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etadd_46(4) - Division on Autism and Developmental Disabilities

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(i.e., MSW) <strong>and</strong> durati<strong>on</strong>-based (i.e., FO)<br />

preference assessments to determine which<br />

method identified the item that produced the<br />

highest rates of resp<strong>on</strong>ding for four participants<br />

between the ages 2 <strong>and</strong> 10 with autism<br />

<strong>and</strong> other developmental disabilities. All participants<br />

engaged in limited communicati<strong>on</strong><br />

<strong>and</strong> <strong>on</strong>ly <strong>on</strong>e followed instructi<strong>on</strong>s requiring<br />

multiple steps. Following the preference assessments,<br />

reinforcer assessments were c<strong>on</strong>ducted<br />

comparing the high-preferred (HP)<br />

stimulus from each assessment. For two participants,<br />

the HP items identified with the<br />

MSW were more effective than the HP item<br />

identified with the FO. The remaining two<br />

participants engaged in undifferentiated resp<strong>on</strong>ding<br />

during the reinforcer assessments,<br />

<strong>and</strong> the HP items maintained resp<strong>on</strong>ding in<br />

reinforcer assessments.<br />

Mechanisms Underlying Preference<br />

Five studies evaluated the mechanisms underlying<br />

preference in individuals with severe to<br />

profound disabilities (DeLe<strong>on</strong> et al., 2009;<br />

Glover et al., 2008; Kodak, Lerman, Volkert, &<br />

Trosclair, 2007; Lee, Yu, Martin, & Martin,<br />

2010; Milo, Mace, & Nevin, 2010). For example,<br />

DeLe<strong>on</strong> et al. examined if items that differed<br />

in placement <strong>on</strong> a preference hierarchy<br />

would have different break points under a<br />

progressive ratio (PR) schedule of reinforcement<br />

with four participants with severe to profound<br />

disabilities. Paired choice preference<br />

assessments were c<strong>on</strong>ducted to identify a hierarchy<br />

of leisure items, followed by three PR<br />

analyses in r<strong>and</strong>om order. Prior to sessi<strong>on</strong>s,<br />

participants completed a known task three<br />

times, then they were given access to a high,<br />

medium, or low preference item. During PR<br />

sessi<strong>on</strong>s, the same item remained in view <strong>and</strong><br />

<strong>on</strong>e verbal prompt to complete the task that<br />

was presented. The stimulus being assessed<br />

was delivered <strong>on</strong> a PR schedule beginning<br />

with <strong>on</strong>e resp<strong>on</strong>se (e.g., single completi<strong>on</strong>,<br />

two completi<strong>on</strong>s, etc.). The data indicated<br />

that participants completed more work when<br />

a more highly preferred stimulus was delivered<br />

<strong>and</strong> supports the c<strong>on</strong>clusi<strong>on</strong> that items<br />

<strong>on</strong> different ends of a preference hierarchy<br />

may support different amounts of work.<br />

Effects of Choice<br />

Thirteen studies assessed the effects of choice<br />

<strong>on</strong> task engagement, challenging behavior,<br />

<strong>and</strong> the affect of individuals with severe to<br />

profound disabilities (Cannella-Mal<strong>on</strong>e, Debar,<br />

& Sigafoos, 2009; Carls<strong>on</strong> et al., 2008;<br />

Dix<strong>on</strong> & Falcomata, 2004; Harding, Wacker,<br />

Berg, Barretto, & Lee, 2005; Harding, Wacker,<br />

Berg, Winborn-Kemmerer, & Lee, 2009; Hoch<br />

et al., 2002; Humenik, Curran, Luiselli, &<br />

Child, 2008; Reed, Pace, & Luiselli, 2009; Sigafoos<br />

et al., 2009; Sigafoos, O’Reilly, Ganz,<br />

Lanci<strong>on</strong>i, & Schlosser, 2005; S<strong>on</strong>, Sigafoos,<br />

O’Reilly, & Lanci<strong>on</strong>i, 2006; Spevack et al.,<br />

2005; Tasky, Rudrud, Schulze & Rapp, 2008).<br />

For example, Tasky et al. evaluated the effects<br />

of choice <strong>on</strong> the task engagement of three<br />

women with traumatic brain injuries. For each<br />

participant, a list of tasks—requiring 10 to 15<br />

min to complete—designed to increase daily<br />

living skills was created. During baseline, participants<br />

were given tasks, asked to complete<br />

the tasks in the order presented, <strong>and</strong> return<br />

the completed list. In the choice c<strong>on</strong>diti<strong>on</strong>,<br />

participants chose activities from a list <strong>and</strong><br />

were instructed to complete the list in any<br />

order. In the yoked no choice c<strong>on</strong>diti<strong>on</strong>, the<br />

activities chosen in the previous choice c<strong>on</strong>diti<strong>on</strong><br />

were assigned. Using a reversal design,<br />

the researchers found that all three participants<br />

engaged in higher levels of task engagement<br />

when they were given the opportunity to<br />

choose the task <strong>and</strong> completi<strong>on</strong> order.<br />

Teaching Individuals to Make Choices <strong>and</strong><br />

Training Staff to Provide Choice Opportunities<br />

Five studies focused <strong>on</strong> training staff to provide<br />

choice opportunities (Reid, Green, &<br />

Pars<strong>on</strong>s, 2003) <strong>and</strong> implement preference assessments<br />

(Machalicek et al., 2009; Roscoe &<br />

Fisher, 2008; Roscoe et al., 2006), or teaching<br />

individuals with severe to profound disabilities<br />

to make choices (Clevenger & Graff, 2005).<br />

For example, Reid et al. taught two job<br />

coaches to provide choice opportunities to<br />

five supported workers with severe to profound<br />

disabilities. Job coaches were trained to<br />

provide different types of choices (e.g., locati<strong>on</strong>,<br />

task), use different formats (e.g., openended,<br />

two-opti<strong>on</strong> choice), <strong>and</strong> deliver the<br />

stimuli or activities <strong>on</strong>ce the choice was made.<br />

586 / Educati<strong>on</strong> <strong>and</strong> Training in <strong>Autism</strong> <strong>and</strong> <strong>Developmental</strong> <strong>Disabilities</strong>-December 2011

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