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There has been considerable research addressing functional assessment procedures, but little direct comparison of the practical utility of different methods
of assessment. The aim of this study was to examine three different methods of
conducting functional assessments of problem behaviours of a child with autism.
Data obtained through indirect, direct and experimental functional assessment
methods in both a classroom and playground setting were compared. Although
results from both the indirect and direct observation methods gave some indication of the possible function of the target behaviour, the functional analysis
provided conclusive results that the behaviour was maintained by access to preferred activities/tangibles. A brief trial of an intervention based on these results
was effective in reducing problem behaviour and increasing desired behaviour.
Keywords: functional behaviour analysis, functional behaviour assessment,
autism, autism intervention
Stereotypic and repetitive behaviours (SRBs) and aggressive behaviours are common
with children with autism and often present as problematic due to their social inappropriateness, and the challenges they present to teachers, family and others dealing
directly with the child (Patterson, Smith, & Jelen, 2010). SRBs have also been shown
to affect childrens learning and interfere with adaptive social interactions (Patterson
et al.). Children with autism present with a variety of SRBs, some having limited
and repetitive play repertoires while others present with behaviours including hand
flapping, body rocking, repeating words and phrases, following fixed routines and/or
walking on tiptoes (OReilly et al., 2010; Spreckley & Boyd, 2009). Further, interruption of stereotypic and repetitive behaviours through, for example, teacher redirection,
may result in other challenging behaviours such as aggression or self injury (OReilly
et al., 2010; Sigafoos, Green, Payne, OReilly, & Lancioni, 2009).
Many researchers have worked at developing effective early interventions for teaching children with autism and for addressing challenging behaviours (Koegel, Koegel,
Hurley, & Frea, 1992; Shukla-Meta, Miller, & Callahan, 2009). Researchers have
demonstrated the relative effectiveness of function-based interventions compared
to other methods of intervention (Filter & Horner, 2009; Hanley, 2010; Herzinger &
Address for correspondence: Jenelle McDonald, Krongold Centre, Faculty of Education, Monash
Campbell, 2007; Thompson & Iwata, 2007). Current educational and psychological
standards of practice dictate determination of the function of challenging behaviours
prior to treatment and for interventions to be based on the function or purpose the
behaviour serves an individual (Tarbox et al., 2009).
Functional behaviour assessment (FBA) is intended to help identify the environmental conditions under which challenging behaviour occurs (Horner & Carr, 1997)
and the source of reinforcement for this behaviour (Hanley, Iwata, & McCord, 2003;
Tarbox et al. 2009). Different approaches have been taken to the functional assessment
process, these approaches varying on (a) time/effort/cost, (b) richness of information
gained, and (c) ability to differentiate between correlational and functional associations between behaviour and observed antecedents/consequences. Researchers differ
in their views regarding the utility of both indirect and direct, but nonexperimental
functional assessment procedures and the feasibility of undertaking in situ functional
analyses (Alter, Conroy, Mancil, & Haydon, 2008; Fox, 1998; Sasso, Conroy, Peck
Stichter, & Fox, 2001).
From a practical point of view it could be argued that the most cost- and timeefficient methods (indirect and direct functional assessment procedures) should be
used. However, some research evidence suggests that these do not yield adequate results
and experimental FA are required (Alter et al., 2008). In practice, it has been reported
that there is an over-reliance on indirect FBA methods by behaviour specialists in
schools in Australia (ONeill & Stephenson, 2010) as well as overseas (Blood & Neel,
2007). A possible reason for this is the time, cost and skill requirements for FA. It is
therefore important to identify feasible alternative procedures that do not require a
large amount of therapist time, and that can be conducted in natural environments
by individuals with little additional training. Two promising developments in this
regard are technological advances for remote observations (Behavior Imaging), and
the development of brief functional analysis procedures.
Behavior Capture is a video-based capture-and-access system for recording, annotating and communicating behaviour-imaging data collected in natural settings.
