Social and Behavioral Sciences Commons^™

An Examination Of Types Of Health Insurance And The Reported Prevalence Of Autism In The United States, Jennifer L. Thompson

Dissertations

The prevalence of Autism Spectrum Disorders continues to rise despite barriers of changes to diagnostic criteria and lack of insurance coverage. Increases in prevalence affect costs associated with a disorder since cost of health care services are often estimated based on utilization of services. This can also affect an individual’s ability to access to health care services. To equitably distribute autism services to individuals an accurate estimation of the true prevalence of autism is needed.

Access to health care can be influenced by the type of insurance coverage a person holds. Other factors, such as socio-economic status, ethnicity, location of …

A Systematic Review Of The Literature On The Assessments Used For Social Communication In The Diagnosis Of Autism Spectrum Disorder, Rachel E. Kim

Masters Theses

This review of the literature aims to analyze the current assessments available for clinicians, parents, and other professionals to use during the diagnosis of Autism Spectrum Disorder (ASD) that specifically addresses social communication. Although ASD can be diagnosed as early as the age of 2, children are often not diagnosed until the age of 4-5 years old. Especially for children who would be diagnosed with ASD and require Level 2 and/or Level 3 supports, early diagnosis can lead to early intervention which can help to provide the necessary support for both the child and family. Early intervention can help to …

Establishing Auditory Discrimination And Echoic Stimulus Control With An Auditory Matching Procedure, Clare Christe

Dissertations

A generalized auditory matching repertoire is considered an early milestone in the development of verbal behavior (Greer & Keohane, 2006). Previous literature has demonstrated that the auditory matching (AM) protocol can improve echoics in individuals with developmental delays (Brown, 2005; Choi, Greer & Keohane, 2015; Du, Speckman, Medina, & Cole-Hatchard, 2017). However, some children experience difficulties with the match-to-sample (MTS) format of the AM protocol, if they are unable to perform delayed MTS tasks.

One alternative to MTS is the go/no-go procedure (Serna, Dube, & McIlvane, 1997), which requires the student to make a simple discrimination (i.e., same/different) between two …

Using A Video Modeling Treatment Package To Teach Imitation To Children With Autism, Sofia F. Peters

Dissertations

Imitation is a critical skill that allows individuals to learn through less restrictive prompting methods and may allow access to less restrictive learning environments, such as typical classrooms, where instruction is often delivered by modeling. Many individuals with autism learn to imitate with interventions that utilize live models and least-to-most prompting strategies; but, for some, these methods are not successful or efficient. While video modeling has been used to teach a variety of skills to individuals with autism, there is limited research using video modeling to teach imitation. This study investigated the effectiveness of using a video modeling treatment package …

Teaching Children With Autism To Make Independent Requests Using An Echoic-To-Mand Procedure, Michael L. Tomak

Dissertations

Mands are a vital skill for the development of a child’s communicative repertoire and are typically a major focus of early intensive behavior interventions (EIBI). Naturalistic teaching is more efficient than Discrete-Trial Training (DTT) for teaching mands (Jennet, Harris, & Delmolino, 2008); and therefore, the present study used crucial components from naturalistic teaching to teach mands in a discrete-trial format, using an echoic-to-mand procedure. This intervention increased the children’s independent vocal requests. Initially, they learned to mand for items in sight and eventually for those out of sight.

Stimulus Fading On Teaching Receptive Identification, Dennis Pomorski

Honors Theses

Many of the skills needed to live happily and independently are not in the repertoires of children diagnosed with autism, and they do not learn these skills through exposure to others (MacDuff, 2001). One of the skills children diagnosed with ASD struggle to develop is receptive identification. There is often a risk of prompt dependence or failure to transfer stimulus control to the desired stimuli when using LTM prompting methods. Children with autism spectrum disorder may require a different approach in developing a receptive language repertoire. The purpose of this study was to teach a child diagnosed with ASD receptive …

Increasing The Echoic Repertoire Of A Child With Autism Using An Imitation And Echoic Sequence, Rose Bridges

Honors Theses

A prerequisite to many things in life is the ability to communicate. Although this may mean many different things, such as verbal language, sign language, written language, and even icons, there must be some form of communication that may be utilized to get needs across. Many young children with autism spectrum disorder (ASD) are non-verbal, however there are also many children with ASD who have the ability to say words but are still not independently speaking. Reinforcing approximations to word sounds has been previously used as an effective way of increasing the child’s verbal repertoire (Shane, 2017). The present study …

