Effects of toy removal and number of demands on vocal stereotypy during response interruption and redirection

Response interruption and redirection has been shown to effectively decrease stereotypy, but its application outside an experimental setting has not been well studied. In Experiment 1, decreases in automatically maintained vocal stereotypy were obtained following treatment in a controlled setting for 3 participants diagnosed with autism spectrum disorder. Descriptive data on the consistency and accuracy of response interruption and redirection were then collected in the classroom setting. Results showed that the consistency of treatment implementation varied across participants and staff members. Failure to implement the treatment was the most common error. However, when response interruption and redirection was implemented, the components were generally carried out as prescribed. In Experiment 2, we conducted a parametric analysis in a controlled setting to test the impact of consistency errors on response interruption and redirection. The results indicated that response interruption and redirection was generally effective at 50% treatment implementation or higher. Furthermore, we observed treatment effects when 25% implementation sessions were interspersed with 100% treatment implementation sessions. Application of response interruption and redirection in light of previous studies and clinical implications are discussed.

Section: Discussionmentioning

confidence: 99%

An analysis of treatment integrity of response interruption and redirection

Colón

Ahearn

2019

“…Both secondary raters received the same training. First, they completed the Response Interruption and Redirection Learning Module offered by the National Professional Development Center on Autism Spectrum Disorder (Tomaszewski et al, 2017) and read a description of the exclusion criteria and methodological quality assessment questions. Next, four articles were used to compare ratings by the first author and secondary raters for each category of IRR.…”

Section: Study Identificationmentioning

confidence: 99%

Evaluation of publication bias in response interruption and redirection: A meta‐analysis

Dowdy

Tincani

Schneider

2020

Publication bias is the disproportionate representation of studies with large effects and statistically significant findings in the published research literature. If publication bias occurs in singlecase research design studies on applied behavior-analytic (ABA) interventions, it can result in inflated estimates of ABA intervention effects. We conducted an empirical evaluation of publication bias on an evidence-based ABA intervention for children diagnosed with autism spectrum disorder, response interruption and redirection (RIRD). We determined effect size estimates for published and unpublished studies using 3 metrics, percentage of nonoverlapping data (PND), Hedges' g, and log response ratios (LRR). Omnibus effect size estimates across all 3 metrics were positive, supporting that RIRD is an effective treatment for reducing problem behavior maintained by nonsocial consequences. We observed larger PND for published compared to unpublished studies, small and nonsignificant differences in LRR for published compared to unpublished studies, and significant differences in Hedges' g for published compared to unpublished studies, with published studies showing slightly larger effect. We found little, if any, difference in methodological quality between published and unpublished studies. While RIRD appears to be an effective intervention for challenging behavior maintained by nonsocial consequences, our results reflect some degree of publication bias present in the RIRD research literature.

“…Thus, differences in appropriate vocalizations may not be reflective of skill acquisition due to RIRD as much as increased opportunities to engage in appropriate requests. However, a recent comparison of RIRD with and without item removal found no differences in the percentage of intervals with appropriate vocalizations (Toper‐Korkmaz et al, ).…”

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confidence: 99%

“…Finally, to the extent that the contingent disruption of ongoing activities serves as a punisher for vocal stereotypy, it is possible that RIRD may evoke other more significant challenging behaviors (Duffy Casella et al, ; Lerman & Vorndran, ). Thus, further refinement, evaluation, and comparison of RIRD procedures are warranted (e.g., Dickman et al, ; Toper‐Korkmaz, Lerman, & Tsami, ).…”

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confidence: 99%

A comparison of response interruption and redirection and competing items on vocal stereotypy and appropriate vocalizations

Shawler

Dianda

Miguel

2019

The current study compared the reductive effects of response interruption and redirection (RIRD) and competing items (including sound-producing and nonsound-producing toys) on the vocal stereotypy exhibited by two children diagnosed with Autism Spectrum Disorder. Sound-producing toys reduced vocal stereotypy relative to nonsound-producing toys and RIRD reduced stereotypy and increased rates of appropriate vocalizations to a greater extent than providing competing items. These findings replicate and extend previous literature suggesting that RIRD and sound-producing competing items are effective methods to treat vocal stereotypy.