Sequential Implementation of Functional Behavior Assessment-Informed Treatment Components for Sleep Disturbance in...

Area of Science:

• Behavioral Science
• Developmental Psychology
• Clinical Psychology

Background:

• Sleep disturbances are prevalent in individuals with autism spectrum disorder (ASD).
• Parent-implemented, functional behavior assessment (FBA)-informed interventions show promise for ASD-related sleep issues.
• Identifying active components in behavioral sleep interventions for ASD is crucial.

Observation:

• A 9-year-old girl with autism and selective mutism participated in the study.
• Interventions were sequentially implemented in increasing order of restrictiveness and time intensity.
• The study utilized a single-case AB design to evaluate treatment components.

Findings:

• The sequential implementation identified that white noise, relaxation instruction, and stimulus control together resolved the participant's sleep problems.
• More intensive interventions were not required, indicating the efficacy of the minimally sufficient approach.
• Treatment gains were sustained at a 10-week follow-up, demonstrating long-term effectiveness.

Implications:

• This study demonstrates the feasibility of sequentially administering FBA-informed treatment components.
• It highlights the importance of identifying and applying minimally sufficient interventions for sleep disturbances in ASD.
• The findings support tailored, component-based behavioral interventions for improving sleep in children with ASD.