Matching-To-Sample Using A Tablet, Karina Salazar-Ponce

Honors Theses

Kids with autism tend to have a difficult time with one-to-one correspondence matching. Matching-to-sample is the process of pairing an identical stimulus to its corresponding stimulus, for example, matching a physical object to its corresponding picture. This is an important skill because it is the first step in teaching individuals with developmental delays visual discrimination skills and generalization of matching. The use of technology is beneficial because it helps with attending in instructional learning. Technology is also becoming more advanced and is being used more in classrooms. The purpose of this study was to teach matching-to-sample using a tablet. There …

Teaching Echoics To A Student With Autism: Video Model Vs Live Model, Dana Waddell

Honors Theses

Learning a language is not always an easy task for all children. Typically, language is a skill that comes naturally very young in a child’s life, but for children with autism, the path to learning language is very different. The first stages of learning language involve many skills, one of which are called “echoic skills,” because the child directly echoes a sound a person elicits. This is fundamental to learning language, especially in children with autism. The field of behavior analysis has conducted great amounts of research on this topic and has found that using technology in therapy sessions can …

Using A Progressive Time Delay To Increase Mands In A Child With Autism, Brielle Babcock

Honors Theses

Mands are a building block for all communication and are therefore important to teach to individuals who do not consistently use mands. Skinner defined a mand as a “verbal operant in which the response is reinforced by a characteristic consequence and is under the control of relevant conditions of deprivation or aversive stimulation” (Hall & Sundberg 1987). By providing individuals with a way to express their desires and needs, individuals display less problem behaviors. A functional form of communication is imperative to typically developing children and children with autism spectrum disorders alike. The goal of the current study was to …

Teaching Matching-To-Sample To Low-Performing Children With Autism, Blaire E. Michelin

Dissertations

Matching-to-sample is a basic procedure used in most programs for pre-school children with autism. However, a few children fail to acquire this skill with standard matching-to-sample procedures. Therefore, the purpose of this study was to evaluate an alternative method for teaching matching-to-sample to those children when the traditional methods are likely to fail. First, simple discriminations with the matching materials were taught, then the discriminations were made more complex across successive sessions. Initially, all discriminations were taught using bins to separate the comparison stimuli. All three children acquired matching-to-sample, which generalized to matching novel two-dimensional stimuli, not placed in bins.

Effects Of Generalized Imitation Training On Functional Speech Acquisition During Picture Exchange Communication System (Pecs) Training, Mindy K. Newhouse-Oisten

Dissertations

The current literature regarding the Picture Exchange Communication System (PECS) demonstrates that some individuals diagnosed with autism acquire speech or gain increases in speech during PECS training; however, the current research base has several limitations. There is a lack of research regarding possible explanations for those speech gains, including possible pre-requisite skills for speech acquisition or procedures that can account for speech acquisition. Some research suggests a link between imitation (both motor and vocal) and language acquisition. The current study examined whether individuals with a generalized motor imitative repertoire are more likely to develop speech during PECS training than individuals …

Increasing Waiting And Turn-Taking Among Preschool Aged Children With A Verbal-Delay Diagnosis, Alexa Hill

Honors Theses

The goal of this thesis was to create and implement an intervention that used errorless teaching and focused on increasing a sharing and waiting response for a student who had a verbal delay diagnosis. The two students involved in the project were both two-year-olds who attended an early childhood special education (ECSE) classroom with other preschool-aged children who had similar diagnoses. A single-subject simple baseline design was used and involved several phases designed with multiple responses to show the effectiveness of icons to facilitate sharing among two non-verbal students. Each response was prompted (when necessary) and they were all reinforced …

Application Of Response-To-Intervention In A Pre-Kindergarten Special Education Classroom, Justin J. Daigle

Dissertations

Lovaas (1987) applied behavior analysis to the treatment of autism and demonstrated a 47% “recovery” rate. He also reported that around 10% of the population that received his services made little-to-no improvement. The present study used a response-to-intervention framework to systematically identify and treat students in an early childhood, special-education classroom who were in danger of falling within that 10%. This study set out to identify, classify, and differentiate the treatment based on the student’s response to the standard classroom intervention. Improvements in multiple students’ rates of acquisition based on this system were recorded. This indicated a possibility of improved …

