J. Umbreit et Ks. Blair, THE EFFECTS OF PREFERENCE, CHOICE, AND ATTENTION ON PROBLEM BEHAVIOR AT SCHOOL, Education and training in mental retardation and developmental disabilities, 31(2), 1996, pp. 151-161
Reggie was an 11-year-old boy with moderate-to-severe retardation, sei
zures, and behavior disorders, who frequently engaged in problem behav
ior at school. These behaviors included: making a loud, high-pitched n
oise (''Eee''); hitting staff, peers, and objects; throwing objects; l
aying down on the floor; running away; biting others; and spitting. Th
e study was conducted in two phases. The first phase focused on assess
ment and included structured interviews and observations, hypothesis d
evelopment, and hypothesis testing within ongoing school activities. T
he interviews and observations led to hypotheses that Reggie would beh
ave better when he (a) was engaged in preferred activities, (b) was gi
ven choice, and (c) received attention frequently while he was engaged
in appropriate behavior. Experimental analyses confirmed these hypoth
eses. The second phase examined the effectiveness of an assessment-bas
ed intervention that was implemented by the teaching staff. The interv
ention virtually eliminated all problem behavior and resulted in appro
priate behavior nearly all of the time. In addition, the effect occurr
ed immediately, lasted for at least several months, and generalized to
three non-targeted (generalization) problem behaviors. In addition, t
he assessment-based intervention received high acceptability ratings f
rom the staff; in contrast, the methods they had used previously (time
-out, prompting, and redirection) received low acceptability ratings.