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Journal of Autism and Developmental Disorders

, Volume 49, Issue 8, pp 3047–3059 | Cite as

Interventions for Repetitive Behavior in Young Children with Autism: A Survey of Behavioral Practices

  • Tracy J. RaulstonEmail author
  • Sarah G. Hansen
  • Wendy Machalicek
  • Laura Lee McIntyre
  • Amarie Carnett
OriginalPaper

Abstract

Children with autism spectrum disorder (ASD) display social-communication deficits and present with rigid and repetitive patterns of behavior and/or interests (RRBIs). Compared to interventions for social-communication skills, less attention has been given to RRBIs, especially with regard to interventions for young children. We surveyed 128 behavior analysts who implemented interventions for young children with ASD on their use of 16 practices and one assessment for the treatment of RRBIs. The majority of our sample perceived the practices to be effective in producing sustainable behavior change. Behavior analysts generally responded in the same way to items about reinforcement-based practices, punishment-based practices, and a group of commonly packaged antecedent and consequence-based package components. Implications and future directions are discussed.

Keywords

Autism spectrum disorder Repetitive behavior Restricted interests Stereotypy Young children Behavioral treatment 

Notes

Author Contributions

TJR, WM, and LLM conceptualized and designed the study. TJR and SGH created and validated the survey, ran the analyses, and wrote the manuscript. AC assisted in data analysis and manuscript preparation.

Funding

The first author received funding through the Engaging New Leaders in Implementation Science Training Leadership Grant of the United States Department of Education Office of Special Education Programs during survey item creation and data collection. The third author received faculty research funds from the College of Education at the University of Oregon for subject honorarium. The second author presented these data at a symposium session at the 44th annual Association for Behavior Analysis in San Diego, California in May 2018.

Compliance with Ethical Standards

Conflicts of interest

There are no potential conflicts of interest to report.

