Examining Procedural Variations of Delivering Competing Stimuli in the Treatment of Stereotypy.

Competing stimulus assessments (CSA) are effective tools for identifying stimuli that compete with automatically reinforced behavior. However, Jennett et al. suggests there are cases for which non-contingent access to competing stimuli are insufficient at decreasing target responding and additional treatment components may be necessary. The purpose of the current study was to examine procedural variations (i.e., rotating competing items and prompted engagement) when presenting competing stimuli on increasing functional engagement and decreasing stereotypy. Following a functional analysis, a CSA was conducted to identify competing stimuli for four individuals with autism. Items identified were then used with two procedural variations. Levels of stereotypy, functional engagement, and item contact were measured. Results showed that for two participants both treatments were effective, while for the other two participants prompting functional engagement was more effective. Prompting functional engagement is likely a productive strategy for enhancing engagement with competing stimuli for automatically reinforced problem behavior as it may result in functional engagement becoming reinforcing in and of itself.

Assessing and Treating Anxiety in Individuals with Autism.

Anxiety is a cluster of responses that can involve both operant and respondent behavior, which can be both public and/or private in nature, and occurs when an upcoming aversive stimulus is signaled. Despite the reported high comorbidity of autism and anxiety, there has been very limited research on how to directly assess and treat anxiety, especially with individuals who have limited communication skills. In Study 1, anxiety was assessed in five individuals with autism, ranging in age from 10 to 19 years old. Anxiety was assessed by measuring behavior during (1) a baseline (with no putative anxiety-provoking stimuli present), (2) signals for an upcoming aversive event, and (3) exposure to that aversive event. Anxiety presented in several different ways, as both conditioned activation and suppression, and both with and without problem behavior during the aversive event. In Study 2, individualized treatments involving differential reinforcement of alternative responses and stimulus fading were used to successfully reduce anxious responding in all four participants who displayed anxiety. These studies demonstrated a potentially useful means of assessing anxiety in individuals with autism which may not only help to measure anxious behavior and identify anxiety-provoking events, but may also lead to effective treatment.

Examining stereotypy in naturalistic contexts: Differential reinforcement and context-specific redirection.

This study examined stereotypy in naturalistic classroom contexts (i.e., academic programming, leisure skill acquisition) with differential reinforcement of contextually appropriate behavior (DRA). When stereotypy was problematic, redirection to the ongoing activity was provided. Contextually appropriate behavior and stereotypy were measured across all contexts prior to redirecting stereotypy to contextually appropriate behavior. Low levels of stereotypy were observed during the DRA in at least 2 contexts for all 5 participants. Context-specific redirection was added to the DRA if stereotypy persisted, and decreased stereotypy in 9 of the 10 evaluations. The results suggest that stereotypy might not be problematic in all contexts when DRA is present and redirection to contextually relevant appropriate behavior is an effective strategy.

Increasing item engagement and decreasing automatically reinforced problem behavior within a modified competing stimulus assessment.

A competing stimulus assessment (CSA) is commonly used to identify leisure items for use in treatments designed to decrease automatically reinforced problem behavior. However, this type of assessment may not yield useful information if participants do not readily engage with leisure items. The purpose of this study was to evaluate a modified CSA that included additional treatment components (i.e., prompting, prompting plus differential reinforcement of alternative behavior). The modified CSA identified the treatment components and leisure items that were most effective for increasing leisure-item engagement and decreasing problem behavior for each participant. Modified CSA outcomes maintained during an extended treatment analysis in a natural setting and when intervention components were faded.

Reducing Public Masturbation in Individuals With ASD: An Assessment of Response Interruption Procedures.

