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Script Fading Procedure: a Systematic Review and Meta-analysis

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Abstract

The purpose of the study is to systematically review studies investigating the script fading procedure on individuals with autism and also determine the quality of the studies and the effect size related to the calculations of the percentage of nonoverlapping data (PND) and the percentage of data exceeding the median (PEM) in the studies. The systematic review identified 32 articles reporting on the script fading procedure in individuals with autism aged between 3 and 19 years. Furthermore, a meta-analysis was conducted for 15 studies meeting the acceptability criteria within the scope of the Qualitative Indicators of Single-Subject Research indicated by Horner et al. (2005). The results of PND and PEM calculations showed that the SFP was highly effective in eight studies but moderately effective in four studies. The findings were discussed along with recommendations for future research.

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References

References marked with an asterisk indicate studies included in the meta-analysis.

  • *Akers, J. S., Higbee, T. S., Pollard, J. S., & Reinert, K. S. (2018). Sibling-implemented script fading to promote play-based statements of children with autism. Behavior Analysis in Practice, 11(4), 395-399. https://doi.org/10.1007/s40617-018-0257-5.

  • Akers, J. S., Pyle, N., Higbee, T. S., Pyle, D., & Gerencser, K. R. (2016). A synthesis of script fading effects with individuals with autism spectrum disorders: a 20-year review. Review Journal of Autism and Developmental Disorders, 3(1), 1–17. https://doi.org/10.1007/s40489-015-0062-9.

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (fifth ed.). American Psychiatric Association.

  • *Argott, P., Townsend, D. B., Sturmey, P., & Poulson, C. L. (2008). Increasing the use of empathic statements in the presence of a non-verbal affective stimulus in adolescents with autism. Research in Autism Spectrum Disorders, 2(2), 341-352. https://doi.org/10.1016/j.rasd.2007.08.004.

  • Beighley, J. S., Matson, J. L., Rieske, R. D., Jang, J., Cervantes, P. E., & Goldin, R. L. (2013). Comparing challenging behavior in children diagnosed with autism spectrum disorders according to DSM-IV-TR and the proposed DSM-5. Developmental Neurorehabilitation, 16(6), 375–381. https://doi.org/10.3109/17518423.2012.760119.

    Article  PubMed  Google Scholar 

  • Betz, A. M., Higbee, T. S., Kelley, K. N., Sellers, T. P., & Pollard, J. S. (2011). Increasing response variability of mand frames with script training and extinction. Journal of Applied Behavior Analysis, 44(2), 357–362. https://doi.org/10.1901/jaba.2011.44-357.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Broadhead, M. T., Higbee, T. s., Gerencser, K. R., & Akers, J. S. (2016). The use of a discrimination-training procedure to teach mand variability to children with autism. Journal of Applied Behavior Analysis, 49(1), 34-48. https://doi.org/10.1002/jaba.280.

  • Brown, J. L., Krantz, P. J., McClannahan, L. E., & Poulson, C. L. (2008). Using script fading to promote natural environment stimulus control of verbal interactions among youths with autism. Research in Autism Spectrum Disorders, 2(3), 480–497. https://doi.org/10.1016/j.rasd.2007.08.006.

    Article  Google Scholar 

  • Davis, N. O., & Carter, A. S. (2008). Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: associations with child characteristics. Journal of Autism and Developmental Disorders, 38(7), 1278. https://doi.org/10.1007/s10803-007-0512-z.

    Article  PubMed  Google Scholar 

  • De Matos, D. C., de Matos, P. G. S., da Hora, A. F. L. T., Pereira, M. S., & Azevedo, K. S. (2019). Improvement of conversation skills through script fading in a child with autism spectrum disorder. Creative Education, 10(3), 485–504. https://doi.org/10.4236/ce.2019.103035.

    Article  Google Scholar 

  • *Dotto-Fojut, K. M., Reeve, K. F., Townsend, D. B., & Progar, P. R. (2011). Teaching adolescents with autism to describe a problem and request assistance during simulated vocational tasks. Research in Autism Spectrum Disorders, 5(2), 826-833. https://doi.org/10.1016/j.rasd.2010.09.012.

  • *Elicin, O., & Avcioglu, H. (2014). Effectiveness of teaching via scripts and script fading methods for children with autism in acquiring the skill of discriminating emotions. Education and Science, 39(171), 317–330.

  • Fuller, E. A., & Kaiser, A. P. (2019). The effects of early intervention on social communication outcomes for children with autism spectrum disorder: a meta-analysis. Journal of Autism and Developmental Disorders, 50(5), 1683–1700. https://doi.org/10.1007/s10803-019-03927-z.

    Article  Google Scholar 

  • *Gallant, E. E., Reeve, S. A., Brothers, K. J., & Reeve, K. F. (2017). Auditory script location does not affect acquisition and maintenance of vocal initiations by children with autism. Behavioral Interventions, 32(2), 103-120. https://doi.org/10.1002/bin.1467.