The system consists of a laptop computer, a web-cam, a remote control, and specifically designed software. With a button pressed on the wireless hand-held remote, the
system is activated and records (captures) video footage of the target behaviour,
including up to 8 minutes before and after the button press. In this way both
antecedent and consequent events of the target behaviour can be captured. The
recorded images can then be uploaded to the secure-storage website, Behavior Connect (http://www.behaviorimaging.com/html/connect.htm) and shared with specified
individuals for analysis/annotation. Behavior Capture, in conjunction with Behavior
Imaging, has thus provided a feasible means for conducting ABC observations by
capturing the triggers and consequences of behaviours via video technology (Reischl
& Oberleitner, 2009), thereby potentially overcoming some of the challenges to direct
observation identified above. The system has been trialled in classrooms overseas with
promising results (Behavior Imaging Solutions: Technology for Behavioural Health,
2007).
Advances in functional analysis procedures include the development of methodologies that are brief and that can be conducted in natural environments (Iwata &
Worsdell, 2005; Northup et al., 1991) and by individuals without special training in
the procedure (for a comprehensive review see Hanley et al, 2003). One of these is
the discrete trial method developed by Sigafoos and Saggers (1995). It involves the
The Australian Educational and Developmental Psychologist
53
presentation of a trial condition (attention, task, or tangible) for up to 60 seconds, followed immediately by a 60-second control condition where the function being tested
is freely accessible and no demands are made. The trial condition is terminated as
soon as the individual exhibits the target behaviour, and the control condition begins
at this point. For example, in the attention condition the examiner is positioned close
to the person but then withdraws attention. As soon as the individual exhibits any
of the target behaviours the examiner delivers attention, and moves straight into the
control condition, that is, attention is delivered freely for 60 seconds. If the target
behaviour does not occur in the trial condition this condition is maintained for
60 seconds, after which it is followed by the control condition.
Sigafoos and Saggers (1995) got the teacher to carry out four trials of each condition
interspersed throughout the school day, whenever it fitted into the natural routine
(e.g., testing for tangibles at snack time). In all, they conducted 20 trials of each
condition over the course of a week. Their results showed that this method clearly
identified the functions of the target behaviour for each of their two participants.
This discrete trial method has several distinct advantages: it can be carried out in
the setting where the behaviour typically occurs, may involve the people who normally
work with the participants (in this instance a teacher), and each target behaviour is
only elicited briefly (a single occurrence) in each trial. Although Sigafoos and Saggers
(1995) conducted their FA over the course of a week, as each trial only lasted a
maximum of 2 minutes the total FA process in this study took no more than 40
minutes. They also suggested that fewer trials over a shorter time span could be used.
The purpose of this current study was to explore the utility and feasibility of three
novel procedures designed to help understand the function of classroom behaviours:
indirect functional assessment interviews, direct functional assessment observations
utilising current IT technologies (Behavior Imaging, and Flip video), and a discrete
trial functional analysis based on the procedure developed by Sigafoos and Saggers
(1995). We anticipated that, with guidance, teachers would be able to carry out the
FBA procedures during their regular classroom routines and that imaging technologies
would facilitate the direct FBA process. It was predicted that the results obtained from
indirect FBA and direct FBA would differ from the results of the FA.
Method
Prior to commencement, this study was approved by the universitys ethics committee
and by the Victorian Government Department of Education and Early Childhood
Development Ethics Committee. Informed consent was obtained from the participants school principal and teacher. Consent was also obtained from the participants
parents on the participants behalf.
PARTICIPANT
The participant, pseudonym Tom, was a 5-year-old boy previously diagnosed with
autism. According to school records Tom presented as severely autistic, having a
total score of 42 on the Child Autism Rating Scale (CARS; Schopler, Reichler, &
Rochen Renner, 1988). Scores on this instrument range from 1560, with a score
above 30 indicative of a person being autistic, and above 37, severely autistic. Tom was
referred with a history of problem behaviour including aggressive outbursts in both
the classroom and playground.
