Supporting people with disabilities in expressing preferences and making choices is a core value in positive behavior support. Indeed, in recent years, the field has increasingly focused its attention on the importance of making choices and the potential benefits of choice-making opportunities in enhancing the quality of life of people with disabilities. In addition, an emerging database is suggesting that providing opportunities to make choices can serve as an intervention for decreasing problem behavior. The authors of this article examine the efficacy of the use of choice-making as an intervention for reducing problem behavior through a meta-analysis of single-subject research studies using choice-making as an intervention. A search of the PsycINFO and ERIC databases yielded 13 studies that met the meta-analysis criteria, with interventions affecting 30 participants. The impact of choice interventions was evaluated using the percentage nonoverlapping data and percentage zero data metrics. Overall, providing choice opportunities resulted in clinically significant reductions in the number of occurrences of problem behavior. The authors discuss the benefits of utilizing choice as an intervention and provide future directions for research in this area.
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References
1.
Algozzine, B., Browder, D., Karvonen, M., Test, D.W., & Wood, W.M. (2001). Effects of interventions to promote self-determination for individuals with disabilities. Review of Educational Research , 71, 219—277.
2.
*Bambara, L.M., Koger, F., Katzer, T., & Davenport, T.A. (1995). Embedding choice in the context of daily routines: An experimental case study. Journal of the Association for Persons with Severe Handicaps, 20, 185—195.
3.
Brotherson, M.J., Cook, C.C., Cunconan-Lahr, R., & Wehmeyer, M.L. (1995). Policy supporting self-determination in the environments of children with disabilities. Education and Training in Mental Retardation and Developmental Disabilities, 30, 3—14.
4.
Browder, D.M., Cooper, K.J., & Lim, L. (1998). Teaching adults with severe disabilities to express their choice of settings for leisure activities. Education and Training in Mental Retardation and Developmental Disabilities, 33, 228—238.
5.
Carr, E.G., Dunlap, G., Horner, R.H., Koegel, R.L., Turnbull, A.P., Sailor, W., et al. (2002). Positive behavior support: Evolution of an applied science. Journal of Positive Behavior Interventions , 4, 4—16, 20.
6.
Carr, E.G., Horner, R.H., Turnbull, A.P., Marquis, J.G., McLaughlin, D.M., McAtee, M.L., et al. (1999). Positive behavior support for people with developmental disabilities: A research synthesis. Washington, DC: American Association on Mental Retardation.
7.
Cole, C.L., Davenport, T.A., Bambara, L.M., & Ager, C.L. (1997). Effects of choice and task preference on the work performance of students with behavior problems. Behavioral Disorders, 22(2), 65—74.
8.
*Cole, C.L., & Levinson, T.R. (2002). Effects of within-activity choices on the challenging behavior of children with severe developmental disabilities. Journal of Positive Behavior Interventions, 4, 29—37, 52.
9.
Cullen, C. (1999). Contextualism in intellectual disability research: The case of choice behavior. Journal of Intellectual Disability Research, 43, 437—444.
10.
Dattilo, J., & Mirenda, P. (1987). An application of a leisure preference assessment protocol for persons with severe handicaps. Journal of the Association for Persons with Severe Handicaps, 12, 306—311.
11.
Dattilo, J., & Rusch, F.R. (1985). Effects of choice on leisure participation for persons with severe handicaps. Journal of the Association for Persons with Severe Handicaps, 10, 194—199.
12.
DeLeon, I.G., Fisher, W.W., Rodriguez Catter, V., Maglieri, K., Herman, K., & Marhefka, J.M. (2001). Examination of relative reinforcement effects of stimuli identified through pretreatment and daily brief preference assessments. Journal of Applied Behavior Analysis, 34, 463—473.
13.
*Dibley, S., & Lim, L. (1999). Providing choice making opportunities within and between daily school routines. Journal of Behavioral Education , 9, 117— 132.
14.
*Dunlap, G., dePerczel, M., Clarke, S., Wilson, D., Wright, S., White, R., et al. (1994). Choice making to promote adaptive behavior for students with emotional and behavioral challenges. Journal of Applied Behavior Analysis, 27, 505—518.
15.
