Developmental Delay, Developmental Disability, Problem Behavior
Conditions
Keywords
Early childhood, Problem behavior, Home-based services, IDEA Part C services
Brief summary
The purpose of this study is to evaluate the effect of function-based assessment and intervention to reduce problem behavior in children with developmental disability or delay in the context of IDEA Part C services. The investigators will conduct a single-case study to evaluate the efficacy of the intervention.
Interventions
This intervention will be implemented by the caregiver. The intervention will consist of teaching the child an alternative, appropriate skill (usually communication) to replace the problem behavior. The caregiver will provide reinforcement for the appropriate skill and no reinforcement (i.e., extinction) following problem behavior. The caregiver will also learn and use general strategies for teaching social-emotional skills (e.g., setting appropriate rules) as part of the intervention.
Sponsors
Study design
Intervention model description
The investigators will use a multiple baseline design across participants with a baseline and intervention phase to evaluate the effects of the intervention on children's challenging behavior. Each of the 3 tiers of the multiple baseline will include a caregiver-child dyad. One early intervention professional will work with each caregiver-child dyad, for a total of 9 participants across 3 tiers.
Eligibility
Inclusion criteria
Child Inclusion Criteria: * age birth to 5 years old * has a developmental disability or delay based on caregiver report and/or receiving early intervention services * has problem behavior, as reported by the caregiver and/or early intervention professional Caregivers (e.g., parent, grandparent) of eligible child participants will participate with their child as the implementer of all procedures. An early intervention professional will participate with each caregiver-child dyad to coach the caregiver, in addition to the researcher.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Problem Behavior | The investigators plan to conduct approximately weekly observations, with a total of 15 observations. | The investigators will conduct 5-min observations and record the frequency of the child's problem behavior (e.g., aggression, self-injury, screaming) during each session. The specific problem behavior(s) recorded will be defined individually by participant. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Appropriate Behavior | The investigators plan to conduct approximately weekly observations, with a total of 15 observations. | The investigators will conduct 5-min observations and record the frequency of the child's appropriate behavior (e.g., communication) during each session. The specific appropriate behavior(s) recorded will be defined individually by child participant. |
Countries
United States