Using reinforcer pairing and fading to increase the milk consumption of a preschool child

The present study replicates and extends previous research on the treatment of food selectivity by implementing pairing and fading procedures to increase a child's milk consumption during regularly scheduled preschool meals. The treatment involved mixing a small amount of chocolate syrup into a glass of milk and gradually eliminating the chocolate. The procedure and data collection were implemented by preschool teachers and resulted in increased milk drinking at school, which was maintained at home.     

Using simultaneous presentation to increase vegetable consumption in a mildly selective child with autism

A multiple baseline design was used to evaluate the effects of adding condiments on the consumption of previously rejected foods (vegetables). Adding condiments produced increased food acceptance across three food items. Data are discussed in relation to conditioned food preferences and establishing operations.     

Evaluation of stimulus intensity fading on reduction of rapid eating in a child with autism

This study assessed the effects of a vibrating pager on reduction of rapid eating. The study also evaluated two strategies for fading the pager, by intensity and by frequency. The pager was successful in decreasing the pace of eating to an appropriate level and the pager prompt was successfully faded. Fading by frequency was ineffective in maintaining an appropriate pace of eating while intensity fading was successful.     

Using intraverbal prompts to increase divergent intraverbal responses by a child with autism

We examined the effectiveness of intraverbal prompts to increase the number of divergent responses to categorical questions composed of compound stimuli (e.g., Name some red things) for a 6‐year‐old child with autism. The intraverbal prompts involved providing the function, feature, and class of the target responses. A multiple probe across behaviors design was used. Results indicated that the child's total number of divergent responses was increased and maintained during 2‐week follow‐up probe trials. Novel responses were observed across conditions.     

The use of response cost to treat spitting by a child with autism

We evaluated the extent to which noncontingent access to one or multiple items and the contingent removal of a specific item decreased a young boy's spitting. Results indicated that the boy's spitting did not decrease when he was given noncontingent access to multiple, alternative stimuli or to a toy radio. By contrast, when the toy radio was removed contingent on spitting, the rate of the boy's spitting decreased to zero or near‐zero levels. Similar results were produced in the boy's special education classroom. Follow‐up sessions conducted 2 and 4 months later indicated that the reduction in the boy's spitting persisted across time. Copyright © 2010 John Wiley & Sons, Ltd.     

Using a combined blocking procedure to teach color discrimination to a child with autism

A combined blocking procedure was used to teach a child with autism to select two colors on request. First, two color cards were placed at fixed locations on a table and the experimenter repeatedly requested the child to touch one of the colors. After 10 consecutive correct selections, the child was asked to touch the other color. Blocks of trials with each color were systematically thinned until requests were presented randomly with few errors. Subsequently, the location of the selection cards was systematically alternated until the child was able to touch the correct card when both requests and card positions were presented in random fashion.     

Increasing compliance with haircuts in a child with autism

Using a changing‐criterion design, we evaluated the effects of providing a preferred edible item and escape from sitting contingent on a child's compliance with sitting during haircuts. Results indicated that the intervention eliminated the child's escape responses and increased his sitting to a duration that permitted regular haircuts by his mother. Follow‐up sessions showed that the participant's increased compliance during haircuts continued for over 2 months. Copyright © 2010 John Wiley & Sons, Ltd.     

A comparison of prompting tactics to establish intraverbals in children with autism

We compared the efficacy of tact-to-intraverbal (i.e., using picture prompts) and echoic-to-intraverbal transfer-of-stimulus-control procedures to establish intraverbal responding in 3 boys (4 years old) with autism. For all 3 participants, the picture prompts resulted in fewer trials to criterion, but both prompting tactics were eventually effective.     

Establishing compliance with liquid medication administration in a child with autism

Children with autism often display difficulty with swallowing pills and liquid medications. In the current study, stimulus fading and positive reinforcement established compliance with liquid medication administration in a young boy with autism. The boy's mother eventually administered liquid medication on her own.     

Direct and distal effects of noncontingent juice on rumination exhibited by a child with autism

Previous research has demonstrated the efficacy of the noncontingent delivery of foods and liquids at suppressing rumination, the repeated regurgitation and rechewing of partially digested food. However, it is unclear how long this reduction is maintained after caregivers terminate this procedure. The current study examined the direct and distal effects of noncontingent juice on rumination by measuring the duration of rumination during juice delivery and immediately following the termination of juice delivery. Noncontingent juice suppressed rumination, but this suppression was not maintained after delivery termination.     

Spoon-to-cup fading as treatment for cup drinking in a child with intestinal failure

We treated a child with intestinal failure who consumed solids on a spoon but not liquids from a cup. We used spoon-to-cup fading, which consisted of taping a spoon to a cup and then gradually moving the bowl of the spoon closer to the edge of the cup. Spoon-to-cup fading was effective for increasing consumption of liquids from a cup.     

Comparing resetting to non‐resetting DRO procedures to reduce stereotypy in a child with autism

We compared a resetting to a non‐resetting differential reinforcement of other behavior (DRO) procedure to reduce stereotypy exhibited by young boy with autism. During the resetting DRO, a reinforcer was delivered contingent upon the absence of stereotypy during the DRO interval. If stereotypy occurred, the DRO interval was immediately reset. The non‐resetting DRO procedure was identical, except that contingent upon stereotypy, the DRO interval continued until it expired; a new DRO interval then began. Results indicate that the DRO procedures were equally effective to reduce stereotypy, but the participant preferred the resetting DRO procedure.     

Stimulus fading and differential reinforcement for the treatment of needle phobia in a youth with autism

Stimulus fading in the form of gradually increased exposure to a fear-evoking stimulus, often combined with differential reinforcement, has been used to treat phobias in children who are otherwise normal and in children with autism. In this investigation, we applied stimulus fading plus differential reinforcement with an adolescent with autism and diabetes whose needle phobia had prevented medical monitoring of his blood glucose levels for over 2 years. Results showed that the treatment was successful in obtaining daily blood samples for measuring glucose levels.     

The analysis and treatment of vocal stereotypy in a child with autism

This study examined procedures for the assessment and treatment of automatically reinforced vocal stereotypy of a 6‐year‐old girl with autism. Stimulus assessments were conducted to identify toys that were correlated with higher rates of vocal stereotypy and toys that were not. A concurrent operants assessment identified preferred stimuli (toys that produced auditory stimulation), which were then used as reinforcers for the non‐occurrence of vocal stereotypy. A reversal design was used to compare the effects of a fixed time schedule of reinforcement (FT 1‐min) to differential reinforcement for the non‐occurrence of behavior (DRO) to reduce vocal stereotypy. Implementation of the FT schedule revealed no effect, whereas the DRO schedule led to a reduction in the target behavior during treatment sessions and across the school day. This study adds to the body of literature supporting the identification of matched stimuli to reduce non‐socially mediated problem behavior. Copyright © 2005 John Wiley & Sons, Ltd.