Web-Based Stimulus Preference Assessment And Reinforcer Assessments For Videos, Hugo Curiel

Dissertations

Stimulus preference assessments and reinforcer assessments are integral components of positive reinforcement-based interventions. Web-based brief multiple-stimulus without replacement (MSWO) preference assessments have recently been shown to be effective in identifying preference hierarchies for videos (Curiel, Curiel, Li, Deochand, & Poling, 2018). The purpose of the current studies was to replicate Curiel et al.’s web-based MSWO assessment and assess the reinforcing function of the highest and lowest identified stimuli using novel web-based reinforcer assessments. Study 1 employed single-operant arrangements (SOAs) and Study 2 employed concurrent-operants arrangements (COAs) to assess the absolute and relative reinforcing function of the identified stimuli, respectively. The …

Teaching Students Who Have Difficulty Mastering Lmitation, Jennifer Mrljak

Dissertations

Some children with autism are unable to acquire imitation despite receiving early intensive behavioral intervention (EIBI) meant to teach that and other important skills. Many EIBI programs use physical-prompting hierarchies either as a component of the discriminative stimulus or the correction procedure following an error (Lovaas, 1981; Maurice, Green, & Luce, 1996). But even after lengthy exposure to these teaching techniques, some children still do not acquire imitative repertoires. In the present study, working with students who were not acquiring imitative repertoires, we started with shaping the initial imitative responses as a method to gain stimulus control and then introduced …

Increasing Vocalization And Echoic Stimulus Control, Logan Wurster

Honors Theses

Deficits in verbal behavior can be harmful to children’s growth and development of other crucial skills and can also increase problem behavior (Eldevik, Eikeseth, Jahr, & Smith, 2006; Charman, Magiati, & Howlin, 2007; Cividini-Motta, 2014). Results from previous research show that vocal imitation training, stimulus-stimulus pairing, rapid motor imitation, and mand-model approaches have been successful in teaching echoic behavior. However, there is little evidence to show that these methods are successful for children who are making little to no verbal responses. (Carroll & Klatts, 2008; Bennett & Yoon, 2000; Greer & Ross, 2003; & Hawkins & Schuster, 2007). The purpose …

A Sleep Intervention For Children With Autism Spectrum Disorder: A Pilot Study, Sarah A. Schoen, Sheryl Man, Chelsea Spiro

The Open Journal of Occupational Therapy

Background: Parents of children who have Autism Spectrum Disorders (ASD) commonly report sleep problems, which typically exacerbate daytime behavior problems. This pilot study sought to identify the short-term effects on sleep, behavior challenges, attention, and quality of life of children with ASD following use of the iLs Dreampad^™ pillow, which delivers bone conducted music and environmental sounds. Aims were to demonstrate acceptability and feasibility, identify measures sensitive to change, and describe individual characteristics responsive to change.

Method: Parent report questionnaires assessed sleep behavior, attention, autism-related behaviors, and quality of life from 15 participants before and during intervention. A …

Assessing The Effects Of Interactive Video Modeling On The Fidelity Of Implementation Of Skill-Acquisition Procedures, Steven Sparks

Dissertations

Behavior-analytic study has led to many advances in staff training over the last several decades. The effectiveness of modeling, role-play, and video modeling are well demonstrated in scientific literature but these techniques are often time consuming for those conducting the training which often leads to their being quite costly. Interactive video modeling is an alternative that is potentially more cost and time efficient. This type of modeling consists of embedding response opportunities in traditional video models that require the trainee to answer questions in order to complete the video. Being required to answer the embedded questions causes the trainee to …

Transitioning Children With Autism From One-On-One Discrete-Trial Settings To Special Education Classrooms, Jennifer L. Freeman

Dissertations

The goal of an early intensive behavioral intervention (EIBI) program is to teach each child the skills necessary to make meaningful progress in less-restrictive environments (Fox, Dunlap & Crushing, 2002). However, few studies have detailed the steps necessary for a “successful” transition into these educational settings. We transitioned two children, who received 20 hours a week of one-on-one discrete-trial therapy and attended a half-day special education pre-school classroom, to a full-time educational setting. With the goal of aiding each during his/her transition, this study used the Verbal Behavior Milestones Assessment and Placement Program (VB-MAPP) (Sundberg, 2008), particularly the barriers and …

Descriptive Analysis Of Activity Transition Data In An Intensive Autism Treatment Center, Ashley Marie Kotsiris

