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Abstract

Functional communication training (FCT) is a well-established, evidence-based practice used to address challenging behavior among individuals across settings, ages, and disability categories. However, the research is limited on the implementation of FCT in inclusive school settings for students with intellectual and developmental disabilities. The purpose of this review was to summarize FCT intervention studies implemented in inclusive K–12 school settings for students with intellectual and developmental disabilities. We synthesized studies to summarize study characteristics, quality, and intervention effectiveness. Our findings suggest that FCT was most often implemented as part of a multi-component intervention package and delivered by education team members. Furthermore, the quality of most studies was either acceptable or strong. The overall effect size estimate for primary dependent measures as measured by Tau-U suggested large to very large changes in student behavior. We present implications for practice specific to educational teams that support the behavioral needs of students with intellectual and developmental disabilities in inclusive settings and offer avenues for future research.

Keywords

intellectual and developmental disabilities functional communication training inclusion functional behavior assessment

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References

Agran

Jackson

L. B.

Kurth

J. A.

Ryndak

D. L.

Burnette

Jameson

Zagona

Fitzpatrick

Wehmeyer

M. L.

(2020). Why aren’t students with severe disabilities being placed in general education classrooms: Examining the relations among classroom placement, learner outcomes, and other factors. Research and Practice for Persons with Severe Disabilities, 45(1), 4–13. https://doi.org/10.1177/1540796919878134

Andzik

N. R.

Cannella-Malone

H. I.

Sigafoos

(2016). Practitioner-implemented functional communication training: A review of the literature. Research and Practice for Persons with Severe Disabilities, 41(2), 79–89. https://doi.org/10.1177/1540796916633874

Bambara

L. M.

Nonnemacher

S. L.

Kern

(2009). Sustaining school-based individualized positive behavior support. Journal of Positive Behavior Interventions, 11(3), 161–176. https://doi.org/10.1177/1098300708330878

*Blair

K. S. C.

Liaupsin

C. J.

Umbreit

Kweon

(2006). Function-based intervention to support the inclusive placements of young children in Korea. Education and Training in Developmental Disabilities, 41(1), 48–57. https://www.jstor.org/stable/23879870

*Blair

K. S. C.

Umbreit

Dunlap

Jung

(2007). Promoting inclusion and peer participation through assessment-based intervention. Topics in Early Childhood Special Education, 27(3), 134–147. https://doi.org/10.1177/02711214070270030401

Carr

E. G.

Durand

V. M.

(1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18(2), 111–126. https://doi.org/10.1901/jaba.1985.18-111

Carter

E. W.

Hughes

(2006). Including high school students with severe disabilities in general education classes: Perspectives of general and special educators, paraprofessionals, and administrators. Research and Practice for Persons with Severe Disabilities, 31(2), 174–185. https://doi.org/10.1177/154079690603100209

Cooper

J. O.

Heron

T. E.

Heward

W. L.

(2020). Applied behavior analysis (3rd ed.). Pearson.

Feldman

Carter

E. W.

Asmus

Brock

M. E.

(2016). Presence, proximity, and peer interactions of adolescents with severe disabilities in general education classrooms. Exceptional Children, 82(2), 192–208. https://doi.org/10.1177/0014402915585481

10.

Gage

N. A.

Cook

G. B.

Reichow

(2017). Publication bias in special education meta-analyses. Exceptional Children, 83(4), 428–445. https://doi.org/11/1177/0014402917691016

11.

Gee

Gonzalez

Cooper

(2020). Outcomes of inclusive versus separate placements: A matched pairs comparison study. Research and Practice for Persons with Severe Disabilities, 45(4), 223–240. https://doi.org/10.1177/1540796920943469

12.

Gerow

Davis

Radhakrishnan

Gregori

Rivera

(2018). Functional communication training: The strength of the evidence across disabilities. Exceptional Children, 85(1), 86–103. https://doi.org/10.1177/0014402918793399

13.

