Teaching multiply controlled intraverbals to children and adolescents with autism spectrum disorders

Reciprocal conversations, instructional activities, and other social interactions are replete with multiply controlled intraverbals, examples of which have been conceptualized in terms of conditional discriminations. Although the acquisition of conditional discriminations has been examined extensively in the behavior‐analytic literature, little research has evaluated procedures to establish multiply controlled intraverbals. Thus, the purpose of this investigation was to evaluate the effects of procedures based on conditional discrimination training on the acquisition of multiply controlled intraverbals with 7 participants who had been diagnosed with autism spectrum disorders. We evaluated the effects of prompt delay with error correction, a differential observing response (DOR), and a DOR plus blocked trials on the acquisition of intraverbals using a multiple baseline design. Accuracy of intraverbal performance increased for at least 1 set of stimuli for all participants under prompt delay with error correction conditions; however, 4 participants required additional teaching (i.e., DOR, modified DOR, modified prompt delay with error correction). Based on these findings, when prompt delay with error correction is not sufficient to establish multiply controlled intraverbals, prompted DORs may be an effective alternative.     

Decreasing Echolalia of the Instruction “Say” During Echoic Training Through Use of the Cues-Pause-Point Procedure

Echolalia is common in children with autism and may interfere with the development of functional language. Given the variety of vocal stimuli included in teaching language to children with autism, it is possible that discrimination between instructions and targeted responses may not always occur. Thus, children may engage in very high rates of echolalia during language training because it is unclear which vocalizations produced by an instructor should be echoed. The cues-pause-point (CPP) procedure has been effective in decreasing echolalia and increasing specific correct responses to unknown questions in adults with intellectual disability. The current investigation applied the CPP procedure to the echoic repertoire with 1 child with autism who consistently echoed the instruction “say” during language training. Results indicated that echolalia of the instruction “say” decreased, and correct responding of the targeted vocalization increased for all targeted words. Implications for the use of the procedure in educational settings are discussed, and areas for future research are provided.     

A Comparison of Least-to-Most Prompts and Progressive Time Delay on the Disruptive Behavior of Students with Autism

We compared the effects of two instructional strategies on the frequency of errors and episodes of disruptive behavior of 4 students with autism. In Phase I, easy and difficult tasks were presented to determine whether the tasks were associated with differential rates of disruptive behavior. Phase II compared the effects of a least-to-most prompting procedure (LTM) to a progressive time delay procedure (PTD) on errors and disruptive behavior when difficult tasks were presented. Observers sequentially recorded instructor instructions, response prompts, prompts for appropriate sitting, and feedback statements; and student disruptive, correct, error, and no responses during 1:1 sessions. Results showed PTD produced fewer errors than LTM for all 4 students, and lower rates of disruptive behavior for 2 students. When PTD was implemented as the final phase with 2 of the students, rates of disruptive behavior associated with the task previously taught with LTM immediately decreased. Conditional probability statements indicated that disruptive behavior occurred infrequently with all 4 students when effective response prompts were used.     

Inducing Vocal Verbal Behavior in Children with Severe Language Delays Through Rapid Motor Imitation Responding

We conducted two experiments demonstrating the use of a rapid motor imitation sequence to evoke echoic and independent mands in three preschoolers with no vocal verbal behavior, who were unresponsive to alternative procedures. We further tested the procedure in the induction of echoics and independent tacts. The dependent variables for both experiments were echoics, mands, and tacts. In Experiment 1, we used a within subject multiple baseline design, across two mand and two tact forms, which were introduced in a counterbalanced order. In Experiment 2 we used a multiple baseline across subjects design with a tandem tact and mand training schedule, during which opportunities for echoic and independent mand training were contingent upon correct echoic and independent tact responses. Results showed that the rapid motor imitation antecedent was successful in inducing echoic and independent mands and tacts. Tacts required fewer opportunities than mands for mastery during the first experiment.     

USE OF CHAINING TO INCREASE COMPLEXITY OF ECHOICS IN CHILDREN WITH AUTISM

Echoics are a critical target of language intervention for children with autism, because a well‐established echoic repertoire on the part of the child allows the clinician to use vocal modeling as a flexible, low‐effort prompting procedure during teaching. In this study, we implemented a chaining procedure to increase the complexity of echoics in 2 children with autism and 1 child with developmental delay. The procedure was effective for all 3 participants, and gains were maintained after treatment was withdrawn in most cases.     

