Comparing Functional Assessment Methodologies: A Quantitative Synthesis

There has been much research concerning functional assessment over the past 20 years, but several important research considerations have yet to be explained. One is the comparison of different types of functional assessment (e.g., experimental functional analysis and non-experimental functional assessment). The current study aims to compare the different methodologies of functional assessment and their effectiveness in ascribing function to a target behavior and in the treatment selection that follows such an assessment. Quantitative synthesis data were used to answer questions regarding behavioral function, assessment type, and treatment effectiveness. Results indicate that assessment type can impact treatment effectiveness and that there is a relationship between behavior type and ascribed function.

[1]  J. E. Carr,et al.  Functional analysis of aberrant behavior maintained by automatic reinforcement: assessments of specific sensory reinforcers. , 2000, Research in developmental disabilities.

[2]  M. Tankersley,et al.  Brief Reports Brief Report: Reduction of Inappropriate Vocalizations for a Child with Autism Using a Self-Management Treatment Program , 2000, Journal of autism and developmental disorders.

[3]  An analysis of the selective effects of NCR with punishment targeting problem behavior associated with positive affect , 2001 .

[4]  T. Vollmer,et al.  A Systematic Evaluation of Stimulus Preference, Response Effort, and Stimulus Control in the Treatment of Automatically Reinforced Self-Injury , 2001 .

[5]  T. Scruggs,et al.  Summarizing Single-Subject Research , 1998, Behavior modification.

[6]  G. Dawson,et al.  Interventions to Facilitate Auditory, Visual, and Motor Integration in Autism: A Review of the Evidence , 2000, Journal of autism and developmental disorders.

[7]  F. Volkmar Pharmacological Interventions in Autism: Theoretical and Practical Issues , 2001, Journal of clinical child psychology.

[8]  E. Emerson,et al.  The prevalence of challenging behaviors: a total population study. , 2001, Research in developmental disabilities.

[9]  Robert H. Horner,et al.  Functional-Assessment-Based Behavior Support Planning: Research to Practice to Research , 1999 .

[10]  Ronald D. Franklin,et al.  Antecedent Exercise in the Treatment of Disruptive Behavior: A Meta‐Analytic Review , 1995 .

[11]  J. Matson,et al.  An evaluation of functional variables affecting severe problem behaviors in adults with mental retardation by using the Questions about Behavioral Function Scale (QABF). , 1999, Research in developmental disabilities.

[12]  E. Carr The motivation of self-injurious behavior: a review of some hypotheses. , 1977, Psychological bulletin.

[13]  M. Rutter,et al.  Special educational treatment of autistic children: a comparative study. 1. Design of study and characteristics of units. , 1973, Journal of child psychology and psychiatry, and allied disciplines.

[14]  E. Fombonne Epidemiological Studies of Pervasive Developmental Disorders , 2005 .

[15]  C. Kennedy,et al.  Analyzing the multiple functions of stereotypical behavior for students with autism: implications for assessment and treatment. , 2000, Journal of applied behavior analysis.

[16]  G. Baranek Efficacy of Sensory and Motor Interventions for Children with Autism , 2002, Journal of autism and developmental disorders.

[17]  V. Durand,et al.  The Motivation Assessment Scale (MAS) administration guide. , 1992 .

[18]  F. Gresham,et al.  Relevance of functional behavioral assessment research for school-based interventions and positive behavioral support. , 2004, Research in developmental disabilities.

[19]  R. O’Neill,et al.  Brief Report: An Assessment of Stimulus Generalization and Contingency Effects in Functional Communication Training with Two Students with Autism , 2001, Journal of autism and developmental disorders.

[20]  M. E. Kelley,et al.  Within-session patterns of responding during functional analyses: the role of establishing operations in clarifying behavioral function. , 1999, Research in developmental disabilities.

[21]  Karrie A. Shogren,et al.  The Effect of Choice-Making as an Intervention for Problem Behavior , 2004 .

[22]  Jerome L. Myers,et al.  Research Design and Statistical Analysis , 1991 .

[23]  W. Fisher,et al.  Treatment of pica through multiple analyses of its reinforcing functions. , 1998, Journal of applied behavior analysis.

[24]  B. Iwata,et al.  TOWARD A FUNCTIONAL ANALYSIS OF SELF‐INJURY , 1994 .

[25]  C. Piazza,et al.  Varying response effort in the treatment of pica maintained by automatic reinforcement. , 2002, Journal of applied behavior analysis.

[26]  F. Poustka Autism and Pervasive Developmental Disorders: The neurobiology of autism , 2007 .

