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Assessment of children's and caregivers' preferences for treatments for escape-maintained problem behavior

Todd M Owen1, Kevin C Luczynski1, Nicole M Rodriguez1

  • 1University of Nebraska Medical Center's Munroe-Meyer Institute.

Journal of Applied Behavior Analysis
|March 27, 2021
PubMed

Insights

Children with problem behaviors preferred treatments with contingent reinforcement, like differential negative reinforcement of an alternative behavior (DNRA). Caregivers sometimes preferred other methods, highlighting the need to align preferences for effective behavioral interventions.

Area of Science:

  • Behavioral Psychology
  • Child Psychology
  • Applied Behavior Analysis

Background:

  • Negative reinforcement strategies are crucial for managing challenging behaviors in children.
  • Understanding preferences for different negative reinforcement schedules (DNRA, NCE, escape extinction) is vital for treatment efficacy.
  • Aligning child and caregiver preferences can improve treatment adherence and outcomes.

Purpose of the Study:

  • To assess children's and caregivers' preferences for various negative reinforcement arrangements.
  • To compare the effectiveness of differential negative reinforcement of an alternative behavior (DNRA), noncontingent escape (NCE), and escape extinction.
  • To explore modifications of DNRA using multiple and chained schedules to enhance practicality.

Main Methods:

  • A treatment comparison design was used to evaluate children's and caregivers' preferences.
  • Problem behavior was measured across different negative reinforcement conditions.
  • Preference assessments were conducted to determine favored treatments for both children and caregivers.

Main Results:

  • Children consistently preferred treatments involving contingent reinforcement, specifically DNRA.
  • Caregivers' preferences varied, with some favoring escape extinction for increased compliance.
  • Modifications to DNRA, such as chained schedules, were preferred by caregivers in a subsequent comparison.

Conclusions:

  • Treatments incorporating contingent reinforcement are supported by child preferences.
  • Discrepancies in child and caregiver preferences necessitate a systematic approach to treatment selection.
  • Evaluating and aligning preferences is a valuable model for optimizing behavioral interventions.

Keywords:
chained scheduleconcurrent-chains scheduledifferential negative reinforcementpreferenceproblem behavior

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