54
SETTING
The study was conducted in a special development school, both in the classroom
and in the outdoors playground. The classroom was staffed by two teachers and the
class was made up of four students, all of whom had an autism spectrum disorder. In
the playground the children had access to climbing equipment, bikes and a sandpit.
Playtime was supervised by four teachers.
MATERIALS
Indirect assessment. A functional behavioural assessment interview based on the Functional Analysis Interview Form (FAI; ONeill et al., 1997) was used to conduct the
initial interview with Toms classroom teacher. The FAI consists of nine sections which
include items to describe the behaviours, define ecological events (setting events) that
predict or set up the problem behaviours, identify specific immediate antecedent
events that predict when the behaviours are likely and not likely to occur, and identify
consequences or outcomes of the problem behaviours that may be maintaining them.
Direct assessment. Data depicting AntecedentBehaviourConsequence (A-B-C)
associations (Bijou, Peterson, & Ault, 1968) were collected by means of Behavior
Imaging technology (Reischl & Oberleitner, 2009) and Flip video technology. The
Behavior Imaging system consisted of a laptop with Behavior Capture software, a
webcam and remote control button. Flip video technology consisted of a small hand
held video camera that is capable of recording for 2 hours.
Experimental functional analysis (FA). Observational data were collected for the FA
using Flip video technology.
DEPENDENT MEASURES
The dependent measures were (a) aggressive outbursts, both verbal and physical, and
(b) stereotypy, defined as follows.
Verbal aggression. Verbal outbursts were defined as yelling, calling out, loud bursts of
echolalic speech, and screaming at inappropriate times.
Physical aggression. Physical outbursts consisted of pushing, hitting, kicking, and
grabbing others within the classroom and in the playground.
Stereotypic behaviours. Stereotypic behaviours in the classroom included staring into
the distance, oral stimulation (which consisted of chewing on a rubber tube) and lying
on the ground. Stereotypic behaviours in the playground included aimless wandering,
running between the school wall and a tree, and standing motionless and staring.
In addition to the target behaviours the following behaviours were also monitored:
Engaged behaviours. Engaged behaviours in the classroom included activities such as
pasting, colouring, and playing with toys or figurines. Outside, engaged behaviour
included activities such as riding a bike, hopping on a rocker or being on the climbing
equipment.
Other behaviours. Other behaviours of interest in the classroom included time spent
sitting at the table having morning tea and/or sitting in the circle for activity time.
The Australian Educational and Developmental Psychologist
55
Other behaviour during playtime included complying with teacher directives, and
walking around the garden beds.
DATA COLLECTION PROCEDURES
Prior to any formal observations, the first author was present in the classroom and
the playground at various times over 4 days. Informal observations were undertaken
in part to provide the opportunity for Tom, his teachers, and the other children to
become familiar with the observer to limit possible reactivity effects. In the formal
observation process throughout the various procedures, including data obtained by
Behavior Imaging and Flip video technology, aggressive outbursts were measured
via event recording, and all other behaviours were measured by recording the total
duration of the occurrence of each behaviour in each 15-minute continuous Flip
video-sample analysed.
The Behavior Imaging system was operated by the classroom teacher and yielded
35 short (on average 2-min.) videos, that were uploaded to a secure website (Behavior Connect) for analysis. The Flip video camera was operated by the first author
and yielded seven 15-minute clips of continuous recordings of both classroom and
playground activities, as well as video images of the experimental FA.
INTEROBSERVER AGREEMENT (IOA)
Interobserver agreement data were collected during 37% of all sessions distributed
evenly across all observational processes. Interobserver agreement for the FBA data
was calculated using an interval-by-interval procedure with a second, trained, observer
independently viewing the recorded sessions and comparing these results with those
of the primary observer. Total interobserver agreement was calculated by dividing the
number of intervals of agreement within each session by the number of intervals of
agreement plus disagreement, multiplied by 100 (Cooper, Heron, & Heward, 2007).
