Effects of increased response effort on self-injury and object manipulation as competing responses

We evaluated the effects of a response-effort intervention on the occurrence of self-injurious hand mouthing and a competing response (object manipulation) with 4 individuals who had profound developmental disabilities. During Phase 1, results of functional analyses showed that all participants engaged in high levels of hand mouthing in the absence of social contingencies, suggesting that the behavior was maintained by automatic reinforcement. In Phase 2, preferred leisure items were identified for participants during assessments in which duration of leisure item manipulation was used as the index of preference. In Phase 3, participants were observed to engage in high levels of hand mouthing and in varying levels of object manipulation when they had free access to their most preferred leisure items during baseline. The effects of increased response effort on hand mouthing and object manipulation were then evaluated in mixed multiple baseline and reversal designs. The response-effort condition was identical to baseline, except that participants wore soft, flexible sleeves that increased resistance for elbow flexion but still enabled participants to engage in hand mouthing. Results showed consistent decreases in SIB and increases in object manipulation during the response-effort condition for all participants. These results suggested that a less preferred reinforcer (produced by object manipulation) may substitute for a more highly preferred reinforcer (produced by hand mouthing) when response effort for hand mouthing was increased. DESCRIPTORS: self-injurious behavior, automatic reinforcement, reinforcer substitutability, response effort     

The effects of noncontingent access to food on the rate of object mouthing across three settings

Object mouthing is associated with several potential deleterious side effects. In the current investigation, we modified the use of noncontingent access to competing items (food) and evaluated the effects of the treatment on object mouthing across three settings. Results demonstrated reductions in mouthing associated with the modified treatment.     

Case study: Noninvasive behavioral treatment of self-injurious hand stereotypy in a child with Rett syndrome

Treatment of stereotypic hand mouthing in a 3-year-old girl with Rett syndrome by differential reinforcement of competing functional responses plus response interruption is described and evaluated in this case study. A package of graduated guidance with social and edible reinforcers successfully established stable rates of functional hand movements to activate toys, gross motor responses to verbal prompts, palmar grasp and release, and some vocal imitation. Contingent response interruption virtually eliminated hand mouthing during instructional sessions. Instruction alone did not maintain hand mouthing suppression when interruption was withdrawn, and treatment gains appeared highly discriminated. Post-hoc comparison indicated differential reinforcement plus response interruption (DR1 + 1) to be superior to hand splints in reducing hand stereotypies, with approximately equivalent increases in collateral tongue thrusting.     

AN ANALYSIS OF THE REINFORCING PROPERTIES OF HAND MOUTHING

Hand mouthing often has been described as a stereotypic response that is maintained by non-social (automatic) reinforcement; however, data supporting this conclusion can be found in relatively few studies. This series of studies presents an experimental analysis of conditions associated with the maintenance of hand mouthing. In Experiment 1, a functional analysis was conducted for 12 individuals who engaged in chronic hand mouthing to determine whether the behavior is usually maintained independent of social contingencies. Results obtained for 10 subjects were consistent with an automatic reinforcement hypothesis; the remaining 2 subjects' hand mouthing was maintained by social-positive reinforcement. Based on these results, Experiment 2 was designed to identify the specific reinforcing properties of hand mouthing. Each of 4 subjects was provided with a toy that substituted for hand mouthing, and preference for a specific topography of toy manipulation (hand-toy contact or mouth-toy contact) was measured. Results indicated that hand stimulation was the predominant reinforcer for all subjects. Experiment 3 provided an extension of Experiment 2 in that the same responses were measured across a variety of toys presented to each of 5 subjects. Results again indicated that hand stimulation was the predominant reinforcer for all subjects. Implications of these results are discussed with relevance to treatment.     

ANALYSIS OF THE EFFECTS OF TASK PREFERENCES,TASK DEMANDS,AND ADULT ATTENTION ON CHILD BEHAVIOR IN OUTPATIENT AND CLASSROOM SETTINGS

Two studies were conducted with children who displayed behavior problems to evaluate the effects of task preference, task demands, and adult attention on child behavior. In Study 1, we conducted brief functional analyses in an outpatient clinic to identify variables that facilitated appropriate behavior. For 8 of 10 children, distinct patterns of performance occurred; 3 children displayed improved behavior with changes in task demands, 1 child displayed improved behavior with a preferred task, and 4 children displayed improved behavior with changes in adult attention. In most cases, the children's parents carried out the assessments with adequate procedural integrity. In Study 2, we applied similar assessment methods to a classroom setting over an extended period of time. We identified independent variables controlling appropriate, on-task, and academic behavior for 2 children on two tasks, with slightly different treatment procedures across tasks for both children. In addition, the results of brief functional analyses for both children corresponded to the extended classroom assessments.     