[27]  E. Levitt,et al.  PSYCHOTHERAPY WITH CHILDREN: A FURTHER EVALUATION. , 1963, Behaviour research and therapy.

[28]  Jonathan M. Campbell,et al.  Efficacy of behavioral interventions for reducing problem behavior in persons with autism: a quantitative synthesis of single-subject research. , 2003, Research in developmental disabilities.

[29]  T. Vollmer,et al.  Evaluating self-control and impulsivity in children with severe behavior disorders. , 1999, Journal of applied behavior analysis.

[30]  Alfred A. Baumeister,et al.  Self-Injurious Behavior , 1978 .

[31]  D. Wacker,et al.  An analysis of choice making in the assessment of young children with severe behavior problems. , 1999, Journal of applied behavior analysis.

[32]  J. Matson,et al.  A validity study on the Questions About Behavioral Function (QABF) Scale: predicting treatment success for self-injury, aggression, and stereotypies. , 1999, Research in developmental disabilities.

[33]  F. Volkmar,et al.  Handbook of Autism and Pervasive Developmental Disorders , 1987 .

[34]  J. Sigafoos,et al.  Brief assessment and treatment of multiple challenging behaviors , 2000 .

[35]  F. C. Mace,et al.  Effects of warning stimuli for reinforcer withdrawal and task onset on self-injury. , 1998, Journal of applied behavior analysis.

[36]  T. Vollmer,et al.  Competition between positive and negative reinforcement in the treatment of escape behavior. , 1999, Journal of applied behavior analysis.

[37]  P. Shannon,et al.  Measuring the Impact of Positive Behavior Support , 2002 .

[38]  D. A. Wilder,et al.  Assessment and treatment of problem behavior maintained by escape from attention and access to tangible items. , 2001, Journal of applied behavior analysis.

[39]  R. G. Smith,et al.  The functions of self-injurious behavior: an experimental-epidemiological analysis. , 1994, Journal of applied behavior analysis.

[40]  J. McComas,et al.  Escape behavior during academic tasks: a preliminary analysis of idiosyncratic establishing operations. , 2000, Journal of applied behavior analysis.

[41]  J. R. Scotti,et al.  A meta-analysis of intervention research with problem behavior: treatment validity and standards of practice. , 1991, American journal of mental retardation : AJMR.

[42]  S. Axelrod,et al.  The impact of functional analysis methodology on treatment choice for self-injurious and aggressive behavior. , 1999, Journal of applied behavior analysis.

[43]  J. Matson,et al.  An analysis of maladaptive behaviors in persons with autism, PDD-NOS, and mental retardation. , 1998, Research in developmental disabilities.

[44]  M. Wolery,et al.  Effective Teaching: Principles and Procedures of Applied Behavior Analysis with Exceptional Students , 1988 .

[45]  D. Lerman,et al.  Assessing reinforcers under progressive schedule requirements. , 2001, Journal of applied behavior analysis.

[46]  Multiple factors in the long-term effectiveness of contingent electric shock treatment for self-injurious behavior: a case example. , 2002, Research in developmental disabilities.

[47]  B. Skinner,et al.  Science and human behavior , 1953 .

[48]  M. E. Kelley,et al.  The effects of competing reinforcement schedules on the acquisition of functional communication. , 2002, Journal of applied behavior analysis.

[49]  D. Wacker,et al.  A brief functional analysis of aggressive and alternative behavior in an outclinic setting. , 1991, Journal of applied behavior analysis.

[50]  P. Sturmey Analog baselines: a critical review of the methodology. , 1995, Research in developmental disabilities.

[51]  S. Wilczynski,et al.  Antecedent manipulations in a tangible condition: effects of stimulus preference on aggression. , 2001, Journal of applied behavior analysis.

[52]  I. DeLeon,et al.  Choices between positive and negative reinforcement during treatment for escape-maintained behavior. , 2001, Journal of applied behavior analysis.

[53]  R. Didden,et al.  Meta-analytic study on treatment effectiveness for problem behaviors with individuals who have mental retardation. , 1997, American journal of mental retardation : AJMR.

[54]  R. B. Graff,et al.  Combining descriptive and functional analyses to assess and treat screaming , 2003 .

[55]  Functional assessment and treatment of pica: a single‐case experiment , 2001 .

[56]  C. Piazza,et al.  An evaluation of the properties of attention as reinforcement for destructive and appropriate behavior. , 1999, Journal of applied behavior analysis.

[57]  J. Matson,et al.  A 20 year review of punishment and alternative methods to treat problem behaviors in developmentally delayed persons. , 1989, Research in developmental disabilities.

[58]  J. Hellings,et al.  Multimodal evaluation of risperidone for destructive behavior: functional analysis, direct observations, rating scales, and psychiatric impressions. , 2002, Experimental and clinical psychopharmacology.

