Fetal alcohol spectrum disorder (FASD) is characterized by impulsivity and deficits in executive functioning. Given this, individuals with FASD might particularly benefit from interventions that teach them to manage their own behavior in a more adaptive manner. Using a reversal (ABAB) design, the current study investigated the effects of a function-based self-management intervention package on the academic engagement of a 12-year-old Hispanic female with FASD during her after-school routine. The intervention included implementing antecedent strategies, teaching the participant to self-monitor, and providing contingent reinforcement. Results revealed a functional relationship between the intervention package and the participant's academic engagement. This finding strengthens the small but growing evidence that individuals with FASD can benefit from function-based behavior analytic interventions. Implications for research, practice, and policy are discussed.
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References
1.
AlsalamahA.Use of the self-monitoring strategy among students with attention deficit hyperactivity disorder: A systematic reviewJournal of Education and Practice814118–1252017
2.
BeckmanA.MasonB. A.WillsH. P.Garrison-KaneL.HuffmanJ.Improving behavioral and academic outcomes for students with autism spectrum disorder: Testing an app-based self-monitoring intervention 10.1353/etc.2019.0011 Education and Treatment of Children https://doi.org/10.1353/etc.2019.0011 422225–2442019
3.
BriereD. E.IIISimonsenB.Self-monitoring interventions for at-risk middle school students: The importance of considering function 10.1177/019874291103600204 Behavioral Disorders https://doi.org/10.1177/019874291103600204 362129–1402011
4.
BruhnA.GilmourA.RilaA.Van CampA.SheafferA.HancockE.FernandoJ.WehbyJ.Treatment components and participant characteristics associated with outcomes in selfmonitoring interventions 10.1177/109830072094665 Journal of Positive Behavior Interventions https://doi.org/10.1177/109830072094665 242156–1682022
5.
BruhnA.McdanielS.KreighC.Selfmonitoring interventions for students with behavior problems: A systematic review of current research 10.17988/BD-13-45.1 Behavioral Disorders https://doi.org/10.17988/BD-13-45.1 402102–1212015
6.
BurnsG. L.PattersonD. R.Conduct problem behaviors in a stratified random sample of children and adolescents: New standardization data on the Eyberg Child Behavior Inventory 10.1037/1040-3590.2.4.391 Psychological Assessment: A Journal of Consulting and Clinical Psychology https://doi.org/10.1037/1040-3590.2.4.391 24391–3971990
CopelandS. R.GriffinM. M.DiluzioH.MaezR.Teaching self-management strategies to a child with fetal alcohol spectrum disorder to increase independent task completion within typical home routines5641–532021Education and Training in Autism and Developmental Disabilities
10.
DurandV. M.CrimminsD. B.Identifying the variables maintaining self-injurious behavior 10.1007/BF02211821 Journal of Autism and Developmental Disorders https://doi.org/10.1007/BF02211821 18199–1171988
11.
GastD. L.LedfordJ.Single subject research methodology in behavioral sciencesRoutledge2014nd ed.
12.
GriffinM. M.CopelandS. R.Effects of a self-management intervention to improve behaviors of a child with fetal alcohol spectrum disorderEducation and Training in Autism and Developmental Disabilities534405–4142018
13.
HansenB. D.WillsH. P.KampsD. M.GreenwoodC. R.The effects of functionbased self-management interventions on student behavior 10.1177/1063426613476345 Journal of Emotional and Behavioral Disorders https://doi.org/10.1177/1063426613476345 223149–1592014
14.
HarrisK. R.Danoff FriedlanderB.SaddlerB.FrizzelleR.GrahamS.Self-monitoring of attention versus self-monitoring of academic performance: Effects among students with ADHD in the general education classroom 10.1177/00224669050390030201 The Journal of Special Education https://doi.org/10.1177/00224669050390030201 393145–1572005
15.
HawkinsR. O.AxelrodM. I.Increasing the on-task homework behavior of youth with behavior disorders using functional behavioral assessment 10.1177/0145445508318846 Behavior Modification https://doi.org:10.1177/0145445508318846 326840–8592008
16.
HolifieldC.GoodmanJ.HazelkornM.HeflinL. J.Using self-monitoring to increase attending to task and academic accuracy in children with autism 10.1177/108835761038013 Focus on Autism and Other Developmental Disabilities https://doi.org/10.1177/108835761038013 254230–2382010
17.
JosephL. M.EveleighE. L.A review of the effects of self-monitoring on reading performance of students with disabilities 10.1177/0022466909349145 The Journal of Special Education https://doi.org/10.1177/0022466909349145 45143–532011
18.
