Prevalence and Risk Markers of Challenging Behavior Among Children with Disabilities

Simó-Pinatella, David; Mumbardó‐Adam, Cristina; Montenegro-Montenegro, Esteban; Cortina, Alba; Mas, Joana Maria; Baqués, Natasha; Adam-Alcocer, Ana Luisa

doi:10.1007/s41252-017-0022-8

Cited by 12 publications

(4 citation statements)

References 30 publications

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“…Consistent with previous research, the prevalence of problem behavior was depending on the nature of the sample. For example, a high percentage of children with autism presented at least one type of problem behavior (Simó-Pinatella et al 2017). Although previous studies have reported the problem behavior prevalence in different ways (e.g., providing the percentage for each item, e.g., Lecavalier 2006), when looking at the type of the behavior exhibited, some similarities can be found.…”

Section: Discussionmentioning

confidence: 93%

Exploring Youth’s Problem Behavior Prevalence in Educational Settings: Piloting the Process

Simó-Pinatella

Mumbardó‐Adam

Lowe

et al. 2017

Adv Neurodev Disord

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Prevalence studies assessing the problem behavior of children and adolescents with and without disabilities often have methodological limitations (e.g., they use one source of information; participants' responses are subjective), resulting in varying prevalence estimations. The main aim of this study was to pilot a two-step procedure intended to estimate the prevalence of problem behaviors in educational settings in the most accurate manner. Two schools (a special and a regular school) participated in this study, involving a total of 897 students with and without disabilities. Educators, headmasters, and school psychologists were asked to participate in the two-step procedure by answering two questionnaires by interview dealing with their students' problem behaviors. In the first step, informants identified students exhibiting problem behaviors, and in the second one, the type, frequency, and intensity of the identified behaviors were explored. Results indicated that the two-step piloted procedure helped to overcome wrong estimations of problem behavior prevalence, which were found to be 1.58 and 60% in regular and special education schools, respectively. Additionally, and perhaps more importantly, results stressed a high variability in prevalence rates depending on the informant asked. Implications for future lines of research are outlined.

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Section: Discussionmentioning

confidence: 93%

Exploring Youth’s Problem Behavior Prevalence in Educational Settings: Piloting the Process

Simó-Pinatella

Mumbardó‐Adam

Lowe

et al. 2017

Adv Neurodev Disord

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“…The topographies of SIB are a broad class of self-directed behaviors that cause physical harm to the body (Shawler et al, 2019; Tate & Baroff, 1966), target the full spectrum of body sites (Steenfeldt-Kristensen et al, 2020), and occur with varying intensities ranging from producing discomfort, to causing tissue damage, and potentially resulting in permanent injury or disfigurement. Prevalence estimates of SIB in individuals with IDD are variable (e.g., 5.3%, Ruddick et al, 2015; 47.2%, Simó-Pinatella et al, 2017) but consistently elevated in autistic people, including 52.3% of children (Duerden et al, 2012) and 42% across the lifespan (Steenfeldt-Kristensen et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

A Meta-Analysis of Treatment for Self-Injurious Behavior in Children and Adolescents With Intellectual and Developmental Disabilities

Moore,

Lee,

Freeman

et al. 2024

Behav Modif

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Self-injurious behavior (SIB) among children and youth with developmental disabilities has not diminished in prevalence despite the availability of effective interventions, and the impact on quality of life for people and their families is devastating. The current meta-analysis reviews SIB intervention research between 2011 and 2021 using single-case experimental designs with children and youth up to 21 years old and provides a quantitative synthesis of data from high-quality studies including moderator analyses to determine effects of participant and study characteristics on intervention outcomes. Encouraging findings include a high level of effectiveness across studies in the decrease of SIB (Tau- U = −0.90) and increase of positive behavior (Tau- U = 0.73), as well as an increase in studies (relative to prior reviews) reporting intervention fidelity, generalization, maintenance, and social validity. However, our findings shed limited light on potential moderating variables in the development of interventions for children and youth who exhibit SIB. Of the potential moderators of intervention effects, only implementer (researcher/therapist vs. parent/caregiver) and setting (clinic vs. home) were significantly associated with improved outcomes. We discuss the need for more robust involvement of natural communities of implementers in SIB intervention research to better equip them to effectively and sustainably meet the needs of people they care for. We also discuss the importance of creating systems enabling broad access for children with SIB to effective interventions in service of reducing burden for people, families, and society over time.

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“…Functional analysis is especially important for neurodivergent populations and those with developmental delays (Kim, 2023). There is a higher prevalence of challenging behaviors in populations with autism and/or intellectual disabilities than in those without these diagnoses (Didden et al, 2012;Jang et al, 2011;Lundqvist, 2013;Mazurek et al, 2013;McTiernan et al, 2011;Murphy et al, 2009;Nicholls et al, 2020Nicholls et al, , 2023Simó-Pinatella et al, 2017, 2019. Challenging behaviors, such as aggression, selfharm, and destruction of property, are more likely to occur in people diagnosed with autism than in those with intellectual disabilities (Kim, 2023).…”

Section: Introductionmentioning

confidence: 99%

Teaching the Interview-Informed Synthesized Contingency Analysis (IISCA) Through Asynchronous Online Training for Professionals Working with Autistic Individuals

Lemos,

Jessel,

Carmo

2024

Preprint

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Functional analysis is the gold standard for assessing challenging behaviors in Applied Behavior Analysis (ABA), particularly important for neurodivergent populations such as individuals with autism. Despite its efficacy, functional analysis needs to be more utilized due to its complexity, time demands, and potential to evoke dangerous behaviors. The Interview-Informed Synthesized Contingency Analysis (IISCA) addresses these issues by offering a faster, less traumatic alternative requiring fewer challenging behaviors. This study aimed to teach IISCA to professionals working with autistic individuals through an asynchronous online training program using Behavioral Skills Training (BST). Thirty professionals participated in theoretical instruction, modeling, rehearsal, and feedback via Google Classroom. Results showed significant improvement, with correct responses increasing from 52% pre-intervention to 82% post-intervention. After multiple attempts, most participants successfully applied IISCA with clients, underscoring the need for iterative learning and feedback. This study demonstrates the efficacy of asynchronous online training in teaching IISCA, providing a flexible, accessible method for training professionals, especially in remote or underserved areas. Future research should explore integrating synchronous elements to enhance learning and investigate the long-term impact on client outcomes.

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Prevalence and Risk Markers of Challenging Behavior Among Children with Disabilities

Cited by 12 publications

References 30 publications

Exploring Youth’s Problem Behavior Prevalence in Educational Settings: Piloting the Process

Exploring Youth’s Problem Behavior Prevalence in Educational Settings: Piloting the Process

A Meta-Analysis of Treatment for Self-Injurious Behavior in Children and Adolescents With Intellectual and Developmental Disabilities

Teaching the Interview-Informed Synthesized Contingency Analysis (IISCA) Through Asynchronous Online Training for Professionals Working with Autistic Individuals

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