Facilitating the emergence of convergent intraverbals in children with autism

Convergent intraverbals represent a specific type of intraverbal in which multiple components of one speaker's verbal behavior control a specific verbal response from another speaker (e.g., Speaker 1: What wooly, horned animal lives in the high country? Speaker 2: Bighorn sheep). To foster the development of advanced language, Sundberg and Sundberg (2011) proposed prerequisite skills that may engender the emergence of novel, convergent intraverbals. We used a multiple‐probe design with both nonconcurrent (across participants) and concurrent (across stimulus sets) components to evaluate the effects of training these prerequisite skills on the emergence of convergent intraverbals with four children with autism. Participants showed the emergence of convergent intraverbals at mastery levels after they displayed mastery performance on all of the prerequisite skills identified by Sundberg and Sundberg, lending support to their characterization as prerequisites. We discuss these findings in terms of operant mechanisms that may facilitate the development of generative language.     

Comparison of simultaneous prompting with and without error correction in teaching science vocabulary words to high school students with mild disabilities

This study compared the effectiveness and efficiency of simultaneous prompting with and without error correction during daily probe sessions in teaching science vocabulary words. The teacher presented the vocabulary word definitions as instructive feedback during training sessions. Five 16–17 year old students with disabilities participated in an adapted alternating treatments design that evaluated the simultaneous prompting strategy, error correction and instructive feedback. Instruction occurred in a group format using choral responding. The results indicate that (a) all students learned to read the vocabulary words, (b) simultaneous prompting with error correction was slightly more efficient for three of the five subjects in learning the targeted words, and four of the five students made fewer errors in this condition, (c) all students preferred simultaneous prompting with error correction over simultaneous prompting without error correction, (d) words mastered in both conditions generalized equally, (e) there were minimal differences between the two conditions in the collected maintenance data, and (e) students experienced only minimal improvement in their ability to define vocabulary words (instructive feedback). Discussion focuses on issues for further research and implications for instructional practice with simultaneous prompting, error correction and instructive feedback.     

A DIRECT PROMPTING STRATEGY FOR INCREASING RECIPROCAL INTERACTIONS BETWEEN HANDICAPPED AND NONHANDICAPPED SIBLINGS

We investigated the effects of a sibling training procedure, consisting of direct prompting and modeling, on the occurrence of reciprocal interactions between nonhandicapped and handicapped siblings. Data were obtained for training, generalization, and follow-up. Results of a multiple-baseline design across three pairs of siblings showed that: (a) direct prompting of interactions was an effective strategy for increasing reciprocal interactions between handicapped and nonhandicapped siblings; (b) the training procedure resulted in increased levels of initiations and responsiveness to initiations; (c) reciprocal interactions between siblings generalized to larger play groups or across settings; (d) reciprocal interactions between handicapped subjects and untrained, nonhandicapped peers increased without direct training; (e) the siblings' levels of interactions were maintained at 6 mo follow-up; and (f) these findings were judged socially valid by the siblings' parents.     

Reduction of unsafe eating in a patient with esophageal stricture.

Previous research has demonstrated the efficacy of behavioral interventions in teaching self-feeding skills as well as in reducing inappropriate self-feeding behavior. The purpose of this study was to extend previous research on the use of prompting and reinforcement in reducing unsafe eating behaviors to the treatment of an adolescent with developmental disabilities and esophageal stricture. A behavioral assessment and treatment using prompting and reinforcement were shown to be effective in decreasing bite rate, decreasing bite size, and increasing the number of chews per bite.     

Pyramidal training for families of children with problem behavior

The pyramidal training model was extended to multiple family members of children with behavior disorders. Three primary caregivers were taught to implement individualized treatments for problem behavior. They were then taught how to use various instructional strategies (e.g., prompting, feedback) to teach 2 other family members to implement the treatment. Results showed that pyramidal training was effective in increasing caregiver implementation of treatments across three families.     

TRAINING AND GENERALIZATION OF AFFECTIVE BEHAVIOR DISPLAYED BY YOUTH WITH AUTISM

The purpose of this study was to teach contextually appropriate affective behavior to 4 youths with autism. Treatment consisted of modeling, prompting, and reinforcement introduced in a multiple baseline design across response categories of affective behavior. During treatment, verbal praise and tokens were delivered contingent on appropriate affective responding during training trials. Modeling and verbal prompting were used as correction procedures. Each youth received treatment in either three or four response categories. Treatment systematically increased responding within the response categories for all 4 participants, with effects being specific to the affective response categories under treatment. Treatment effects occurred across untrained scenarios, therapists, time, and settings, suggesting that generalization had occurred.     