[59]  David R. Wilson,et al.  Functional analysis of self-injury maintained by automatic reinforcement: exposing masked social functions , 2001 .

[60]  D. Wacker,et al.  Evaluating the effects of functional communication training in the presence and absence of establishing operations. , 2000, Journal of applied behavior analysis.

[61]  C. Coleman,et al.  The use of noncontingent escape to reduce disruptive behaviors in children with speech delays. , 1998, Journal of applied behavior analysis.

[62]  D. Lundervold,et al.  Quantitative Analysis of Treatment of Aggression, Self-Injury, and Property Destruction , 1988, Behavior modification.

[63]  S. Hall,et al.  Risk markers associated with challenging behaviours in people with intellectual disabilities: a meta-analytic study. , 2003, Journal of intellectual disability research : JIDR.

[64]  D. Wacker,et al.  Brief functional assessment techniques to evaluate aberrant behavior in an outpatient setting: a summary of 79 cases. , 1992, Journal of applied behavior analysis.

[65]  S. Kahng,et al.  The impact of functional assessment on the treatment of self-injurious behavior. , 2002 .

[66]  Robert H. Horner,et al.  Problem Behavior Interventions for Young Children with Autism: A Research Synthesis , 2002, Journal of autism and developmental disorders.

[67]  M. Chitiyo FUNCTIONAL/STRUCTURAL ANALYSIS: A BRIEF REVIEW OF FUNCTIONAL ASSESSMENT STUDIES CONDUCTED WITH PEOPLE WITH CHALLENGING BEHAVIOURS , 2005 .

[68]  Robert H. Horner,et al.  Behavioral Support for Students with Severe Disabilities , 1997 .

[69]  Eric Fombonne,et al.  Autism Spectrum Disorders: Early Detection, Intervention, Education, and Psychopharmacological Management , 2003, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[70]  M H Lewis,et al.  Self-injurious behavior: gene-brain-behavior relationships. , 2001, Mental retardation and developmental disabilities research reviews.

[71]  J. McComas,et al.  Concurrent reinforcement schedules: behavior change and maintenance without extinction. , 2002, Journal of applied behavior analysis.

[72]  S. Schroeder,et al.  A comparison of multiple reinforcer assessments to identify the function of maladaptive behavior. , 2002, Journal of applied behavior analysis.

[73]  L. Koegel,et al.  Pivotal Areas in Intervention for Autism , 2001, Journal of clinical child psychology.

[74]  J. E. Carr,et al.  Treatment of automatically reinforced object mouthing with noncontingent reinforcement and response blocking: experimental analysis and social validation. , 2002, Research in developmental disabilities.

[75]  W. Fisher,et al.  Clarifying an ambiguous functional analysis with matched and mismatched extinction procedures. , 1999, Journal of applied behavior analysis.

[76]  B. Iwata,et al.  A component analysis of "stereotypy as reinforcement" for alternative behavior. , 2000, Journal of applied behavior analysis.

[77]  B. Gorman,et al.  Design and Analysis of Single-Case Research , 1996 .

[78]  Robert H. Horner,et al.  Functional analysis of problem behavior : from effective assessment to effective support , 1999 .

[79]  M. Feldman,et al.  Effectiveness of community positive behavioral intervention for persons with developmental disabilities and severe behavior disorders , 2002 .

[80]  J. Mullins,et al.  The effects of progressive relaxation training on the disruptive behavior of a boy with autism. , 2001, Research in developmental disabilities.

[81]  Functional analysis and treatment of screaming in a young girl with severe disabilities , 1999 .

[82]  T. Vollmer The concept of automatic reinforcement: implications for behavioral research in developmental disabilities. , 1994, Research in developmental disabilities.

[83]  P. Gringras Practical Paediatric Psychopharmacological Prescribing in Autism , 2000 .

[84]  M. Wehmeyer Intra-individual factors influencing efficacy of interventions for stereotyped behaviours: a meta-analysis. , 1995, Journal of intellectual disability research : JIDR.

[85]  B. Gorman,et al.  Calculating effect sizes for meta-analysis: the case of the single case. , 1993, Behaviour research and therapy.

[86]  C. Anderson,et al.  Use of a structured descriptive assessment methodology to identify variables affecting problem behavior. , 2002, Journal of applied behavior analysis.

[87]  Thomas E. Scruggs,et al.  Early Intervention for Children with Conduct Disorders: A Quantitative Synthesis of Single-Subject Research , 1986 .

[88]  L. Hagopian,et al.  The use of symmetrical "do" and "don't" requests to interrupt ongoing activities. , 1999, Journal of applied behavior analysis.

