Effectiveness of DRO tokens in decreasing disruptive behavior in the classroom with five multiply handicapped children

In this study the effectiveness of differential reinforcement of other behavior (DRO) with tokens was assessed in the treatment of various topographies of disruptive behavior in the classroom with five children who were multiply handicapped. Prior to implementation of the treatment, reinforcer assessment was conducted to identify items to be used as back-up reinforcers. Data were analyzed using time-series analysis. Results show that DRO tokens were highly effective in decreasing disruptive behavior of all participants. ©1997 by John Wiley & Sons, Ltd.     

The efficacy of noncontingent escape for decreasing children's disruptive behavior during restorative dental treatment

We evaluated the effectiveness of a dentist-implemented behavioral intervention in which brief escape from dental treatment was provided on a regular basis, independent of the child's behavior. Within a multiple baseline design across subjects, 5 children, ages 4 to 7 years, were provided with temporary escape from dental treatment on a fixed-time schedule. The intervals were signaled by an electronic timer worn by the dentist. Clinically significant reductions were observed in physically disruptive behavior across all 5 children with the introduction of noncontingent escape, and verbally disruptive behavior was markedly reduced in 4 of the 5 children. In addition, the dental staff s use of physical restraint was reduced to near zero across all 5 children. The research extends the literature in both clinical dentistry and in applied behavior analysis by demonstrating that a dentist can easily and effectively implement noncontingent reinforcement to produce clinically significant and socially important changes in children's health behavior.     

Self-regulation in the modification of disruptive classroom behavior

This study compared self-regulation and external regulation procedures in the treatment of children's disruptive classroom behavior. After baseline data were collected, three of the four most disruptive children in each of 10 first- and second-grade classrooms received reinforcement for achieving low rates of disruptive behavior. The fourth child served as a control subject throughout the experiment. Two of the three experimental subjects were then taught to self-observe their own disruptive behavior. In the final reinforcement period, these subjects were given control over dispensing reinforcers to themselves, based on their self-collected behavioral data while subjects in the other experimental group continued with the externally managed reinforcement. In extinction, reinforcement was discontinued for all subjects, but one of the self-regulation subjects in each classroom continued overtly to self-observe. Results indicated that both reinforcement programs reduced disruptive behavior. The self-regulation procedures were slightly more effective in reducing disruptiveness than was the external regulation procedure, and this advantage persisted into extinction. These results suggest that self-regulation procedures provide a practical, inexpensive, and powerful alternative in dealing with disruptive behavior in children.     

A simple stimulus cue for controlling disruptive classroom behavior

In two separate classrooms, a red light which had no specific consequences attached was used to reduce the talking-out and out-of-seat behavior of elementary school subjects. Following baseline phases, the light was introduced for a one-week period. An observer activated the light whenever the targeted behaviors occurred. Following a return to baseline, the light was reintroduced for a second one-week period. Results indicated that for both subjects a 95% or greater reduction in targeted behaviors occurred during the red-light phases. The results demonstrated the short-term effectiveness of a simple procedure which does not require specific back-up consequences for the reduction of disruptive behavior. The author concluded that studies using stimulus cues as part of reward or punishment procedures should employ a baseline procedure which controls for the effect of the stimulus cue without specific back-up consequences.This work was supported by Grant No. MH-18966 from the National Institute of Mental Health to Roberta Ray, Oregon Research Institute. The author is indebted to Roberta Ray, Oregon Research Institute, for her advice and support and to Paul Randall, Eugene Public Schools, for his assistance in conducting this research. Data reported in this article were collected as part of a study examining the effect of observer- and self-operated discriminative stimuli in the control of disruptive behavior. A complete copy of the report is available from the author.     

Noncontingent peer attention as treatment for disruptive classroom behavior

A functional analysis isolated peer attention as the primary maintaining variable for disruptive behavior displayed by a student with attention deficit hyperactivity disorder. Using a brief reversal design, noncontingent reinforcement was then shown to reduce disruptive behavior relative to the peer attention condition. Implications for assessing behavior disorders in mainstream school settings are discussed.     

