The Big Four: Functional Assessment Research Informs Preventative Behavior Analysis

A Tutorial on Indicating Responses and Their Importance in Mand Training

One of the most critical intervention strategies when working with individuals with significant language delays associated with autism spectrum disorder and related developmental delays is teaching mands. For mand training to be effective, an establishing operation (EO) must be in effect, yet EOs are often difficult to observe. Before learning to mand, an individual may point to or approach a reinforcer, which likely indicates an EO related to that reinforcer, and may be considered an indicating response (IR). Observing an IR before prompting a mand increases the likelihood that the prompt is delivered when an EO is in effect and that the response is truly a mand. Missing from the literature is a consistent definition of IRs and a robust set of guidelines for using them in practice. In this tutorial, we review the terms and topographies of IRs in the literature to arrive at a definition of IRs. We then provide practical, research-based recommendations for using IRs during mand training, as well as assessing, selecting, teaching, and replacing IRs. Last, we provide tools and resources related to decision making and data collection with respect to IRs.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40617-024-00965-7.

A Clinical Tutorial on Methods to Capture and Contrive Establishing Operations to Teach Mands

Mands are consistently described as critical learning targets for members of vulnerable populations in need of language intervention (Ala'i-Rosales et al., 2018; Michael, 1988; Sundberg, 2004). Reviews of the literature demonstrate a prevalence of the mand in the applied literature (e.g., DeSouza et al., 2017). Yet, gaps between research and practice exist in scientific fields resulting in decades-long delays between identification of evidence-based approaches and adoption in everyday use. The mand may be particularly at risk for procedural drift in practice settings given the sometimes elusive nature of establishing operations (EOs) and the relative complexity of procedures used to contrive them. Thus, the purpose of this tutorial is to build upon prior conceptual (e.g., Shafer, 1994) and applied (e.g., Cengher et al., 2022) reviews on mands to provide a contemporary, in-depth review of three procedures used to contrive EOs: incidental teaching, the interrupted chains procedure, and programmed restriction of reinforcers. Recent examples from the literature are discussed along with considerations for use in practice. Resources to support implementation including integrity checklists and role play scenarios are provided.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40617-024-00985-3.

A Review of the Environmental Variables Included in Mand Training Interventions

Deficits in communicating one's wants and needs can have significant and detrimental effects on quality of life. Particularly for individuals with autism spectrum disorder (ASD) and other related disabilities, manding is a pivotal skill that influences long-term prognosis. Mand training is complex and relies on several components to facilitate acquisition. Various approaches have been developed to target this pivotal repertoire; however, it is unknown if there are common elements, or "critical components," among interventions. Identifying these components may support the design of mand training interventions for young children that are efficient and effective. In this systematic review, we synthesized the characteristics of 118 participants included in 45 single-case studies teaching preschool-aged children to mand. Findings indicated that most studies conduct preference assessments to inform target selection, manipulate motivating operations, and deliver specific reinforcement following the emission of the mand. This review reveals a gap in observing behavioral indication, teaching under both establishing operation (EO) and abolishing operation (AO) conditions, and failure to observe interactions with the consequent stimulus. Overall, the results suggest differences in the variables included in mand training interventions and those critical to acquisition of a functional mand repertoire cannot be determined. We discuss implications and directions for future research.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40616-024-00211-9.

'Key skills' building in schools as a possible approach to reducing and preventing challenging behaviour

BACKGROUND

Building 'key skills' may help prevent the development of challenging behaviour in children with an intellectual disability. The aim of this paper was to extend the current limited evidence in this area.

METHOD

We undertook two studies with children with an intellectual disability in school settings: (1) a cross-sectional replication study exploring the relationship between 'key skills' and challenging behaviour. (2) a longitudinal study follow-up exploring change in 'key skill' levels and challenging behaviour.

