Establishing verbal repertoires in children with autism using function-based video modeling

Previous research suggests that language-training procedures for children with autism might be enhanced following an assessment of conditions that evoke emerging verbal behavior. The present investigation examined a methodology to teach recognizable mands based on environmental variables known to evoke participants' idiosyncratic communicative responses in the natural environment. An alternating treatments design was used during Experiment 1 to identify the variables that were functionally related to gestures emitted by 4 children with autism. Results showed that gestures functioned as requests for attention for 1 participant and as requests for assistance to obtain a preferred item or event for 3 participants. Video modeling was used during Experiment 2 to compare mand acquisition when video sequences were either related or unrelated to the results of the functional analysis. An alternating treatments within multiple probe design showed that participants repeatedly acquired mands during the function-based condition but not during the nonfunction-based condition. In addition, generalization of the response was observed during the former but not the latter condition.     

ASSESSING FOOD PREFERENCES AMONG PERSONS WITH PROFOUND MENTAL RETARDATION: PROVIDING OPPORTUNITIES TO MAKE CHOICES

Increased attention has been directed recently to assisting persons with severe handicaps to express preferences concerning events in their lives. We evaluated a program for assessing choice-making skills to provide opportunities for persons with profound mental retardation to express food and drink preferences. In Experiment 1, the assessment procedure involving repeated, paired-item presentations resulted in active choice making and the identification of preferences for all 5 participants. Results also indicated that caregiver opinion was not predictive of participant food and drink preferences. A survey of service providers supported the importance of meal-related choices in this population. In Experiment 2, the practicality of the assessment procedure was supported by demonstrating that (a) routine caregivers could apply the procedure with appropriate supervision to provide choice opportunities, and (b) results of the procedure were predictive of participant choices when a less structured and more normal opportunity to express a preference was provided during regular mealtimes. Results are discussed in terms of extending the developing technology of preference and reinforcer identification to other important areas for persons with severe disabilities.     

CHOICE MAKING TO PROMOTE ADAPTIVE BEHAVIOR FOR STUDENTS WITH EMOTIONAL AND BEHAVIORAL CHALLENGES

Two analyses investigated the effects of choice making on the responding of elementary school students with emotional and behavioral challenges. In the first analysis, 2 participants were given choices from menus of academic tasks, all of which were pertinent to their educational objectives in English and spelling, respectively. Reversal designs showed that the choice-making conditions increased task engagement and reduced disruptive behavior for both students. An additional analysis was performed with a 3rd student in an effort to further distinguish the effects of choice making from preference. In this study, one of the no-choice phases was yoked to a previous choice-making condition. This analysis demonstrated that the choice-making condition was superior to baseline and yoked control phases as determined by levels of task engagement and disruptive behavior. The findings of the two analyses contribute information relevant to students with emotional and behavioral disorders, and to a growing literature on the desirable effects of choice making for students with disabilities and challenging behaviors.     

Testing for spontaneous use of requests after sign language training with two severely handicapped adults

A variety of procedures have been used to promote spontaneous requesting in persons with developmental disabilities. However, effective use of such procedures depends in part on identifying the stimuli that gained control of requests during intervention. In the present study, two adults with severe disabilities were taught to request a preferred food item with a modified gesture for “eat.” After learning to respond when the trainer held up an item, an assessment of stimulus control was conducted to determine if requests would occur spontaneously, that is, without the trainer having to offer the item. One learner displayed a number of spontaneous requests during the assessment. Natural maintaining contingencies were then introduced to maintain his spontaneous requests. The other learner made no spontaneous requests during the initial assessment, but subsequent tests revealed that he sometimes requested as the trainer was about to display the item. It thus appeared that both learners were responding at an earlier point in the trial sequence. The results suggest that an assessment of stimulus control may be helpful when selecting strategies to promote spontaneous requesting.     

The effects of choice-making on the problem behaviors of high school students with intellectual disabilities

This investigation was conducted in an effort to systematically extend the emerging data base having to do with choice-making opportunities and the behavior of students with disabilities. In particular, the current analyses examined the effects of choice-making on the problem behavior and task engagement of three high school students with intellectual disabilities as the students performed domestic and vocational activities. Multiple baseline and reversal designs demonstrated that the choice conditions reduced problem behaviors and increased task engagement for all participants. Data having to do with student affect and task productivity were less consistent. The findings on the relationship between choice making and problem behavior replicate and extend a growing literature on the desirable effects of choice-making for individuals with disabilities. The results are discussed in terms of recent developments in behavioral support, as well as the need for ongoing conceptual and applied research.     