Aggression Norms in the Classroom Social Network: Contexts of Aggressive Behavior and Social Preference in Middle Childhood

In a cross‐sectional sample of African‐American 2nd–4th grade students (N = 681), we examine the moderating effects of classroom overt and relational aggression norms on peers’ social acceptance of classmates who exhibit overt and relational aggression in urban schools. Extending theory and research on classroom norms, we integrate social network data to adjust aggression norms based on children’s direct and indirect connections in the classroom. Results of multilevel models indicate that network‐based classroom aggression norms moderated relations between children’s aggressive behavior and their social preference. Specifically, children benefited socially when their form of aggressive behavior fit with what was normative in the classroom social context. The moderating effect of classroom aggression norms was stronger for the association between overt aggression and social preference than relational aggression and social preference. Relationally aggressive youth were socially preferred by peers regardless of the classroom norm, although this positive association was magnified in classrooms with higher levels of relational aggression. Future research focused on aggression norms within classroom social networks are discussed and implications for school prevention efforts are considered.     

An evaluation of the effects of matched stimuli on behaviors maintained by automatic reinforcement

The purpose of the current investigation was to extend the literature on matched stimuli to three dissimilar forms of aberrant behavior (dangerous climbing and jumping, saliva manipulation, and hand mouthing). The results of functional analyses suggested that each behavior was automatically reinforced. Preference assessments were used to identify two classes of stimuli: items that matched the hypothesized sensory consequences of aberrant behavior (matched stimuli) and items that produced sensory consequences that were not similar to those produced by the aberrant behavior (unmatched stimuli). The effects of providing continuous and noncontingent access to either the most highly preferred matched or the most highly preferred unmatched stimuli were assessed relative to a condition in which no stimuli were available. Overall results suggested that providing access to items that matched the hypothesized sensory consequences of aberrant behavior may be more effective than simply selecting stimuli either arbitrarily or based on the results of preference assessments alone.     

A Review of Functional Analysis Methods Conducted in Public School Classroom Settings

The use of functional behavior assessments (FBAs) to address problem behavior in classroom settings has increased as a result of education legislation and long-standing evidence supporting function-based interventions. Although functional analysis remains the standard for identifying behavior–environment functional relations, this component is rarely included in FBAs in practice. To address this research-to-practice gap, we searched the FBA literature to identify studies including functional analyses (FAs) conducted in students’ usual classrooms and implemented by school personnel in public school settings. FAs were defined broadly as assessments involving systematic manipulation of one or more antecedent or consequent variable to evaluate environmental influences on student problem behavior. We identified 39 studies including FAs for 88 participants. All studies were coded with regard to FA approaches and procedures as well as student, classroom, and implementer characteristics. In addition, we evaluated the extent to which FA methods in the study sample aligned with previous recommendations to address practical barriers to implementation. Results revealed a range of FA approaches that varied according to student and classroom characteristics, as well as several strategies to address implementation barriers that have been under-utilized in classroom-based FAs to date.     

Immediate and subsequent effects of differential reinforcement of other behavior and noncontingent matched stimulation on stereotypy

A three‐component multiple‐schedule and brief reversals were used to examine the effects of differential reinforcement of other behavior (DRO) and noncontingent matched stimulation (NMS) on the automatically reinforced mouthing of a child with autism. Both DRO and NMS decreased immediate engagement in mouthing, but NMS produced larger reductions in the behavior. Furthermore, NMS produced subsequent effects (i.e., when the treatment was withdrawn) similar to those of prior access, whereas DRO marginally increased subsequent engagement in mouthing. The results suggest that NMS was a functionally matched intervention for mouthing. Implications for the assessment and treatment of stereotypy and applications for future research are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Application of a self‐management intervention to improve data recording of educational care providers

The present study evaluated the effects of a self‐management intervention on scheduled data recording by classroom instructors at a school for children with intellectual disability and neurodevelopmental disorders. In a multiple baseline design across two classrooms, the instructors recorded student data according to an established protocol at the school and based on earlier training they had received. During intervention, the instructors self‐monitored implementation of data recording procedures that were prompted by a signal from an automated count‐down timer. The self‐management intervention increased scheduled data recording by participants in both classrooms to 90–100%, and these results were maintained at 1‐ and 2‐month follow‐up assessments. These findings add to the small literature concerning self‐managed approaches to training and performance improvement, extend application within educational settings, and suggest practical advantages for supporting competencies of care providers.     