Dunlap, G., Foster-Johnson, L., Clarke, S., Kern, L., & Childs, K.E. (1995). Modifying activities to produce functional outcomes: Effects on the problem behaviors of students with disabilities. Journal of the Association for Persons with Severe Handicaps, 20, 248—258.
16.
Dunlap, G., & Fox, L. (1996). Early intervention and serious problem behaviors: A comprehensive approach. In R. L. Koegel (Ed.), Positive behavioral support: Including people with difficult behavior in the community (pp. 31— 50). Baltimore : Brookes.
17.
Dunlap, G., Johnson, L.F., & Robbins, F.R. (1990). Preventing serious behavior problems through skill development and early intervention. In N. N. Singh (Ed.), Perspectives on the use of nonaversive and aversive interventions for persons with developmental disabilities (pp. 273—286). Sycamore, IL: Sycamore.
18.
Dunlap, G., & Kern, L. (1993). Assessment and intervention for children within the instructional curriculum. In J. Reichle & D. P. Wacker (Eds.), Communicative alternatives to challenging behavior: Integrating functional assessment and intervention strategies. Communication and language intervention series (Vol. 3, pp. 177—203). Baltimore : Brookes.
19.
Dunlap, G., Kern-Dunlap, L., Clarke, S., & Robbins, F.R. (1991). Functional assessment, curricular revision, and severe behavior problems. Journal of Applied Behavior Analysis , 24, 387—397.
20.
Dunlap, G., Kern-Dunlap, L., Clarke, S., & Robbins, F.R. (1994). Some characteristics of nonaversive intervention for severe behavior problems. In E. Schopler & G. B. Mesibov (Eds.), Behavioral issues in autism (pp. 227— 245). New York: Plenum Press.
21.
*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, 515—524.
22.
Fisher, W.W., & Mazur, J.E. (1997). Basic and applied research on choice responding . Journal of Applied Behavior Analysis, 30, 387—410.
23.
Fisher, W.W., Thompson, R.H., DeLeon, I.G., Piazza, C.C., Kuhn, D.E., Rodriguez Catter, V., et al. (1999). Noncontingent reinforcement: Effects of satiation versus choice responding. Research in Developmental Disabilities, 20, 411—427.
24.
Fisher, W.W., Thompson, R.H., Piazza, C.C., Crosland, K., & Gotjen, D. (1997). On the relative reinforcing effects of choice and differential consequences. Journal of Applied Behavior Analysis, 30, 423—438.
25.
Foster-Johnson, L., Ferro, J., & Dunlap, G. (1994). Preferred curricular activities and reduced problem behaviors in students with intellectual disabilities. Journal of Applied Behavior Analysis, 27, 493—504.
26.
Fox, L., Dunlap, G., & Cushing, L. (2002). Early intervention, positive behavior support, and transition to school. Journal of Emotional and Behavioral Disorders, 10, 149—157.
27.
*Frea, W.D., Arnold, C.L., & Vittimberga, G.L. (2001). A demonstration of the effects of augmentative communication on the extreme aggressive behavior of a child with autism within an integrated preschool setting. Journal of Positive Behavior Interventions,3, 194—198.
28.
Gothelf, C.R., Crimmins, D.B., Mercer, C.A., & Finocchiaro, P.A. (1994). Teaching choice-making skills to students who are deaf-blind. Teaching Exceptional Children, 26(4), 13—15.
29.
Heller, T., Miller, A.B., & Factor, A. (1999). Autonomy in residential facilities and community functioning of adults with mental retardation. Mental Retardation , 37, 449—457.
30.
Heller, T., Miller, A.B., Hsieh, K., & Sterns, H. (2000). Later-life planning: Promoting knowledge of options and choice-making. Mental Retardation, 38, 395—406.
31.
Horner, R.H. (2000). Positive behavior supports. In M. L. Wehmeyer & J. R. Patton (Eds.), Mental retardation in the 21st century (pp. 181—196). Austin, TX: PRO-ED .
32.
Horner, R.H., Dunlap, G., Koegel, R.L., Carr, E.G., Sailor, W., Anderson, J., et al. (1990). Toward a technology of “nonaversive” behavioral support. Journal of the Association for Persons with Severe Handicaps, 15, 125—132.
33.