  • Ganz, J. B., Heath, A. K., Lund, E. M., Camargo, S. P., Rispoli, M. J., Boles, M., & Plaisance, L. (2012). Effects of peer-mediated implementation of visual scripts in middle school. Behavior Modification, 36(3), 378–398. https://doi.org/10.1177/0145445512442214.

    Article  PubMed  Google Scholar 

  • Ganz, J. B., Kaylor, M., Bourgeois, B., & Hadden, K. (2008). The impact of social scripts and visual cues on verbal communication in three children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 23(2), 79–94. https://doi.org/10.1177/1088357607311447.

    Article  Google Scholar 

  • *Garcia-Albea, E., Reeve, S. A., Reeve, K. F., & Brothers, K. J. (2014). Using audio script fading and multiple exemplar training to increase vocal interactions in children with autism. Journal of Applied Behavior Analysis, 47(2) 325-343. https://doi.org/10.1002/jaba.125.

  • *Gomes, S. R., Reeve, S. A., Brothers, K. J., Reeve, K. F., & Sidener, T. M. (2019). Establishing a generalized repertoire of initiating bids for joint attention in children with autism. Behavior Modification, 1-35. https://doi.org/10.1177/0145445518822499.

  • Grosberg, D., & Charlop, M. H. (2017). Teaching conversational speech to children with autism spectrum disorder using text-message prompting. Journal of Applied Behavior Analysis, 50(4), 789–804. https://doi.org/10.1002/jaba.403.

    Article  PubMed  Google Scholar 

  • Groskreutz, M. P., Peters, A., Groskreutz, N. C., & Higbee, T. s. (2015). Increasing play-based commenting in children with autism spectrum disorder using a novel script-frame procedure. Journal of Applied Behavior Analysis, 48(2), 442–447. https://doi.org/10.1002/jaba.194.

    Article  PubMed  Google Scholar 

  • Horner, R. H., Carr, E. G., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single-subject research to identify evidence-based practice in special education. Exceptional Children, 71(2), 165–179. https://doi.org/10.1177/001440290507100203.

    Article  Google Scholar 

  • *Howlett, M. A., Sidener, T. M., Progar, P. R., & Sidener, D. W. (2011). Manipulation of motivating operations and use of a script-fading procedure to teach mand for location to children with language delays. Journal of Applied Behavior Analysis, 44(4), 943-947. https://doi.org/10.1901/jaba.2011.44-943.

  • Krantz, P. J., & McClannahan, L. E. (1993). Teaching children with autism to initiate to peer: effects of a script-fading procedure. Journal of Applied Behavior Analysis, 26(1), 121–132. https://doi.org/10.1901/jaba.1993.26-121.

    Article  PubMed  PubMed Central  Google Scholar 

  • Krantz, P., & McClannahan, L. E. (1998). Social interaction skills for children with autism: a script-fading procedure for beginning readers. Journal of Applied Behavior Analyses, 31(2), 191–202. https://doi.org/10.1901/jaba.1998.31-191.

    Article  Google Scholar 

  • *Ledbetter-Cho, K., Lang, R., Davenport, K., Moore, M., Howell, A. L., Drew, C., . . . O’Reilly, M. (2015). Effects of script training on the peer to peer communication of children with autism spectrum disorders. Journal of Applied Behavior Analysis, 48(4), 785-799. https://doi.org/10.1002/jaba.240.

  • Lee, R., & Sturmey, P. (2014). The effects of script-fading and Lag-1 schedule on varied social responding in children with autism. Research in Autism Spectrum Disorders, 8(4), 440–448. https://doi.org/10.1016/j.rasd.2014.01.003.

    Article  Google Scholar 

  • Ma, H. H. (2006). An alternative method for quantitative synthesis of single-subject researches: percentage of data points exceeding the median. Behavior Modification, 30(5), 598–617. https://doi.org/10.1177/0145445504272974.

    Article  PubMed  Google Scholar 

  • MacDuff, J. L., Ledo, R., McClannahan, L. E., & Krantz, P. J. (2007). Using scripts and script-fading procedures to promote bids for joint attention by young children with autism. Research in Autism Spectrum Disorders, 1(4), 281–290. https://doi.org/10.1016/j.rasd.2006.11.003.

    Article  Google Scholar 

  • Maenner MJ, Shaw KA, Baio J, et al. Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2016. MMWR Surveill Summ 2020;69(No. SS-4):1–12. DOI: https://doi.org/10.15585/mmwr.ss6904a1externalicon.

  • Pallathra, A. A., Cordero, L., Wong, K., & Brodkin, E. S. (2019). Psychosocial interventions targeting social functioning in adults on the autism spectrum: A literature review. Current Psychiatry Reports, 21(1), 5.