Research involving human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.CrossRefGoogle Scholar
  2. Barber, A.B., Wetherby, A.M., & Chambers, N.W. (2012). Brief report: Repetitive behaviors in young children with autism spectrum disorder and developmentally similar peers: A follow up to Watt et al. (2008). Journal of Autism and Developmental Disorders, 42, 2006–2012.CrossRefGoogle Scholar
  3. Barton, E. E., Reichow, B., Schnitz, A., Smith, I. C., & Sherlock, D. (2014). A systematic review of sensory-based treatments for children with disabilities. Research in Developmental Disabilities, 37, 64–80.CrossRefGoogle Scholar
  4. Boyd, B. A., McDonough, S. G., & Bodfish, J. A. (2012). Evidence-based behavioral interventions for repetitive behaviors in autism. Journal of Autism and Developmental Disabilities, 42, 1236–1248.CrossRefGoogle Scholar
  5. Boyd, B. A., McDonough, S. M., Rupp, B., Khan, F., & Bodfish, J. W. (2011). Effects of a family-implemented treatment on the repetitive behavior of children with autism. Journal of Autism and Developmental Disorders, 41, 1330–1341.CrossRefGoogle Scholar
  6. Carnett, A., Raulston, T., Lang, R., Tostanoski, A., Lee, A., Sigafoos, J., & Machalicek, W. (2014). Effects of perseverative interest-based token economy on challenging and on-task behavior in a child with autism. Journal of Behavioral Education, 23, 368–377.CrossRefGoogle Scholar
  7. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis. New York: Macmillan.Google Scholar
  8. Cunningham, A. B., & Schreibman, L. (2008). Stereotypy in autism: The importance of function. Research in Autism Spectrum Disorders, 2, 469–479.CrossRefGoogle Scholar
  9. Curtin, C., Jojic, M., & Bandini, L. G. (2014). Obesity in children with autism spectrum disorders. Harvard Review of Psychiatry, 22, 93–103.CrossRefGoogle Scholar
  10. Division for Early Childhood. (2014). DEC recommended practices in early intervention/early childhood special education 2014. Retrieved from https://www.dec-sped.org/dec-recommended-practices.
  11. Dominick, K. C., Ornstein Davis, N., Lainhart, J., Tager-Flusberg, H., & Folstein, S. (2007). Atypical behaviors in children with autism and children with a history of language impairment. Research in Developmental Disabilities, 28, 145–162.CrossRefGoogle Scholar
  12. Evans, D. W., Leckman, J. F., Carter, A., Reznick, J. S., Henshaw, D., King, R. A., et al. (1997). Ritual, habit, and perfectionism: The prevalence and development of compulsive-like behavior in normal young children. Child Development, 68, 58–68.CrossRefGoogle Scholar
  13. Flook, L., Goldberg, S. B., Pinger, L., & Davidson, R. J. (2015). Promoting prosocial behavior and self-regulatory skills in preschool children through a mindfulness-based kindness curriculum. Developmental Psychology, 51, 44–51.CrossRefGoogle Scholar
  14. Goldman, S., Wang, C., Salgado, M. W., Greene, P. E., Kim, M., & Rapin, I. (2009). Motor stereotypies in children with autism and other developmental disabilities. Developmental Medicine & Child Neurology, 51, 30–38.CrossRefGoogle Scholar
  15. Gould, E., Dixon, D. R., Najdowski, A. C., Smith, M. N., & Tarbox, J. (2011). A review of assessments for determining the content of early intensive behavioral intervention programs for autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 990–1002.CrossRefGoogle Scholar
  16. Grahame, V., Brett, D., Dixon, L., McConachie, H., Lowry, J., Rodgers, J., Steen, N., & Couteur, A.L. (2016). Managing repetitive behavior in young children with autism spectrum disorder (ASD): Pilot randomized controlled trial of new parent group intervention. Journal of Autism and Developmental Disorders, 45, 3168–3182.CrossRefGoogle Scholar
  17. Hansen, S. G., Carnett, A., Tullis, C. A. (2018). Defining early social communication skills: A systematic review and analysis. Advances in Neurodevelopmental Disorders, 2, 116–128.CrossRefGoogle Scholar
  18. Harrop, C., McConachie, H., Emsley, R., Leadbitter, K., & Green, J. (2014). Restricted and repetitive behaviors in autism spectrum disorders and typical development: Cross-sectional and longitudinal comparisons. Journal of Autism and Developmental Disorders, 44, 1207–1219.CrossRefGoogle Scholar
  19. Honey, E., Leekam, S., Turner, M., & McConachie, H. (2007). Repetitive behavior and play in typically developing children and children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37, 1107–1115.CrossRefGoogle Scholar
  20. Koegel, R. L., & Covert, A. (1972). The relationship of self-stimulation to learning in autistic children. Journal of Applied Behavior Analysis, 5, 381–387.CrossRefGoogle Scholar
  21. Lang, R., Koegel, L. K., Ashbaugh, K., Regester, A., Ence, W., & Smith, W. (2010). Physical exercise and individuals with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 4, 565–576.CrossRefGoogle Scholar
  22. Lang, R., O-Reilly, M., Rispoli, M., Lydon, H., Streusand, W., Davis, T., Kang, S., Sigafoos, J., Lancioni, G., Didden, R., & Giesbers, S. (2012). Sensory integration therapy for autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 6, 1004–1018.CrossRefGoogle Scholar
  23. Lanovaz, M. J., & Sladeczek, I. E. (2012). Vocal stereotypy in individuals with autism spectrum disorders: A review of behavioral interventions. Behavior Modification, 36, 146–164.CrossRefGoogle Scholar