Masters Theses

Children with autism often display challenging behaviors (e.g., tantrums, aggression, etc.) when transitioning between activities. Most of the current literature focuses on antecedent interventions for increasing compliance during transitions (e.g., visual schedules, two minute transition warnings, etc.). There is a minimal number of studies examining how environmental variables may affect transitions. This study was a descriptive analysis that examined different environmental variables and their effects on transitions. Observations were conducted with four children diagnosed with autism. A transition-tracking sheet was used to gather specific descriptive data during transitions. Results suggest that two-minute warnings were not correlated with more successful transitions, …

The Effects Of Electronic Data Collection, Immediate Graphic Feedback, And Automated Scheduled Prompts On Data Collection Adherence, Cody Morris

Masters Theses

While data are essential to behavior analysis, collecting the type of data that behavior analysts often require can be a labor-intensive and time-consuming task. There have been many attempts to reduce the amount of time and effort required to collect behavioral data; most research in this area has been focused on computerized or electronic ways to do this (Dixon, 2003). While electronic data collection seems to be gaining popularity within applied behavior analysis, many obstacles still exist. The purpose of this project was to design a data collection system that is cost-efficient, adaptable, easy to use, and effective at increasing …

Sensor-Enabled Reduction Of Stereotypy, Aaron Brzezinski

Honors Theses

The goal of this study was to create and implement an intervention to reduce stereotypic behavior in a child with Autism. The participant was chosen based on a high occurrence of target behavior and was recruited through his treatment center. The target behaviors were selected based on the subjective evaluation of his treatment provider and parents. The dependent variable in this study was hand-flapping. The independent variable was DRO training that included a buzzer and a chime noise contingent on the presence or absence of stereotypy respectively. A Microsoft Kinect© 2.0 was used to track occurrence of target behavior and …

Increasing Vocalizations In Children With Autism, Nicholette Christodoulou

Honors Theses

This study focuses on increasing vocalizations for students with Autism spectrum disorder. A three-part intervention was used to attempt to establish an echoic repertoire in students who had little to no vocalizations. Both students attended an early intervention classroom with a special education school. Students were selected from their classroom if they showed little to no vocalization or echoic skills. The goal during the first phase was to collect all sounds being made by the student to increase the overall number of vocalizations being made. This was done by continuous reinforcement using edible reinforcers. In phase two, the student’s dominant …

Increasing Vocal Behavior And Establishing Echoic Stimulus Control In Children With Autism, Joseph Shane

Dissertations

Many children with autism fail to demonstrate vocal-verbal behavior, including echoic behavior, as early as their typically developing peers. Some also make very limited vocal sounds in general, remaining mostly mute aside from crying or engaging in stereotypy. Echoic behavior involves auditory discrimination and matching, and functions as a beneficial, if not necessary, prerequisite for many other vocal-verbal skills. The purpose of this study was to develop and implement an echoic training procedure for primarily non-vocal children who did not demonstrate auditory discrimination in baseline. The intervention consisted initially of sessions in which any vocal sounds were reinforced. Then differential …

Teaching Children Who Have Difficulty Mastering Auditory Discriminations, Sarah Lichtenberger

Dissertations

Simple and conditional visual and auditory discrimination repertoires are critical components of many skills necessary for daily functioning, including communication, academic, and daily-living skills (Green, 2001). When auditory discrimination is not under instructional stimulus control, it can result in delayed acquisition of new skills and limit academic progress. The purpose of this study was to teach auditory discrimination to children with autism who had little to no progress on classroom procedures that required auditory discrimination, such as selecting an object from an array when given the name of the object as the direction. Auditory discrimination was taught starting with teaching …

Autism Spectrum Disorder: A Case Study Of Mikey, Gabrielle Lober

Honors Theses

This paper describes Autism Spectrum Disorder (ASD) including diagnostic criteria, suspected causes, prevalence, comorbidities, and influences on client factors. A hypothetical case study is presented to give readers an illustration of what someone with ASD might look like. Possible treatment based on evidence and selected frame of references will be given for the hypothetical client. This paper is not all inclusive of the role of occupational therapy in the treatment of Autism Spectrum Disorder, but gives an illustrative example.

Assessing The Effectiveness Of A Picture Exchange Communication System On Increasing Manding And Vocal Speech In Identical Twin Adults With Autism, Laura C. