Function-based Interventions Research Articles

Contextual Intervention for Caregiver Non-Adherence With Behavioral Intervention Plans

The extent to which parents and other caregivers implement behavioral interventions with integrity has an important impact on treatment effectiveness. This article considers popular interventions that train caregivers and improve treatment integrity in applied behavior analysis. After considering these interventions a contextual approach is described, whereby the function of caregiver non-adherence is considered. In particular, interventions aimed at manipulating setting factors are reviewed. The examples of respite and social support groups are provided as function-based interventions to improve caregiver adherence to behavioral recommendations. Implications for more contextual, coordinated, and comprehensive function-based behavioral services are provided.

Advances in the indirect, descriptive, and experimental approaches to the functional analysis of problem behavior.

Experimental functional analysis is an assessment methodology to identify the environmental factors that maintain problem behavior in individuals with developmental disabilities and in other populations. Functional analysis provides the basis for the development of reinforcement-based approaches to treatment. This article reviews the procedures, validity, and clinical implementation of the methodological variations of functional analysis and function-based interventions. We present six variations of functional analysis methodology in addition to the typical functional analysis: brief functional analysis, single-function tests, latency-based functional analysis, functional analysis of precursors, and trial-based functional analysis. We also present the three general categories of function-based interventions: extinction, antecedent manipulation, and differential reinforcement. Functional analysis methodology is a valid and efficient approach to the assessment of problem behavior and the selection of treatment strategies.

Training School Personnel to Identify Interventions Based on Functional Behavioral Assessment

Over 15 years after passage of legislation requiring the use of functional behavioral assessment (FBA) to inform the development of positive behavior support plans (BSPs) in special education, schools are still struggling to implement BSPs based on FBA and the function of behavior. A primary concern is that school teams regularly fail to use function of behavior to generate behavioral interventions, even after completing an FBA and receiving training. The current study evaluated outcomes of an efficient 60-min training that taught explicit strategies for using function of behavior and FBA information to identify function-based intervention through modeling, guided practice, and feedback using student vignettes for escape-maintained and attention-maintained behaviors. The training yielded significant, positive results in participants’ ability to identify function-based interventions on behavioral vignettes. Future research and next steps are suggested for expanding the training to address the challenge of extending the science of FBA to guide the implementation of effective behavioral interventions in schools.

Conducting a Function-Based Intervention in a School Setting to Reduce Inappropriate Behaviour of a Child With Autism

Although function-based interventions have been shown to be effective, the methods utilised to carry out functional behaviour assessments (FBA) have practical limitations. This study explored the relative utility and feasibility of three FBA methods in a school setting to inform a function-based intervention to reduce problem behaviour in a boy with autism. The study consisted of (1) indirect and direct assessments, (2) a modified functional analysis, and (3) the intervention. New video technology, Behavior Capture, was trialled to facilitate data collection in the classroom. All methods contributed to identifying the function of the problematic behaviour, though only the functional analysis provided conclusive results. A peer-mediated intervention based on these findings conducted in the school playground reduced the problem behaviours. All FBA methods could be applied in the school setting and provided useful information. Novel technology was helpful in facilitating data collection. A naturalistic intervention was successful in reducing problem behaviours and increasing play skills.

Parent Implementation of Function-Based Intervention to Reduce Children’s Challenging Behavior

The purpose of this literature review was to analyze the research on parent-implemented functional assessment (FA)-based interventions for reducing children’s challenging behaviors. Thirteen studies met the review inclusion criteria. These studies were analyzed across independent variables, types of parent coaching and support provided, measurement of implementation and intervention fidelity, child dependent variables, social validity, and study rigor. Overall, the evidence provide some support that parents can be trained to implement FA-based interventions with follow-up coaching and support, and these interventions reduce children’s challenging behaviors and increase children’s use of appropriate behaviors. However, inadequacies in study rigor and reporting of the implementation and intervention fidelity limit interpretations. Implications for practice and future research are discussed.

