EMBEDDING CHOICE IN THE CONTEXT OF DAILY ROUTINES - AN EXPERIMENTAL CASE-STUDY

Citation
Lm. Bambara et al., EMBEDDING CHOICE IN THE CONTEXT OF DAILY ROUTINES - AN EXPERIMENTAL CASE-STUDY, Journal of the Association for Persons with Severe Handicaps, 20(3), 1995, pp. 185-195
Citations number
32
Categorie Soggetti
Rehabilitation
ISSN journal
07491425
Volume
20
Issue
3
Year of publication
1995
Pages
185 - 195
Database
ISI
SICI code
0749-1425(1995)20:3<185:ECITCO>2.0.ZU;2-M
Abstract
In this study, we evaluated the effect of individualized, embedded cho ice opportunities in daily routines on the task initiations and protes ts by one man with severe disabilities. An initial functional analysis conducted during Phase 1 revealed that low rates of participation and high rates of protests in household activities were related to prompt s that offered no control. Subsequently in Phase 2, we modified prompt s within three different routines to provide greater control through c hoice. Within the context of an A-B-A-B design, the effects of a ''tra ditional'' no-choice versus choice task analysis were evaluated in eac h routine across three staff. The results demonstrated that when routi nes included opportunities for choice, task initiations were high, whe reas protests, including severe aggression, were virtually eliminated. These results ave discussed in relation to their implications for par ticipant control, individualizing choice opportunities, embedding choi ce in daily routines, and the prevention of problem behaviors.