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Skill-based treatment of interfering stereotypy
Jessica D Slaton1, Gregory P Hanley2,3, Ellen E Gage2,4
1Nashoba Learning Group, Bedford, MA, USA.
Journal of Applied Behavior Analysis
|June 25, 2025
Summary
This study combined chained schedules with skill-based treatment to reduce stereotypy in autistic students. The intervention successfully increased functional communication, tolerance, and task accuracy while decreasing repetitive behaviors.
Area of Science:
- Behavioral Psychology
- Developmental Psychology
- Special Education
Background:
- Autism Spectrum Disorder (ASD) is often characterized by repetitive behaviors, known as stereotypy.
- High-rate, interfering stereotypy can significantly impede learning and social interaction in autistic students.
- Effective interventions are needed to manage challenging behaviors in educational settings for autistic individuals.
Purpose of the Study:
- To evaluate a combined intervention strategy for reducing interfering stereotypy in autistic students.
- To assess the acquisition of functional communication and tolerance skills.
- To improve task completion accuracy in the participants.
Main Methods:
- A chained schedule for treating stereotypy was integrated with skill-based treatment for challenging behavior.
- Differential reinforcement was used to encourage functional communication, toleration, and task completion.
- Stimulus control procedures (S- and S+) were implemented to differentiate between instructional and escape periods.
Main Results:
- All participants acquired functional communication and tolerance skills.
- Effective discriminative control was established over both motor and vocal stereotypy.
- Task accuracy improved to over 80% for all three students.
Conclusions:
- The combined intervention effectively reduced stereotypy and enhanced adaptive skills in autistic students.
- The intervention demonstrated social validity, as confirmed by teachers.
- This approach offers a promising strategy for addressing challenging behaviors in autism.
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