ACQUISITION OF INTRAVERBAL BEHAVIOR: TEACHING CHILDREN WITH AUTISM TO MAND FOR ANSWERS TO QUESTIONS

Four boys with autism were taught via echoic prompting and constant prompt delay to mand for answers to questions by saying “I don't know please tell me” (IDKPTM). This intervention resulted in acquisition of the IDKPTM response for all 4 participants and in acquisition of correct answers to most of the previously unknown questions for 2 participants. For 1 participant, tangible reinforcement resulted in increased frequency of correct answers, and direct prompting of correct answers was eventually conducted for the final participant. The IDKPTM response generalized to untargeted unknown questions with 3 participants. Results of person and setting generalization probes varied, but some generalization eventually occurred for all participants following additional training or interspersal of probe trials with training trials.     

Emergence of intra verbal antonyms in children with pervasive developmental disorder

In the type of intraverbal that consists of saying the opposite of a word, two intraverbals are related to one another because the response form of each intraverbal functions as part of a discriminative stimulus for the other (e.g., "cold" in response to "name the opposite of hot," and vice versa). Moreover, the contextual cue "Name the opposite of--" is the same in the two intraverbals. The purpose of the present research was to explore a procedure designed to promote emergence of intraverbals of this type. Two children with pervasive developmental disorder learned pairs of intraverbals. Thereafter, they were tested for emergence of intraverbals with reversed stimulus-response functions. Results indicate that, although the participants did not initially show emergence of intraverbals with reversed stimulus-response functions, repeated cycles of probing and teaching facilitated emergence of these relations.     

Partial remediation of speaker and listener behaviors in people with severe dementia

We investigated the effects of contingent reinforcement (Intervention 1) and contingent reinforcement with modeling (Intervention 2) on speaker and listener behaviors in 5 people with severe dementia. Intervention 1 generally increased listener behavior; there was no clear effect on tacting, but echoic behavior increased in the one case investigated. Given the weak baseline repertoires of these clients and the paucity of other effective interventions, even the small increases in verbal behaviors found here are important. Further gains may be achieved, for example, if reinforcement opportunity per trial type were to be increased from one to several per day or if participants were trained to echo the listener stimulus in mand compliance tasks.     

THE EFFECTS OF VICARIOUS PROMPTING ON ATTENTIVE BEHAVIOR OF CHILDREN WITH BEHAVIOR DISORDERS

Vicarious prompting, reinforcing and labelling the appropriate behavior of a nontarget child contingent on inappropriate behavior of a target child, was assessed in two classrooms of children with behavior disorders. Vicarious prompts using social reinforcement alone were clearly effective in increasing the attentive behavior of one target child in Experiment 1. The children in Experiment 2, however, did not appera to be responsive to vicarious prompting. Comparison of the two groups suggests that vicarious prompting, a relatively subtle, indirect control technique, may be a low cost, positive, and effective alternative to other techniques under conditions in which the behavior of most of the group is attentive.     

THE EFFECTS OF PROMPTING QUESTION-ASKING UPON ON-TASK BEHAVIOR AND READING COMPREHENSION1

This study investigated a teacher-implemented prompting procedure for training students to ask questions. Two special-class (EMR) students who asked no questions were selected as subjects. Baseline data were also collected on reading comprehension and on-task behavior, and these suggested decreasing levels of performance. The results indicated that prompting was effective for initiating question-asking. In addition, increased levels of reading comprehension and on-task behavior were observed.     

Peer-mediated reinforcement plus prompting as treatment for off-task behavior in children with attention deficit hyperactivity disorder

Functional analyses revealed that peer attention was one variable maintaining the off-task behavior exhibited by 3 students with a diagnosis of attention deficit hyperactivity disorder (ADHD). Peer-mediated reinforcement plus prompting was then used to reduce off-task behavior in a simulated classroom environment. Implications for future applications of this procedure with children diagnosed with ADHD are discussed.     

THE ROLE OF INCREASED EXPOSURE TO TRANSFER‐OF‐STIMULUS‐CONTROL PROCEDURES ON THE ACQUISITION OF INTRAVERBAL BEHAVIOR

Studies that have compared the effectiveness of differing prompt types to teach intraverbal responses have yielded mixed results, suggesting that individuals' reinforcement histories with prompt types may influence which prompt will be most effective. The purpose of this study was to test whether programmed increases in exposure to specific prompt types would produce concomitant increases in the acquisition rate of intraverbal responding. We compared acquisition rates among 4 typically developing preschool‐aged children when taught via either echoic or tact prompts following exposure training with 1 prompt type. For all participants, the prompt method most recently used to teach intraverbal responses required fewer trials to teach new intraverbal responses compared to a prompt method that had not been used recently. The results are discussed in terms of the effects of reinforcement history on the acquisition of verbal behavior.