  24. Leekam, S. R., Nieto, C., Libby, S. J., Wing, L., & Gould, J. (2007). Describing the sensory abnormalities of children and adults with autism. Journal of Autism and Developmental Disorders, 37, 894–910.CrossRefGoogle Scholar
  25. Lin, C. E., & Koegel, R. (2018). Treatment of higher-order restricted repetitive behaviors (H-RRB) in children with autism spectrum disorder. Journal of Autism and Developmental Disorders., 48, 894–910.  https://doi.org/10.1007/s10803-018-3637-3.CrossRefGoogle Scholar
  26. Loftin, R. L., Odom, S. L., & Lantz, J. F. (2008). Social interaction and repetitive motor behaviors. Journal of Autism and Developmental Disorders, 38, 1124–1135.CrossRefGoogle Scholar
  27. Machalicek, W., Raulston, T., Knowles, C., Ruppert, T., Carnett, A., & Alresheed, F. (2016). Challenging behavior. In J. Matson (Ed.), Comorbid conditions among children with autism spectrum disorders. New York: Springer.Google Scholar
  28. Mandell, D. S., Novak, M. M., & Levy, S. (2005). Frequency and correlates of treatment use among a community sample of children with autism. CA: San Diego.Google Scholar
  29. Nadig, A., Lee, I., Singh, L., Bosshart, K., & Ozonoff, S. (2010). How does the topic of conversation affect verbal exchange and eye gaze? A comparison between typical development and high-functioning autism. Neuropsychologia, 48, 2730–2739.CrossRefGoogle Scholar
  30. National Autism Center (2015). Findings and conclusions: National standards project, phase 2. Retrieved from https://www.nationalautismcenter.org/resources
  31. National Conference of State Legislatures. (2018, August 8). Autism and insurance coverage: State laws. Retrieved from: https://www.ncsl.org/research/health/autism-and-insurance-coverage-state-laws.aspx
  32. National Implementation Research Network. (2015). Implementation science defined. Retrieved from https://nirn.fpg.unc.edu/learn-implementation/implementation-science-defined
  33. Neely, L., Rispoli, M., Gerow, S., & Ninci, J. (2015). Effects of antecedent exercise on academic engagement and stereotypy during instruction. Behavior Modification, 39, 98–116.CrossRefGoogle Scholar
  34. Ninci, J., Rispoli, M., Burke, M., & Neely, L. C. (2018). Embedding interests of individuals with autism spectrum disorder: A quality review. Review Journal of Autism and Developmental Disorders, 5, 15–28.CrossRefGoogle Scholar
  35. Patterson, S. Y., Smith, V., & Jelen, M. (2010). Behavioural intervention practices for stereotypic and repetitive behavior in individuals with autism spectrum disorder: A systematic review. Developmental Medicine & Child Neurology, 52, 318–327.CrossRefGoogle Scholar
  36. Pierce, K., & Courchesne, E. (2001). Evidence for a cerebellar role in reduced exploration and stereotyped behavior in autism. Biological Psychiatry, 49, 655–664.CrossRefGoogle Scholar
  37. Rapp, J. T., & Vollmer, T. R. (2005). Stereotypy I: A review of behavioral assessment and treatment. Research in Developmental Disabilities, 26, 527–547.CrossRefGoogle Scholar
  38. Raulston, T., & Machalicek, W. (2018). Early intervention for repetitive behaviorin autism spectrum disorder: A conceptual model. Journal of Developmental and Physical Disabilities, 30, 89–109.CrossRefGoogle Scholar
  39. Richler, J., Huerta, M., Bishop, S. L., & Lord, C. (2010). Developmental trajectories of restricted and repetitive behaviors and interests in children with autism spectrum disorders. Developmental Psychopathology, 22, 55–69.CrossRefGoogle Scholar
  40. Rispoli, M., Camargo, S., Machalicek, W., Lang, R., & Sigafoos, J. (2014). Functional communication training in the treatment of problem behavior by access to rituals. Journal of Applied Behavior Analysis, 47, 580–593.CrossRefGoogle Scholar
  41. South, M., Ozonoff, S., & McMahon, W. M. (2005). Repetitive behavior profiles in Asperger syndrome and high-functioning autism. Journal of Autism and Developmental Disorders, 14, 42–54.Google Scholar
  42. Tan, B. W., Pooley, J. A., & Speelman, C. P. (2016). A meta-analytic review of the efficacy of physical exercise interventions on cognition in individuals with autism spectrum disorder and ADHD. Journal of Autism and Developmental Disorders, 46, 3126–3143.CrossRefGoogle Scholar
  43. Varni, J. W., Lovaas, O. I., Koegel, R., & Everett, N. (1979). An analysis of observational learning in autistic and normal children. Journal of Abnormal Child Psychology, 7, 31–43.CrossRefGoogle Scholar
  44. Wolff, J. J., Botteron, K. N., Dager, S. R., Elison, J. T., Estes, A. M., Gu, H., … Piven, J. (2014). Longitudinal patterns of repetitive behavior in toddlers with autism. The Journal of Child Psychology and Psychiatry, 55, 945–953.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Tracy J. Raulston
    • 1
    • 3
    Email author
  • Sarah G. Hansen
    • 2
    • 3
  • Wendy Machalicek
    • 3
  • Laura Lee McIntyre
    • 3
  • Amarie Carnett
    • 4
  1. 1.Department of Educational Psychology, Counseling, and Special EducationThe Pennsylvania State UniversityUniversity ParkUSA
  2. 2.Department of Learning SciencesGeorgia State UniversityAtlantaUSA
  3. 3.Department of Special Education and Clinical SciencesUniversity of OregonEugeneUSA
  4. 4.Department of Educational PsychologyUniversity of Texas at San AntonioSan AntonioUSA

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