TRIAL-BASED FUNCTIONAL ANALYSIS AND FUNCTIONAL COMMUNICATION TRAINING IN AN EARLY CHILDHOOD SETTING

Problem behavior is common in early childhood special education classrooms. Functional communication training (FCT; Carr & Durand, 1985 ) may reduce problem behavior but requires identification of its function. The trial‐based functional analysis (FA) is a method that can be used to identify problem behavior function in schools. We conducted trial‐based FAs and FCT with 3 children in an early childhood special education setting. All trial‐based FAs resulted in identification of behavioral functions, and subsequent FCT led to reductions in problem behavior and increases in communication.     

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.     

Interview‐informed functional analyses: A comparison of synthesized and isolated components

Hanley, Jin, Vanselow, and Hanratty (2014) described a functional analysis (FA) format that relied on a synthesis of multiple contingencies described by caregivers during open‐ended interviews. These interview‐informed synthesized contingency analyses (IISCA) provided effective baselines from which to develop socially validated treatments, but the synthesis precluded a precise understanding of individual contingencies influencing problem behavior. We conducted IISCAs and standard FAs (Iwata, Dorsey, Slifer, Bauman, & Richman, 1982/1994) for nine children with autism to evaluate the likelihood of differentiation given a number of synthesized versus isolated variables. The IISCA was differentiated for all. The standard FA was differentiated for four; this number increased to six when we included precursors in the standard FA. We then compared treatments based on sets of differentiated analyses for four children. Treatment based on the IISCA was effective for all four; treatments based on the standard FA were effective for two. The role of synthesis in analysis is discussed.     

Agreement Between Descriptive and Experimental Analyses of Behavior under Naturalistic Test Conditions

We compared the results of a contingency space analysis (CSA) of behavior-consequence recordings to the results of functional analysis (FA) test conditions involving antecedent stimuli and verbal statements that both differed from and mimicked those in the natural environment. Three preschool children with autism spectrum disorder participated. During Phase I, we identified teacher-delivered consequences that were contingent on problem behavior from observational data. During Phase II, each child participated in FA test conditions conducted by their teacher or a same-sex experimenter in an ABA reversal design. Two Experimenter FA conditions were identical to the Teacher FA, with an additional condition involving a different task, demands, and verbal statements. Teacher FAs revealed a clear function for problem behavior for two children, whereas the Experimenter FA was undifferentiated. The reverse pattern was observed for the third child. Results of the CSAs were consistent with the Teacher FAs for two children. Implications for generalizing the outcomes of analog FA test conditions are discussed.     

A comparison of isolated and synthesized contingencies in functional analyses

Recently, researchers have compared the utility of isolated versus synthesized contingencies in functional analysis (FA) methodology (e.g., Fisher et al., 2016; Slaton et al., 2017). A limitation of these studies is that there were other differences across FA methodologies (e.g., design, contingency) that did not allow for isolation of the influence of isolated versus synthesized contingencies. Therefore, the current study compared outcomes of FAs that involved isolated versus synthesized contingencies for problem behavior of 5 children while controlling for these other differences across FAs (Experiment 1). Next, the current study compared the effects of interventions based on the functions identified in the isolated and synthesized contingencies for each participant (Experiment 2). Results indicated isolated contingency FAs produced differentiated responding for 1 or both functions for all 5 participants, and there were little to no differences between treatments informed by isolated and synthesized contingency FAs.     

Interview‐informed synthesized contingency analyses: Thirty replications and reanalysis

The speed with which a functional analysis (FA) provides a convincing demonstration of the variables that influence problem behavior may be termed efficiency. Multiple FA formats have been developed to improve analytic efficiency while the core components of the Iwata, Dorsey, Slifer, Bauman, and Richman (1982/1994) procedures are maintained. We attempted to illustrate an alternative efficient process for conducting FAs of problem behavior that relied on modifying those core components. In Study 1, we describe 30 applications of the interview‐informed synthesized contingency analysis (Hanley, Jin, Vanselow, & Hanratty, 2014), which required an average of 25 min of analysis. The first sessions of these analyses were reanalyzed in Study 2 to determine if contingencies that controlled problem behavior could be identified in only 3 to 5 min. This was the case in 80% of analyses.     

Predictive validity and efficiency of ongoing visual‐inspection criteria for interpreting functional analyses

Prior research has evaluated the reliability and validity of structured criteria for visually inspecting functional‐analysis (FA) results on a post‐hoc basis, after completion of the FA (i.e., post‐hoc visual inspection [PHVI]; e.g., Hagopian et al., 1997). However, most behavior analysts inspect FAs using ongoing visual inspection (OVI) as the FA is implemented, and the validity of applying structured criteria during OVI remains unknown. In this investigation, we evaluated the predictive validity and efficiency of applying structured criteria on an ongoing basis by comparing the interim interpretations produced through OVI with (a) the final interpretations produced by PHVI, (b) the authors’ post‐hoc interpretations (PHAI) reported in the research studies, and (c) the consensus interpretations of these two post‐hoc analyses. Ongoing visual inspection predicted the results of PHVI and the consensus interpretations with a very high degree of accuracy, and PHAI with a reasonably high degree of accuracy. Furthermore, the PHVI and PHAI results involved 32 FA sessions, on average, whereas the OVI required only 19 FA sessions to accurately identify the function(s) of destructive behavior (i.e., a 41% increase in efficiency). We discuss these findings relative to other methods designed to increase the accuracy and efficiency of FAs.     

