Using concurrent reinforcement schedules and prompts to produce varied manding: A replication of Seaver and Bourret (2020)

Deficits in social communication and restricted, repetitive patterns of behavior or interests are displayed by individuals with autism spectrum disorder (ASD; American Psychiatric Association, 2013). Given this, individuals with ASD may engage with a limited variety of reinforcers. Treatments designed to modify the distribution of manding may allow individuals to contact a broad array of reinforcers that could improve the quality of life for individuals with ASD (Seaver & Bourret, 2020). The purpose of the current study was to replicate the results of Seaver and Bourret (2020) by evaluating the effects of manipulating concurrent schedules of reinforcement, alone and with prompts, on the rates of target manding in three boys with ASD, aged 7–9 years, in the United Arab Emirates. All three participants showed increased target manding following intervention. The findings support the use of concurrent reinforcement schedules and prompts as an effective intervention to produce varied manding.     

An analysis of modifications to the three-step guided compliance procedure necessary to achieve compliance among preschool children

After a 3‐step guided compliance procedure (vocal prompt, vocal plus model prompt, vocal prompt plus physical guidance) did not increase compliance, we evaluated 2 modifications with 4 preschool children who exhibited noncompliance. The first modification consisted of omission of the model prompt, and the second modification consisted of omitting the model prompt and decreasing the interprompt interval from 10 s to 5 s. Each of the modifications effectively increased compliance for 1 participant. For the remaining 2 participants, neither modification was effective; differential reinforcement in the form of contingent access to a preferred edible item was necessary to increase compliance. Problem behavior varied across participants, but was generally higher during guided compliance conditions and lower during differential reinforcement conditions.     

Obtained versus programmed reinforcement practical considerations in the treatment of escape-reinforced aggression

This investigation provides a preliminary examination of the difference between programmed and obtained reinforcement rates and its potential influence during treatment of aggression in a natural setting. Following a functional analysis that suggested that the aggression of a boy with autism was negatively reinforced, intervention was implemented by the boy's mother. Concurrent fixed-ratio (FR) 1 FR 1 schedules of escape were arranged for manding and aggression. When mands failed to compete effectively with aggression, obtained reinforcement ratios were calculated; these indicated that obtained reinforcement varied from the programmed schedule for aggression but not for mands. Increasing the rate of prompts for mands resulted in an increase in mands and a decrease in aggression to near-zero levels.     

The development of instructional control over classroom activities of deviant preschool children

Differential reinforcement of compliance with teacher invitations to complete a specific academic task was applied to three extremely negativistic children in a special preschool class. For each child, this technique resulted in clear and useful increases in compliance as it was applied. In addition, the technique produced a greater diversity of sampling the available tasks by all children, enabling them to contact instructional materials they had previously avoided. The reinforcement system, contingent access to free playtime, materials, and a snack, mediated by a token, was thus demonstrated to be an effective contingency. In the case of two children whose compliance was not maximized by differential reinforcement alone, further increases in compliance were produced by combining a 1-min timeout for noncompliance with the differential reinforcement procedure.     

Functional analysis and treatment of noncompliance by preschool children

A functional analysis showed that noncompliance occurred most often for 2 preschoolers when it resulted in termination of a preferred activity, suggesting that noncompliance was maintained by positive reinforcement. A differential reinforcement procedure, which involved contingent access to coupons that could be exchanged for uninterrupted access to the activity maintaining noncompliance, was successful in increasing compliance for both children.     

An evaluation of strengthening precursors to increase preschooler compliance

We evaluated the strategy of increasing precursors to compliance on the compliance of 2 preschool boys. Modeling and differential reinforcement were used to increase specific responses to his name being called prior to the opportunity to comply with an instruction. The precursors were stopping the ongoing activity and orienting to, making eye contact with, and saying "yes" to the instructor. High levels of precursors occurred during treatment, and increases in compliance also were observed, even though the consequences for compliance and noncompliance did not change.     