The mean total IOA for the FBA was 89.6% (range, 85% to 100%).
Observer reliability for the FA data was also assessed by comparing on an interval by
interval basis the observation sheets completed independently by the two observers.
An agreement on the occurrence of the problem behaviour was scored if both observers
agreed on the presence or absence of problem behaviour. A disagreement was scored
if there was a discrepancy. There were no instances of disagreements on the presence
or absence of aggressive or stereotypic behaviour giving an IOA of 100% for the FA.
PROCEDURE
Indirect assessment. The first author interviewed Toms classroom teacher using the
FAI to obtain as much information about him and his behaviour as possible. The
interview took approximately 1 hour to complete.
Direct assessment 1. The Behavior Imaging system was set up in the classroom and
the teacher was taught how to use it. The teacher was instructed to activate the
system every time an incident of the target behaviour as defined during the indirect
assessment occurred in the classroom, by pressing the remote button. The teacher
had only identified aggressive behaviour as a problem, and therefore only targeted
aggressive behaviour for video capture.
56
Direct assessment 2. Extended and uninterrupted video data were collected by the first
author in the classroom and in the playground during morning play and lunch time
using the Flip video camera.
Experimental assessment (FA). A functional analysis was conducted to identify the
variables that maintained Toms aggressive behaviour. The discrete trial functional
analysis methodology was as described by Sigafoos and Saggers (1995). Over 2 days
Tom was exposed to four assessment conditions: (a) attention, (b) demand, (c) access
to preferred activities/tangibles, and (d) play, with three trials under each condition.
Each trial took approximately 2 minutes (60 s each for the trial and control conditions)
and trials were distributed randomly throughout the day.
Brief intervention trial. As a variation of the Hoff, Ervin, and Friman (2005) procedure, after the fifth play time session of the direct assessment in the playground
(continuous recording; see above) a trial intervention which involved directing Tom
to a specific activity was instigated to observe the possible impact of this on the
probability of his stereotypic behaviour.
Results
RESULTS OF THE FUNCTIONAL ANALYSIS INTERVIEW
In the FAI the teacher reported that Tom engaged in aggressive behaviours daily and
the teacher believed this to be problematic and disrupting throughout the school day.
Generally these behaviours were reported to occur both within the classroom and
playground when Tom was approached or asked by the teacher to do a task, or when
he was withdrawn from an activity. The teacher said Tom would scream at you and
if in reach try to kick or hit you if a desired activity was interrupted. The teacher
was unable to identify the consequences or outcomes of the problem behaviours in
different situations. Toms favourite items were reported to be the computer, soft
animals, and figurines, and preferred activities included going on outings to the park
or for a walk.
RESULTS OF FUNCTIONAL BEHAVIOUR ASSESSMENT IN THE CLASSROOM
USING BEHAVIOR IMAGING AND FLIP VIDEO TECHNOLOGY
57
FIGURE 1
Results of ABC analysis of Classroom Aggressive Behaviour using data generated by Behavior
Capture based observation.
Figure 4 depicts the rates of the participants stereotypic, engaged and other behaviour
as observed using the Flip camera in the classroom. Through the analysis of these
15 min uninterrupted videos, high rates of stereotypic behaviour were observed in
the first three sessions (M = 92.9%; range, 82.5% to 100%). Low rate aggression was
observed in Sessions 1 and 3 coinciding with the higher levels of stereotypy. Session 1,
during which there was individual teacher instruction, showed two occurrences of
aggression in the form of verbal outbursts. Session 3, during which Toms stereotypy
was interrupted by another child, showed five occurrences of physical outbursts.
Analysis of the videos revealed a decrease in the rate of stereotypic behaviour to
15.6 % in Session 4. This coincided with the teacher directing Tom to complete a
pasting task and was also associated with an increase in engaged behaviour rate to
47.2% and an increase in other, appropriate free play activity (Session 4 = 37%).
58
FIGURE 2
ABC analysis of Classroom Aggressive Behaviour, data generated by Flip video technology.