Effects of therapist‐worn protective equipment during functional analysis of aggression

The effects of therapist‐worn protective equipment (PE) on functional analysis (FA) outcomes for aggression were evaluated. Independent FAs with and without PE were conducted concurrently. Both FAs showed the same function of aggression for all participants. These results suggest that therapists may wear PE during FAs of aggression to reduce risk without altering the interpretation of the analysis.     

A translational evaluation of potential iatrogenic effects of single and combined contingencies during functional analysis

Recent research suggests that combining putative reinforcers for problem behavior into a single, synthesized contingency may increase efficiency in identifying behavioral function relative to traditional functional analysis (FA). Other research suggests potential shortcomings of synthesized contingency analysis (SCA), such as the potential for false-positive outcomes. In prior comparisons of traditional FAs and SCAs, investigators could not ascertain with certainty the true function(s) of the participants' problem behavior for use as the criterion variable. We conducted a translational study to circumvent this limitation by training a specific function for a surrogate destructive behavior prior to conducting a traditional FA and SCA. The traditional FA correctly identified the previously established function of the target response in all six cases and produced no iatrogenic effects. The SCA produced differentiated results in all cases and iatrogenic effects (i.e., an additional function) in three of six cases. We discuss these findings in terms of the mechanisms that may promote iatrogenic effects.     

Functional analysis and treatment of problem behavior related to mands for rearrangement

This study is a systematic replication of a functional analysis (FA) of the relation between mands and problem behavior. We extended treatment approaches for this problem behavior function, and describe the treatment of problem behavior related to mands for rearrangement demonstrated by a 12‐year‐old girl with autism spectrum disorder and Smith‐Magenis syndrome. The mands consisted of requests for others to change their body positioning or proximity, or rearrange items back to their original position. An FA confirmed the relation between problem behavior and mand compliance, and functional communication training with extinction decreased problem behavior and increased functional communication responses. Problem behavior remained low as gradually longer nonreinforcement periods were introduced using a multiple schedule.     

Using e-learning modules to teach ongoing-visual inspection of functional analyses

Despite the effectiveness of function-based treatments, most clinicians do not conduct functional analyses (FA). The time required to conduct an FA is a major barrier preventing their use. One way to increase FA efficiency is to discontinue the analysis as soon as it has produced clear results. Saini et al. (2018) evaluated a structured procedure for ongoing-visual inspection of FAs and found that it produced accurate interpretations while averaging 40% fewer sessions than author interpretation. This study evaluated the efficacy of an e-learning module for training registered behavior technicians (RBTs) to implement ongoing visual inspection of FAs. Following training, 5 of the 6 participants showed mastery of ongoing visual inspection, and the final participant did so with the addition of supplemental procedures. We discuss how this training may increase the efficiency of FAs by teaching individuals who are less experienced in FA methodology when to seek supervision from a supervising Board Certified Behavior Analyst® (BCBA).     

BRIEF (TEST‐CONTROL) FUNCTIONAL ANALYSIS AND TREATMENT EVALUATION OF AGGRESSIVE BEHAVIOR EVOKED BY DIVIDED ATTENTION

We measured the effects of divided attention on the aggressive behavior of a 20‐year‐old man within a test‐control functional analysis (FA; Iwata, B. A., Duncan, B. A., Zarcone, J. R., Lerman, D. C., & Shore, B. A. (1994). A sequential, test‐control methodology for conducting functional analyses of self‐injurious behavior. Behavior Modification, 18, 289–306). The FA confirmed that divided attention was associated with high‐frequency aggression and aggression‐contingent attention from a familiar and preferred staff person. A subsequent treatment evaluation confirmed that aggression decreased when the man was able to request attention from the staff person under the divided attention condition. We discuss the clinical utility of a divided attention and test‐control methodology when conducting a FA of serious problem behavior within applied settings Copyright © 2014 John Wiley & Sons, Ltd.     

Response latency as a measure of behavior in the assessment of elopement

Elopement is a common form of problem behavior but is relatively underrepresented in the functional analysis literature. One barrier to assessing elopement experimentally is the need to retrieve the subject following an instance of elopement. This retrieval confounds programmed session contingencies when the goal is to obtain repeated measurement of free‐operant behavior. The current study evaluated latency to elopement as an alternative to free‐operant measurement. We first compared response latency to allocation in 5‐min sessions and then measured latency alone in a trial‐based format. The identified reinforcers matched across both data analysis modalities in the session‐based assessments, and the trial‐based functional analysis showed a significant time savings in identifying the function of behavior over a session‐based assessment. Results indicated that elopement serves idiosyncratic social functions in young children with intellectual and developmental disabilities, and that a latency‐based assessment saves time while yielding equally clear results.     

