Applied Behavior Analysis and Teaching Children with Autism Integrated Behavioral Solutions, Inc. www.ibs.cc Characteristics of Applied Behavior Analysis 1. 2. 3. 4. Massed vs. mixed trials Errorless prompting Differential reinforcement Behavioral momentum Integrated Behavioral Solutions, Inc. www.ibs.cc Characteristics of Applied Behavior Analysis 1. Emphasis on “causes” of behavior in applied settings (functions) 2. Emphasis on observable, measurable behavior 3. Science requires repeated measurement of behavior 4. Change environment to change behavior Integrated Behavioral Solutions, Inc. www.ibs.cc Characteristics of Applied Behavior Analysis cont. 5. Methods and rationales can be defined precisely 6. Socially significant effects [size and importance of behavior] sought 7. High value placed on accountability for everyone involved in the behavior change effort 8. Treatment strategies can be refined and adjusted based on objective data of progress 9. Address separate and specific behavioral deficits & excesses (language, social skills, behavior problems) Integrated Behavioral Solutions, Inc. www.ibs.cc Terminology • SD — Discriminative Stimulus: A stimulus (i.e., instruction), in the presence of which, a particular response is likely to be reinforced • SR+ — Reinforcement: The process by which some consequent stimulus—or removal of—increases the probability of a behavior’s occurrence Integrated Behavioral Solutions, Inc. www.ibs.cc “ABC’s” of Behavior • Antecedents - What happens before • Behavior/Response • Consequence - What happens after/during “ABC” Model SD Antecedent Instruction Behavior Response Integrated Behavioral Solutions, Inc. SR+ Consequence Reinforcer www.ibs.cc Teaching Methodology Common behavioral approaches • Discrete Trial Training (e.g., Lovaas, 1981) • Highly structured, very specific • Natural Language Paradigm (e.g., Koegel, O’Dell, & Koegel, 1987); Natural Environment Training (Sundberg & Partington, 1998) • Incidental, specific to child’s reinforcers • Task Analysis (Axelrod, 1983) Integrated Behavioral Solutions, Inc. www.ibs.cc Discrete Trial Training • DTT uses Applied Behavior Analytic (ABA) technology. They are not the same thing. • Discrete trial training (DTT) is only one method for teaching skills to children with autism and other developmental disabilities. Integrated Behavioral Solutions, Inc. www.ibs.cc Discrete Trial Training • A discrete trial method is not to be considered the only way to teach new behavior; in fact many behaviors do not lend themselves to discrete trial training, and must be taught using alternate methods (e.g., task analysis training). • Teaching should occur outside the DTT format as well. Integrated Behavioral Solutions, Inc. www.ibs.cc Key Features • Several key features make a discrete trial teaching method effective: • A trial comprises “a single teaching unit” (Lovaas, 1981) • Concise and clearly defined - Provides clear expectations for the teacher and the student. Lovaas, O.I. (1981). Teaching developmentally disabled children: The ME book. Austin: Pro-Ed, Inc. Integrated Behavioral Solutions, Inc. www.ibs.cc Key Features • The method allows for repeated presentations of trials, which appears to be critical for many children with developmental disabilities. • Since a trial is clearly and objectively defined, a student’s performance is easily measured. Lovaas, O.I. (1981). Teaching developmentally disabled children: The ME book. Austin: Pro-Ed, Inc. Integrated Behavioral Solutions, Inc. www.ibs.cc Discrete Trial Training • Discrete trial training is typically provided in 1:1 direct instruction, but is also useful in providing incidental instruction and teaching in the context of various activities. Integrated Behavioral Solutions, Inc. www.ibs.cc Discrete Trial Training • Major parts to a discrete trial: The Trainer’s Presentation/Instruction • Clear, concise and phrased as a statement • Given only once • Not too many words • Consistency in wording initially, vary later Integrated Behavioral Solutions, Inc. www.ibs.cc Discrete Trial Training • Major parts to a discrete trial: The Child’s Response • Correct • Incorrect • None • Allow 3-5 seconds • When incorrect or none, intervene (prompting) Integrated Behavioral Solutions, Inc. www.ibs.cc Discrete Trial Training • Major parts to a discrete trial: The Consequence • Correct - Immediately present enthusiastic praise with other identified reinforcers. • Incorrect/None - Prompt/guidance (may need to re-start the teaching sequence; reinforce?) Maurice, Green & Luce (Eds.). Behavioral Intervention for Young Children with Autism: A Manual for Parents and Professionals. Integrated Behavioral Solutions, Inc. www.ibs.cc Behavior Modification vs. ABA • Does ABA create robotic behavior? • Does ABA use “bribery” in the form of goodies to get kids to perform? • Does ABA tout dramatic treatment effects, but only in isolated environments? • Is ABA concerned with behavior in the natural environment? • Does ABA rely on punishment as a primary treatment method? Integrated Behavioral Solutions, Inc. www.ibs.cc Prompting SD Instruction SR+ Prompt Response Reinforcer • The prompt gets the desired response so that it may be reinforced. • The objective is always to minimize, fade, and eliminate prompts. Integrated Behavioral Solutions, Inc. www.ibs.cc Prompting Techniques • Types of Prompts • Verbal/Gestural • Positional • Model • Touch • Physical • Other • Prompt Fading • Gradually removing a prompt to facilitate successful and independent performance Integrated Behavioral Solutions, Inc. www.ibs.cc Prompting • Use correction trials for prompted responses • Errorless prompting • Antecedent intervention (not how to respond to mistakes, how to prevent mistakes) • New skills— “most-to-least” (errorless prompting) • Older skills— “least-to-most” • Prompt fading: Transferring stimulus control Integrated Behavioral Solutions, Inc. www.ibs.cc Prompt Fading • Fade prompts on two levels: • Latency—time between SD and prompt • Topography—intrusiveness of the prompt (type of prompt) • Physical (partial to full) • Gestures (demonstrations to small motions) • Sounds (demonstrations to one phoneme) • Positional (changing the placement of items) • Other (pictures, lines, mats) Integrated Behavioral Solutions, Inc. www.ibs.cc Prompt Fading Desired Response: • Receptive Instruction i.e., “Touch your head.” Prompt: Full physical Partial physical Touch Model all of response Model part of response Gesture Most-to-Least Least-to-Most Integrated Behavioral Solutions, Inc. www.ibs.cc Prompt Fading Desired Response: • Labeling i.e., “What is this?” Prompt: Full model Two phonemes One phoneme Mouth movement Most-to-Least Integrated Behavioral Solutions, Inc. Least-to-Most www.ibs.cc Prompt Fading Desired Response: • Eye Contact Prompt: Withhold activity Hold R+ near Say student’s name Say “Look at me.” Physical prompt Most-to-Least Least-to-Most Integrated Behavioral Solutions, Inc. www.ibs.cc Reinforcement • R+ should be varied in type, intensity, and duration • Differential R+: “Better” R+ for “better” responses • “Boredom” is often satiation w/ R+ • Track and record different effective reinforcers • Always pair social praise w/ other reinforcers Integrated Behavioral Solutions, Inc. www.ibs.cc Examples of Reinforcers Reinforcing Dimension of Stimulus Examples Social Smiles, being with another person, praise, playing games with others Gustatory Taste or consumption related: Food, drinks, candy Auditory Music, singing, sounds Visual Colors, bright lights, pictures, things that spin Adapted from Fovel, J.T. (2002). The ABA Companion Integrated Behavioral Solutions, Inc. www.ibs.cc Examples of Reinforcers Reinforcing Dimension of Stimulus Examples Tactile Hugs, tickles, massage, roughhousing, vibration Proprioceptive Throwing a ball, stretching, exercising Olfactory Smells: flowers, perfume, food smells Vestibular Rocking, swinging, bicycle, jumping Adapted from Fovel, J.T. (2002). The ABA Companion Integrated Behavioral Solutions, Inc. www.ibs.cc A Language Training Environment (Sunberg & Partington. 