An evaluation of differential reinforcement with stimulus fading as an intervention for medical compliance

Individuals with autism spectrum disorder (ASD) often exhibit noncompliance during medical exams. One intervention used to address this concern is differential reinforcement. Although differential reinforcement includes extinction, it may not be feasible or safe to implement extinction during medical exams. In the current study, we evaluated differential reinforcement without extinction and differential reinforcement without extinction plus stimulus fading, for increasing compliance during routine medical exams exhibited by 4 individuals with ASD. An indirect assessment identified problematic medical procedures, and a functional analysis showed that participants' disruptive behavior was maintained by escape from medical tasks. Differential reinforcement without extinction was insufficient in increasing medical compliance with 3 of 4 participants. The addition of a modified stimulus fading procedure that involved gradually introducing smaller components of problematic exam steps was effective in increasing medical compliance with all exam steps.     

The impact of behavior-specific and behavior-nonspecific reinforcement on child compliance to mother directives

Theories of child socialization differ with regard to the influence they attribute to behavior-specific reinforcement contingencies versus behavior-nonspecific reinforcement contingencies (i.e. social responsiveness). The present research investigated, at a within-individual level, the relationship between both types of reinforcement and child compliance with maternal directives. Behavior-specific reinforcement was defined as the history of reinforcement obtained by children for prior episodes of compliance and noncompliance to mother directives. Behavior-nonspecific reinforcement was defined as the history of reinforcement obtained by children for prosocial and aversive behaviors unrelated to mother directives. It was hypothesized that both reinforcement processes would be related to child responses to subsequent mother directives. The findings support these hypotheses. The discussion addresses caretaker social responsiveness as an intervention target of behavioral family therapy.     

An examination of predictor variables for child compliance and noncompliance

The purpose of this study was to examine the antecedents of child compliance and noncompliance. Both maternal and child behaviors served as predictors. Fifty-six clinic-referred children and their mothers served as subjects. Data were collected in the home setting by independent observers. Four multiple regression analyses were performed. The results indicated that the behavior immediately preceding child compliance or noncompliance typically was the best predictor. Furthermore, the antecedents for child compliance and noncompliance differed. For maternal antecedents, the type of command that served as the best predictor for child compliance and noncompliance differed; however, the final predictor equation was similar for the two types of child behaviors. For child antecedents, compliance was best predicted by compliance and noncompliance was best predicted by noncompliance. The results are discussed in terms of Patterson's coercion hypothesis.     

Comparing the effects of static and dynamic signals during multiple schedules

The extent to which multiple schedules are an effective schedule thinning method following functional communication training (FCT) relies on the control the schedule-correlated stimuli exert over behavior. Thus, the stimuli used to signal the schedule in place (e.g., reinforcement and extinction) in a multiple schedule arrangement require special attention. To date, the majority of the research on multiple schedules has evaluated the use of different arbitrary signals as schedule-correlated stimuli (e.g., poster boards). These signals are considered static as they lack movement. More recently, some studies have successfully used dynamic signals, which include movement or animation, within multiple schedule arrangements. However, the extent to which one type of signal may result in faster stimulus control over behavior has not been evaluated. Thus, the purpose of this study was to compare the use of static and dynamic signals as schedule-correlated stimuli in multiple schedules used within the context of FCT. Four children diagnosed with autism spectrum disorder participated in the study. The results suggest that no differences in discriminated manding were observed for three out of four participants. Only dynamic signals resulted in discriminated manding for one participant.     

A comparison of dense-to-lean and fixed lean schedules of alternative reinforcement and extinction

Behavior-reduction interventions typically employ dense schedules of alternative reinforcement in conjunction with operant extinction for problem behavior. After problem behavior is reduced in the initial treatment stages, schedule thinning is routinely conducted to make the intervention more practical in natural environments. In the current investigation, two methods for thinning alternative reinforcement schedules were compared for 3 clients who exhibited severe problem behavior. In the dense-to-lean (DTL) condition, reinforcement was delivered on relatively dense schedules (using noncontingent reinforcement for 1 participant and functional communication training for 2 participants), followed by systematic schedule thinning to progressively leaner schedules. During the fixed lean (FL) condition, reinforcement was delivered on lean schedules (equivalent to the terminal schedule of the DTL condition). The FL condition produced a quicker attainment of individual treatment goals for 2 of the 3 participants. The results are discussed in terms of the potential utility of using relatively lean schedules at treatment outset.     