UTILIZING INCREASED RESPONSE EFFORT TO REDUCE CHRONIC HAND MOUTHING

The effects of increased response effort on levels of hand mouthing, leisure engagement, and adaptive elbow flexion were investigated with 2 individuals who had been diagnosed with profound disabilities. Arm restraints designed to alter the amount of physical effort necessary to engage in hand mouthing were used. Results indicated that the treatment strategy reduced levels of hand mouthing but produced only small to moderate reductions in levels of leisure engagement and adaptive elbow flexion. At follow-up, the effects of increased response effort on hand mouthing and leisure engagement were maintained for both participants; however, the restraints were associated with substantial reductions in adaptive elbow flexion for 1 participant.     

Impact of Low Social Preference on the Development of Depressive and Aggressive Symptoms: Buffering by Children’s Prosocial Behavior

Holding a low social position among peers has been widely demonstrated to be associated with the development of depressive and aggressive symptoms in children. However, little is known about potential protective factors in this association. The present study examined whether increases in children’s prosocial behavior can buffer the association between their low social preference among peers and the development of depressive and aggressive symptoms in the first few school years. We followed 324 children over 1.5 years with three assessments across kindergarten and first grade elementary school. Children rated the (dis)likability of each of their classroom peers and teachers rated each child’s prosocial behavior, depressive and aggressive symptoms. Results showed that low social preference at the start of kindergarten predicted persistent low social preference at the start of first grade in elementary school, which in turn predicted increases in both depressive and aggressive symptoms at the end of first grade. However, the indirect pathways were moderated by change in prosocial behavior. Specifically, for children whose prosocial behavior increased during kindergarten, low social preference in first grade elementary school no longer predicted increases in depressive and aggressive symptoms. In contrast, for children whose prosocial behavior did not increase, their low social preference in first grade elementary school continued to predict increases in both depressive and aggressive symptoms. These results suggest that improving prosocial behavior in children with low social preference as early as kindergarten may reduce subsequent risk of developing depressive and aggressive symptom.     

CORRESPONDENCE BETWEEN SINGLE VERSUS DAILY PREFERENCE ASSESSMENT OUTCOMES AND REINFORCER EFFICACY UNDER PROGRESSIVE‐RATIO SCHEDULES

Research has suggested that a daily multiple‐stimulus‐without‐replacement (MSWO) preference assessment may be more sensitive to changes in preference than other assessment formats, thereby resulting in greater correspondence with reinforcer efficacy over time ( DeLeon et al., 2001 ). However, most prior studies have measured reinforcer efficacy using rate of responding under single‐operant arrangements and dense schedules or under concurrent‐operants arrangements. An alternative measure of reinforcer efficacy involves the evaluation of responding under progressive‐ratio (PR) schedules. In the present study, 7 participants were given a single paired‐stimulus (PS) preference assessment followed by daily MSWO preference assessments. After each daily MSWO, participants responded for each stimulus on a PR schedule. The correspondence between break points and preferences, as assessed by the 2 assessment formats, was examined. Results demonstrated that both preference assessments did equally well at predicting reinforcer efficacy, although the PS more consistently identified the most effective reinforcer.     

Successful generalized parent training and failed schedule thinning of response blocking for automatically maintained object mouthing

Mouthing of inedible objects maintained by automatic reinforcement can be particularly difficult to treat, given that the functional reinforcer is not socially mediated, and therefore it is difficult or impossible to withhold reinforcement. In the current investigation, response blocking was used to reduce automatically maintained object mouthing. Treatment effects were generalized to the natural environment. An attempt at schedule thinning was not successful; however, the participant's parents were trained to implement the treatment successfully in their home. Copyright © 2002 John Wiley & Sons, Ltd.     

