Teaching a Preschooler with ASD to Cooperate in Relinquish Reinforcers and Transition to Learning Activities During Skill-Based Treatment (SBT)

A child, 5 years and 3 months old with autism spectrum disorder (ASD) and severe problem behavior was taught to stop playing and move to the learning activities. The study demonstrates the result of 2 phases of skill-based treatment (SBT) developed by Dr. Gregory Hanley: a) relinquish reinforcement phase (CAB 1) and b) transition phase (CAB 2). This is an individual case analysis, the study was conducted in a multiple baseline design across behaviors, lasted 8 weeks, and included the measurements of problem behaviors and learned skills during each training trial. As a result of 15-hour training, the child was taught the skill of stopping the play and transition to the learning area. Learners’ responses as willingness to listen to a teacher and ready to learn have emerged. At the same time, dangerous problem behavior was reduced to zero during the transition from a preferred activity to a learning area while being instructed. Transition responses were spontaneously generalized with people who were not present in the classroom (parents, tutors) and transferred to the new conditions (home and pre-school).

1. Vlasova L.I. Ustranenie u rebenka s RAS nezhelatel’nogo povedeniya na logopedicheskikh zanyatiyakh putem vvedeniya vizual’nogo raspisaniya [Discouraging unwanted behavior in children with ASD at speech therapy by introducing a visual schedule] [Web resource]. Autizm i narusheniya razvitiya [Autism and Developmental Disorders (Russia)], 2014, vol. 12, no. 3, pp. 56—58. URL: https://psyjournals.ru/autism/2014/n3/70849.shtml (Accessed 21.05.2021).
2. Castillo M.I., Clark D.R., Schaller E.A. et al. Descriptive assessment of problem behavior during transitions of children with intellectual and developmental disabilities. Journal of Applied Behavior Analysis, 2018, vol. 51, no. 1, pp. 99—117. DOI:10.1002/jaba.430
3. Coffey A.L., Shawler L.A., Jessel J. et al. Generality of the practical functional assessment and skill-based treatment among individuals with autism and mental health disorders. Behavioral Interventions, 2020, vol. 36, pp. 298—314. DOI:10.1002/ bin.1755
4. Dettmer S., Simpson R.L., Myles B.S., Ganz J.B. The use of visual supports to facilitate transitions of students with autism. Focuson Autismand Other Developmental Disabilities, 2000, vol. 15, no. 3, pp. 163—169. DOI:10.1177/108835760001500307
5. Ferguson J.L., Leaf J.A., Cihon J.H. et al. Practical functional assessment: A case study replication and extension with a child diagnosed with autism spectrum disorder. Education & Treatment of Children, 2020, vol. 43, no. 1, pp. 171—185. DOI:10.1007/s43494-020-00015-1
6. Flannery K.B., Horner R.H. The relationship between predictability and problem behavior for students with severe disabilities. Journal of Behavioral Education, 1994, vol. 4, pp. 157—176. DOI:10.1007/BF01544110
7. Hanley G.P., Jin C.S., Vanselow N.R., Hanratty L.A. Producing meaningful improvements in problem behavior of children with autism via synthesized analyses and treatments. Journal of Applied Behavior Analysis, 2014, vol. 47, no. 1, pp. 16—36. DOI:10.1002/jaba.106
8. Kern L., Vorndran C.M. Functional assessment and intervention for transition difficulties. Journal of the Association for Persons with Severe Handicaps, 2000, vol. 25, no. 4, pp. 212—216.
9. McCord B.E., Thomson R.J., Iwata B.A. Functional analysis and treatment of self-injury associated with transitions. Journal of Applied Behavior Analysis, 2001, vol. 34, no. 2, pp. 195—210. DOI:10.1901/jaba.2001.34-195
10. Reichow B. Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 2012, vol. 42, no. 4, pp. 512—520. DOI:10.1007/s10803-011- 1218-9
11. Rose J.C., Beaulieu L. Assessing the generality and durability of interview-informed functional analyses and treatment. Journal of Applied Behavior Analysis, 2019, vol. 52, no. 1, pp. 271—285. DOI:10.1002/jaba.504
12. Sainato D.M., Strain P.S., Lefebvre D., Rapp N. Facilitating transition times with handicapped preschool children: A comparison between peer-mediated and antecedent prompt procedures. Journal of Applied Behavior Analysis, 1987, vol. 20, no. 3, pp. 285—291. DOI:10.1901/jaba.1987.20-285
13. Slaton J.D., Hanley G.P. Nature and scope of synthesis in functional analysis and treatment of problem behavior. Journal of Applied Behavior Analysis, 2018, vol. 51, no. 4, pp. 943—973. DOI:10.1002/jaba.498
14. Sterling-Turner H.E., Jordan S.S. Interventions addressing transition difficulties for individuals with autism. Psychology in the Schools, 2007, vol. 44, no. 7, pp. 681—690. DOI:10.1002/pits.20257
15. Wilder D.A., Chen L., Atwell J. et al. Brief functional analysis and treatment of tantrums associated with transitions in preschool children. Journal of Applied Behavior Analysis, 2006, vol. 39, no. 1, pp. 103—107. DOI:10.1901/jaba/2006.66-04