Evaluation of a preliminary method to examine antecedent and consequent contributions to noncompliance

We evaluated a preliminary method for examining the antecedent and consequent contributions to noncompliance exhibited by two children with disabilities. In Phase 1, we assessed whether noncompliance was a result of a skill deficit. For one participant, we then conducted a functional analysis to determine the variables maintaining noncompliance in Phase 2. In Phase 3, we conducted a treatment evaluation to increase compliance for each participant. We identified the antecedent and consequent variables responsible for noncompliance and developed an effective intervention for both participants.     

Preference for and effects of variable-as opposed to fixed-reinforcer duration

Pigeons were trained on multiple schedules in which a fixed number of pecks produced either a fixed or a variable period of access to food, the average variable-duration reinforcement equalling the fixed. Pecking rates were generally higher during the variable-duration component. Subsequent performance on concurrent schedules revealed an initial preference for variable-duration reinforcement for all subjects; for most subjects, this preference was sustained. For one subject, the average variable duration was gradually reduced to half the fixed duration: continued preference for the variable component resulted in a loss of up to 30% of available reinforcement time. A return to multiple schedules with unequal pay-off shifted the preference to the greater fixed duration, and this preference was maintained even when the variable duration was again raised to equal the fixed duration. For the remaining subjects, the initial variable-duration preference on concurrent schedules was gradually replaced by a side preference. When the range of variable durations was varied, keeping the average variable duration equal to the fixed, the occasional longer reinforcers sustained a preference for variable-reinforcer durations for three of the four subjects.     

Embedding a functional analysis of compliance in small group instruction

Research on adaptations to standard functional analyses for use in classroom settings has increased in recent years. However, few studies have focused on procedural variations specific to assessing noncompliance in the context of academic instruction. In the current study, we trained a special education teacher to embed a functional analysis of compliance in small group instruction. The goal of the functional analysis was to identify an effective reinforcement contingency for compliance for a second grade student with an intellectual disability. Results suggested a combined escape + tangible contingency increased compliance to instructional prompts relative to other conditions. The functional analysis of compliance represents a variation on previous functional analyses of noncompliance with potential to increase ecological and social validity of assessment procedures for classroom settings.     

AN EVALUATION OF EVIDENCE‐BASED INTERVENTIONS TO INCREASE COMPLIANCE AMONG CHILDREN WITH AUTISM

We evaluated 4 evidence‐based interventions to increase compliance. Three children with autism who exhibited noncompliance when asked to relinquish a preferred toy were exposed sequentially to interventions that included a reduction in response effort, differential reinforcement, and guided compliance. Results indicated that effort reduction alone was ineffective and that each participant's compliance improved after exposure to a different intervention; these results highlight the need to individualize treatments for compliance.     

Long-term nurse-patient interactions: factors in patient compliance or noncompliance to the dietary regimen

Noncompliance to treatment regimens is a widespread, costly problem. The present study examines nurse-patient interactions as factors in compliance/noncompliance to the hemodialysis dietary regimen. Several research studies have evidenced these interactions to be central to patient compliance. However, no research has been reported that has controlled for the nature of the treatment regimen; rather, practitioners' interactions with patients who are being treated for a variety of disorders have been examined. An interaction-process-analysis technique was used to code the verbal behaviors that occur during treatment between 38 hemodialysis outpatients with chronic renal disease and the nurses who provide their treatment. These verbal interactions were analyzed in relation to levels of dietary compliance/noncompliance of patients and length of nursing tenure. It was found that emotionally positive and negative responses by nurses were both positively associated with noncompliance to the dietary regimen; however, treatment-related responses by nurses were not associated with compliance/noncompliance level. With regard to length of nursing tenure, it was found that emotionally positive and negative responses by patients were positively associated with nursing tenure and that treatment-related questions by nurses were negatively associated with nursing tenure.     

Tolerance to effects of cocaine on behavior under a response-initiated fixed-interval schedule