On the role of stimulus preference assessment in the evaluation of contingent access to stimuli associated with stereotypy during behavioral acquisition

Previous authors have reported successful behavioral acquisition in children diagnosed with autism using contingent access to stereotypic responding as reinforcement. Other studies have demonstrated robust reinforcement effects when consequences were selected using stimulus preference assessments. We conducted two stimulus preference assessments with a six-year-old female diagnosed with autism. Her acquisition of a non-vocal imitation response was then evaluated during two reinforcement conditions: contingent access to (i) a stimulus associated with stereotypic object manipulation and (ii) a stimulus unassociated with such stereotypy. Both stimuli were identified from the stimulus preference assessments. Nearly identical response patterns were observed in both conditions; correct responses to verbal prompts greatly increased while correct responses to gestural and physical prompts decreased to near-zero levels. These preliminary findings are discussed in the context of improving stimulus selection in this area. © 1998 John Wiley & Sons, Ltd.     

Triangulating School Climate: Areas of Convergence and Divergence Across Multiple Levels and Perspectives

Students often have differing perceptions of their school's climate. Although these subjective perceptions can be meaningful outcome predictors, discrepancies create challenges for those seeking to globally characterize or intervene to improve the climate of a school. Trained, independent  observers can provide insights on perceptible and ostensibly malleable aspects of the school; however, the extent to which these observations help us to understand differences in students’ report of school climate has not been examined. To study this, we assessed convergence and divergence between independent observers’ assessments and students’ perceptions of school climate at the classroom and school levels. Data come from the Maryland Safe and Supportive Schools Initiative (MDS3), which included 20,647 students and observations of 303 teachers in 50 high schools. Students responded to survey items regarding safety, engagement, and environment; independent observers assessed teachers’ classroom practices and the school physical environment. A three-level model partitioned variance to the individual, classroom, and school levels. The variance in students’ climate perceptions was primarily between students, with most classroom and school intraclass correlation coefficients (ICCs) ranging from 0.01 to 0.08, though one was as high as 0.20; however, observations explained large percentages of between-school variation in climate (58%–91%). Findings suggest the potential utility of outside observations for explaining school-level variation in school climate to inform decision-making and future research.     

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.     

Effects of a verbal warning and overcorrection on stereotyped and appropriate behaviors

In Experiment I, the effects of a verbal warning, such as is used in Overcorrection, delivered contingently on the stereotyped mouthing behavior of two autistic/retarded children were examined. A multiple baseline design across subjects was used. The results indicated that the mouthing of one child was reduced to a nearzero level and mouthing of the second child was moderately reduced. Appropriate toy play and inappropriate object manipulation failed to show systematic changes in occurrence when mouthing was decelerated. In Experiment II, the same subjects and experimental design were used to assess the effects of a positive practice Overcorrection procedure delivered contingent on mouthing behavior. Overcorrection reduced the mouthing of both subjects. There were no systematic changes in inappropriate object manipulation but one subject did demonstrate an increased occurrence of appropriate toy play. In addition, this subject often engaged in aggressive/escape behaviors during Overcorrection, suggesting that the procedure was aversive to him.     

The Relation Between Obtained Preference Value and Reinforcer Potency

Stimulus preference assessments often include items suspected to be highly preferred. If only high‐preference stimuli are assessed, preference hierarchies may not accurately predict the results of reinforcer assessments (RA). In this study, paired‐stimulus (PS) preference assessments using items suspected to be preferred (PS‐1) generated distinct preference hierarchies. Subsequent RAs (RA‐1) indicated that high‐preference and low‐preference stimuli were associated with similar response rates. Additional assessments (PS‐2) were then conducted, using the least‐preferred item from PS‐1 plus seven new stimuli. The least‐preferred items on PS‐1 ranked as most preferred on PS‐2, and on RA‐2, the top‐ranked items functioned as reinforcers, but low‐ranked items did not. Implications for incorporating low‐preference items into clinical/educational programming are discussed. Copyright © 2011 John Wiley & Sons, Ltd.     

Bigger is better: the influence of physical size on aesthetic preference judgments

The hypothesis that the physical size of an object can influence aesthetic preferences was investigated. In a series of four experiments, participants were presented with pairs of abstract stimuli and asked to indicate which member of each pair they preferred. A preference for larger stimuli was found on the majority of trials using various types of stimuli, stimuli of various sizes, and with both adult and 3‐year‐old participants. This preference pattern was disrupted only when participants had both stimuli that provided a readily accessible alternative source of preference‐evoking information and sufficient attentional resources to make their preference judgments. Copyright © 2002 John Wiley & Sons, Ltd.