BEHAVIORAL INTERVENTIONS

Decreasing motor stereotypy with competing stimuli and tasks: Analysis of prompted engagement and response blocking
Schmidt JD, Falligant JM, Goetzel A, Hardisty S and Hagopian LP
Competing stimulus assessments (CSAs) are used to empirically identify stimuli associated with low levels of problem behavior. For some individuals with automatically maintained behavior, it can be difficult to identify effective competing stimuli. Recent research shows that prompting engagement and response blocking can be employed during the CSA to obtain significant reductions in problem behavior. The purpose of the present study was to replicate and extend prior research on the use of these tactics not only with competing stimuli, but also competing tasks, which require the active completion of a discrete response or response sequence. In addition, the current study validated the results of these pretreatment assessments in an extended treatment analysis, and examined the isolated and combined effects of prompting and response blocking within a component analysis. Future research directions and implications for clinical practice are discussed.
Some actions for behavior analyst licensing bodies to consider in response to the COVID-19 pandemic
Fronapfel BH, Dubuque EM, Milyko K, Fuller CM and Green G
The COVID-19 global pandemic has had a significant impact on the practice of applied behavior analysis (ABA). Practitioners and caregivers have had to adapt quickly as physical distancing, stay-at-home orders, and shelter-in-place directives have become commonplace. As the field copes with the changes produced by the COVID-19 outbreak, many behavior analytic practitioners are seeking guidance from regulatory bodies to ensure they are practicing legally and ethically. This article outlines some actions that the regulatory bodies that manage state behavior analyst licensure programs may consider to assist ABA practitioners and consumers during this unprecedented time. Additionally, suggestions are offered as to how state licensing bodies might prepare to support the practice of licensees during future events that present challenges similar to the current pandemic.
Stimulus Fading and Response Elaboration in Differential Reinforcement for Alternative Behavior
Schlichenmeyer KJ, Dube WV and Vargas-Irwin M
A hallmark of applied behavior analysis is the development of function-based interventions for problem behavior. A widely recommended function-based intervention is differential reinforcement of alternative behavior (DRA), in which reinforcement is contingent upon socially acceptable alternatives to problem behavior (e.g., teaching communication skills). Typically, DRA is introduced under rich schedules of reinforcement. Although effective for initiating behavior change, rich schedules are often impractical in the natural setting. In this study, we evaluated the extent to which a stimulus fading program could be employed to elaborate alternative behavior (mands) in two individuals diagnosed with an Autism Spectrum Disorder. For both participants, problem behavior was reduced substantially upon implementation of the DRA procedure. Further, problem behavior rates remained low and mand rates decreased to more practical levels as the DRA behavioral requirements increased during the fading program. The fading approach demonstrated in this paper may be a useful component of intervention packages for clinicians.
REDUCING AMBIGUITY IN THE FUNCTIONAL ASSESSMENT OF PROBLEM BEHAVIOR
Rooker GW, DeLeon IG, Borrero CS, Frank-Crawford MA and Roscoe EM
Severe problem behavior (e.g., self-injury and aggression) remains among the most serious challenges for the habilitation of persons with intellectual disabilities and is a significant obstacle to community integration. The current standard of behavior analytic treatment for problem behavior in this population consists of a functional assessment and treatment model. Within that model, the first step is to assess the behavior-environment relations that give rise to and maintain problem behavior, a functional behavioral assessment. Conventional methods of assessing behavioral function include indirect, descriptive, and experimental assessments of problem behavior. Clinical investigators have produced a rich literature demonstrating the relative effectiveness for each method, but in clinical practice, each can produce ambiguous or difficult-to-interpret outcomes that may impede treatment development. This paper outlines potential sources of variability in assessment outcomes and then reviews the evidence on strategies for avoiding ambiguous outcomes and/or clarifying initially ambiguous results. The end result for each assessment method is a set of best practice guidelines, given the available evidence, for conducting the initial assessment.
Teaching Individuals to Signal for Assistance in a Timely Manner
Saunders MD and Saunders RR
The study describes the adaptive-switch performances of 8 adults with severe multiple impairments. Each was given a series of progressively more difficult discrimination tasks that, if solved, would require the participant to close the switch to activate a device that was not operating or to stay away from the switch if the device was operating. Then in a 2-choice format, a preference test was conducted by providing 2 devices simultaneously that could be activated or deactivated by closure or release of the switch. Finally, a preferred device was activated and then surreptitiously deactivated. Switch closures in this contingency activated a speech-generating device that played the message, "Help me." All 8 participants learned to control devices using their adaptive switch, but only 4 participants learned to make a request for help. Reasons for the different performances across learners and nonlearners are discussed.
Adapted Digital Music Players for Individuals with Severe Impairments
Saunders MD, Questad KA, Cullinan TB and Saunders RR
Portable music production devices, such as radios, cassette players and MP3 players have characteristics that make them less than ideal for teaching the cause-and-effect relationships that would enable children and adults with severe impairments to control them independently and appropriately. Even when adapted for control with adaptive switches, the relationship between switch closure and on-off operation results in contingency characteristics that can inhibit learning. Some solutions to these problems are described, and for those individuals who can learn with complex contingencies, some promising products are reviewed.
SENSITIVITY OF PASSIVE APPROACH DURING PREFERENCE AND REINFORCER ASSESSMENTS FOR CHILDREN WITH SEVERE AND PROFOUND INTELLECTUAL DISABILITIES AND MINIMAL MOVEMENT
Spevack S, Yu CT, Lee MS and Martin GL
We evaluated the use of passive approach to assess preferences of two children, with severe and profound intellectual disabilities. Both children had physical challenges and exhibited minimal physical movement. We also compared the relative reinforcing effects of the identified high and low preference stimuli for a switch pressing response, and for a more passive looking response. High and low preference stimuli were identified for both children. Moreover, the high preference stimulus maintained higher rates of responding than the low preference stimulus for both children for the passive looking response, but not for switch pressing. The study extended the use of passive approach to assess preferences and identified the choice of target response as a potential limiting factor during reinforcer tests for these children.