Tolerance to effects of cocaine can be modulated by schedules of reinforcement. With multiple ratio schedules, research has shown an inverse relationship between ratio requirement and amount of tolerance that resulted from daily administration of the drug. In contrast, tolerance to the effects of cocaine on behavior under multiple interval schedules generally has developed regardless of interval value. Under interval schedules reinforcement depends on the animal making one response following a time interval. Thus, as time to respond increases, the time to reinforcement decreases. On the other hand, fixed ratio schedules require a specified number of responses to be made prior to reinforcement. Therefore, delaying the initiation of responding does not coincide with a significant decrease in the time to reinforcement. In the current experiment, 6 pigeons were trained to respond under a three-component multiple schedule, with a different tandem fixed-ratio 1 fixed-interval schedule in each component. The multiple schedule required one response, which was followed by one of three fixed-interval values (5, 15, or 60 s). Thus, the multiple schedule was interval-like because after the fixed-ratio 1, only one more response was required for reinforcement, but it was also ratio-like because the length of the pause at the beginning of each interreinforcer interval affected the time until the next reinforcer. Acute administration of cocaine generally resulted in dose-dependent decreases in responding. Chronic (i.e., daily) administration of a rate-decreasing dose resulted in tolerance patterns similar to those usually obtained with multiple ratio schedules. That is, the magnitude of tolerance was related inversely to schedule size. These results suggest that delay to reinforcement from the initial response may play a role in the development of schedule-parameter-related tolerance.     

Token Economies: Using Basic Experimental Research to Guide Practical Applications

This paper highlights the applicability of patterns seen within basic experimental research in relation to contemporary application of token economies. Token economies are one of the most widely used interventions to promote behavior change, and this procedure has evolved to be effective across many settings, behaviors, and individuals. Due to this widespread use, casual implementation of the token economy might result in inconsistencies in responding and therefore an overall skepticism in the procedure itself. We present multiple barriers that encumber practical application of token economies, including insufficient conditioning and pairing of tokens, determining quality of backup reinforcers, unforeseen effects of motivating operations, teaching the token exchange, effects of higher-order reinforcement schedules, ratio strain, and use of response cost procedures. To assist practitioners in implementing more effective treatments, for each barrier we revisit the often overlooked basic research involving features of conditioned reinforcement and reinforcement schedules. It is important to translate the often complex implications of basic research so that practitioners can use this information to improve their own practice as well as their confidence in disseminating use of this evidence-based treatment. To further guide practitioners in using this knowledge in everyday settings, we also provide recommendations specific to each barrier as well as relevant applied research and practical examples.     

Effects of reinforcement and response-cost history on instructional control

The present study compared the effects of reinforcement or punishment versus no additional consequences for instruction following on instructional control and subsequent rule-governed insensitivity. In two experiments, adult participants were presented with repeated choices between a short progressive-time schedule and either a fixed time-schedule or a longer progressive-time schedule. In Experiment 1, three groups were given an initially accurate instruction relative to the direct contingency. A control group experienced no additional consequences for compliance with instructions, whereas compliance resulted in additional points for a second group, and noncompliance led to the subtraction of points for a third group. In a subsequent phase, instructions became inaccurate and there were no additional consequences for compliance or noncompliance for any group. Consistent with previous results, rule-governed insensitivity was observed in all participants. Experiment 2 employed the same procedure, except instructions were inaccurate throughout all sessions, and compliance in the subsequent phase resulted in diminishing points per session. Reinforcement for following instructions increased instructional control and subsequent rule-governed insensitivity. This increase was maintained even after the termination of additional consequences, a result that supports theoretical suggestions that a history of reinforcement for complying with instructions and rules is an important factor in rule-governed insensitivity.     

A Preliminary Evaluation of Functional Communication Training Effectiveness and Language Preference When Spanish and English are Manipulated

We evaluated whether differences in treatment effectiveness or preference between languages emerged across Spanish and English during functional communication training (FCT) for young children with developmental disabilities exposed to Spanish and English in the home environment. Participants were 2 young children with developmental disabilities who displayed destructive behavior maintained by social contingencies and whose families spoke Spanish and English at home. All procedures were conducted in the participants’ homes by their mothers with coaching from the investigator. The effectiveness of FCT was evaluated within a reversal design across baseline, FCT, and extinction conditions. A multielement design across language type (Spanish and English) was embedded within the reversal design during the extinction and FCT conditions to evaluate differences in treatment effectiveness across type of language. Finally, during all FCT sessions, a concurrent schedules design was used to evaluate participant preference for type of language. Results suggested that FCT was effective in reducing destructive behavior, increasing manding, and/or increasing task completion for these 2 participants across Spanish and English treatment conditions. Preference for the type of language did not emerge for either participant during FCT. Results are discussed in terms of the merits of systematically evaluating language variables when working with culturally and linguistically diverse families and children.