Internalizing behaviors are directed inward toward the child and are frequently overlooked in classrooms compared with externalizing behaviors. When internalizing behaviors are identified, cognitive-behavioral interventions (CBIs) are typically the intervention of choice; however, CBIs are time-consuming and require considerable skill and experience for successful implementation. An efficient and time-effective targeted intervention for children with internalizing behavior problems is needed. Check In/Check Out (CICO) has been shown to be an effective targeted intervention for children with externalizing behavior problems, but this intervention has not been implemented directly targeting children with internalizing behavior patterns. The purpose of the present study was to evaluate CICO as a targeted intervention for children with internalizing behavior problems. Four elementary school students with internalizing behavior problems received a CICO intervention. Results showed that ratings of prosocial replacement behaviors increased as a result of the CICO intervention, and students’ levels of internalizing behaviors decreased.

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weeks spent more time with SpO2 <90% at 4-, 8-, 12-and 24-hour histogram reviews (p<0.001); there was no significant difference in time spent with SpO2 >95%. Infants >28 days spent significantly more time with SpO2 <90% compared to infants <28 days at 4-, 8-, 12-and 24-hour histogram reviews (p <0.05); there was no significant difference in time spent with SpO2 >95%. Ventilated infants spent significantly more time with SpO2 <90% compared to infants on other modes of respiratory support (p <0.001). There were strong correlations between 4-hour and 24-hour histograms for both hypoxemia and hyperoxemia, with R2 values of 0.7 and 0.8 respectively. Conclusions Maintaining normoxia for preterm infants is challenging, with substantial amounts of time spent outside of the SpO2 target range. There is strong correlations between 4hour and 24-hour histograms, which could help in assessing a preterm infants' response to changes in respiratory management.