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etadd_46(4) - Division on Autism and Developmental Disabilities

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Interobserver agreement. A sec<strong>on</strong>d observer<br />

simultaneously <strong>and</strong> independently recorded<br />

data <strong>on</strong> the target behaviors for at least 30% of<br />

all sessi<strong>on</strong>s for each participant during each<br />

phase of the study. Interobserver agreement<br />

(IOA) was calculated by dividing the total<br />

number of agreements for each interval by the<br />

total number of intervals. IOA scores for each<br />

sessi<strong>on</strong> were added together <strong>and</strong> divided by<br />

the total number of sessi<strong>on</strong>s in which reliability<br />

data were gathered in order to calculate<br />

the overall mean IOA. The mean IOA combined<br />

across all sessi<strong>on</strong>s, dependent variables,<br />

<strong>and</strong> participants was 96% (range, 82% to<br />

100%).<br />

Procedural fidelity. Task analyses of the procedural<br />

steps were created for each phase of<br />

this study. Procedural fidelity was calculated<br />

by dividing the number of steps completed<br />

correctly by the total number of steps in the<br />

procedure <strong>and</strong> multiplying by 100%. Procedural<br />

fidelity was assessed by an independent<br />

observer for 33% of sessi<strong>on</strong>s for each participant<br />

in each phase of the study with 100%<br />

correct implementati<strong>on</strong>.<br />

Procedure<br />

Presessi<strong>on</strong> c<strong>on</strong>diti<strong>on</strong>s. During the presessi<strong>on</strong><br />

satiati<strong>on</strong> c<strong>on</strong>diti<strong>on</strong>, participants were<br />

given free access to their preferred tangible<br />

item in an empty c<strong>on</strong>ference room or classroom<br />

within the school. The first author<br />

h<strong>and</strong>ed the preferred item to the participant<br />

<strong>and</strong> instructed him to play with the item. The<br />

first author remained in the room but did not<br />

provide any additi<strong>on</strong>al attenti<strong>on</strong> or instructi<strong>on</strong>.<br />

If the participant engaged in rejecting<br />

behavior, the first author re-presented the<br />

item to the participant. This procedure was<br />

followed for the first <strong>and</strong> sec<strong>on</strong>d instances of<br />

rejecting behavior. Following three rejecti<strong>on</strong>s,<br />

the presessi<strong>on</strong> c<strong>on</strong>diti<strong>on</strong> was terminated <strong>and</strong><br />

the participant immediately entered into the<br />

classroom sessi<strong>on</strong>.<br />

The no presessi<strong>on</strong> access c<strong>on</strong>diti<strong>on</strong> involved<br />

prohibiting the participant from accessing<br />

the preferred tangible prior to the<br />

classroom sessi<strong>on</strong> that day. The participant<br />

participated in all school routines, but did not<br />

have access to his or her preferred tangible<br />

item. Classroom sessi<strong>on</strong>s were held at the<br />

same time of day for each participant. This<br />

allowed the durati<strong>on</strong> of the no presessi<strong>on</strong> access<br />

c<strong>on</strong>diti<strong>on</strong> to remain c<strong>on</strong>stant for each<br />

participant.<br />

Classroom sessi<strong>on</strong>s. Classroom sessi<strong>on</strong>s immediately<br />

followed presessi<strong>on</strong> c<strong>on</strong>diti<strong>on</strong>s.<br />

During classroom sessi<strong>on</strong>s, participants were<br />

seated at a table or <strong>on</strong> the floor near three to<br />

four peers. Instructi<strong>on</strong>al materials were available<br />

<strong>and</strong> all students were instructed to interact<br />

with the materials. The first author sat with<br />

the participant <strong>on</strong> the floor or at the table.<br />

Classroom sessi<strong>on</strong>s were characterized by low<br />

levels of dem<strong>and</strong>s <strong>and</strong> high levels of attenti<strong>on</strong>,<br />

which approximated typical classroom c<strong>on</strong>diti<strong>on</strong>s<br />

<strong>and</strong> served to c<strong>on</strong>trol escape-maintained<br />

<strong>and</strong> attenti<strong>on</strong>-maintained challenging behaviors.<br />

The first author modeled appropriate<br />

use of the materials but never prompted the<br />

participant to engage with the instructi<strong>on</strong>al<br />

materials. Additi<strong>on</strong>ally, the first author provided<br />

attenti<strong>on</strong> (praise) to the participant every<br />

30 sec<strong>on</strong>ds. The first author did not resp<strong>on</strong>d<br />

to instances of challenging behavior<br />

except to physically guide the individual back<br />

to the instructi<strong>on</strong>al area or to block access to<br />

the preferred tangible. The discriminative<br />

stimulus (S D ) for challenging behavior (each<br />

child’s preferred tangible item) was present<br />

but unavailable throughout the classroom sessi<strong>on</strong>.<br />

Results<br />

Figure 1 shows the percentages of 10-s intervals<br />

with challenging behavior across classroom sessi<strong>on</strong>s<br />

<strong>and</strong> under the two c<strong>on</strong>diti<strong>on</strong>s for each<br />

participant. All three children had higher levels<br />

of challenging behavior under the no presessi<strong>on</strong><br />

access c<strong>on</strong>diti<strong>on</strong> <strong>and</strong> lower levels of challenging<br />

behavior following presessi<strong>on</strong> satiati<strong>on</strong>. Jacob<br />

engaged in higher levels of challenging behavior<br />

in the classroom following no presessi<strong>on</strong><br />

access (M 64%; range <str<strong>on</strong>g>46</str<strong>on</strong>g>% to 95%) than<br />

following the presessi<strong>on</strong> satiati<strong>on</strong> c<strong>on</strong>diti<strong>on</strong><br />

(M 0.2%; range 0% to 1%). Similarly, Geoffrey<br />

engaged in higher levels of challenging behavior<br />

following the no presessi<strong>on</strong> access c<strong>on</strong>diti<strong>on</strong><br />

(M 16%, range 10% to 23%) compared<br />

to the presessi<strong>on</strong> satiati<strong>on</strong> c<strong>on</strong>diti<strong>on</strong> (M 3%;<br />

range 1% to 4%). D<strong>on</strong>ovan engaged in comparatively<br />

higher levels of challenging behavior following<br />

the no presessi<strong>on</strong> access c<strong>on</strong>diti<strong>on</strong> (M <br />

28%, range 20% to 35%) <strong>and</strong> lower levels of<br />

612 / 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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