A controlled evaluation of token economy procedures with chronic schizophrenic patients

Eighteen chronic schizophrenic patients were allocated to 3 matched groups, one group acting as an own-ward no-treatment control group. The two other groups moved to a token-economy ward, where the token group received contingent tokens, social reinforcement, and informational feedback as a consequence of appropriate behaviour, and where the control group received contingent social reinforcement and feedback with a matched amount of non-contingent tokens. After a 3 month baseline phase, this procedure was followed for a total of 15 months. A continuous assessment system was used with some weekly and monthly assessments, incorporating nursing checklists and ratings, psychiatric ratings, psychological tests, and time-sampling procedures, as well as continuous monitoring of the ward programme. The introduction of contingent tokens had an immediate positive effect in 3 areas of behaviour, but this advantage disappeared over the 15 months owing to the slower but sustained improvement in the control group. Significant improvement was limited to the areas of Social Withdrawal. Appearance and Routine. The patients who improved the most on any measure were those who were initially the most deteriorated. There were paradoxical changes in non-target behaviour, and in symptomatic behaviour. Suggestions and instructions to nurses may play a major part in influencing patient behaviour within and between experimental phases.     

The home point system: token reinforcement procedures for application by parents of children with behavior problems

Parent-child problems within the home are frequently reported to be instances in which children refuse to help with household chores, bicker among themselves, or engage in verbally inappropriate behavior toward their parents. The present study investigated the effects of a token reinforcement program administered by the parents in ameliorating these problems. Two sets of parents, with a total of five children between the ages of 5 and 10 yr, were taught to administer a token economy within their homes. The parents received instruction in specifying desired social and chore behaviors, communicated these behavioral goals to their children, recorded data on their occurrence, and managed a point system backed with reinforcers normally found in the home. The token reinforcement program was shown to have successfully modified 15 problem behaviors in Family 1 and six in Family 2. In addition, the parents rated all 21 behavior changes as significant improvements. These studies indicated that some cooperative parents need only a small amount of professional help to learn to manage their children's behavior problems with token reinforcement procedures.     

Production and elimination of disruptive classroom behavior by systematically varying teacher's behavior

The effects of teacher behaviors on the classroom behaviors of children were investigated by systematically varying approving (praise, smiles, contacts, etc.) and disapproving (verbal reprimands, physical restraint, etc.) classes of teacher behavior. Measures were taken on both teacher and child behaviors. Each day a sample of 10 children was observed. The subject pool was a class of 28 well-behaved children in a middle-primary public school class. The results demonstrated that approving teacher responses served a positive reinforcing function in maintaining appropriate classroom behaviors. Disruptive behaviors increased each time approving teacher behavior was withdrawn. When the teacher's disapproving behaviors were tripled, increases appeared most markedly in the gross motor and noise-making categories of disruptive behavior. The findings emphasize again the important role of the teacher in producing, maintaining, and eliminating disruptive as well as pro-social classroom behavior.     

Effects of reinforcement and guidance procedures on instruction-following behavior of severely retarded children

Positive reinforcement, physical guidance, and fading procedures were used to teach two severely retarded children motor responses to a variety of verbal instructions. Subjects' responses to one set of instructions provided the focus for the training procedures. Their responses to a second set of instructions were used to assess the generalized effects of training. The frequency of responses to both sets of instructions was evaluated during Baseline 1, Training 1, Baseline 2, and Training 2 periods. During the training periods, this evaluation was made after the daily training sessions when no training procedures were in effect. Results indicated that the subjects showed pronounced increases in instruction-following behaviors (both trained and untrained) during training periods with decreases in such behavior occurring during the Baseline 2 period. The general findings demonstrate the applicability of the training procedures for producing and maintaining instruction-following behaviors in severely retarded children and for facilitating appropriate responding to instructions not directly involved in training.     

Effects of implementing a token economy on teacher attending behavior

After systematic attempts to increase a teacher's positive responding to her first-grade students, a token-economy system was implemented as a "last resort". On-task student behavior and relative frequency of positive and negative teacher comments were systematically observed. Data indicated that institution of the token system was associated with a relatively higher percentage of positive than negative comments. Termination and re-implementation of the token system caused reversals of the teacher's behavior.     

A comparison of procedures for eliminating self-injurious behavior of retarded adolescents

An attempt was made to eliminate the self-injurious behaviors of four institutionalized, profoundly retarded adolescents. Some of the behaviors studied were: face-slapping, face-banging, hair-pulling, face-scratching, and finger-biting. Three remediative approaches to self-injurious behavior were compared. Elimination of all social consequences of the self-injurious behavior was not effective with the two subjects with whom it was attempted. The same two subjects were exposed to a procedure involving reinforcement of non-self-injurious behavior which was ineffective under no food deprivation and was effective with one of the two subjects under mild food deprivation. Electric-shock punishment eliminated the self-injurious behaviors of all four subjects with whom it was attempted. The results suggested that punishment was more effective than differential reinforcement of non-self-injurious behavior which, in turn, was more effective than extinction through elimination of social consequences. However, the effects of the punishment were usually specific to the setting in which it was administered. In order to eliminate the self-injurious behaviors of severely retarded children, it is apparently necessary to carry out the treatment in many of the settings in which it occurs.     

