Abstract
Functional communication training (FCT; Carr & Durand, 1985) is frequently utilized as a treatment for socially maintained problem behavior (Tiger et al., 2008). Although FCT is a viable treatment option for the reduction of problem behavior, researchers have identified several variables related to the selection of the functional communication response (FCR) topography that may influence treatment outcomes, including individual and caregiver preference. However, there may be times in which the target individual and caregiver preference do not match. Given this, there is a need for procedures to identify and compare both child and caregiver preferences. Therefore, the purpose of this study was to identify a preferred FCR topography via mand topography assessment and compare results of the mand topography assessment with a formal assessment of caregiver preference. We found that both child and caregiver participants demonstrated a preference for at least one FCR topography. Although we identified a preference for both the child and caregiver participants, child and caregiver preference did not match, except for a partial match for one caregiver-child dyad. Clinical implications and recommendations for navigating next steps when client and caregiver preferences do not align are discussed.
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References
Allen, K. D., & Warzak, W. J. (2000). The problem of parental nonadherence in clinical behavior analysis: Effective treatment is not enough. Journal of Applied Behavior Analysis, 33, 373–391. https://doi.org/10.1901/jaba.2000.33-373.
Bailey, J., McComas, J. J., Benavides, C., & Lovascz, C. (2002). Functional assessment in a residential setting: Identifying an effective communicative replacement response for aggressive behavior. Journal of Developmental and Physical Disabilities, 14, 353–369. https://doi.org/10.1023/A:1020382819146.
Bannerman, D. J., Sheldon, J. B., Sherman, J. A., & Harchik, A. E. (1990). Balancing the right to habilitation with the right to personal liberties: The rights of people with developmental disabilities to eat too many doughnuts and take a nap. Journal of Applied Behavior Analysis, 23(1), 79–89. https://doi.org/10.1901/jaba.1990.23-79.
Bethune, K. S., & Boyle, J. (2023). Comparing response modes during functional communication training: Efficacy of acquisition and preference for students with autism. Focus on Autism and Other Developmental Disabilities, 38(2), 101–112. https://doi.org/10.1177/10883576221121276.
Carr, E. G., & Durand, V. M. (1985). Reducing behavior problems through functional.
Communication training Journal of Applied Behavior Analysis, 18(2), 111–126.
Contreras, B. P., Hoffmann, A. N., & Slocum, T. A. (2021). Ethical behavior analysis: Evidence-based practice as a Framework for ethical decision making. Behavior Analysis in Practice, 15(2), 619–634. https://doi.org/10.1007/s40617-021-00658-5.
Diaz-Salvat, C. C., St. Peter, C. C., & Shuler, N. J. (2020). Increased number of responses may account for reduced resurgence following serial training. Journal of Applied Behavior Analysis, 53(3), 1542–1558. https://doi.org/10.1002/jaba.686.
Dyer, K., Dunlap, G., & Winterling, V. (1990). Effects of choice making on the serious problem behaviors of students with severe handicaps. Journal of Applied Behavior Analysis, 23(4), 515–524. https://doi.org/10.1901/jaba.1990.23-515.
Fisher, W., Piazza, C. C., Bowman, L. G., Hagopian, L. P., Owens, J. C., & Slevin, I. (1992). A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. Journal of Applied Behavior Analysis, 25, 491–498. https://doi.org/10.1901/jaba.1992.25-491.
Gabor, A. M., Fritz, J. N., Roath, C. T., Rothe, B. R., & Gourley, D. A. (2016). Caregiver preference for reinforcement-based interventions for problem behavior maintained by positive reinforcement. Journal of Applied Behavior Analysis, 49(2), 215–227. https://doi.org/10.1002/jaba.286.
Hanley, G. P., Iwata, B. A., & Thompson, R. H. (2001). Reinforcement schedule thinning following treatment with functional communication training. Journal of Applied Behavior Analysis, 34(1), 17–38. https://doi.org/10.1901/jaba.2001.34-17.
Houck, E. J., Dracobly, J. D., & Baak, S. A. (2023). A practitioner’s guide for selecting functional communication responses. Behavior Analysis in Practice, 16(1), 65–75. https://doi.org/10.1007/s40617-022-00705-9.
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Towards a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27(2), 197–209. https://doi.org/10.1901/jaba.1994.27-197.
Kazdin, A. E. (1980). Acceptability of alternative treatments for deviant child behavior. Journal of Applied Behavior Analysis, 13(2), 259–273. https://doi.org/10.1901/jaba.1980.13-259.
Kunnavatana, S. S., Wolfe, K., & Aguilar, A. N. (2018). Assessing mand topography preference when developing a functional communication training intervention. Behavior Modification, 42(3), 364–381. https://doi.org/10.1177/0145445517751437.