Individuals with autism may engage in sexual behavior at inappropriate times and/or in inappropriate places. The current study investigated the effects of response interruption and redirection (RIRD) and response interruption (RI) on public masturbation (PM) of children and adolescents with autism. Initial assessments showed that PM was maintained by automatic reinforcement. During the treatment evaluation phase, we compared RIRD and RI to determine whether either procedure was successful in decreasing the duration of PM. In the RIRD condition, contingent on the occurrence of any PM the participant completed physical activities involving both hands (e.g., moving chairs, touching toes). In the RI condition, the therapist interrupted all instances of PM using physical and verbal prompts (e.g., saying in a neutral tone, "Stop that" and moving hands away from genitals). Both procedures were effective in decreasing the duration of PM but RI required fewer resources and less time. Clinical implications and suggestions for future research are reviewed.

An analysis of treatment integrity of response interruption and redirection.

Response interruption and redirection has been shown to effectively decrease stereotypy, but its application outside an experimental setting has not been well studied. In Experiment 1, decreases in automatically maintained vocal stereotypy were obtained following treatment in a controlled setting for 3 participants diagnosed with autism spectrum disorder. Descriptive data on the consistency and accuracy of response interruption and redirection were then collected in the classroom setting. Results showed that the consistency of treatment implementation varied across participants and staff members. Failure to implement the treatment was the most common error. However, when response interruption and redirection was implemented, the components were generally carried out as prescribed. In Experiment 2, we conducted a parametric analysis in a controlled setting to test the impact of consistency errors on response interruption and redirection. The results indicated that response interruption and redirection was generally effective at 50% treatment implementation or higher. Furthermore, we observed treatment effects when 25% implementation sessions were interspersed with 100% treatment implementation sessions. Application of response interruption and redirection in light of previous studies and clinical implications are discussed.

An Assessment of Three Procedures to Teach Echoic Responding.

The research literature has revealed mixed outcomes on various procedures for increasing vocalizations and echoic responding in persons with disabilities (Miguel, Carr, & Michael The Analysis of Verbal Behavior, 18, 3-13, 2002; Stock, Schulze, & Mirenda The Analysis of Verbal Behavior, 24, 123-133, 2008). We examined the efficacy of an assessment procedure for identifying the most effective echoic teaching procedure to six students diagnosed autism spectrum disorder (ASD) and other developmental delays. The assessment procedure included a within-participant comparison of vocal imitation training (VIT), stimulus-stimulus pairing (SSP), and a mand-model procedure (MM). A functional analysis of the responses was conducted to determine whether responding was functionally an echoic or a mand. The results indicated that the assessment was effective in identifying a teaching procedure for five out of the six participants and that responding was established under echoic control. These outcomes support the efficacy of this assessment procedure for identifying effective echoic teaching procedures.

Teaching observational learning to children with autism.

Observational learning (OL) is critical for the acquisition of social skills and may be an important skill for learning in traditional educational settings. Although OL occurs during early childhood in the typically developing population, research suggests that it may be limited in children diagnosed with autism spectrum disorder (ASD). The purpose of the present study was to develop an assessment to test for the presence of OL across a variety of tasks. If OL was deficient, we sought to teach it by training specific skills. Six participants who had been diagnosed with ASD demonstrated deficits in OL. After an initial assessment, a multiple-probe design across OL tasks showed that training produced acquisition of these skills across multiple exemplars. After training, 5 of the 6 participants engaged in OL across multiple tasks and task variations, demonstrating generalization. For 1 participant, generalization of performance did not occur across tasks but did occur within task variations.

Increasing the efficiency of paired-stimulus preference assessments by identifying categories of preference.

A paired-stimulus preference assessment was conducted for 6 individuals with developmental disabilities. We selected stimuli that were representatives of 4 categories: chocolate, salty and crunchy, gummy, and fruit and vegetable. For all 6 participants, at least 3 of the 5 most preferred items came from the same category. On subsequent reinforcer assessments, items from the highest ranked preference category, some of which were included in the preference assessments and some of which were not, functioned as reinforcers. These findings suggest that after categories of preferred items are identified, clinicians may be able to identify reinforcers for some individuals without conducting additional assessments.