CHOICE-MAKING TREATMENT OF YOUNG CHILDREN'S SEVERE BEHAVIOR PROBLEMS

The choice-making behavior of 5 young children with developmental disabilities who engaged in aberrant behavior was studied within a concurrent operants framework. Experimental analyses were conducted to identify reinforcers that maintained aberrant behavior, and functional communication training packages were implemented to teach the participants to gain reinforcement using mands. Next, a choice-making analysis, in which the participants chose one of two responses (either a mand or an alternative neutral response) to obtain different durations and qualities of reinforcement, was conducted. Finally, treatment packages involving choice making via manding were implemented to decrease inappropriate behavior and to increase mands. The results extended previous applications of choice making to severe behavior disorders and across behaviors maintained by positive and negative reinforcement.     

The efficacy of noncontingent reinforcement as treatment for automatically reinforced stereotypy

Noncontingent reinforcement (NCR), in the form of continuous access to preferred leisure items, has recently been reported as a successful treatment for automatically reinforced aberrant behavior. However, previous research has shown that the outcome of such procedures can be compromised under certain circumstances, such as when the response effort required to access leisure items is increased. The purpose of the current study was to assess the efficacy of two variations of NCR as treatment for automatically reinforced stereotypy. In the first phase of the study, functional analyses revealed that the stereotypy of three individuals with developmental disabilities was maintained independent of social consequences. A sensory class assessment was then conducted to identify the specific sensory products that appeared to maintain the behaviors. Finally, we evaluated the effects of NCR (using stimuli identified in the previous assessments) under two conditions. In the first condition, the leisure item was made freely available, by placing it on the table in front of the participant. In the other condition, an experimenter prompted the participant to interact with the leisure item at the beginning of the session. The results indicated that NCR successfully competed with stereotypy only when participants were prompted to interact with the leisure item. These findings are discussed in the context of developing NCR interventions for automatically reinforced aberrant behavior. Copyright © 2002 John Wiley & Sons, Ltd.     

The effects of single and dual representations on children's gesture production

Investigations that focus on children's hand gestures often conclude that gesture production arises as a result of having multiple representations. To date, the predictive validity of this notion has not been tested. In this study, we compared the gestures of 82 five-year-old children holding either a single or a dual representation. The children retold a story narrated to them, with pictures, by the experimenter. In one condition the children heard a false belief story and hence, when retelling, held two beliefs—or representations—concurrently. In the other conditions, the children retold a version of the story without the false belief component and therefore held single representations. Children were four times more likely to gesture in the false belief condition than in two comparable true belief conditions, supporting the notion that gestures may function to externalise some of the child's cognitive process, particularly when they hold multiple representations.     

An assessment of the efficiency of and child preference for forward and backward chaining

Comparative studies of forward and backward chaining have led some to suggest that sensitivity to each teaching procedure may be idiosyncratic across learners and tasks. The purposes of the current study were threefold. First, we assessed differential sensitivity to each chaining procedure within children when presented with multiple learning tasks of similar content but different complexity. Second, we evaluated whether differential sensitivity to a chaining procedure during a brief task predicted differential sensitivity during the teaching of longer tasks. Third, we directly assessed children's preferences for each teaching procedure via a concurrent-chains preference assessment. Learners acquired all target skills introduced under both chaining conditions, but individual children did not consistently learn more efficiently with either procedure. Short-duration tasks were not predictive of performance in tasks of longer duration. Both chaining procedures were preferred over a baseline condition without prompting, but participants did not demonstrate a preference for either procedure.     

Reducing hoarding behavior with individualized reinforcement and item return

Treatment research on hoarding is generally limited to people without intellectual disabilities who have symptoms of obsessive compulsive disorder and respond favorably to cognitive‐based therapies. We evaluated the effects of individualized reinforcement and item return procedures on hoarding behavior in a multiple baseline across three persons with severe mental retardation. Systematic preference assessment procedures identified items used in the individualized reinforcement procedures. Reductions in hoarding behavior occurred for each person when individualized treatment and item return procedures were applied. These reductions were maintained when direct support staff were trained to provide treatment. Copyright © 2006 John Wiley & Sons, Ltd.     

USING INTERMITTENT REINFORCEMENT TO PROGRAM MAINTENANCE OF VERBAL/NONVERBAL CORRESPONDENCE

We investigated the effects of an intermittent reinforcement procedure on maintenance of verbal/nonverbal correspondence with nutritious snack choices in a day-care setting. Nutritious snack choices were first established using correspondence training procedures in a multiple baseline across three children. Withdrawal of the procedures with one subject led to loss of appropriate responding, suggesting the need for a maintenance strategy. The intermittent reinforcement procedure was implemented in a multiple baseline across subjects. Nutritious snack choices were observed consistently during the intermittent reinforcement condition and the subsequent extinction condition.     

Functional analysis and treatment of problem behavior evoked by noise.

We conducted a four‐part investigation to develop methods for assessing and treating problem behavior evoked by noise. In Phase 1, 7 participants with developmental disabilities who were described as being hypersensitive to specific noises were exposed to a series of noises under controlled conditions. Results for 2 of the participants verified that noise was apparently an aversive event. In Phase 2, results of functional analyses indicated that these 2 participants' problem behaviors were maintained by escape from noise. In Phase 3, preference assessments were conducted to identify reinforcers that might be used during treatment. Finally, in Phase 4, the 2 participants' problem behaviors were successfully treated with extinction, stimulus fading, and a differential‐reinforcement‐of‐other‐behavior (DRO) contingency (only 1 participant required DRO). Treatment effects for both participants generalized to their home environments and were maintained during a follow‐up assessment. Procedures and results were discussed in terms of their relevance to the systematic assessment of noise as an establishing operation (EO) and, more generally, to the identification of idiosyncratic EO influences on behavior.     

A COMPARISON OF NONCONTINGENT REINFORCEMENT AND SENSORY EXTINCTION AS TREATMENTS FOR SELF-INJURIOUS BEHAVIOR

We compared the effects of two treatments, noncontingent reinforcement (NCR) and sensory extinction (EXT), on the self-injurious behavior (SIB) exhibited by 3 individuals with developmental disabilities. Results of a functional analysis indicated that their SIB was not maintained by social reinforcement, as indicated by undifferentiated responding across assessment conditions or higher rates of responding in the alone condition. Prior to treatment, leisure probes were conducted to identify highly preferred items for use in the NCR condition, and equipment probes were conducted to identify devices that produced the greatest behavioral suppression for use in the EXT condition. Following baseline, treatment was implemented in a multiple baseline across subjects design, and the effects of NCR and EXT were compared in a multielement format. During NCR sessions, participants had continuous access to a highly preferred item. During EXT sessions, participants wore equipment (gloves or protective sleeves) that seemed to attenuate stimulation directly produced by their SIB, while still allowing the behavior to occur. Results indicated that both procedures were effective in reducing SIB, although NCR was associated with either more rapid or greater overall response suppression.     

Choice as an Intervention to Improve Behavior: A Review of the Literature

In recent years, choice making has been evaluated as an intervention for people with disabilities. This review examines applied research during the past two decades using choice as a distinct intervention or as part of an intervention package. Fourteen studies published between 1975 and 1996 were identified that implemented choice as an intervention to increase or decrease a target behavior. These studies applied choice-making in the following three broad areas: (a) vocational or domestic activities; (b) academic activities; and (c) leisure, recreational, or social activities. All of the studies indicated that choice-making procedures resulted in behavioral improvements with some, if not all of the participants.     

Further examination of factors that influence preference for positive versus negative reinforcement

Factors that influence choice between qualitatively different reinforcers (e.g., a food item or a break from work) are important to consider when arranging treatments for problem behavior. Previous findings indicate that children who engage in problem behavior maintained by escape from demands may choose a food item over the functional reinforcer during treatment (DeLeon, Neidert, Anders, & Rodriguez-Catter, 2001; Lalli et al., 1999). However, a number of variables may influence choice between concurrently available forms of reinforcement. An analogue for treatment situations in which positive reinforcement for compliance is in direct competition with negative reinforcement for problem behavior was used in the current study to evaluate several variables that may influence choice. Participants were 5 children who had been diagnosed with developmental disabilities and who engaged in problem behavior maintained by escape from demands. In the first phase, the effects of task preference and schedule of reinforcement on choice between a 30-s break and a high-preference food item were evaluated. The food item was preferred over the break, regardless of the preference level of the task or the reinforcement schedule, for all but 1 participant. In the second phase, the quality of the break was manipulated by combining escape with toys, attention, or both. Only 1 participant showed preference for the enriched break. In the third phase, choice of a medium- or low-preference food item versus the enriched break was evaluated. Three of 4 participants showed preference for the break over the less preferred food item. Results extend previous research by identifying some of the conditions under which individuals who engage in escape-maintained behavior will prefer a food reinforcer over the functional one.     

