Using a Functional Analysis Followed by Differential Reinforcement and Extinction to Reduce Challenging Behaviors in Children With Smith-Magenis Syndrome

2018 ◽  
Vol 123 (6) ◽  
pp. 558-573 ◽  
Author(s):  
Jennifer Hodnett ◽  
Mindy Scheithauer ◽  
Nathan A. Call ◽  
Joanna Lomas Mevers ◽  
Sarah J. Miller

Abstract Smith-Magenis syndrome (SMS) is a genetic disorder, commonly caused by a 17p11.2 deletion, affecting the Retinoic Acid Induced 1 gene. It affects approximately 1 in 25,000 individuals, with over 90% engaging in challenging behaviors. Function-based treatments, using the principles of applied behavior analysis, have consistently been shown to decrease challenging behaviors exhibited by individuals with developmental delays. However, additional research is needed to determine the effects of these interventions with specific diagnostic subsets, including SMS. The current study identified the function of challenging behavior for 2 children with SMS and found a function-based treatment, consisting of differential reinforcement and extinction, reduced challenging behavior for both.

Author(s):  
Rajesh Jay Sharma ◽  
Jahirul Mullick

People with intellectual disabilities are prone to various challenges in relation to self-care, emotional regulation, and decision making. Sometimes due to their cognitive and adaptive skill limitations, they display challenging behavior that further impacts on their quality of life. This chapter presents the concept of applied behavior analysis (ABA) and a discussion on the principles of applied behavior analysis (ABA) in prevention and treatment of challenging behaviors of individuals with intellectual disability. Functional behavior analysis (FBA) and its stages are described with examples for the future practitioners. As ABA has a major contribution in the treatment of challenging behaviors in individuals with intellectual disability, research supported treatment strategies are presented. This chapter also explained strategies for improving the adaptive behaviors of individuals with intellectual disability.


2021 ◽  
Author(s):  
◽  
Alan Lowe

Differential reinforcement of low rates (DRL) is a differential reinforcement variation used to reduce response rates of but not extinguish, a behavior. This review summarizes the applied literature on DRL variations used with children. Reviewed studies included DRL procedures that targeted on challenging behavior. Experimenters identified 21 studies through a systematic search process and evaluated several characteristics of each study including children treated, participants, DRL variations, target behaviors, functional analysis, design, number of sessions, settings, and percentage of improvement. Discussion includes prominent findings, implication and recommendations for future.


2017 ◽  
Vol 42 (4) ◽  
pp. 584-609 ◽  
Author(s):  
Regan Weston ◽  
Abby Hodges ◽  
Tonya N. Davis

This review summarizes the literature regarding differential reinforcement of other behaviors (DRO) to treat challenging behavior among children with autism spectrum disorder (ASD) and determines the quality of studies among the current literature according to the 2014 Council for Exceptional Children (CEC): Standards for Evidence-Based Practices in Special Education. Studies that focused on the use of DRO in the treatment of challenging behavior for individuals with ASD were included for systematic analysis. Forty-five studies were identified for inclusion in this review and were evaluated using the eight quality indicators described by the CEC. To the authors’ knowledge, this is the only systematic review of the literature that evaluates DRO as an intervention for individuals diagnosed with ASD. Principle findings, practical recommendations, and areas of future research are discussed.


2017 ◽  
Vol 41 (S1) ◽  
pp. S218-S218
Author(s):  
A. Nunez Rodriguez ◽  
Y. Hernandez ◽  
G. Guzmán ◽  
M.C. Jiménez Martinez ◽  
M.C. Jimenez ◽  
...  

According to Boesch et al., people with autism spectrum disorder (ASD) are at a greater risk of developing harmful behaviors, such as self-aggression and other challenging behaviors than individuals with normal development do not exhibit. The method of approach that is supported by scientific evidence for interventional procedures is applied behavior analysis, reported by Carr et al. [1].AimIn order to provide evidence-based intervention for autism from this approach in practice.MethodIn reference to a longitudinal approach, an intervention program was designed and implemented to serve 40 children with ASD, who were treated for one (1) year at the Victory BRT Institute in Florida, US. The behaviors targeted for reduction (excess behavioral), are the following: physical aggression, self-aggression and non-compliance. The program began with a baseline (12 consecutive days) with observations at home and others different natural contexts. The last three (3) months of the year consisted of monthly follow-up sessions to monitor the treatment implemented. The results were analyzed by repeated measures, ANOVA Sig (P = 0.003) (F = 8). Analyses show that the critical level associated with the effect of time-content interaction is strong, so the treatment generated a positive effect by reducing the behaviors targeted in time.ConclusionsThese results provide evidence that interventions from applied behavior analysis are effective.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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