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
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.