Goh

A. E.

Bambara

L. M.

(2012). Individualized positive behavior support in school settings: A meta-analysis. Remedial and Special Education, 33(5), 271–286. https://doi.org/10.1177/0741932510383990

14.

Hagopian

L. P.

Boelter

E. W.

Jarmolowicz

D. P.

(2011). Reinforcement schedule thinning following functional communication training: Review and recommendations. Behavior Analysis in Practice, 4(1), 4–16. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3196205/

15.

Individuals With Disabilities Education Improvement Act, 20 U.S.C. § 1400 et seq. (2004).

16.

Jeong

Copeland

S. R.

(2020). Comparing functional behavior assessment-based interventions and non-functional behavior assessment-based interventions: A systematic review of outcomes and methodological quality of studies. Journal of Behavioral Education, 29, 1–41. https://doi.org/10.1007/s10864-019-09355-4

17.

Jury

Perrin

A.-L.

Desombre

Rohmer

(2021). Teachers’ attitudes toward the inclusion of students with autism spectrum disorder: Impact of students’ difficulties. Research in Autism Spectrum Disorders, 83(2), 101746. https://doi.org/10.1016/j.rasd.2021.101746

18.

Kleinert

Towles-Reeves

Quenemoen

Thurlow

Fluegge

Weseman

Kerbel

(2015). Where students with the most significant cognitive disabilities are taught. Exceptional Children, 81(3), 312–328. https://doi.org/10.1177/0014402914563697

19.

Kurth

J. A.

Mastergeorge

A. M.

(2012). Impact of setting and instructional context for adolescents with autism. The Journal of Special Education, 46(1), 36–48. https://doi.org/10.1177/0022466910366480

20.

Kurth

J. A.

Mastergeorge

A. M.

Paschall

K. W.

(2016). Economic and demographic factors impacting placement of students with autism. Education and Training in Autism and Developmental Disabilities, 51(1), 1–27.

21.

Ledford

J. R.

Gast

D. L.

(2018). Single case research methodology (3rd ed.). Routledge.

22.

Lloyd

B. P.

Barton

E. E.

Ledbetter-Cho

Pennington

Pokorski

E. A.

(2019). Function-based interventions in K-8 general education settings. The Elementary School Journal, 119(4), 601–628.

23.

Lohrmann

Bambara

L. M.

(2006). Elementary education teachers’ beliefs about essential supports needed to successfully include students with developmental disabilities who engage in challenging behavior. Research and Practice for Persons With Severe Disabilities, 31(2), 157–173. https://doi.org/10.1177/154079690603100208

24.

Lory

Mason

R. A.

Davis

J. L.

Wang

Kim

S. Y.

Gregori

David

(2020). A meta-analysis of challenging behavior interventions for students with developmental disabilities in inclusive school settings. Journal of Autism and Developmental Disorders, 50(4), 1221–1237. https://doi.org/10.1007/s10803-019-04329-x

25.

Maggin

D. M.

Briesch

A. M.

Chafouleas

S. M.

(2013). An application of the What Works Clearinghouse standards for evaluating single-subject research: Synthesis of the self-management literature base. Remedial and Special Education, 34(1), 44–58. https://doi.org/10.1177/0741932511435176

26.

McLeskey

Maheady

Billingsley

Brownell

M. T.

Lewis

T. J.

(2022). High leverage practices for inclusive classrooms (2nd ed.). Rutledge. https://doi.org/10.4324/9781003148609

27.

Monzalve

Horner

R. H.

(2021). The impact of the contextual fit enhancement protocol on behavior support plan fidelity and student behavior. Behavioral Disorders, 46(4), 267–278. https://doi.org/10.1177/0198742920953497

28.

Parker

R. I.

Vannest

K. J.

Davis

J. L.

Sauber

S. B.

(2011). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42(2), 284–299. https://doi.org/10.1016/j.beth.2010.08.006

29.