A Systematic Review of Trial-Based Functional Analysis of Challenging Behavior

Trial-based functional analysis of challenging behavior is a variation of traditional functional analysis and is gaining attention in empirical research. The purpose of this paper is to systematically review peer-reviewed studies which implemented trial-based functional analyses of challenging behavior. Systematic searches of electronic databases, journals, citations of a seminal study, and reference lists resulted in 13 studies included in this review. Studies were summarized in terms of (a) participant characteristics, (b) target challenging behavior(s), (c) TBFA characteristics, (d) TBFA outcomes, and (e) a description of the function-based intervention applied (if applicable). Across these 13 studies, 36 full trial-based functional analyses were conducted, 47 participants were included, and 14 topographies of challenging behavior were assessed. Trial-based functional analyses were implemented in classroom and home settings and were implemented by teachers, service providers, or researchers. Trial-based functional analysis appears to be a promising means of assessing challenging behavior in applied settings and deserves continued attention in empirical research.

Randomized evaluation of a web-based tool for designing function-based behavioral intervention plans

Challenging behaviors are prevalent in children with autism and can have a negative impact on a variety of child outcomes. The creation of good-quality behavior intervention plans is critical to decreasing challenging behaviors but little previous research has developed or evaluated practical tools for designing intervention plans. This study consisted of a randomized evaluation of a web-based tool designed to aid clinicians in choosing treatment procedures for inclusion in behavior intervention plans. The effects of the tool were assessed on the inclusion of three types of intervention components that likely contribute to the quality of intervention plans: (1) function-based intervention components, (2) evidence-based intervention components, and (3) non-punishment-based intervention components. Use of the web-based behavior intervention plan builder produced a statistically significant increase in the inclusion of function-based intervention components but no statistically significant effect was observed on the other two measures. Results are discussed in terms of the implications for improving the quality of behavior intervention plans, as well as the dissemination of knowledge of best practices in behavioral intervention.

Effects of a Comprehensive Function-Based Intervention Applied Across Multiple Educational Settings

This study examined the feasibility and effectiveness of a comprehensive function-based intervention applied across multiple inclusive classroom settings. The participant was a middle school student diagnosed with Asperger Syndrome who exhibited chronic off-task behaviors across all academic environments. This study was conducted across two phases: (a) A descriptive functional behavior assessment (FBA) was conducted across all inclusive classroom environments and (b) a single, comprehensive function-based intervention was developed based on the results of the FBA followed by the implementation of a comprehensive function-based intervention in each inclusive classroom environment using a multiple probe design. The comprehensive function-based intervention markedly improved the participant’s on-task behavior in each classroom setting. Furthermore, social validity ratings by each teacher revealed that the comprehensive, function-based intervention was preferable to the previously used classroom practices. Implications, limitations, and directions for future research are discussed.

Building Systems for Successful Implementation of Function-Based Support in Schools

Supporting the full range of students with behavioral challenges requires that schools build the capacity to implement evidence-based behavioral interventions. Fortunately, a substantive body of research documents behavioral interventions are available to both decrease problem behavior and enhance prosocial skills. To date, however, this intervention technology has not been implemented widely. This article maintains that one reason for limited implementation is schools are missing the systems needed to support high-quality behavioral interventions. This article both summarizes key features of function-based behavioral interventions used to support students with more intense behavior support needs and identifies the systems needed for these interventions to be implemented with efficiency and sustainability. This article provides a case example to demonstrate the systems needed for implementation. Implications are offered for improving the large-scale adoption of function-based behavioral supports in education.

Do Functional Behavioral Assessments Improve Intervention Effectiveness for Students Diagnosed with ADHD? A Single-Subject Meta-Analysis

The primary purpose of this quantitative synthesis of single-subject research was to investigate the relative effectiveness of function-based and non-function-based behavioral interventions for students diagnosed with attention-deficit/hyperactivity disorder. In addition, associations between various participant, assessment, and intervention characteristics were investigated. Eighty-two studies incorporating a total of 168 participants were included. Because no single effect size metric has garnered absolute support to date, three different effect size metrics were calculated: the standard mean difference, percent exceeding the median baseline phase, and improvement rate difference. Overall, function-based interventions were associated with significantly larger effects than non-function-based interventions. Interventions based on the functional analysis manipulations were also associated with larger effects. Limitations, directions for future research, and implications for practice are discussed.

Early Childhood Practitioner Involvement in Functional Behavioral Assessment and Function-Based Interventions

Reviewers analyzed studies published from 1990 to 2012 to determine early childhood practitioner involvement in functional behavioral assessment (FBA) and function-based behavioral intervention plans (BIP) for children with challenging behavior, age 6 and younger. Coding of 30 studies included practitioner involvement in FBA and BIP processes, training received to conduct FBAs and implement BIPs, and social validity and treatment integrity data. Findings indicate that early childhood practitioners had a limited role in FBAs and BIPs. Practitioner training occurred more often for the BIP than for the FBA. Approximately one fourth of the studies included a description of practitioners in a collaborative role with researchers during the FBA, and approximately one-half during the BIP process, even though practitioners implemented the BIP in the majority of studies reviewed. More than one half of the studies included social validity and/or treatment integrity measures.

Effects of Coaching on Teachers’ Use of Function-Based Interventions for Students With Severe Disabilities

This study used a delayed multiple-baseline across-participants design to analyze the effects of coaching on special education teachers’ implementation of function-based interventions with students with severe disabilities. This study also examined the extent to which teachers could generalize function-based interventions to different situations. In addition, this study examined the effects of function-based interventions on students’ problem and replacement behaviors. After an initial training on functional behavior assessment and implementation of function-based interventions, the experimenter coached each teacher. Results indicated a functional relationship between coaching and an increase in teacher fidelity scores. Teachers generalized the strategies to other situations with the target students. Although some improvement in student behavior was noted upon teachers’ use of function-based interventions without coaching, this improvement was not consistent for all students and across the replacement behaviors. A functional relationship was found between accurate implementation of the function-based interventions and an increase in the students’ primary replacement behaviors.

TEACHER‐CONDUCTED TRIAL‐BASED FUNCTIONAL ANALYSES AS THE BASIS FOR INTERVENTION

Previous studies have focused on whether a trial-based functional analysis (FA) yields the same outcomes as more traditional FAs, and whether interventions based on trial-based FAs can reduce socially maintained problem behavior. We included a full range of behavior functions and taught 3 teachers to conduct a trial-based FA with 3 boys with developmental and intellectual disabilities who engaged in problem behavior. Based on the results of the trial-based FAs, we developed and conducted 5 function-based interventions, using differential reinforcement of an alternative behavior and extinction in all but 1 case. In the remaining case, we used noncontingent reinforcement. All interventions led to reductions in problem behavior and increases in alternative behavior.

DOES SUPPLEMENTARY REINFORCEMENT OF STEREOTYPY FACILITATE EXTINCTION?

Results of several studies suggest that delivery of supplemental (social) reinforcement for stereotypy might facilitate its subsequent extinction. We examined this possibility with 9 subjects who engaged in stereotypy by including methodological refinements to ensure that (a) subjects' stereotypy was maintained in the absence of social consequences, (b) supplementary reinforcers were highly preferred and were shown to be reinforcers for some behavior, and (c) subjects were exposed to lengthy reinforcement and extinction conditions. In spite of these modifications, only 4 subjects' stereotypy increased when supplementary reinforcement was delivered contingent on stereotypy, and no subject's stereotypy decreased below initial baseline levels when social reinforcement was subsequently withheld. Decreases in stereotypy occurred with the implementation of noncontingent reinforcement. Thus, delivery of supplementary reinforcers either did not increase stereotypy or did not facilitate extinction of stereotypy maintained by automatic reinforcement. We discuss the practical and conceptual bases of these results with respect to our current understanding of function-based interventions.

AN INDIVIDUALIZED AND COMPREHENSIVE APPROACH TO TREATING SLEEP PROBLEMS IN YOUNG CHILDREN

We evaluated the effects of assessment-based interventions on the treatment of sleep problems in 3 young children, 2 of whom had been diagnosed with autism. We used sleep diaries and infrared nighttime video in the child's bedroom to obtain measures of sleep onset, sleep-interfering behaviors, night waking, total sleep, parental presence, and medication administration each night. We then identified environmental factors that contributed to sleep problems using an open-ended interview called the Sleep Assessment and Treatment Tool. Individualized treatment packages were designed with the children's parents based on the idiosyncratic results of the assessment. Treatment packages included adjustment of the sleep schedule based on developmental norms and current sleep phases, design of a sleep-conducive environment, elimination of inappropriate sleep dependencies, and function-based interventions to decrease sleep-interfering behaviors by disrupting the contingency between the interfering behavior and its likely reinforcement. A nonconcurrent multiple baseline design across subjects revealed that treatment was effective for all 3 children. In addition, social acceptability measures showed that the parents were satisfied with the assessment process, the treatment, and the amount of behavior change.

Increased parent reinforcement of spontaneous requests in children with autism spectrum disorder: Effects on problem behavior

Previous studies of response classes in individuals with developmental disabilities (DD) and problem behavior have shown that mild problem behavior, precursor behavior, and mands or requests can occur as functionally equivalent to severe problem behavior in some individuals. Furthermore, participants in some studies chose to use functionally equivalent alternatives over severe problem behavior to produce the maintaining reinforcer. The present study added to this literature by having parents reinforce spontaneous requests functionally equivalent to problem behavior in their children with autism at home. First, parent-implemented functional analyses identified conditions associated with increased problem behavior and requests in two children with autism. Then, parents provided the maintaining reinforcer contingent on problem behavior alone or both problem behavior and requests in a withdrawal design. The treatment analysis indicated that the same reinforcer maintained child requests and problem behavior. In addition, when parents reinforced both requests and problem behavior, child participants demonstrated a preference for requests, thereby decreasing problem behavior. Implications of this relation for function-based treatment of problem behavior in children with autism are discussed.

Tertiary-Tier PBIS in Alternative, Residential and Correctional School Settings: Considering Intensity in the Delivery of Evidence-Based Practice

Students in alternative, residential, and correctional settings present challenges in the classroom and facility due to the complexity and intensity of their behaviors. In addition, the factors typically associated with these settings including crowding, inconsistency, and conflicting staff perspectives on education and discipline present challenges for the delivery of effective function-based intervention plans. Multi-tiered frameworks such as positive behavior interventions and supports (PBIS) provide mechanisms for organizing systems to be both proactive and responsive to students with the most challenging behaviors. However, the complexities of alternative, residential, and correctional settings require that PBIS be implemented with heightened intensity across tiers. This paper presents considerations for the effective implementation of Tier III systems and supports including function-based support planning (FBP).

Implementation of a Single Comprehensive Function-Based Intervention Across Multiple Classrooms for a High School Student

A comprehensive function-based intervention was developed to address the chronic, high levels of off-task behavior by a 15-year-old ninth grade Caucasian male with learning disabilities and ADHD. A descriptive FBA identified that the student’s off-task behavior was reinforced by peer attention and task avoidance. Intervention involved the collaborative development of a single, comprehensive intervention that was implemented sequentially across three classes. When implemented, the intervention produced consistently high levels of on-task behavior in each class. Social validity data supported the acceptability of the comprehensive intervention. High levels of treatment integrity showed staff could collaborate and implement a comprehensive intervention. Implications and directions for further research are included.

Description of a Practitioner Training Program on Functional Analysis and Treatment Development

The current project examined the effectiveness of a functional analysis skills training package for practitioners with advanced degrees working within an applied setting. Skills included appropriately carrying out the functional analysis conditions as outlined by Iwata, Dorsey, Slifer, Bauman, and Richman (1982/1994), interpreting multielement functional analysis graphs using the methodology described by Hagopian et al. (1997), determining next steps when functional analysis data are undifferentiated, and selecting function-based interventions once functional analysis data are conclusive. The performance of three participants was examined within a multiple baseline design across participants. Although performance varied, baseline skill level was insufficient prior to intervention across participants and skill areas. Mastery was attained for all participants within four to eight training sessions per skill and the acquired skills were demonstrated effectively during generalization trials. Minimal retraining was required for some component skills at a 3-month follow up.

Decreasing In-School Suspensions with Function-Based Interventions

Every day school administrators and classroom teachers deal with behavior issues that sometimes result in office discipline referrals (ODRs) and other times in-school suspension. Interestingly, the...