KodituwakkuP.KodituwakkuE.Cognitive and behavioral profiles of children with fetal alcohol spectrum disorders 10.1007/s40474-014-0022-6 Current Developmental Disorders Reports https://doi.org/10.1007/s40474-014-0022-6 13149–1602014
19.
LangbergJ. M.DvorskyM. R.MolitorS. J.BourchteinE.EddyL. D.SmithZ.SchultzB. K.EvansS. W.Longitudinal evaluation of the importance of homework assignment completion for the academic performance of middle school students with ADHD 10.1016/j.jsp.2015 Journal of School Psychology https://doi.org:10.1016/j.jsp.2015 5527–382016
20.
LeeS. H.SimpsonR. L.ShogrenK. A. 10.1177/1088357607022001010 Effects and implications of self-management for students with autism: A meta-analysis https://doi.org/10.1177/1088357607022001010 222–132007Focus on Autism and Other Developmental Disabilities
21.
MathesM. Y.BenderW. N.The effects of self-monitoring on children with attention-deficit/hyperactivity disorder who are receiving pharmacological interventions 10.1177/074193259701800206 Remedial and Special Education https://doi.org/10.1177/074193259701800206 182121–1281997
22.
MccomasJ.HochH.PaoneD.El-RoyD.Escape behavior during academic tasks: A preliminary analysis of idiosyncratic establishing operations 10.1901/jaba.2000 Journal of Applied Behavior Analysis https://doi.org:10.1901/jaba.2000 33433–4792000
23.
MillarJ. A.ThompsonJ.SchwabD.Hanlon-DearmanA.GoodmanD.KorenG.MasottiP.Educating students with FASD: Linking policy, research and practice 10.1111/1471-3802.12090 Journal of Research in Special Educational Needs https://doi.org/10.1111/1471-3802.12090 1713–172017
24.
MillerD.Students with fetal alcohol syndrome: Updating our knowledge, improving their programs 10.1177/004005990603800402 Teaching Exceptional Children https://doi.org/10.1177/004005990603800402 38412–182006
25.
OlympiaD. E.SheridanS. M.JensonW. R.AndrewsD.Using student-managed interventions to increase homework completion and accuracy 10.1901/jaba.1994.27-85 Journal of Applied Behavior Analysis https://doi.org:10.1901/jaba.1994.27-85 27185–991994
26.
O'NeillR. E.AlbinR. W.StoreyK.HornerR. H.SpragueJ. R.Functional assessment and program development for problem behavior: A practical handbookCengage Learning2015rd ed.
27.
PayneS. B.SwansonE.Supporting families to motivate their middle school student during homework time 10.1177/004005992210996 TEACHING Exceptional Children https://doi.org/10.1177/004005992210996 2022
28.
PellicanoE.The development of executive function in autism 10.1155/2012/146132 Autism Research and Treatment https://doi.org:10.1155/2012/146132 201211–82012
29.
RasmussenC.Executive functioning and working memory in fetal alcohol spectrum disorder. Alcoholism 10.1097/01 alc.0000175040.91007.d0Clinical and Experimental Research https://doi.org:10.1097/01 2981359–13672005
30.
SheffieldK.WallerR. J.A review of single-case studies utilizing self-monitoring interventions to reduce problem classroom behaviorsBeyond Behavior1927–132010
31.
StahrB.CushingD.LaneK.FoxJ.Efficacy of a function-based intervention in decreasing off-task behavior exhibited by a student with ADHD 10.1177/10983007060080040301 Journal of Positive Behavior Interventions https://doi.org/10.1177/10983007060080040301 84201–2112006
32.
StreissguthA. P.BarrH. M.KoganJ.BooksteinF. L.Understanding the occurrence of secondary disabilities in clients with fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE)Centers for Disease Control and PreventionCDC1996Final report 90-06
33.
StreissguthA. P.BooksteinF. L.BarrH. M.SampsonP. D.O'malleyK.YoungJ. K.Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects 10.1097/00004703-200408000-00002 Journal of Developmental and Behavioral Pediatrics https://doi.org/10.1097/00004703-200408000-00002 254228–2382004
34.
WadsworthJ. P.HansenB. D.WillsS. B.Increasing compliance in students with intellectual disabilities using functional behavioral assessment and self-monitoring 10.1177/0741932514554102 Remedial and Special Education https://doi.org/10.1177/0741932514554102 364195–2072015