1995. Teaching Language to Autistic and Developmentally Disabled Children.) • Language training is viewed as the key feature by teachers, parents support personnel, etc. • Language training is incorporated into all other activities (e.g.,self-care, play, non-verbal behavior). • There must be a large number of daily trials under a variety of stimulus and motivational conditions. • All relevant types of language training trials should be conducted (including requesting, labeling, conversation, etc.), not just receptive language. • Data should be collected on performance. Integrated Behavioral Solutions, Inc. www.ibs.cc Analysis of Verbal Behavior • Actively addresses one of the key skill deficit areas for students with autism: communication/language • Based upon B. F. Skinner’s Verbal Behavior (1957) • Verbal behavior is defined by its FUNCTION rather than form. • Same word can have different meanings based on conditions under which it is acquired Integrated Behavioral Solutions, Inc. www.ibs.cc Functional Language Development • Words can have different functions at different times. • Requesting • Labeling • Echoing • Conversations • Early language instruction should always start with requesting. Integrated Behavioral Solutions, Inc. www.ibs.cc Functions of Language Want pencil See pencil “Write with” Hear “pencil” “pencil” “pencil” “pencil” “pencil” Integrated Behavioral Solutions, Inc. receive pencil MAND praise TACT praise INTRAVERBAL praise ECHOIC www.ibs.cc Verbal Operants 1. Mand: Asking for reinforcers (request) 2. Tact: Naming or identifying objects, actions, etc. (label) 3. Echoic: Repeating what is heard 4. Intraverbal: Answering questions in response to verbal stimuli (conversation) Integrated Behavioral Solutions, Inc. www.ibs.cc Verbal Operants 5. Textual: Reading written words 6. Imitation: Copying someone’s motor movements 7. Receptive: Following instructions Stop! Integrated Behavioral Solutions, Inc. www.ibs.cc Natural Environment Training • Stimulus items are chosen by the student (increased attention, motivation) • “Natural” (rather than contrived) reinforcers • Ideal conditions to teach requesting • Interaction and instruction take place within the context of using those items • Reduces the need for elaborate generalization • Reduces the potential for inappropriate behavior Integrated Behavioral Solutions, Inc. www.ibs.cc Natural Environment Teaching Student: ________________ Item: Imtatn Activity: ________________ Intvbl Integrated Behavioral Solutions, Inc. Mand RFFC Recept Tact www.ibs.cc Reinforcement • One of the most important components of discrete trial. • Differential Reinforcement Your reinforcement efforts should be based on the student’s level of independent responding and attention. That is, if the student performs the task independently, the level of reinforcement should be higher than if prompts are required. there is a positive consequence if they can do the task without assistance. Helps to avoid prompt dependency. Integrated Behavioral Solutions, Inc. www.ibs.cc Reinforcement • Needs to be varied in type, intensity, and duration. Much of what people describe as boredom can actually be looked at as satiation with the environment and the reinforcers. Develop a section in the student’s notebook to log the reinforcers you have tried and found to be effective. Remember, just because a student doesn’t find an item or activity rewarding the first time you introduce it, this doesn’t mean that he/she never will. Keep experimenting and be creative. Integrated Behavioral Solutions, Inc. www.ibs.cc Reinforcement • Limit the use of primary reinforcers to independently correct trials. • Social reinforcers should always be paired with primary rewards. Thereby the student learns to enjoy a variety of secondary reinforcers. Integrated Behavioral Solutions, Inc. www.ibs.cc Reinforcement vs. Bribery • Do not use rewards as bribery. Do not tell the student in advance about the reinforcer he will receive (dangling a carrot). Do not remind the child of the reinforcer he would be getting if disruptive behaviors were not occurring. Do not offer additional reinforcers when behavior escalates in attempts to calm him down. Integrated Behavioral Solutions, Inc. www.ibs.cc Prompting • Prompts should occur before the