RESULTS

The replication study recruited 74 participants, those scoring lowest in 'key skill' had a 94% chance of having challenging behaviour; those with the highest scores had a 6% chance. The follow-up study recruited 39 participants, we found a significant increase in children's 'key skill' level (p < .001) and a decrease in their challenging behaviour (p = .046).

CONCLUSION

Building 'key skills' in children with an intellectual disability may help reduce or prevent challenging behaviour.

How Can Qualitative Methods Be Applied to Behavior Analytic Research: A Discussion and Suggestions for Implementation

Behavior analysts in research and clinical practice are interested in an ever-expanding array of topics. They are compelled to explore the social validity of the interventions they propose and the findings they generate. As the field moves in these important directions, qualitative methods are becoming increasingly relevant. Representing a departure from small-n design favored by behavior analysts, qualitative approaches provide analysts a unique set of tools to answer questions that prioritize voice, experience, and understandings in context. Despite recognition of the value of qualitative approaches in other disciplines, application of qualitative methods in behavior analysis remains limited. One likely explanation is that behavior analysts are not yet fluent in applying qualitative approaches within their clinical and research investigations. To address this issue, exploration of qualitative research approaches in behavior analytic literature is needed, alongside practical advice for analysts who are interested in using qualitative methods. This article briefly outlines qualitative literature which pertains to behavior analysts wanting to incorporate qualitative methods into their inquiries. Attention is primarily drawn to the need for coherence in designing and implementing a robust qualitative study that aligns with the behavior analyst's aims and perspective on knowing. A set of guiding questions are provided to orient behavior analysts to considerations in qualitative research and outline how analysts can conceptualize a strong qualitative study. This article aims to support increased application of qualitative methods by behavior analysts, where these methods best address the function of the behavior analytic investigation.

Approaches for Treating Multiply Controlled Problem Behavior

A portion of problem behavior is maintained by multiple reinforcement contingencies. Treating multiply controlled problem behavior may be more complex than treating problem behavior maintained by a single contingency. Several approaches for addressing multiply controlled problem behavior have been described in the literature. The purpose of this review is to provide practitioners with an overview of function-based approaches for addressing multiply controlled problem behavior. In particular, we present guidelines for functional analysis and treatment. We also describe strengths and limitations of published treatment approaches and discuss strategies for mitigating these limitations. Finally, we describe areas for future research.

Advancing and Integrating the Cusp Concept to Understand Behavioral Repertoire Dynamics

The behavioral repertoire grows and develops through a lifetime in a manner intricately dependent on bidirectional connections between its current form and the shaping environment. Behavior analysis has discovered many of the key relationships that occur between repertoire elements that govern this constant metamorphosis, including the behavioral cusp: an event that triggers contact with new behavioral contingencies. The current literature already suggests possible integration of the behavioral cusp and related concepts into a wider understanding of behavioural development and cumulative learning. Here we share an attempted step in that progression: an approach to an in-depth characterization of the features and connections underlying cusp variety. We sketch this approach on the basis of differential involvement of contingency terms; the relevance to the cusp of environmental context, accompanying repertoire, or response properties; the connections of particular cusps to other behavioral principles, processes, or concepts; the involvement of co-evolving social repertoires undergoing mutual influence; and the ability of cusps to direct the repertoire either toward desired contingencies or away from a growth-stifling repertoire. We discuss the implications of the schema for expanded applied considerations, the programming of unique cusps, and the need for incorporating cultural context into the cusp. We hope that this schema could be a starting point, subject to empirical refinement, leading to an expanded understanding of repertoire interconnectivity and ontogenetic evolution.