Metaphor explanation attenuates the right-hand preference for depictive co-speech gestures that imitate actions

Differential activation levels of the two hemispheres due to hemispheric specialization for various linguistic processes might determine hand choice for co-speech gestures. To test this hypothesis, we compared hand choices for gesturing in 20 healthy right-handed participants during explanation of metaphorical vs. non-metaphorical meanings, on the assumption that metaphor explanation enhances the right hemisphere contribution to speech production. Hand choices were analyzed separately for: depictive gestures that imitate action ("character viewpoint gestures," [McNeill, D. (1992). Hand and mind. What gestures reveal about thought. Chicago: University of Chicago Press.]), depictive gestures that express motion, relative locations, and shape ("observer viewpoint gestures"), and "abstract deictic gestures." It was found that the right-hand over left-hand preference was significantly weaker in the metaphor condition than in the non-metaphor conditions for depictive gestures that imitated action. Findings suggest that the activation of the right hemisphere in the metaphor condition reduces the likelihood of left hemisphere generation of gestures that imitate action, thus attenuating the right-hand preference.     

Constant Time Delay and System of Least Prompts: Efficiency and Child Preference

Prompting procedures are effective for teaching skills, but limited comparative data exist to guide practitioners to select the best procedures for individuals. This study compared efficiency of two prompting procedures—constant time delay (CTD) and system of least prompts (SLP)—to teach expressive identification of 32 targets to 10 preschoolers with and without disabilities. To assess efficiency differences between conditions and analyze changes in learning over time, we used adapted alternating treatments designs in the measurement context of cumulative records. CTD was more efficient for five children, SLP was more efficient for three children, and results were inconclusive for two children. We measured children’s choices between procedures via simultaneous treatments designs, to assess child preference and whether preferences and efficiency aligned. Preference outcomes were mixed and did not consistently align with efficiency. We used exploratory analyses to assess whether child characteristics moderated outcomes. Children for whom CTD was more efficient had significantly fewer sessions to mastery, non-significantly fewer errors, and non-significantly higher developmental assessment scores, compared to children for whom SLP was more efficient.

     

A RESPONSE-RESTRICTION ANALYSIS OF STEREOTYPY IN ADOLESCENTS WITH MENTAL RETARDATION: IMPLICATIONS FOR APPLIED BEHAVIOR ANALYSIS

The behavior of 4 adolescents with severe or profound mental retardation was evaluated in the presence of four sets of materials during periods of unstructured leisure activity. Functional engagement with the materials, stereotypic engagement with the materials, stereotypy without interaction with the materials, and other aberrant behaviors were recorded. Across a series of experimental conditions, the number of sets of materials was reduced from four to one by eliminating the set most frequently manipulated in each preceding condition. In the final condition, four sets of materials were again made available for manipulation. The procedures replicated Green and Striefel's (1988) response-restriction analysis of the activity preferences and play behaviors of children with autism. In general, the results of the present experiment replicate those of Green and Striefel in that reallocation of responding was idiosyncratic and unpredictable as sets of materials were removed. Nevertheless, the results provided insight into how responding might be reallocated if it were restricted through behavioral interventions rather than by restriction of access. Thus, the results are discussed with respect to how response-restriction analyses may be useful in identifying topographies of behavior that could be included in differential reinforcement contingencies that are designed to affect stereotypic behavior and in the selection and arrangement of environmental stimuli to minimize the presence of evokers of stereotypy.     

THE USE OF BEHAVIORAL ASSESSMENT TO PRESCRIBE AND EVALUATE TREATMENTS FOR SEVERELY HANDICAPPED CHILDREN

Behavioral assessment procedures were used to prescribe and evaluate treatments of maladaptive behavior for 2 children with severe multiple handicaps. In Experiment 1, the results of an assessment of reinforcer preference were used in conjunction with a functional analysis of the conditions maintaining self-injurious behavior to prescribe a treatment for a child with severe disabilities. The treatment procedure involved the use of a pressure-sensitive microswitch to activate reinforcing stimuli during two solitary conditions, during which self-injurious behavior had occurred at high rates. The results were evaluated with a multiple baseline across settings design and indicated that self-injury decreased with concomitant increases in microswitch activation. Results were maintained at 6 weeks, 8 weeks, and 6 months. In Experiment 2, the results of behavioral assessments of reinforcer preference and self-injurious behavior were combined to develop a treatment for a second severely handicapped child, who exhibited high rates of self-injury in demand situations. This treatment was evaluated with a multiple baseline across tasks design and resulted in the elimination of self-injury for up to 15 months.