Recombinative Generalization of Tacts Through Matrix Training with Individuals with Autism Spectrum Disorder.

Foss (Journal of Experimental Psychology, 76, 450-459, 1968a; Journal of Experimental Psychology, 77, 341-344, 1968b) compared overlap and non-overlap instruction to promote recombinative response generalization using a matrix training procedure. In the present study, we used a similar set of procedures to teach tacting of kitchen items and prepositions (i.e., relational autoclitics) to three females ages 13-20, diagnosed with autism spectrum disorder. We taught some kitchen items/prepositions as tacts (e.g., "the strainer is to the right of the box") according to a non-overlap instructional sequence. Subsequently, we taught more combinations in an overlap instructional sequence. Each training procedure was followed by probes of untrained relations. Two participants demonstrated recombinative generalization of untrained combinations following the first non-overlap phase, while the third participant demonstrated some response generalization of untrained relations after a few additional training sequences. All three participants demonstrated generalized tacting of object components while two participants showed generalized tacting of preposition components.

Evaluating the Quality of Behavior Analytic Practitioner Training Programs.

Dixon and colleagues (2015) asserted that faculty research productivity is a key indicator of the quality of university programs that train future practitioners of behavior analysis. Based on their analysis of publications in select journals, the authors concluded that many faculty in such programs have published little to no research. Some alternative measures of both faculty research productivity and the quality of practitioner training programs are suggested here.

Modeling the effects of sensory reinforcers on behavioral persistence with alternative reinforcement.

Problem behavior often has sensory consequences that cannot be separated from the target response, even if external, social reinforcers are removed during treatment. Because sensory reinforcers that accompany socially mediated problem behavior may contribute to persistence and relapse, research must develop analog sensory reinforcers that can be experimentally manipulated. In this research, we devised analogs to sensory reinforcers in order to control for their presence and determine how sensory reinforcers may impact treatment efficacy. Experiments 1 and 2 compared the efficacy of differential reinforcement of alternative behavior (DRA) versus noncontingent reinforcement (NCR) with and without analog sensory reinforcers in a multiple schedule. Experiment 1 measured the persistence of key pecking in pigeons, whereas Experiment 2 measured the persistence of touchscreen responses in children with intellectual and developmental disabilities. Across both experiments, the presence of analog sensory reinforcers increased the levels, persistence, and variability of responding relative to when analog sensory reinforcers were absent. Also in both experiments, target responding was less persistent under conditions of DRA compared to NCR regardless of the presence or absence of analog sensory reinforcers.

Social validation of the New England Center For Children--Core Skills Assessment.

We investigated the social validity of the NECC Core Skills Assessment (NECC-CSA) with parents and professionals as participants. The NECC-CSA is a measurement tool consisting of direct and indirect measures of skills important to all individuals with autism, across the lifespan. Participants (N = 245) were provided with a list of 66 skills, 47 of which were Core Skills from the NECC-CSA, and were asked to indicate which items they considered to be foundational. Participants endorsed items from the NECC-CSA as foundational skills, more than they endorsed the other items. Differences between parents and professionals are described and detailed with respect to individual assessment items. The NECC-CSA consists of socially validated skills that can be taken as a starting point for programs of instruction for individuals with ASDs.

Persistence during extinction: examining the effects of continuous and intermittent reinforcement on problem behavior.

This study examined behavioral persistence during extinction following continuous or intermittent reinforcement in the context of an analogue functional analysis of problem behavior. Participants were 4 children who had been diagnosed with an autism spectrum disorder and who engaged in problem behavior maintained by social reinforcement. Experimental sessions included 4 successive 5-min components: no social interaction, continuous or intermittent reinforcement for problem behavior (alternating across sessions), extinction, and no social interaction. All participants' problem behavior was more persistent during extinction following continuous reinforcement, suggesting that behavior during extinction was affected by the preceding schedule of reinforcement.

Effects of two variations of differential reinforcement on prompt dependency.