*Jolivette, K., Wehby, J.H., Canale, J., & Massey, N.G. (2001). Effects of choice-making opportunities on the behavior of students with emotional and behavioral disorders. Behavioral Disorders, 26, 131—145.
34.
Kazdin, A.E. (1999). The meanings and measurement of clinical significance . Journal of Consulting and Clinical Psychology, 67, 332—229.
35.
*Kern, L., Mantegna, M.E., Vorndran, C.M., Bailin, D., & Hilt, A. (2001). Choice of task sequence to reduce problem behaviors . Journal of Positive Behavior Interventions, 3, 3—10.
36.
Kern, L., Vorndran, C.M., Hilt, A., Ringdahl, J.E., Adelman, B.E., & Dunlap, G. (1998). Choice as an intervention to improve behavior: A review of the literature. Journal of BehavioralEducation , 8, 151—169.
37.
Koegel, L. K., Koegel, R. L., & Dunlap, G. (Eds.). (1996). Positive behavioral support: Including people with difficult behavior in the community. Baltimore: Brookes.
38.
Lancioni, G.E., Bellini, D., & Oliva, D. (1993). Building choice opportunities within a robot-assisted occupational program: A case study. Behavioral Residential Treatment, 8, 219—226.
39.
Lancioni, G.E., Oliva, D., Meazzini, P., & Marconi, N. (1993). Building choice opportunities within occupational programmes for persons with profound developmental disabilities. Journal of Intellectual Disability Research, 37(1), 23—39.
40.
Lancioni, G.E., O'Reilly, M.F., & Emerson, E. (1996). A review of choice research with people with severe and profound developmental disabilities. Research in Developmental Disabilities, 17, 391—411.
41.
Martin, J.E., & Marshall, L.H. (1997). Choice making: Description of a model project. In M. Agran (Ed.), Student-directed learning: Teaching self-determination skills (pp. 224—248). Pacific Grove, CA: Brooks/Cole .
42.
*Moes, D.R. (1998). Integrating choice-making opportunities within teacher-assigned academic tasks to facilitate the performance of children with autism. Journal of the Association for Persons with Severe Handicaps, 23, 319—328.
43.
Parsons, M.B., Harper, V.N., Jensen, J.M., & Reid, D.H. (1997). Integrating choice into the leisure routines of older adults with severe disabilities. Journal of the Association for Persons with Severe Handicaps, 22, 170—175.
44.
Parsons, M.B., & Reid, D.H. (1990). Assessing food preferences among persons with profound mental retardation: Providing opportunities to make choices. Journal of Applied Behavior Analysis, 23, 183—195.
45.
*Peterson, S.M.P., Caniglia, C., & Royster, A.J. (2001). Application of choice-making intervention for a student with multiply-maintained problem behavior. Focus on Autism and Other Developmental Disabilities, 16, 240—246.
46.
*Powell, S., & Nelson, B. (1997). Effects of choosing academic assignments on a student with attention deficit hyperactivity disorder. Journal of Applied Behavior Analysis, 30, 181—183.
47.
Reid, D.H., & Parsons, M.B. (1991). Making choice a routine part of meal-times for persons with profound mental retardation. Behavioral Residential Treatment, 6, 249—261.
48.
Reid, D.H., Parsons, M.B., & Green, C.W. (1991). Providing choices and preferences for persons who have severe handicaps. Morganton, NC: Habilitative Managment Consultants.
49.
Romaniuk, C., & Miltenberger, R.G. (2001). The influence of preference and choice of activity on problem behavior. Journal of Positive Behavior Interventions, 3, 152—159.
50.
*Romaniuk, C., Miltenberger, R., Conyers, C., Jenner, N., Jurgens, M., & Ringenberg, C. (2002). The influence of activity choice of problem behaviors maintained by escape versus attention. Journal of Applied Behavior Analysis, 35, 349—362.
51.
Rousso, H., & Wehmeyer, M. L. (Eds.). (2001). Double jeopardy: Addressing gender equity in special education. Albany: State University of New York Press.
52.
Schalock, R.L. (2000). Three decades of quality of life. In M. L. Wehmeyer & J. R. Patton (Eds.), Mental retardation in the 21st century (pp. 335—356). Austin, TX: PRO-ED .
53.