*Reeves

L. M.

Umbreit

Ferro

J. B.

Liaupsin

C. J.

(2013). Function-based intervention to support the inclusion of students with autism. Education and Training in Autism and Developmental Disabilities, 48(3), 379–391.

30.

*Reeves

L. M.

Umbreit

Ferro

J. B.

Liaupsin

C. J.

(2017). The role of the replacement behavior in function-based intervention. Education and Training in Autism and Developmental Disabilities, 52(3), 305–316. https://www.jstor.org/stable/26420402

31.

Roberts

Simpson

(2016). A review of research into stakeholder perspectives on inclusion of students with autism in mainstream schools. International Journal of Inclusive Education, 20(10), 1084–1096. https://doi.org/10.1080/13603116.2016.1145267

32.

Rohatgi

(2021, October). WebPlotDigitizer (Version 4.5). https://automeris.io/WebPlotDigitizer/

33.

Samudre

M. D.

Ackerman

K. B.

Allday

R. A.

(2020). A systematic review of general educator training with functional behavior assessments. Journal of Disability Policy Studies, 31(1), 3–14. https://doi.org/10.1177/1044207319869938

34.

Tiger

J. H.

Hanley

G. P.

Bruzek

(2008). Functional communication training: A review and practical guide. Behavior Analysis in Practice, 1(1), 16–23. https://doi.org/10.1007/BF03391716

35.

*Umbreit

Blair

K. S.

(1996). The effects of preference, choice, and attention on problem behavior at school. Education and Training in Mental Retardation and Developmental Disabilities, 31(2), 151–161. https://www.jstor.org/stable/23879131

36.

U.S. Department of Education. (2021). 43st annual report to Congress on the implementation of the Individuals with Disabilities Education Act, 2021. https://sites.ed.gov/idea/files/43rd-arc-for-idea.pdf

37.

Vannest

K. J.

Ninci

(2015). Evaluating intervention effects in single-case research designs. Journal of Counseling & Development, 93(4), 403–411. https://doi.org/10.1002/jcad.12038

38.

Vannest

K. J.

Parker

R. I.

Gonen

Adiguezel

(2016). Single case research: Web based calculators for SCR analysis (Version 2.0) [Web-based application]. Texas A&M University. singlecaseresearch.org

39.

*Walker

V. L.

Carpenter

M. E.

Clausen

Ealer

Lyon

K. J.

(2021). Special educators as coaches to support paraprofessional implementation of functional communication training. Journal of Positive Behavior Interventions, 23(3), 174–184. https://doi.org/10.1177/1098300720957995

40.

Walker

V. L.

Chung

Bonnet

L. K.

(2018). Function-based intervention in inclusive school settings: A meta-analysis. Journal of Positive Behavior Interventions, 20(6), 203–216. https://doi.org/10.1177/1098300717718350

41.

Walker

V. L.

Loman

S. L.

Hara

Park

K. L.

Strickland-Cohen

M. K.

(2018). Examining the inclusion of students with severe disabilities in school-wide positive behavioral interventions and supports. Research and Practice for Persons With Severe Disabilities, 43(4), 223–238. https://doi.org/10.1177/1540796918779370

42.

Walker

V. L.

Lyon

K. J.

Loman

S. L.

Sennott

(2018). A systematic review of functional communication training (FCT) interventions involving augmentative and alternative communication in school settings. Augmentative and Alternative Communication, 34(2), 118–129. https://doi.org/10.1080/07434618.2018.1461240

43.

*Walker

V. L.

Snell

M. E.

(2017). Teaching paraprofessionals to implement function-based interventions. Focus on Autism and Other Developmental Disabilities, 32(2), 114–123. https://doi.org/10.1177/1088357616673561

44.

What Works Clearinghouse. (2020). Standards handbook (Version 4.1). Institute of Education Sciences. https://ies.ed.gov/ncee/wwc/Docs/referenceresources/WWC-Standards-Handbook-v4-1-508.pdf

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Functional Communication Training in Inclusive School Settings for Students With Intellectual and Developmental Disabilities: A Literature Review

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