePoundsLost Purpose: Motivation???? Dependent Variable: lbslost Independent Variable: Display of dataon SCC and equal interval graphs posted on my refrigerator. Cumulativecount of lbslost acrossmonths!
  • 10. 01-Jan-17 01-Jan-1801-Jan-1601-Jan-1501-Jan-1401-Jan-1301-Jan-1201-Jan-1101-Jan-1001-Jan-0901-Jan-08 10% 20% 40% 60% 80% 100% 0.5 5 50 500 5000 50000 1 10 100 1000 10000 100000 1000000 0 6 12 18 24 30 36 42 48 54 60 66 72 78 84 90 96 102 108 114 120 SUCCESSIVE CALENDAR MONTHS FREQUENCY COUNT CALENDAR YEARSSUCCESSIVE Performer: L, Age/Grade: Acceleration Movement (circles): cumulative poun Deceleration Movement (X's Supervisor: L, Manager: L, Adviser: L Organization: Private, Agency: Counter: , Timer: , Charter: Monthly Count Per Month COUNTING Celeration Line Legend: 1) Celeration Value; 2) Total Bounce; 3) Absolute Mean Ratio
  • 11. Cumulative Pounds Lost 0 5 10 15 20 25 30 35 40 45 50 0 5 10 15 20 25 30 35 40 45 50 Months lbs
  • 12. Workout Time Purpose: To meet weekly goalsfor timespent exercising. Dependent Variable: exercise- becausethetypeof exercisevaried each day, specific measuresof behavior weredifficult to record. Timespent engaging in activitieswasmeasured. Independent Variable: Goal setting -=amount of timespent exercising. Each week, timeisshown cumulatively working toward goalsset for each week.
  • 13. 12/20/0913-Dec6-Dec29-Nov11/22/0915-Nov8-Nov1-Nov10/25/0918-Oct11-Oct4-Oct09/27/0920-Sep13-Sep6-Sep08/30/0923-Aug16-Aug9-Aug08/02/09 -6 s -10 s -30 s -20 s -1 m -2 m -5 m -10 m -30 m -1 h -2 h -4 h -8 h -16 h 0.005 0.05 0.5 5 50 500 Goal=90 minutes cardioGoal=110 minutes cardioGoal=120 minutes cardio Goal=120 miutes with 4 types of work outs Goal= 120 minutes cardio 0.001 0.01 0.1 1 10 100 1000 0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140 SUCCESSIVE CALENDAR DAYS COUNT PER MINUTE CALENDAR WEEKSSUCCESSIVE COUNTIN #REF! Supervisor: , Manager: , Adviser: Organization: Private, Agency: Counter: , Timer: , Charter: Daily Count per Minute Celeration Line Labels: cel value; total bounce; absolute mean ratio A AAA A AA A A AA A A A A A sick
  • 14. Smoking Cessation Purpose: To examine theeffectsof public posting of dataand self-monitoring on smoking. Dependent Variable: Puffson cigarette Independent Variables: public posting of dataand interval monitoring Phases: 1. Baseline 2. Public posting of datain school hallway 3. 6 hour interval monitoring and public posting- every 6 hourscounted number of cigarettessmoked 4. 5 hour interval monitoring and public posting- every 5 hourscounted number of cigarettessmoked 5. Baseline 6. Public posting of datain school hallway 7. 5 hour interval monitoring and public posting- every 5 hourscounted number of cigarettessmoked.
  • 15. 25-Jul-1020-Jun-1016-May-1011-Apr-107-Mar-1031-Jan-1027-Dec-0922-Nov-0918-Oct-0913-Sep-099-Aug-095-Jul-0931-May-0926-Apr-0922-Mar-0915-Feb-0911-Jan-097-Dec-082-Nov-0828-Sep-0824-Aug-08 0.5 5 50 500 5000 50000 pubilc posting6 hr interval monitoring and publ.. 5 hr interval monitoring and public pos...baseline baseline public posting5 hr interval monitoring and public p... 1 10 100 1000 10000 100000 1000000 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 SUCCESSIVE CALENDAR WEEKS FREQUENCY COUNT CALENDAR MONTHSSUCCESSIVE COUNTIN% OF Performer: K, Age/Grade: Acceleration Movement (circle Deceleration Movement (X's): Puffs on Ciga Supervisor: , Manager: , Adviser: Organization: , Agency: Counter: , Timer: , Charter: Weekly Count Per Week
  • 16. Nail Biting Purpose: To grow finger nails. Dependent Variable: biting nails Independent Variable: Display of dataon Chart •= hasurgeto bitenail, but stopsbeforefinger nail reachesmouth X= hasurgeto bitenail, and bitesnail or placesfinger in mouth to bitenail
  • 17. 08/02/099-Aug 16-Aug23-Aug08/30/096-Sep 13-Sep20-Sep09/27/094-Oct 11-Oct 18-Oct10/25/091-Nov 8-Nov 15-Nov11/22/0929-Nov6-Dec 13-Dec12/20/09 -16 h -8 h -4 h -2 h -1 h -30 m -10 m -5 m -2 m -1 m -20 s -30 s -10 s -6 s 500 50 5 0.5 0.05 0.005 Stop counting Start CountingCount "stops before biting" 0.001 0.01 0.1 1 10 100 1000 0 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140 SUCCESSIVE CALENDAR DAYS COUNT PER MINUTE CALENDAR WEEKSSUCCESSIVE COUNTIN #REF! Supervisor: L. Lefebre, Manager: , Adviser: Organization: Private, Agency: Counter: , Timer: , Charter: Daily Count per Minute Celeration Line Labels: cel value; total bounce; absolute mean ratio Acceleration movement: have urge to bite nail and stop Deceleration movement: have urge to bite nail and bite
  • 18. Thanks! A special thank you to Kyo, Fawna, and Ann for their contributions!