Prompt dependency is an often referenced but little studied problem. The current study evaluated 2 iterations of differential reinforcement (DR) for overcoming prompt dependency and facilitating skill acquisition with 4 individuals who had been diagnosed with an autism spectrum disorder (ASD). Preference and reinforcer assessments were conducted to determine moderately and highly preferred reinforcers for each participant. Three sets of word-picture relations were taught to each of the participants using 1 of 3 DR procedures. Reinforcement for independent responses entailed delivery of the highest preference stimulus across all 3 procedures. Consequences for prompted responses entailed delivery of the highest preference stimulus (no DR), delivery of the moderately preferred stimulus (DR high/moderate), or no delivery of reinforcers (DR high/extinction). Results indicated that the DR high/moderate condition was most effective for 3 of 4 participants, whereas the DR high/extinction condition was most effective for the remaining participant.

Using video modeling with substitutable loops to teach varied play to children with autism.

Children with autism often engage in repetitive play with little variation in the actions performed or items used. This study examined the use of video modeling with scripted substitutable loops on children's pretend play with trained and untrained characters. Three young children with autism were shown a video model of scripted toy play that included a substitutable loop that allowed various characters to perform the same actions and vocalizations. Three characters were modeled with the substitutable loop during training sessions, and 3 additional characters were present in the video but never modeled. Following video modeling, all the participants incorporated untrained characters into their play, but the extent to which they did so varied.

The emergence of untrained mands and tacts in children with autism.

Despite Skinner's (1957) assertion that verbal operants are initially functionally independent, recent studies have suggested that in some cases the acquisition of one verbal operant (e.g., mand) gives rise to the other (e.g., tact) without explicit training. The present study aimed to evaluate the functional independence of mands and tacts during instruction with children with autism. Four boys with autism (3 to 6 years old) were taught to construct two 4-piece structures. Two participants were taught directly to mand, whereas the other 2 were taught to tact the names of the pieces. The effects of training were evaluated in a multiple probe design across verbal operants and tasks. Three of the 4 participants demonstrated an immediate transfer of control from 1 verbal operant to the other. These results were consistent with previous research with typically developing young children.

The effects of verbal operant training and response interruption and redirection on appropriate and inappropriate vocalizations.

Past research has shown that response interruption and redirection (RIRD) can effectively decrease automatically reinforced motor behavior (Hagopian & Adelinis, 2001). Ahearn, Clark, MacDonald, and Chung (2007) found that a procedural adaptation of RIRD reduced vocal stereotypy and increased appropriate vocalizations for some children, although appropriate vocalizations were not targeted directly. The purpose of the current study was to examine the effects of directly targeting appropriate language (i.e., verbal operant training) on vocal stereotypy and appropriate speech in 3 children with an autism spectrum disorder. The effects of verbal operant (i.e., tact) training were evaluated in a nonconcurrent multiple baseline design across participants. In addition, RIRD was implemented with 2 of the 3 participants to further decrease levels of vocal stereotypy. Verbal operant training alone produced slightly lower levels of stereotypy and increased appropriate vocalizations for all 3 participants; however, RIRD was required to produce acceptably low levels of stereotypy for 2 of the 3 participants.

A comparison of procedural variations in teaching behavior chains: manual guidance, trainer completion, and no completion of untrained steps.

We compared variations for teaching a sequence of responses through forward chaining. Seven children who had been diagnosed with autism participated in a comparison of teacher completion (TC) of steps beyond the training step and manually guiding the student (SC) to complete steps beyond the training step. A no-completion (NC) condition, in which the steps beyond the training step were not completed, was added to the comparison with 4 of the participants. Results showed that learning occurred with all procedures, although 5 participants acquired the chains most efficiently in the SC condition and the other 2 learned most efficiently in the TC condition. Of the participants for whom an NC condition was included, the tasks were acquired with the shortest average session length and total training time. Despite the potential benefits of TC and SC procedures, NC is a viable option and may be preferable for some students.