    Article  Google Scholar 

  • *Pollard, J. S., Betz, A. M., & Higbee, T. S. (2012). Script fading to promote unscripted bids for joint attention in children with autism. Journal of Applied Behavior Analysis, 45(2), 387-393. https://doi.org/10.1901/jaba.2012.45-387.

  • *Reagon, K. A., & Higbee, T. S. (2009). Parent-implemented script fading to promote play-based verbal initiations in children with autism. Journal of Applied Behavior Analysis, 42(3), 659-664. https://doi.org/10.1901/jaba.2009.42-659.

  • *Rozenblat, E., Reeve, K. F., Townsend, D. B., Reeve, S. A., & DeBar, R. M. (2019). Teaching joint attention skills to adolescents and young adults with autism using multiple exemplars and script-fading procedures. Behavioral Interventions. 34(4),504-524 https://doi.org/10.1002/bin.1682.

  • Sarokoff, R. A., Taylor, B. A., & Poulson, C. L. (2001). Teaching children with autism to engage in conversational exchanges: script fading with embedded textual stimuli. Journal of Applied Behavior Analysis, 34(1), 81–84. https://doi.org/10.1901/jaba.2001.34-81.

    Article  PubMed  PubMed Central  Google Scholar 

  • Scruggs, T. E., Mastropieri, M. A., & Casto, G. (1987). The quantitative synthesis of single subject research: methodology and validation. Remedial and Special Education, 8(2), 24–33.

    Article  Google Scholar 

  • Steinbrenner, J. R., Hume, K., Odom, S. L., Morin, K. L., Nowell, S. W., Tomaszewski, B., Szendrey, S., McIntyre, N. S., Yücesoy-Özkan, S., & Savage, M. N. (2020). Evidence-based practices for children, youth, and young adults with autism. The University of North Carolina at Chapel Hill, Frank Porter Graham Child Development Institute, National Clearinghouse on Autism Evidence and Practice Review Team.

  • *Sellers, T. P., Kelley, K., Higbee, T. S., & Wolfe, K. (2016). Effects of simultaneous script training on use of varied mand frames by preschoolers with autism. The Analysis of Verbal Behavior, 32(1), 15-26. https://doi.org/10.1007/s40616-015-0049-8.

  • Spencer, T. D., & Higbee, T. S. (2012). Using transfer of stimulus control technology to promote generalization and spontaneity of language. Focus on Autism and Other Developmental Disabilities, 27(4), 225–236. https://doi.org/10.1177/1088357612460274.

    Article  Google Scholar 

  • Stevenson, C. L., Krantz, P. J., & McClannahan, L. E. (2000). Social interaction skills for children with autism: a script-fading procedure for nonreaders. Behavioral Interventions, 31(2), 1–20. https://doi.org/10.1901/jaba.1998.31-191.

    Article  Google Scholar 

  • *Topuz, C., & Ulke-Kurkcuoglu, B. (2019). Increasing verbal interaction in children with autism spectrum disorders using audio script procedure. Journal of Autism and Developmental Disorders, 49(12), 4862–4866. https://doi.org/10.1007/s10803-019-04236-1.

  • Wichnick, A. M., Vener, S. M., Keating, C. & Poulson, C. L. (2010a). The effect of a script-fading procedure on unscripted social initiations and novel utterances among young children with autism. Research in Autism Spectrum Disorders, 4(1), 51-64. https://doi.org/10.1016/j.rasd.2009.07.006.

  • Wichnick, A. M., Vener, S. M., Pyrtek, M. & Poulson, C. L. (2010b). The effect of a script-fading procedure on responses to peer initiations among young children with autism. Research in Autism Spectrum Disorders, 4, 290-299. https://doi.org/10.1016/j.rasd.2009.09.016.

  • Wichnick-Gillis, A. M., Vener, S. M., & Poulson, C. L. (2016). The effect of a script-fading procedure on social interactions among young children with autism. Research in Autism Spectrum Disorders, 26, 1–9. https://doi.org/10.1016/j.rasd.2016.03.004.

    Article  Google Scholar 

  • Wichnick-Gillis, A. M., Vener, S. M., & Poulson, C. L. (2019). Script fading for children with autism: generalization of social initiation skills from school to home. Journal of Applied Behavior Analysis, 52(2), 451–466. https://doi.org/10.1002/jaba.534.

    Article  PubMed  Google Scholar 

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Correspondence to Burcu Ulke-Kurkcuoglu.

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Topuz, C., Ulke-Kurkcuoglu, B. Script Fading Procedure: a Systematic Review and Meta-analysis. Rev J Autism Dev Disord 9, 366–385 (2022). https://doi.org/10.1007/s40489-021-00258-7

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