Preference for blocking or response redirection during stereotypy treatment

Giles, Aimee F.; Peter, Claire C. St.; Pence, Sacha T.; Gibson, Alexandra B.

doi:10.1016/j.ridd.2012.05.008

Cited by 30 publications

(31 citation statements)

References 27 publications

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“…Similar to the inclusion of data on the generalization of treatment effects, few published studies evaluating the effects of either MS (e.g., Saylor et al, ) or RIRD (e.g., Cassella et al, ; Giles, St. Peter, Pence, & Gibson, ; Shawler & Miguel, ) on vocal stereotypy have included data on the social validity of their intervention. In instances where these data were collected and reported, the results are mixed.…”

Section: Discussionmentioning

confidence: 99%

The effects of noncontingent music and response interruption and redirection on vocal stereotypy

Gibbs

Tullis

Thomas

et al. 2018

J of App Behav Analysis

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Vocal stereotypy is a commonly occurring challenging behavior in children with autism spectrum disorder (ASD) that is frequently maintained by automatic reinforcement and often interferes with skill acquisition. Matched stimulation (MS), and response interruption and redirection (RIRD) are two interventions that have been demonstrated to be effective in reducing the occurrence of vocal stereotypy with participants with ASD. The current study sought to determine if the combination of MS (noncontingent music) and RIRD was more effective at reducing vocal stereotypy than RIRD alone and if the parents of children with ASD found the combination of MS and RIRD more socially valid than RIRD alone. The results suggested that the combined intervention resulted in greater suppression of vocal stereotypy and increased occurrences of on-task behavior in both participants. Additionally, RIRD required fewer implementations and had a shorter duration when combined with MS. Results suggest that the combination of MS and RIRD may be an effective intervention outside of highly controlled settings.

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Section: Discussionmentioning

confidence: 99%

The effects of noncontingent music and response interruption and redirection on vocal stereotypy

Gibbs

Tullis

Thomas

et al. 2018

J of App Behav Analysis

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“…Various behavioral interventions have been used to treat stereotypic behaviors in children with autism, 13,14 and a small published study has demonstrated benefit for children with primary CMS. 6 Additional studies have also established the potential of family-implemented behavioral treatment for repetitive behaviors in autism.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of parent‐delivered behavioral therapy for primary complex motor stereotypies

Specht

Mahone

Kline

et al. 2016

Develop Med Child Neuro

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Aim ‘Primary’ complex motor stereotypies (CMS) are persistent, patterned, repetitive, rhythmic movements in young people with typical development. This study evaluated the efficacy of an instructional DVD as a home-based, parent-administered, behavioral therapy for primary CMS. Method Eighty-one children with primary CMS were enrolled. Primary outcome measures included the Stereotypy Severity Scale (SSS) – Motor and Impairment scores, and Stereotypy Linear Analog Scale (SLAS). Mean CMS onset was 13.4 months (SD 13.1). Eligibility required observed CMS. Psychiatric disorders were not exclusionary and a stable medication regimen was required. Intellectual disability, neurological disorder, autism spectrum disorder, and tics were exclusionary. Initial assessments were completed via REDCap before receipt of the DVD. Fifty-four of the 81 children (34 male, 20 female; mean age 8y 2mo, SD 1.42, range 7–14y) completed assessments at 1, 2, or 3 months after receiving the DVD. Results Reductions (baseline to last assessment) in SSS Motor, SSS Impairment, and SLAS scores (all p<0.001) represented change ratios of –15%, –24%, and a –20%, respectively. Greatest relative treatment benefit was observed by younger children (ages 7–8y), and by one month after receipt of DVD, while a parent global assessment scale showed progressive improvement throughout the study. Interpretation An instructional DVD for parent-delivered behavioral therapy was a safe, effective intervention for primary CMS.

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“…Children with ASD typically engage in high levels of stereotypy (Bodfish, Symons, Parker, & Lewis, ; Lewis & Bodfish, ) that can interfere with the acquisition of other adaptive behavior (Koegel & Covert, ; Lang et al, ). Previous research has evaluated the effectiveness of response interruption and redirection (RIRD) as an intervention to decrease vocal stereotypy (Ahearn, Clark, MacDonald, & Chung, ; Ahrens, Lerman, Kodak, Worsdell, & Keegan, ; Cassella, Sidener, Sidener, & Progar, ; Colón, Ahearn, Clark, & Masalsky, ; Liu‐Gitz & Banda, ; Love, Miguel, Fernand, & LaBrie, ; Miguel, Clark, Tereshko, & Ahearn, ; Schumacher & Rapp, ) and motor stereotypy (Ahrens et al, ; Giles, St. Peter, Pence, & Gibson, ). Each time the participant engages in stereotypy during RIRD, the therapist interrupts stereotypy by delivering vocal (e.g., asking the participant social questions; Ahearn et al, ) or motor demands (e.g., “touch your head”; Ahrens et al, ) and redirecting behavior to comply with those demands.…”

mentioning

confidence: 99%

“…Other studies on RIRD share these limitations, in that they did not report data on stereotypy during implementation of RIRD (Cassella et al, 2011;Love et al, 2012;Miguel et al, 2009), the frequency and duration of RIRD implementations (Schumacher & Rapp, 2011), or both (Ahrens et al, 2011;Colón et al, 2012;Giles et al, 2012;Liu-Gitz & Banda, 2010). In one notable exception, Schumacher and Rapp (2011) did not remove the RIRD intervention time from their data analysis.…”

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confidence: 99%

An evaluation of interrupted and uninterrupted measurement of vocal stereotypy on perceived treatment outcomes

Carroll

Kodak²

2014

J of App Behav Analysis

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The type of procedure used to measure a target behavior may directly influence the perceived treatment outcomes. In the present study, we examined the influence of different data-analysis procedures on the outcomes of two commonly used treatments on the vocal stereotypy of 2 children with an autism spectrum disorder. In Study 1, we compared an interrupted and uninterrupted data-analysis procedure to measure vocal stereotypy during the implementation of response interruption and redirection (RIRD). The results showed that the interrupted data-analysis procedure overestimated the effectiveness of RIRD. In Study 2, we examined the influence of different data-analysis procedures on the interpretation of the relative effects of 2 different treatments for vocal stereotypy. Specifically, we compared interrupted and uninterrupted data-analysis procedures during the implementation of RIRD and noncontingent reinforcement (NCR) as a treatment for vocal stereotypy. The results showed that, as in Study 1, the interrupted data-analysis procedure overestimated the effectiveness of RIRD; however, this effect was not apparent with NCR. These findings suggest that different types of data analysis can influence the perceived success of a treatment.

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Preference for blocking or response redirection during stereotypy treatment

Cited by 30 publications

References 27 publications

The effects of noncontingent music and response interruption and redirection on vocal stereotypy

The effects of noncontingent music and response interruption and redirection on vocal stereotypy

Efficacy of parent‐delivered behavioral therapy for primary complex motor stereotypies

An evaluation of interrupted and uninterrupted measurement of vocal stereotypy on perceived treatment outcomes

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