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A comparative effectiveness trial of functional behavioral assessment methods.

Nathan A Call1,2,3, Alec M Bernstein4,5, Matthew J O'Brien6

  • 1Marcus Autism Center, Atlanta, Georgia, USA.

Journal of Applied Behavior Analysis
|December 4, 2023
PubMed
Summary

Functional behavioral assessment (FBA) methods without functional analyses show modest correspondence with those including them. All children with autism spectrum disorder achieved success with functional communication training, irrespective of FBA type.

Keywords:
comparative effectiveness trialfunctional analysisfunctional behavior assessmentrandomized clinical trialstructured descriptive assessment

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Area of Science:

  • Behavioral Psychology
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Clinicians frequently use functional behavioral assessment (FBA) methods that omit functional analyses.
  • Existing research on the consistency between functional analyses and other FBA methods yields mixed results.
  • The comparative effectiveness of functional analyses versus other FBA approaches for treatment success is not well-established.

Purpose of the Study:

  • To compare the effectiveness of FBA methods with and without functional analyses in young children with autism spectrum disorder (ASD).
  • To evaluate the correspondence between results from FBAs that include functional analyses and those that do not.
  • To determine if the type of FBA impacts the success of functional communication training.

Main Methods:

  • A comparative effectiveness study involving 57 young children diagnosed with ASD.
  • Participants were divided into two groups: those who underwent FBAs including functional analyses (n=26) and those who underwent FBAs without functional analyses (n=31).
  • Outcomes of functional communication training were assessed for all participants.

Main Results:

  • A modest degree of correspondence was observed between the results of FBAs conducted with and without functional analyses.
  • All participants who completed functional communication training demonstrated successful outcomes.
  • The type of FBA employed did not appear to influence the success of the functional communication training.

Conclusions:

  • While functional analyses and other FBA methods show some agreement, the differences may not significantly impact treatment outcomes.
  • Functional communication training is an effective intervention for young children with ASD, regardless of the FBA methodology used.
  • These findings suggest that less intensive FBA methods may be viable alternatives for guiding treatment in some cases.