Livingston, C. P., Melanson, I. J., Martinez, S., & Anderson, H. (2023). Evaluation of a break-to‐choice chained‐schedule intervention for multiply maintained problem behavior. Behavioral Interventions, 38, 836–848. https://doi.org/10.1002/bin.1941.
Marcus, B. A., & Vollmer, T. R. (1995). Effects of differential negative reinforcement on disruption and compliance. Journal of Applied Behavior Analysis, 28(2), 229–230. https://doi.org/10.1901/jaba.1995.28-229.
Owen, T. M., Luczynski, K. C., Rodriguez, N. M., & Fisher, W. W. (2021). Assessment of children’s and caregivers’ preferences for treatments for escape-maintained problem behavior. Journal of Applied Behavior Analysis, 54(3), 946–965. https://doi.org/10.1002/jaba.817.
Ringdahl, J. E., Falcomata, T. S., Christensen, T. J., Bass-Ringdahl, S. M., Lentz, A., Dutt, A., & Schuh-Claus, J. (2009). Evaluation of a pre-treatment assessment to select mand topographies for functional communication training. Research in Developmental Disabilities, 30(2), 330–341. https://doi.org/10.1016/j.ridd.2008.06.002.
Ringdahl, J. E., Berg, W. K., Wacker, D. P., Crook, K., Molony, M. A., Vargo, K. K., & Taylor, C. J. (2018). Effects of response preference on resistance to change. Journal of the Experimental Analysis of Behavior, 109(1), 265–280. https://doi.org/10.1002/jeab.308.
Ringdahl, J. E., Crook, K., Berg, W. K., Wacker, D. P., Molony, M., Romani, P., Ryan, S., Ryan, A., & Zabala, K. (2023). Further evaluation of prompt density, rate of reinforcement, and the persistence of manding. Behavioral Interventions. https://doi.org/10.1002/bin.1944.
Rohrer, J. L., Marshall, K. B., Suzio, C., & Weiss, M. J. (2021). Soft skills: The case for compassionate approaches or how behavior analysis keeps finding its heart. Behavior Analysis in Practice, 1–9. https://doi.org/10.1007/s40617-021-00563-x.
Taylor, B. A., LeBlanc, L. A., & Nosik, M. R. (2019). Compassionate care in behavior analytic treatment: Can outcomes be enhanced by attending to relationships with caregivers? Behavior Analysis in Practice, 12(3), 654–666. https://doi.org/10.1007/s40617-018-00289-3.
Tiger, J. H., Hanley, G. P., & Bruzek, J. (2008). Functional communication training: A review and practical guide. Behavior Analysis in Practice, 1(1), 16–23. https://doi.org/10.1007/BF03391716.
Torelli, J. N., Lambert, J. M., Fonte, D., Denham, M. A., Jedrzynski, K. N., T. M., & Houchins- Juarez, N. J. (2015). Assessing acquisition of and preference for mand topographies during functional communication training. Behavior Analysis in Practice, 9(2), 165–168. https://doi.org/10.1007/s40617-015-0083-y.
Tsami, L., & Lerman, D. C. (2020). Transfer of treatment effects from combined to isolated conditions during functional communication training for multiply controlled problem behavior. Journal of Applied Behavior Analysis, 53(2), 649–664. https://doi.org/10.1002/jaba.629.
Volkert, V. M., Lerman, D. C., Call, N. A., & Trosclair-Lasserre, N. (2009). An evaluation of resurgence during treatment with function communication training. Journal of Applied Behavior Analysis, 42(1), 145–160. https://doi.org/10.1901/jaba.2009.42-145.
Wacker, D. P., Berg, W. K., Harding, J. W., Derby, M. K., Asmus, J. M., & Healy, A. (1998). Evaluation and long-term treatment of aberrant behavior displayed by young children with disabilities. Journal of Developmental and Behavioral Pediatrics, 19, 260–265. https://doi.org/10.1097/00004703-199808000-00004.
Winborn-Kemmerer, L., Ringdahl, J. E., Wacker, D. P., & Kitsukawa, K. (2009). A demonstration of individual preference for novel mands during functional communication training. Journal of Applied Behavior Analysis, 42(1), 185–189. https://doi.org/10.1901/jaba.2009.42-185.
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Livingston, C.P., DeBrine, J.E., Melanson, I.J. et al. Comparison of Caregivers’ and Children’s Preference for Mand Topography During Functional Communication Training. J Dev Phys Disabil (2024). https://doi.org/10.1007/s10882-024-09959-3
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DOI: https://doi.org/10.1007/s10882-024-09959-3