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Journal of Autism and Developmental Disorders

, Volume 48, Issue 11, pp 3831–3845 | Cite as

Treatment for Higher-Order Restricted Repetitive Behaviors (H-RRB) in Children with Autism Spectrum Disorder

  • C. Enjey Lin
  • Robert Koegel
Original Paper

Abstract

Restricted repetitive behaviors (RRB) are one of the core symptoms of autism spectrum disorder (ASD). Evidence suggests that higher-order RRB (H-RRB) are particularly challenging and can negatively impact family functioning (e.g., insistence on sameness, following idiosyncratic routines). The study examined the effects of a parent-implemented behavior intervention using a multiple baseline single case experimental design in three young children with ASD. The intervention involved self-management procedures and included principles of pivotal response treatment during which parents provided bids for children to vary from H-RRB and children obtained points for engaging in these other interests and activities. Results showed improvements in child behavior, parent and child affect and interactions, children’s engagement in family activities, and overall parent ratings of RRB.

Keywords

Autism spectrum disorder Restrictive repetitive behaviors Repetitive behaviors Intervention Restricted interests Insistence on sameness 

Notes

Acknowledgments

The authors would like to thank the families who participated in the study and undergraduate assistants who aided with data management. The study was funded in part by the Ray E. Hosford Fellowship Research Grant and the Eli Broad Foundation.

Author Contributions

CEL conceived of the study, implemented the design of the study, collected data, conducted data analyses, interpreted the data and drafted the manuscript. RK participated in the conception of the study, design of the study, data analyses, and reviewed the manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of California, San FranciscoSan FranciscoUSA
  2. 2.Stanford University School of MedicinePalo AltoUSA

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