Assessing preferences of individuals with acquired brain injury using alternative stimulus modalities.

PRIMARY OBJECTIVE: To extend previous research on alternative stimulus preference assessment (SPA) modalities to individuals with severe ABI by evaluating the effects of pictorial, verbal and tangible item presentation. RESEARCH DESIGN: Paired-stimulus procedure used for SPA sessions with the order of modalities counterbalanced across participants. Reinforcer assessments (RAs) were experimentally evaluated using an alternating treatments design. A progressive-ratio procedure was used for reinforcer assessment (RA) sessions. METHODS AND PROCEDURES: Six adults with severe ABI. The Assessment of Basic Learning Abilities was conducted to assess discrimination skills; the Reinforcer Assessment for Individuals with Severe Disabilities structured interview was administered to identify items for subsequent evaluations. Three SPA sessions-one of each stimulus modality-were conducted with each participant. Subsequent RAs were conducted using the stimuli ranked as the most highly preferred for each participant. MAIN OUTCOMES AND RESULTS: Each modality identified a different food item with the highest selection percentage for three participants, while three participants had highly consistent SPA results. Subsequent RAs demonstrated that all modalities made valid predictions of foods that would function as reinforcers for programming. CONCLUSIONS: Use of the different direct-observation methods to identify reinforcers for reductive and skill acquisition programming would likely be a useful addition to rehabilitation settings.

A Treatment Evaluation of Successive and Simultaneous Visual Stimulus Presentation During Tact Training with Children with Autism.

The purpose of this study was to assess whether variations in visual stimulus presentation during tact training would affect efficacy, efficiency, and the emergence of listener responses. Participants included two preschool-aged children diagnosed with autism. We implemented two teaching conditions using an adapted alternating treatment design with intrasubject replications. During successive tact training, the experimenter presented one picture per trial. During simultaneous training, the experimenter pointed to the target picture in a stimulus array. For one participant, both procedures were similarly effective and efficient. For another participant, successive tact training generated fewer errors and better efficiency results. Moreover, both formats resulted in accurate listener responding. Our results suggest that both procedures are effective, and that the simultaneous format may be a viable alternative for teaching tacts.

A parametric analysis of procedural fidelity errors following mastery of a task: A translational study.

Procedural fidelity is defined as the extent to which the independent variable is implemented as prescribed. Research using computerized tasks has shown that fidelity errors involving consequences for behavior can hinder skill acquisition. However, studies examining the effects of these errors once skills have been mastered are lacking. Thus, this translational study investigated the effects of varying levels of fidelity following mastery of a computerized arbitrary matching-to-sample task. A group design (consisting of five groups) was used in which college students initially completed 250 trials during which no programmed errors (i.e., perfect fidelity) were arranged, followed by an additional 250 trials with consequences delivered across various levels of fidelity (i.e., 20, 40, 60, 80, and 100% of trials administered without errors). The results showed that participants assigned to higher fidelity conditions performed better (on average). These results extended the findings of previous studies by demonstrating how errors involving consequences affect behavior across various stages of learning.

Improving Behavior Analysts' Public Speaking: Recommendations From Expert Interviews.

In his 2014 paper, Friman provided 15 recommendations for behavior analysts wishing to improve their public speaking skills and encouraged the field to view public speaking as a mechanism through which we can more broadly disseminate our science. Although some behavior-analytic research exists on the topic of public speaking, this body of literature is small, and many empirical questions remain. Little is known regarding which skills need to be targeted to improve public speaking and what successful public speakers in our field do to be effective and entertaining. In this study, we identified and interviewed the 10 most frequently invited public speakers at major behavior-analytic conferences. We then coded transcriptions of the interviews using qualitative analysis to generate a preparation checklist for presenters, a considerations list for behavior analysts training mentees on presentation skills, and a feedback form for those wishing to improve their public speaking skills.

A component analysis of awareness training for reducing speech disfluencies.

