Articlegreen1998

UTILIZING INCREASED RESPONSE EFFORT TO REDUCE CHRONIC HAND MOUTHING

Douglas S. Irvin · Thomas J. Thompson · William D. Turner

32 citations0/0 files storedJournal of Applied Behavior Analysis

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Behavioral and Psychological Studies Autism Spectrum Disorder Research Assistive Technology in Communication and Mobility

Abstract

The effects of increased response effort on levels of hand mouthing, leisure engagement, and adaptive elbow flexion were investigated with 2 individuals who had been diagnosed with profound disabilities. Arm restraints designed to alter the amount of physical effort necessary to engage in hand mouthing were used. Results indicated that the treatment strategy reduced levels of hand mouthing but produced only small to moderate reductions in levels of leisure engagement and adaptive elbow flexion. At follow-up, the effects of increased response effort on hand mouthing and leisure engagement were maintained for both participants; however, the restraints were associated with substantial reductions in adaptive elbow flexion for 1 participant.

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References

1994TOWARD A FUNCTIONAL ANALYSIS OF SELF‐INJURY 1982Treatment of self-injury by providing alternate sensory activities 1994The concept of automatic reinforcement: Implications for behavioral research in developmental disabilities 1995MAKING LIFE EASIER WITH EFFORT: BASIC FINDINGS AND APPLIED RESEARCH ON RESPONSE EFFORT 1997AN ANALYSIS OF REINFORCER SUBSTITUTABILITY USING OBJECT MANIPULATION AND SELF‐INJURY AS COMPETING RESPONSES 1995AN ANALYSIS OF THE REINFORCING PROPERTIES OF HAND MOUTHING 1980TREATMENT OF SELF‐INJURIOUS BEHAVIOR USING A WATER MIST: INITIAL RESPONSE SUPPRESSION AND GENERALIZATION 1997DIRECT AND COLLATERAL EFFECTS OF RESTRAINTS AND RESTRAINT FADING

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2005Treatment of hand mouthing in individuals with severe to profound developmental disabilities: A review of the literature

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