[89]  Jerome L. Myers,et al.  Research design and statistical analysis, 2nd ed. , 2003 .

[90]  W. Fisher,et al.  Establishing discriminative control of responding using functional and alternative reinforcers during functional communication training. , 1998, Journal of applied behavior analysis.

[91]  R. Koegel,et al.  Using neutralizing routines to reduce problem behaviors. , 1997, Journal of applied behavior analysis.

[92]  S. Axelrod,et al.  A comparison of the effectiveness of brief versus traditional functional analyses. , 1999, Research in developmental disabilities.

[93]  T. Vollmer,et al.  An application of the matching law to severe problem behavior. , 2002, Journal of applied behavior analysis.

[94]  B. Iwata,et al.  Artifactual effects of sensory-integrative therapy on self-injurious behavior. , 1990, Journal of applied behavior analysis.

[95]  Donald P. Schwab Book Review: Handbook for Teaching Statistics and Research Methods (2nd ed.), edited by Mark E. Ware and Charles L. Brewer (1999). Mahwah, NJ: Lawrence Erlbaum. , 2003 .

[96]  L. Hagopian,et al.  Effects of noncontingent reinforcement on problem behavior and stimulus engagement: the role of satiation, extinction, and alternative reinforcement. , 2000, Journal of applied behavior analysis.

[97]  W. Fisher,et al.  Functional analysis and treatment of cigarette pica. , 1996, Journal of applied behavior analysis.

[98]  J. E. Carr,et al.  Functional analysis of hair manipulation: a replication and extension , 2000 .

[99]  S. Kahng,et al.  Behavioral treatment of self-injury, 1964 to 2000. , 2002, American journal of mental retardation : AJMR.

[100]  D. Wacker,et al.  Further analysis of problem behavior in response class hierarchies. , 1999, Journal of applied behavior analysis.

[101]  V. Durand Functional communication training using assistive devices: recruiting natural communities of reinforcement. , 1999, Journal of applied behavior analysis.

[102]  D. Crimmins,et al.  Identifying the variables maintaining self-injurious behavior , 1988, Journal of autism and developmental disorders.

[103]  R. B. Graff,et al.  Extended analysis and treatment of self‐injurious behavior , 2001 .

[104]  A. Richdale,et al.  Functional communication training to replace challenging behaviors across two behavioral outcomes , 2000 .

[105]  R. Horner,et al.  Functional assessment: Contributions and future directions. , 1994, Journal of applied behavior analysis.

[106]  G. Mesibov,et al.  Using Individualized Schedules as a Component of Positive Behavioral Support for Students with Developmental Disabilities , 2002 .

[107]  The effects of noncontingent access to single- versus multiple-stimulus sets on self-injurious behavior. , 2000, Journal of applied behavior analysis.

[108]  F. Gresham,et al.  An Evaluation of the Functional Behavioral Assessment Process Used with Students With or At Risk for Emotional and Behavioral Disorders. , 2004 .

[109]  T. Chamberlain,et al.  Functional taxonomy of stereotypic and self-injurious behavior. , 1985, Mental retardation.

[110]  S. Axelrod Functional and structural analyses of behavior: approaches leading to reduced use of punishment procedures? , 1987, Research in developmental disabilities.

[111]  Jonathan M. Campbell Statistical Comparison of Four Effect Sizes for Single-Subject Designs , 2004, Behavior modification.

[112]  Assessment and treatment of destructive behavior maintained by stereotypic object manipulation. , 1998, Journal of applied behavior analysis.

[113]  Identifying specific sensory modalities maintaining the stereotypy of students with multiple profound disabilities. , 2003, Research in developmental disabilities.

[114]  A. Repp,et al.  Reinforcement-Based Reductive Procedures: A Review of 20 Years of their Use with Persons with Severe or Profound Retardation , 1990 .

[115]  Experimental functional analyses for challenging behavior: a study of validity and reliability. , 1999, Research in developmental disabilities.

[116]  B. Iwata,et al.  Functional analysis and treatment of problem behavior evoked by noise. , 2001, Journal of applied behavior analysis.

[117]  Sandy Toogood,et al.  The Functional Assessment of Challenging Behaviour: A Comparison of Informant-based, Experimental and Descriptive Methods , 1996 .

[118]  J. Sherman,et al.  Reducing Disruptive Behavior of a Group-Home Resident with Autism and Mental Retardation , 1998, Journal of autism and developmental disorders.

[119]  D. Wacker,et al.  Functional analysis and extinction of different behavior problems exhibited by the same individual. , 1998, Journal of applied behavior analysis.