Preference for Prompting Procedures to Address Escape-Maintained Behavior in Autistic Adolescents.
Differential reinforcement of alternative behavior (DRA) is a common strategy for escape-maintained behaviors targeted for reduction (i.e., targeted behavior) exhibited by youth with intellectual and developmental disabilities. DRA often involves various methods of prompting to ensure the instructio...
| Publicado en: | Journal of Developmental & Physical Disabilities Vol. 37; no. 3; pp. 449 - 470 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185422490&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185422490 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1056263X JDP jtl: Journal of Developmental & Physical Disabilities issn: 1056263X maglogo: N pubinfo: dt: Jun2025 vid: 37 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 185422490 176888539 185422490 185422490 10.1007/s10882-024-09965-5 185422490 ppf: 449 ppct: 21 formats: tig: atl: Preference for Prompting Procedures to Address Escape-Maintained Behavior in Autistic Adolescents. aug: au: Scheithauer, Mindy C. Bottini, Summer B. McMahon, Meara X. H. affil: https://ror.org/03czfpz43 Department of Pediatrics, Marcus Autism Center, Emory University School of Medicine, 1920 Briarcliff Rd NE, 30329, Atlanta, GA, USA sug: subj: Autism Spectrum Disorder In Adolescence Cues Methods Reinforcement (Psychology) Behavior Therapy Patient Preference Family Attitudes Attitude of Health Personnel Decision Making, Clinical Task Performance and Analysis Southeastern United States Human Male Female Child Adolescence Scales Aggression Child: 6-12 years Adolescent: 13-18 years Male Female ab: Differential reinforcement of alternative behavior (DRA) is a common strategy for escape-maintained behaviors targeted for reduction (i.e., targeted behavior) exhibited by youth with intellectual and developmental disabilities. DRA often involves various methods of prompting to ensure the instruction or task remains in place until contingencies for the DRA are met. Currently, there is little research on client preference for these different prompting strategies in the context of DRA treatments. The current study includes four participants diagnosed with autism spectrum disorder (ASD) who exhibited targeted behavior maintained by escape from instructional tasks. We evaluated efficacy and preference for three prompting strategies (three-step least-to-most, repeated vocal prompt, or a single initial prompt) embedded in a DRA treatment aimed at reducing targeted behavior (e.g., aggression) and improving task completion. For all participants, more than one prompting strategy was effective when positive was combined with negative reinforcement in the DRA. We then implemented a concurrent-chains assessment to determine client preference, a rank-order task for caregiver preference, and an acceptability questionnaire for therapists. Two participants demonstrated a clear preference, and preference was obtained from a total of two caregivers and seven therapists. The initial and repeated verbal prompts were most preferred. Results are discussed in the context of client autonomy and incorporating choice in treatment planning. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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