Recent literature supports using an awareness training treatment package to decrease speech disfluencies for college students delivering short speeches. This package includes identifying speech disfluencies first via a video recording (video training), then during in vivo speech practice (in vivo training). However, the literature lacks an evaluation of these subcomponents, which poses a barrier to better understanding the efficiency, social validity, and potential underlying behavioral principles of awareness training. We conducted an add-in component analysis with 8 college students by implementing either video or in vivo training first, evaluating treatment effects via a posttest, then implementing the remaining subcomponent, if warranted. We found that in vivo speech practice may be sufficient for reducing disfluencies for some participants, but a treatment package including the sequential application of both video and in vivo training is more likely to result in marked behavior change.

Reducing risky behavior with habit reversal: A review of behavioral strategies to reduce habitual hand-to-head behavior.

Habit reversal training (HRT) has been a mainstay of behavior analysts' repertoire for nearly the last 50 years. HRT has been effective in treating a host of repetitive behavior problems. In the face of the current coronavirus pandemic, HRT has practical public health importance as a possible intervention for reducing hand-to-head behaviors that increase the risk of viral infection. The current paper provides a brief review of HRT for hand-to-head habits that is designed for a broad audience and concludes with practical suggestions, based on HRT, for reducing face-touching behaviors.

An evaluation of matrix training to teach college students piano notes and rhythms.

Twelve college students learned to tact the names of notes and rhythms and play them when presented with compound stimuli (visuals of notes and rhythms on a musical staff). In Experiment 1, we assessed generalization by presenting novel notes, rhythms, and compound stimuli not previously paired together. In the second experiment, we added a metronome that played at 60 beats per minute in all conditions for 3 out of 6 participants to ensure consistent tempo. Across both experiments, participants passed almost all posttests with the exception of tacting and playing in the presence of sound clips. Our data suggest that matrix training is an effective procedure to teach music skills to college students.

Awareness training reduces college students' speech disfluencies in public speaking.

Recent research suggests that a modified habit reversal procedure, including awareness training alone or combined with competing response training, is effective in decreasing speech disfluencies for college students. However, these procedures are potentially lengthy, sometimes require additional booster sessions, and could result in covariation of untargeted speaker behavior. We extended prior investigations by evaluating awareness training as a sole intervention while also measuring collateral effects of treatment on untargeted filler words and rate of speech. We found awareness training was effective for all participants without the use of booster sessions, and covariation between targeted filler words and secondary dependent variables was idiosyncratic across participants.

Assessing preferences of individuals with developmental disabilities using alternative stimulus modalities: A systematic review.

The purpose of this systematic review was to identify investigations comparing the efficacy of alternative modality (e.g., pictorial, verbal, video) stimulus preference assessments for individuals with developmental disabilities. We identified articles by searching peer-reviewed journals using the PsycINFO and ERIC databases, conducting table of contents searches of common behavioral outlets, and conducting ancestral searches of recent reviews and practitioner summaries of preference assessment methodology. A total of 32 articles met our inclusion criteria. These studies were then coded across a variety of features to gain a better understanding of the efficacy of alternative format preference assessments for individuals with developmental disabilities. In addition, we reviewed this literature for the use of prerequisite-skill assessments and contingent-reinforcer access to further investigate the relation between these variables and the accuracy of pictorial, verbal, and video preference assessments. A variety of methodological concerns are discussed as well as suggestions for future research.

Assessing the efficacy of pictorial preference assessments for children with developmental disabilities.

Past research has demonstrated that pictorial preference assessments can predict subsequent reinforcement effects for individuals with developmental disabilities only when access to the selected stimulus is provided contingent on a pictorial selection. The purpose of the present investigation was to assess more comprehensively the feasibility of the pictorial format with children with developmental disabilities. In Experiment 1, prerequisite skill assessments were conducted, and the role of a contingent reinforcer was assessed by comparing the results from the pictorial assessment without contingent access to a reinforcer assessment. If contingent access was found to be necessary, the effects of schedule thinning were evaluated to determine whether a pictorial format could be made more practical in Experiment 2. The pictorial format without contingent access was successful with only some participants. However, schedule thinning was found to be an effective method to establish conditioned reinforcement properties for pictorial stimuli to create a more practical assessment for a subset of participants.

The effects of fixed-time reinforcement schedules on functional response classes: a translational study.

