Functional Communication Training and Most-To-Least Prompting as Treatments for Problem Behavior

Abstract

Functional communication training (FCT) is a treatment for problem behavior in which the learner is taught a communicative behavior that fulfills the same function as the problem behavior. Although effective, when FCT is used to request breaks from work, limitations include increased time spent in breaks and reduced task-related responding. An alternative treatment is most-to-least prompting (MTL) of a task in which a therapist provides the most helpful prompts for task-related responding (e.g., physical guidance) and gradually reduces the amount of help (e.g., visual prompt and then verbal) until the learner responds independently. We evaluated FCT and MTL in a multiple treatments design with an 11-year-old girl with severe developmental disabilities. Both treatments reduced problem behavior from baseline levels, and academic responding was greater during MTL than during FCT. MTL is an errorless teaching approach conceptualized as an abolishing operation that reduces the aversiveness of a task and makes escape less valuable.

Keywords

errorless teaching functional communication training most-to-least prompting problem behavior motivating operations

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References

Alpern

Boll

Shearer

(1984). Developmental profile II. Western Psychological Services.

Athens

E. S.,

Vollmer

T. R.

(2010). An investigation of differential reinforcement of alternative behavior without extinction. Journal of Applied Behavior Analysis, 43(4), 569-589. doi:10.1901/jaba.2010.43-569

(2004). Teaching pedestrian skills to individuals with developmental disabilities. Journal of Behavioral Education, 13(3), 147-164. doi:10.1023/B:JOBE.0000037626.13530.96

(2018). Prevalence of resurgence of destructive behavior when thinning reinforcement schedules during functional communication training. Journal of Applied Behavior Analysis, 51(3), 620-633. doi:10.1002/jaba.472

(2013). Using self-directed video prompting to teach students with intellectual disabilities. Journal of Behavioral Education, 22(3), 169-189. doi:10.1007/s10864-013-9175-3

(2010). The role of the reflexive-conditioned motivating operation (CMO-R) during discrete trial instruction of children with autism. Focus on Autism and Other Developmental Disabilities, 25(2), 110-124. doi:10.1177/1088357610364393

(2016). A comparison of the effects of two prompt-fading strategies on skill acquisition in children with autism spectrum disorders. Behavior Analysis in Practice, 9(2), 115-125. doi:10.1007/s40617-015-0096-6

(2018). A meta-analysis of functional communication training effects on problem behavior and alternative communicative responses. Focus on Autism and Other Developmental Disabilities, 33(4), 195–205. doi:10.1177/1088357617741294

(2020). A randomized clinical trial of three prompting systems to teach tact relations. Journal of Applied Behavior Analysis, 53(2), 727-743. doi:10.1002/jaba.617

(1992). A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. Journal of Applied Behavior Analysis, 25(2), 491-498. doi:10.1901/jaba.1992.25-491

(2010). Function-based treatments for escape-maintained problem behavior: A treatment-selection model for practicing behavior analysts. Behavior Analysis in Practice, 3(1), 22-32. doi:10.1007/BF03391755

(2020). A comparison of demand fading and a dense schedule of reinforcement during functional communication training. Behavior Analysis in Practice, 13(1), 90-103. doi:10.1007/s40617-019-00403-z

13.

Gilliam

J. E.

(1995). Gilliam Autism Rating Scales (GARS). Pro–Ed.

(2020). An evaluation of parent preference for prompting procedures. Journal of Applied Behavior Analysis, 53(2), 707-726. doi:10.1002/jaba.616

(2014). Producing meaningful improvements in problem behavior of children with autism via synthesized analyses and treatments. Journal of Applied Behavior Analysis, 47(1), 16-36. doi:10.1002/jaba.106

(1998). A comparison of least-to-most prompts and progressive time delay on the disruptive behavior of students with autism. Journal of Behavioral Education, 8(2), 171-201. doi:10.1023/A:1022883523915

(2007). The effects of errorless learning and backward chaining on the acquisition of Internet skills in adults with developmental disabilities. Journal of Applied Behavior Analysis, 40(1), 185-189. doi:10.1901/jaba.2007.41-06

18.

Kaufman

A. S.

(1983). K-ABC: Kaufman assessment battery for children. American Guidance Service.

(2015). Effects of presession pairing on the challenging behavior and academic responding of children with autism. Behavioral Interventions, 30(2), 135-156. doi:10.1002/bin.1408

(2017). Teacher-conducted, latency-based functional analysis as basis for individualized levels system in a classroom setting. Behavior Analysis in Practice, 10(4), 422-426. doi:10.1007/s40617-017-0200-1

(2011). Examining the function of problem behavior in fragile X syndrome: Preliminary experimental analysis. American Journal on Intellectual and Developmental Disabilities, 116(1), 65-80. doi:10.1352/1944-7558-116.1.65

(2019). Teacher-conducted trial-based functional analysis and treatment of multiply controlled challenging behavior. Behavior Analysis: Research and Practice, 19(3), 241–246. doi:10.1037/bar0000128

(2008). A comparison of most-to-least and least-to-most prompting on the acquisition of solitary play skills. Behavior Analysis in Practice, 1(1), 37-43. doi:10.1007/BF03391719

(1998). Matching training procedures to outcomes. Behavior Modification, 22(3), 391-414. doi:10.1177/01454455980223011

25.

McGill

(1999). Establishing operations: Implications for the assessment, treatment, and prevention of problem behavior. Journal of Applied Behavior Analysis, 32(3), 393-418. doi:10.1901/jaba.1999.32-393

26.

Michael

(2000). Implications and refinements of the establishing operation concept. Journal of Applied Behavior Analysis, 33(4), 401-410. doi:10.1901/jaba.2000.33-401

(2020). Motivating operations. In Cooper

, (Eds.), Applied behavior analysis (3rd ed., pp. 372-394). Pearson.

(1989). A comparison of constant time delay and most-to-least prompting in teaching laundry skills to students with moderate retardation. Education & Training in Mental Retardation, 24(4), 363-370. Retrieved from http://www.jstor.org/stable/23878520.

29.

Moore

D. W.

Anderson

Kumar

(2005). Instructional adaptation in the management of escape-maintained behavior in a classroom. Journal of Positive Behavior Interventions, 7(4), 216-223.

30.

Muharib

Alrasheed

Ninci

Walker

V. L.

Voggt

A. P.

(2019). Thinning schedules of reinforcement following functional communication training for children with intellectual and developmental disabilities: A meta-analytic review. Journal of Autism and Developmental Disorders, 49(12), 4788-4806. doi:10.1007/s10803-019-04191-x

(1997). Functional assessment and program development for problem behavior: A practical handbook (2nd ed.). Brooks/Cole Publishing.

32.

Reimers