Use of a Modified Changeover Delay Procedure to Decrease Scrolled Responses by a Child With Autism Nicholas K. Reetz, Shantel R. Mullins, Sara L. Daugherty,

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Use of a Modified Changeover Delay Procedure to Decrease Scrolled Responses by a Child With Autism Nicholas K. Reetz, Shantel R. Mullins, Sara L. Daugherty, Jeffrey R. Miller, Allie M. Hensel & Dr. Kevin Klatt Psychology Department  University of Wisconsin-Eau Claire Introduction o The term scrolling has been used by Sundberg (2008) to describe the behavior of a child emitting multiple incorrect verbal responses to a single stimulus. Sundberg noted that incorrect responses emitted are not random, but are usually previously targeted words. For example, consider that an instructor had been teaching a child to give a correct verbal label for a picture of a hat when asked “What is it?” When the task is presented and the child responds with the previously taught verbal labels of “shoes” and “pants” before responding with the correct verbal label of “hat,” the child has engaged in scrolling behavior. o The term scrolling can also be applied to situations where a child emits several incorrect motor imitation responses (as opposed to verbal imitation responses) in reference to a single stimulus. o Scrolling must be minimized while teaching imitation skills to ensure that only correct imitation responses are reinforced. o One procedure that may be useful in decreasing scrolled responses is the changeover delay (COD). COD procedures have been used in the experimental analysis of behavior to temporally separate behaviors that are contingent on separate schedules of reinforcement (Herrnstein, 1961; Catania, 1963). o The purpose of the current study was to use an adaptation of the changeover delay procedure to reduce the rate of scrolling through three learned imitation responses by a child with autism in an attempt to increase correct imitations. Participants o Kara was a 2.5-year-old girl diagnosed with autism. o Kara received approximately 4 hours of behavioral therapy a week at a university based autism program. Setting & Materials o The study was conducted at a therapy room in a university based autism program. All rooms included a table with one chair. Materials included data sheets, a timer, a video camera, card stock paper, index cards which specified the type of trial to be completed, and a plastic storage bin which held the cards. Procedure Imitation of Wave and Clap o An assessment was conducted to evaluate existing imitation skills. Kara showed no ability to imitate motor actions presented by the instructors. o A multiple baseline across behaviors single subject experimental design was used to teach clap imitations, wave imitations, and the discrimination between the two. o The motor imitation of clap was taught initially with the use of the modified COD procedure in combination with physical prompting that was faded over time. Once clap reached the mastery criteria of three sessions of at least 90% correct responding across trials, then the motor imitation of wave was taught utilizing the same procedure. o The modified COD procedure consisted of the instructors verbally presenting the instruction (“Do this”) and modeling the action that Kara should imitate (either clap or wave). If Kara scrolled, the re-presentation of the instruction and imitative action was delayed by 4 seconds (COD-4”). The instruction and imitative action were always re-presented 4 seconds after the last scrolled behavior had ended. Reinforcement was given only for non-scrolled correct responses. o Baseline probes were conducted at the beginning of each session (until the discrimination phase was initiated) which assessed the ability of Kara to complete the other behaviors identified in the multiple baseline. o Results from the current study suggest that the modified changeover delay procedure may be of use in decreasing scrolled responding by children with autism. o Results also indicate that time needed to learn a behavior via the modified changeover delay procedure may decrease as a function of the number of behaviors previously learned by use of the procedure. o Results indicate that the modified changeover delay procedure can be utilized to potentially decrease scrolled responding and increase correct responding for several different imitative behaviors. o A limitation of the current study is that only one participant was involved, and therefore no claims can be made regarding the efficacy of the procedure with other children diagnosed with autism. o An additional limitation of the current study was the lack of consistent experimental control and methodology utilized throughout the study. o Future research would benefit from a replication of the study with the use of more consistent methodological procedures.  We would like to thank the therapists at the Campus Autism Program, the parents and child that participated, and the Office of Research and Sponsored Programs. o Figure 1 displays the percentage of total trials with scrolled clap, wave, and discrimination responses across sessions. Average percentage of clap trials with scrolled responses was 100% across baseline sessions, 11% across the last 5 sessions of the initial implementation of the modified COD-4” procedure, 44% across sessions when wave was taught, and 9% across the last 10 discrimination sessions. Percentage of wave trials with scrolled responses was 97% across the last 10 baseline sessions, 54% across the 4 trials of implementation of the modified COD-4” procedure before winter break, and 9% across the last 10 discrimination sessions. Percentage of trials in which Kara scrolled responses when asked to discriminate between the two imitative responses was 88% across the last 10 baseline sessions and 10% across the last 10 modified COD-4” discrimination sessions. o Figure 2 displays the results of the total correct clap, wave, and discrimination trials across sessions. Average percentage of clap trials imitated correctly was 0% across baseline sessions, 90% across the last 5 sessions of initial implementation of the modified COD-4” procedure, 55% across sessions when wave was taught, and 90% across the last 10 discrimination sessions. Percentage of wave trials imitated correctly was 3% across the last 10 baseline sessions, 50% across the 4 trials of implementation of the modified COD-4” procedure before winter break, and 91% across the last 10 discrimination sessions. Percentage of trials in which Kara correctly discriminated between the two imitative responses was 12% across the last 10 baseline sessions and 90% across the last 10 modified COD-4” discrimination sessions. o Figure 3 displays the mean of scrolled responses per trial both before and after trials for each discrimination session. The mean of scrolled responses for the last 10 discrimination sessions was 0% before trials and 1% after trials. o Figure 4 displays the percentage of total correct tap surface imitation trials across sessions. Kara performed the response correctly for 9% of the trials in one baseline session. The mean of correct responses across the last 10 sessions utilizing the modified COD-4” procedure was 86%. Method Figure 1. Percentage of total trials with scrolled clap, wave, and discrimination responses across sessions. Figure 2. Percentage of total correct scrolled clap, wave, and discrimination trials across sessions. Figure 3. Average number of scrolled responses for clap and wave trials across sessions. Results Discussion Figure 4. Percentage of tap surface trials correct across sessions. o Trials were considered correct when Kara imitated the action modeled by the instructor (either wave or clap) without engaging in scrolled responding afterward. Discrimination o The discrimination between clap and wave was taught using the modified COD-4” procedure. o Discrimination sessions consisted of randomly presenting either wave or clap trials. Tap Surface o The motor imitation of tapping a surface was later taught utilizing the modified COD-4” procedure in combination with physical prompting that was faded over time.