Good behavior game: effects of individual contingencies for group consequences on disruptive behavior in a classroom

Out-of-seat and talking-out behaviors were studied in a regular fourth-grade class that included several "problem children". After baseline rates of the inappropriate behaviors were obtained, the class was divided into two teams "to play a game". Each out-of-seat and talking-out response by an individual child resulted in a mark being placed on the chalkboard, which meant a possible loss of privileges by all members of the student's team. In this manner a contingency was arranged for the inappropriate behavior of each child while the consequence (possible loss of privileges) of the child's behavior was shared by all members of this team as a group. The privileges were events which are available in almost every classroom, such as extra recess, first to line up for lunch, time for special projects, stars and name tags, as well as winning the game. The individual contingencies for the group consequences were successfully applied first during math period and then during reading period. The experimental analysis involved elements of both reversal and multiple baseline designs.     

Delayed timeout as a procedure for reducing disruptive classroom behavior: a case study

The disruptive behavior of a 9-yr-old boy was eliminated by the illumination of a light on the subject's desk, which represented the loss of free time later in the day. Instructions alone failed to reduce the frequency of disruptive behavior. When the light was removed and disruptive behavior no longer resulted in a loss of free time, disruptive behavior returned to its previous level.     

A systematic evaluation of token economies as a classroom management tool for students with challenging behavior

A two-part systematic review was undertaken to assess the effectiveness of token economies in increasing rates of appropriate classroom behavior for students demonstrating behavioral difficulties. The first part of the review utilized the recently published What Works Clearinghouse (WWC) standards for evaluating single-subject research to determine the extent to which eligible studies demonstrated sufficient evidence to classify the token economy as an evidence-based practice. The second part of the review employed meta-analytic techniques across four different types of effect sizes to evaluate the quantitative strength of the findings. Methodological strengths and weaknesses across the studies were systematically investigated. Results indicated that the extant research on token economies does not provide sufficient evidence to be deemed best-practice based on the WWC criteria.     

A demonstration of a token economy for the real world

Token economies are rarely used in real-world psychiatric settings because of barriers to their implementation, such an institutional constraints and insufficient collegial support. The line-level treatment team at Elgin Mental Health Center was able to overcome these contraints and develop a user-friendly token economy. This article describes Elgin's simple yet effective token economy and the process used to develop it.     

A demonstration of a token economy for the real world

Token economies are rarely used in real-world psychiatric settings because of barriers to their implementation, such an institutional constraints and insufficient collegial support. The line-level treatment team at Elgin Mental Health Center was able to overcome these contraints and develop a user-friendly token economy. This article describes Elgin's simple yet effective token economy and the process used to develop it.     

Differential effects of token reinforcement on instruction-following behavior in retarded students instructed as a group

This study was addressed to the problem of applying behavior modification techniques on a group basis to a class of retarded students with "attentional deficits". Seven boys, age 8 to 15 yr, characterized as showing severe "attentional" problems or disruptive behavior in their respective classrooms, participated daily for 30-min sessions in a special class over a 1.5-month period. In each session, verbal instructions were given to the class as a whole. In control sessions, each appropriate instruction-following response by a child produced praise for that child. In experimental sessions, appropriate responses also produced tokens exchangeable for tangible reinforcers after the session. Token reinforcement differentially maintained instruction-following behavior in four children while one responded appropriately to most instructions and a second improved continuously during the study. While the data suggest that the present approach can be successfully applied to the alteration of instruction-following behavior in retarded children, its major contribution may be that of providing objective quantitative information about such behavior.     

Use and analysis of the "Good Behavior Game" to reduce disruptive classroom behavior

A recent study reported procedures (the "good behavior game") for reducing disruptive classroom behavior. Replication of the procedures of the "good behavior game" in two classrooms showed it to be an effective technique for reducing disruptive talking and out-of-seat behavior. Further experimental analysis indicated that the effective components of the game were division of the class into teams, consequences for a team winning the game, and criteria set for winning the game. Although disruptive behavior was markedly reduced by the game, the reductions were correlated with only slightly improved accuracy of academic performance in the one classroom where academic performance was measured.