FIGURE 3
ABC analysis results of Flip video data obtained in the playground.
59
FIGURE 4
Classroom behaviour rate per 15 minute session.
Session 5, during which the speech therapist was working one-on-one with Tom,
showed a further increase in engaged behaviour to 89.5% and a decrease in stereotypic
behaviour to 10.1%. Activities during this session with the speech therapist included
use of Boardmaker visual cards to teach verbal responses to a visual cue.
RESULTS OF FUNCTIONAL ANALYSIS IN THE CLASSROOM
2
trial
control
-1
Teacher aenon Escape from easy
task
Access to
preferred
acvity/
items/tangibles
Play condion
FIGURE 5
Number of trials with aggressive behaviour during the trial and control conditions across each of
the four conditions.
60
100
80
Stereotypic
behaviour
60
Engaged
behaviour
40
Other
20
0
FIGURE 6
Playground behaviour rate per 15-minute sessions.
This study extends the research describing the variety of methods used to determine the
function of problem behaviour in school settings. The aim of the study was to explore
the utility and feasibility of indirect, direct and experimental functional behaviour
The Australian Educational and Developmental Psychologist
61
procedures can at best reveal temporal relationships between behaviour and antecedents and consequences associated with it, and teacher attention in particular,
being highly likely in situations of possible danger to the child or others, may well be
masking the actual function of a behaviour if that is escape from an aversive situation
(Alter et al, 2008; St Peter et al., 2005; Thompson & Iwata, 2007; Umbreit, Ferro,
Laiupsin, & Lane, 2007).
In contrast, the discrete trial FA conducted in the classroom provided unequivocal
evidence that Toms aggressive behaviour in the classroom was being maintained
by access to activities/tangibles. This concurred with the results of the open-ended
analysis of the Flip video data. This finding was confirmed in a brief intervention
trial (Hoff et al., 2005) in the playground that showed that Toms levels of stereotypic
behaviour decreased when he was engaged in a stimulating activity, and that a lack of
engagement (boredom) was a precursor to problem behaviour.
The results from the present study confirm that a FA is required to clearly identify
the function of problem behaviour. In addition, as previously concluded (Sigafoos
& Saggers, 1995), our findings suggest that the discrete trial approach to functional
analysis is a successful and efficient method of collecting data in a short period of
time. The discrete trial approach requires a minimal period of time and effort for its
application in the classroom, can be conducted easily by teaching staff, and would be
a viable alternative to direct FBA.
The study has a number of limitations. The findings have limited generalisability as
there was only one participant in one classroom. Systematic replication is warranted.
Another limitation is that other than the brief intervention trial no intervention was
implemented as the school year came to an end. Ideally an intervention based on the
findings and on a decision-making model (Umbreit et al., 2007) should have been
implemented and experimentally tested. Our data suggest that improvement of the environment (instructing teachers to direct the student to adaptive and developmentally
appropriate activities when he was unengaged) and teaching the child replacement
behaviour (either to ask a teacher What can I do? or to choose and engage in play
activities independently) are two possible elements of such an intervention.
Conclusions
This study showed that FBA can be carried out in a school environment with minimal
disruption to regular classroom activities. It illustrated that indirect and direct FBA are
of limited utility, regardless of the technology used, especially if closed data collection
and analysis methods are used. On the other hand, the open analysis of continuous
video recordings yielded rich data that were useful in problem analysis and hypothesis
development. Finally, the discrete trial functional analysis was easy to implement in
the classroom, and it did not require much time or disruption to the classroom.
Acknowledgments
This research was supported in part by a grant from the Faculty of Education, Monash
University. The authors wish to acknowledge the Department of Education and Early
Childhood Development (DEECD) for permission to conduct this research project.
The opinions expressed herein do not reflect the views of the DEECD. We would also
like to thank the school, the teachers, and most of all, the child, for their participation,
their time, and for welcoming us into their spaces.
The Australian Educational and Developmental Psychologist
63
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