USE OF LATENCY TO PROBLEM BEHAVIOR TO EVALUATE DEMANDS FOR INCLUSION IN FUNCTIONAL ANALYSES

Few direct‐assessment procedures are designed to identify potential negative reinforcers (e.g., including demands in the escape condition of functional analyses). Two participants were systematically exposed to a series of demands nominated by caregivers as potential negative reinforcers. Sessions ended following the first instance of problem behavior, and a hierarchy of demand aversiveness was created based on the latency to the first problem behavior. Subsequent functional analyses confirmed the predictive value of the hierarchy, with shorter latency demands consistently producing more differentiated functional analysis outcomes.     

Further evaluation of latency measures in the assessment and treatment of severe self‐injurious behavior

Recent research has demonstrated the utility of latency measures during the functional analysis of problem behavior; however, few studies have evaluated the utility of latency measures during subsequent treatment analyses. The current study seeks to extend the literature on the use of latency measures during the treatment of severe self‐injurious behavior (SIB). Following a latency‐based functional analysis, a treatment analysis was conducted using a hybrid procedure in which baseline sessions were terminated following the first instance of SIB, and test sessions ended after a fixed length of time. Latency to SIB was compared across conditions, whereas latency and rate measures for both SIB and functional communication responses were compared for the functional communication training condition. Results suggest that latency measures may be too sensitive during treatment analyses and that it is beneficial to use a hybrid procedure that allows for both latency and rate comparisons.     

Use of a latency‐based demand assessment to identify potential demands for functional analyses

Unlike potential tangible positive reinforcers, which are typically identified for inclusion in functional analyses empirically using preference assessments, demands are most often selected arbitrarily or based on caregiver report. The present study evaluated the use of a demand assessment with 12 participants who exhibited escape‐maintained problem behavior. Participants were exposed to 10 demands, with aversiveness measured by average latency to the first instance of problem behavior. In subsequent functional analyses, results of a demand condition that included the demand with the shortest latency to problem behavior resulted in identification of an escape function for 11 of the participants. In contrast, a demand condition that included the demand with the longest latency resulted in identification of an escape function for only 5 participants. The implication of these findings is that for the remaining 7 participants, selection of the demand for the functional analysis without using the results of the demand assessment could have produced a false‐negative finding.     

THE RELATIVE INFLUENCE OF MOTIVATING OPERATIONS FOR POSITIVE AND NEGATIVE REINFORCEMENT ON PROBLEM BEHAVIOR DURING DEMANDS

Research has demonstrated the feasibility of using positive reinforcement to treat problem behavior maintained by negative reinforcement. This line of research was extended in the current study. A functional analysis (FA) was conducted that suggested problem behavior was maintained by positive and negative reinforcement. Following the FA, a demand analysis was conducted with three demand conditions: one that replicated the demand condition from the FA, one that included presession exposure to a preferred item, and another that included presession exposure to preferred items and access to those items during breaks from demands. Although problem behavior occurred in all three demand conditions, within session analyses showed that problem behavior ceased during breaks from demands only when they included access to preferred items. This finding suggests that the motivating operation responsible for evoking problem behavior did not decrease when only a break was provided. Subsequent functional communication training and treatment analysis showed that treatments based on positive reinforcement were effective at reducing problem behavior, but those based on a negative reinforcement hypothesis were not. Copyright © 2013 John Wiley & Sons, Ltd.     

Latency‐based functional analysis in schools: Correspondence and differences across environments

Functional analyses were conducted for problem behavior of three girls with intellectual and developmental disabilities. Analyses conducted under analog conditions measured rate and latency. Latency‐based functional analyses were conducted in a classroom setting in multielement and reversal designs. Correspondence was identified between the standard functional analysis and the two latency analyses for one participant. Partial correspondence was found with the other two participants. These results are discussed in light of research on adaptions for functional analysis in classroom settings.     

A comparison of rate‐based and latency‐based assessments for determining demand aversiveness

Demand assessments are used to determine the relative aversiveness of demands. This study compared two demand assessments (i.e., rate‐based and latency‐based) proposed in past research with three children with intellectual and developmental disabilities. We compared the hierarchical outcomes of demand aversiveness and efficiency of the two assessments. Differing degrees of correspondence between the assessments was found across participants. The latency‐based measure was most efficient for a participant with high‐rates of problem behavior. The rate‐based assessment was more efficient for a participant with low‐rates of problem behavior. More research is needed to determine when the different assessments should be conducted.     

Treatment of elopement following a latency‐based interview‐informed,synthesized contingency analysis

Using a latency measure during a functional analysis of problem behavior increases the brevity of the assessment period and decreases risks resulting from exposure to contexts intended to evoke problem behavior. In addition, latency‐based functional analyses may be especially suitable for discrete behaviors such as elopement, which require resetting the environment after each instance of the response. We evaluated a comprehensive assessment and treatment package for the elopement of two children diagnosed with autism. We observed short latencies to elopement during the test condition of the analysis and no elopement during the control condition. We then taught the participants multiple forms of functional communication responses of increasing complexity while elopement was blocked. This was followed by the thinning of reinforcement to a terminal goal, creating a treatment package that nearly eliminated elopement and was socially validated by caregivers.