behavior, not after the behavior as a consequence for incorrect responding • Fade prompts as soon as possible while ensuring correct and errorless responding • Errorless Prompting With new skills, use an adequate prompt immediately. With maintenance skills, allow a few-second delay. Integrated Behavioral Solutions, Inc. www.ibs.cc Prompt Fading • First fade physical dimension of prompt. If you do have to use a physical/full verbal prompt, immediately represent and try for an independent response or a less intrusive prompt. Integrated Behavioral Solutions, Inc. www.ibs.cc Introducing New Targets 1. Transfer Procedure Instructor: “Swim little STUDENT: “fish” Instructor: “What’s this?” STUDENT: “fish” “ 2. Errorless Prompting (prompt with a 0 second delay) Instructor: “What’s this? Fish” STUDENT: “fish” Integrated Behavioral Solutions, Inc. www.ibs.cc Pre-teaching/Pre-trial Prompts Some children will respond well to pre-teaching or “pre-trial” prompts Prompt is provided before the SD Instructor: “This is a fish? What is it?” STUDENT: “Fish” Integrated Behavioral Solutions, Inc. www.ibs.cc Non-Responding If the child does not respond within 2-3 seconds… 1. give him the correct answer 2. wait for him to imitate you 3. ask the question again to get an unprompted response if possible. Instructor: “What do we sleep in?” STUDENT: <No response for 2-3 seconds after SD> Instructor: “Bed.” STUDENT: “Bed.” Instructor: “What do we sleep in?” STUDENT: “Bed.” Integrated Behavioral Solutions, Inc. www.ibs.cc Incorrect Responding If the child gives an incorrect answer… 1. repeat the question and immediately say the answer (prompt with a 0 second delay) 2. wait for the child to imitate you 3. ask the question again to get an unprompted response Instructor: “What’s this?” STUDENT: “woof, woof” Instructor: “What’s this? Dog.” STUDENT: “Dog.” Instructor: “What’s this?” STUDENT: “Dog.” Integrated Behavioral Solutions, Inc. www.ibs.cc Prompt Fading • It is vital to fade prompts so that the student does not become dependent on prompting and so the response comes under control of the stimulus and the target verbal SD. • This is accomplished by asking the question again in attempts to get an unprompted response. Instructor: STUDENT: Instructor: STUDENT: “What’s this? Cat.” “Cat.” “What’s this?” “Cat.” Integrated Behavioral Solutions, Inc. www.ibs.cc Massed Trials vs. Mixed Trials • It is not always possible to get an unprompted response right away • Be careful and avoid frustrating the child if this is the case. • Children vary in their ability to tolerate multiple trials (massed trials) but as a general rule, if you are still unable to get an unprompted response after the third attempt, accept the prompted response and move on. Integrated Behavioral Solutions, Inc. www.ibs.cc Behavioral Momentum and Mixed Trials • Separate prompted from unprompted responses with “easy” tasks (those you know the child will respond to correctly) • Then go back to the missed item. • Increase the number of “easy tasks” gradually while still going back for an unprompted response. Integrated Behavioral Solutions, Inc. www.ibs.cc Example Instructor: STUDENT: Instructor: STUDENT: Instructor: STUDENT: Instructor: STUDENT: Instructor: “Swim little “ “fish” “What’s this?” “fish” “Touch the fish!” <touches fish> “What’s this?” (holding up fish) “fish” “Great job!” Integrated Behavioral Solutions, Inc. www.ibs.cc Errorless Learning and Behavioral Momentum • We want to prompt new skills and thereby avoid incorrect responses we do not want the child practicing the wrong response. • Immediately repeat the drill when the student responds incorrectly in order to keep the child from inadvertently learning to chain incorrect and correct responses. • Mixing difficult targets with easy (mastered) responses increases the amount of reinforcement. • Make sure you are using differential reinforcement when using behavioral momentum (make sure to use a stronger reinforcer for new targets than for mastered skills. Integrated Behavioral Solutions, Inc. www.ibs.cc New Targets/Acquisition Skills 1. Start teaching session with several maintenance items first (to build success and behavioral momentum). 