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Behavioural Interventions for Children with Autism. Priscilla Paul January 27, 2010. The Articles.
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Behavioural Interventions for Children with Autism Priscilla Paul January 27, 2010
The Articles Classic Article: Wolf, M., Risley, T., & Mees, H. (1964).The application of operant conditioning procedures to the behavior problems of an autistic child. Behavior Research and Therapy,1, 305-312. My Article: Lucyshyn, J., Albin, R., Horner, R., Mann, J.C., Mann, J.A., & Wadsworth, G. (2007). Family implementation of positive behavior support for a child with autism. Journal of Positive Behavioural Interventions,9:3, 131-150.
How is my article related to the classic article? Common Themes: • Autism • Severe problem behaviours • Single subject studies (Dickie at age 3.5 vs. Katherine from age 5-15) • Behavioural interventions (Operant Conditioning vs. Positive Behavioural Support [PBS])
The Purpose of this Article • Strengthen the internal and external validity of the PBS approach • Offer additional observational data of the quality of life of a special needs child with severe behaviour • Examine if the behaviour change persisted over time
Participant: Katherine from the age of 5-15 Settings: Family dinner Bed-time routine Fast-food restaurant dining Brief shopping trips Measurement: The Portable Computer Systems for Observation Use Dependent Variables: Rate of problem behaviour Latency in minutes Indicator behaviours Child activity patterns Social validity of PBS approach Social validity of research procedures Contextual fit of PBS Procedures: Positive behavioural support plan Implementation, training and maintenance support Description of the Research Study
Rate of behaviour (8.1/min to 0.5/min) Latency in behaviour (0/29 routines completed to 27/36 routines) Daily indicator behaviours (0.7/hour to 0.2/hour) Activity Patterns (98/month baseline to 205/month) Social Validity of PBS approach (Average of 4.5/5) Social Validity of research methods (Average of 4.9/5) Contextual fit of PBS (Average of 4.6/5) Summary of Results
Conclusion: Did it flow from the evidence presented? • Problem behaviour decreased to zero or near zero levels • Participation in routines increased from zero to 75% of the routines observed • The changes were maintained over a seven year period and showed further improvements • Parents also showed marked improvements in their quality of life
Why do I think that this article is important? • This study shows that positive behavioural support is effective and improvements in behaviour can be maintained over time • Parents were taught skills that could be generalized to new situations • Behaviour is viewed as communication • Parents were actively involved in the positive behavioural support process • Showed how important the entire family’s quality of life is