Registered Behavior Technicians' Training Experiences for Severe Problem Behavior: A Survey

Registered Behavior Technicians (RBTs) are the primary paraprofessionals who deliver applied behavior analysis (ABA) services to individuals with autism spectrum disorder (ASD) under supervision of a Board Certified Behavior Analyst (BCBA). Effective training and supervision for RBTs providing ABA services is critical, especially for technicians working with children who exhibit severe behaviors. Recent research has assessed the needs of BCBAs working with individuals who exhibit severe problem behavior (Colombo et al., 2021). However, no research exists to identify the needs and ongoing training offered to the RBTs who provide ABA services to clients who exhibit severe problem behavior. Thus, the purpose of the current study was to survey RBTs for their initial training experiences and ongoing supports offered when working with clients who exhibit severe problem behavior. Results indicated that some RBTs reported appropriate initial and ongoing training, however, 13% reported receiving no initial training and 29% reported receiving no ongoing training when working with clients who engaged in severe problem behavior. In addition, 75% of RBTs reported sustaining an injury themselves and 36% reported their client sustained some type of injury. Suggestions for improvement for training RBTs working with this population and directions for future research are discussed.

A quantitative analysis of accuracy, reliability and bias in judgements of functional analyses

Functional analysis can be considered a diagnostic assessment that behavior analysts use to determine behavioral function. Such a diagnosis ultimately requires a yes or no decision (i.e., a variable maintains a behavior, or it does not) that is determined by both subjective (clinical judgement) and objective (data) variables. Accurate and reliable identification of function is essential for successful treatment, yet behavior analysts' interpretation of data relies on their ability to detect visual differences in graphed data. Some research indicates that behavior analysts have questionable reliability in their visual analysis. To further examine the reliability, accuracy, and bias in visual analysis of functional analysis graphs, we simulated functional analysis results and surveyed 121 BCBA-Ds experienced in visual analysis. We then examined reliability of responses and used a signal detection theory approach to analyze accuracy and bias. Findings suggest that reliability and accuracy of judgements are questionable, and exploration of decision aids is warranted.

An Evaluation of "Balance": a Home-Based, Parent-Implemented Program Addressing Emerging Problem Behavior

Programs that prevent the development of severe problem behavior in young children with autism spectrum disorder (ASD) are critically needed. We describe a program designed to do this, and we report on a preliminary evaluation of its effects with four 3- and 4-year-old children with ASD. Parents served as the primary implementers, with twice-weekly coaching from a Board Certified Behavior Analyst. Direct measures and Aberrant Behavior Checklist scores reflected decreases in emerging problem behavior. Direct measures also reflected increases in child communication, social, and cooperation skills, and parents rated the process as highly acceptable. A randomized controlled trial will be required to evaluate the extent to which the program prevents the development of problem behavior in young children with ASD.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40617-020-00490-3.

Advances in Our Understanding of Behavioral Intervention: 1980 to 2020 for Individuals Diagnosed with Autism Spectrum Disorder

There are three branches of science of behavior analysis [i.e., experimental analysis of behavior, behavior analysis, and applied behavior analysis (ABA)]. ABA can be defined as a systematic approach to understanding behavior of social interest. For the past 40 plus years, researchers have evaluated ABA and ABA based procedures (e.g., behavioral intervention) as they relate to individuals diagnosed with autism spectrum disorder (ASD) and have implemented behavioral intervention in clinical settings for individuals diagnosed with ASD. In this paper, we discuss some of the pivotal contributions in the field of ABA in research and clinical practice. Additionally, we provide recommendations for the science and clinical practice of behavioral intervention in the next 40 years.

Life skills instruction for children with developmental disabilities

The Preschool Life Skills program is an intervention package designed to teach functional skills to prevent problem behavior in typically developing children. The purpose of the current study was to evaluate the effects of the instructional package (renamed "Life Skills") with children with developmental disabilities. The program involved teaching 12 life skills to nine participants across four instructional units. The units were instruction following, functional communication, tolerance of denial and delay, and friendship skills. Teachers provided instruction through a three-tiered instructional approach, starting with class-wide instruction followed by small group and one-to-one instruction as necessary. We extended previous research by using visual prompts during all three tiers and progressively increasing intertrial intervals during one-to-one instruction. Results indicated that the intervention led to skill acquisition with all nine participants. The skills maintained 4 weeks after instruction ended.