2. Fully prompt the acquisition item. 3. Immediately provide a second learning opportunity (correction trial) for independent responding. 4. Provide several maintenance items. 5. Ask for the acquisition response again. (we are trying to reduce the level of prompts). 6. If response is independent (no prompt required), reinforce immediately! If student does not respond independently, give a full prompt. Integrated Behavioral Solutions, Inc. www.ibs.cc 7. If a full prompt is required, use correction trial procedures. 8. Provide several maintenance items. 9. Ask acquisition item with faded prompt. 10. Ask for an independent response (if the response is independent or with a reduced prompt, reinforce immediately. If the same level of prompting is required, but the student is still activity attending, reinforce effort). Integrated Behavioral Solutions, Inc. www.ibs.cc Maintenance Skills 1. 2. 3. If student misses maintenance items, give full prompt. Ask for an independent response. After getting independent response, you do not need to stop immediately to reinforce the maintenance item. Provide social reinforcement (“that’s right”) and proceed with the teaching session. In maintenance trials present SD only once, then wait three seconds for the student to respond independently. If the student does not respond (or responds incorrectly), use least-to-most prompting. Then, present one correction trial using the same strategies. Integrated Behavioral Solutions, Inc. www.ibs.cc Teaching Guidelines 1. Provide SD (Discriminative Stimulus) only once, then prompt. Avoid making repeated demands. 2. Intersperse skills (mix receptive, motor imitation, expressive, etc). Do not do all trials of a program at once. 3. New Skills: present the SD and immediately follow with a prompt (errorless learning). Follow the prompted response with social reinforcement and a second learning opportunity for the skill (correction trial) • fade prompt to a one second delay (give him a chance to respond independently) Integrated Behavioral Solutions, Inc. www.ibs.cc Teaching Guidelines 4. Once the student begins responding within the onesecond delay, fade to two, then a three-second delay. If no response occurs within three seconds, always prompt the response. 5. Fade the type of prompt in addition to the timing of the prompt. 6. Each teaching session should begin with requesting (manding) to establish the therapist as a conditioned reinforcer and to determine the child’s interest and motivation (which ensure consistent and optimal responding). Integrated Behavioral Solutions, Inc. www.ibs.cc Teaching Guidelines 7. Once you ask for the reinforcer back, present the next task immediately (within one second). Do not make the student wait without access to a reinforcer. 8. Occasionally, ask for the reinforcer back but provide the student with the opportunity to immediately access it again by requesting (manding). 9. Reinforcers should be delivered after approximately 35 responses in the beginning. These numbers can be increased over time. Integrated Behavioral Solutions, Inc. www.ibs.cc Teaching Guidelines 10. Keep your pace up. You want short time between your instructions. This helps to create fluent responding (accurate and quick) and behavioral momentum. 11. Remember to add in maintenance items to ensure good, fast responding (behavioral momentum). 12. When working on maintenance items, make sure you use time delay (2-3 seconds before prompting). The goal is to have independent responding. Use Errorless Learning (it is our job to make learning fun) Integrated Behavioral Solutions, Inc. www.ibs.cc Behavioral Terms • Shaping- A process through which we gradually modify the child’s existing behavior into what we want it to be. This is typically done by adjusting the requirements before reinforcement is given. For example, if a child is just learning to say words, he may just be asked to touch and item before receiving it. Later, we may require the beginning sound, a syllable and eventually the word. Integrated Behavioral Solutions, Inc. www.ibs.cc