Research on functional response classes has applied significance because less severe forms of problem behavior have been found to co-occur with more severe forms. In addition, the most severe forms of problem behavior are sometimes targeted for intervention without monitoring other less severe forms. In such cases, it is unknown whether and how untreated forms of problem behavior covary with the targeted behaviors. The present study employed a translational procedure (with button presses as the target behavior) to investigate response covariation under noncontingent reinforcement with typically developing preschoolers. The results indicated that noncontingent reinforcement was generally effective in decreasing all response class members when only one member was targeted.

Expanding the consumer base for behavior-analytic services: meeting the needs of consumers in the 21st century.

A growing workforce of behavior analysts provides services to individuals with autism and intellectual disabilities as legislative initiatives have spurred a growth of funding options to support these services. Though many opportunities currently exist for serving individuals with autism, the growing demand for these services may wane or, at some point, the growth in service providers will meet that demand. Other consumer groups could benefit from behavior analytic services, but typically have limited access to qualified providers. Individuals with dementia and traumatic brain injury are used as example consumer groups to illustrate the necessary tasks for a behavior analyst to expand their scope of practice to a new population. This paper provides strategies for developing competence and creating employment opportunities with new consumer groups.

Teaching receptive discriminations to children with autism: a comparison of traditional and embedded discrete trial teaching.

Discrete trial teaching (DTT) procedures have proven effective in teaching language to children with autism. Discrete trial teaching uses a highly structured, fast-paced format of instruction that is typically conducted in a one-to-one situation at a desk or table with minimal distractions. We compared this traditional model of DTT to a version of DTT in which instruction was embedded within the context of a more naturalistic, activity-based environment. However, all of the other characteristics of DTT (e.g., pacing, tight stimulus control, targets selected by the teacher) were retained. Receptive discriminations were taught to 2 4-year-old boys, diagnosed with autism in traditional or embedded DTT. Results showed that for both boys, traditional and embedded DTT were equally effective and efficient. Additionally, measures were collected on participant affect and a concurrent-chains preference evaluation was used to determine which teaching procedure was preferred by the participants. The two procedures produced similar levels of positive and negative affect and were equally preferred by 1 participant while embedded DTT produced more positive affect and was more preferred by the other.

On the use of fluency training in the behavioral treatment of autism: a commentary.

The substantial demand for behavior-analytic treatment of early childhood autism has been associated with rapid dissemination of treatment procedures to practitioners and caregivers. This level of demand could plausibly induce premature dissemination of treatments that do not yet have sufficient empirical support. We argue that this might have happened with the use of fluency training for learners with autism and identify four areas of research that are necessary to ensure that dissemination efforts are better matched to the available empirical support for this instructional strategy.

Evaluation of single and mixed verbal operant arrangements for teaching mands and tacts.

The purpose of this series of experiments was to evaluate the effects of mixed mand-tact arrangements on the acquisition of mands and tacts in preschool-aged children. In Experiment 1, the effects of three training arrangements (mand-only training, tact-only training, and mand-tact training) were investigated with 3 typically developing children. Rates of acquisition in single (mand-only and tact-only) versus mixed (mand-tact) presentation were comparable, in contrast to earlier investigations. Experiment 2 attempted to clarify the equivocal findings of Experiment 1 by directly replicating the Carroll and Hesse (1987) investigation with 2 typically developing children. Results again demonstrated no clear benefit of mixed verbal operant training on tact acquisition. In Experiment 3, these same arrangements were evaluated with a boy with autism and included assessments to determine that a relevant establishing operation was in effect prior to each mand training session. Experiment 3 again failed to demonstrate the facilitative effects of mand-tact training on the acquisition of mands or tacts. Taken together, the data from these three experiments fail to support the improved efficiency of mand-tact training suggested by prior studies. Findings are discussed in the context of future research investigating mixed verbal operant arrangements.

Using differential reinforcement to decrease academic response latencies of an adolescent with acquired brain injury.

The present study investigated the effects of contingency-specifying rules and a token economy to decrease the latency to comply with academic instructions by a 16-year-old girl with acquired brain injury. Results showed that treatment was successful in reducing academic response latencies. These results replicate previous research in which differential reinforcement was used to decrease slow responding to academic tasks.