Scotti, J.R., Evans, I.M., Meyer, L.H., & Walker, P. (1991). A meta-analysis of intervention research with problem behavior: Treatment validity and standards of practice. American Journal on Mental Retardation, 96, 233—256.
54.
Scruggs, T.E., & Mastropieri, M.A. (1998). Summarizing single-subject research: Issues and applications. Behavior Modification, 22, 221—242.
55.
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.
56.
*Seybert, S., Dunlap, G., & Ferro, J. (1996). The effects of choice-making on the problem behaviors of high school students with intellectual disabilities. Journal of Behavioral Education, 6(1), 49—65.
57.
Stalker, K., & Harris, P. (1998). The exercise of choice by adults with intellectual disabilities: A literature review. Journal of Applied Research in Intellectual Disabilities, 11(1), 60—76.
58.
Stancliffe, R.J. (2001). Living with support in the community: Predictors of choice and self-determination. Mental Retardation and Developmental Disabilities Research Reviews, 7, 91—98.
59.
Stancliffe, R.J., & Abery, B.H. (1997). Longitudinal study of deinstitutionalization and the exercise of choice. Mental Retardation, 35, 159—169.
60.
Stancliffe, R.J., Abery, B.H., & Smith, J. (2000). Personal control and the ecology of community living settings: Beyond living-unit size and type. American Journal on Mental Retardation, 105, 431—454.
61.
Stancliffe, R.J., & Wehmeyer, M.L. (1995). Variability in the availability of choice to adults with mental retardation. Journal of Vocational Rehabilitation, 5, 319—328.
62.
Thompson, R.H., Fisher, W.W., & Contrucci, S.A. (1998). Evaluating the reinforcing effects of choice in comparison to reinforcement rate. Research in Developmental Disabilities, 19, 181—187.
63.
Ward, M.J., & Kohler, P.D. (1996). Promoting self-determination for individuals with disabilities: Content and process. In L. E. Powers, G. H. S. Singer, & J. Sowers (Eds.), On the road to autonomy: Promoting self-competence in children and youth with disabilities (pp. 275—290). Baltimore: Brookes .
64.
Wehmeyer, M.L. (1999). A functional model of self-determination: Describing development and implementing instruction. Focus on Autism and Other Developmental Disabilities, 14(1), 53—61.
65.
Wehmeyer, M.L. (2002). The confluence of person-centered planning and self-determination. In S. Holburn & P. M. Vietze (Eds.), Person centered planning: Research, practice, and future directions (pp. 51—69). Baltimore: Brookes.
66.
Wehmeyer, M.L., Agran, M., & Hughes, C. (1998). Assessing preferences and teaching choice making . In Teaching self-determination to students with disabilities: Basic skills for successful transition (pp. 97—118). Baltimore : Brookes.
67.
Wehmeyer, M.L., Baker, D.J., Blumberg, R., & Harrison, R. (2004). Self-determination and student involvement in functional assessment: Innovative practices. Journal of Positive Behavior Interventions, 6(1), 29—35.
68.
Wehmeyer, M.L., & Bolding, N. (1999). Self-determination across living and working environments: A matched-samples study of adults with mental retardation. Mental Retardation, 37, 353—363.
69.
Wehmeyer, M.L., & Bolding, N. (2001). Enhanced self-determination of adults with intellectual disability as an outcome of moving to community-based work or living environments . Journal of Intellectual Disability Research, 45, 371—383.
70.
Wehmeyer, M.L., & Palmer, S. (2003). Adult outcomes for students with cognitive disabilities three years after high school: The impact of self-determination. Education and Training in Developmental Disabilities, 38(2), 131—144.
71.
Wehmeyer, M.L., & Schalock, R.L. (2001). Self-determination and quality of life: Implications for special education services and supports. Focus onExceptional Children, 33(8), 1—16.
72.
Wehmeyer, M.L., & Schwartz, M. (1997). Self-determination and positive adult outcomes: A follow-up study of youth with mental retardation or learning disabilities . Exceptional Children, 63, 245—255.
73.
Wehmeyer, M.L., & Schwartz, M. (1998). The relationship between self-determination and quality of life for adults with mental retardation. Education and Training in Mental Retardation and Developmental Disabilities, 33(1), 3—12.
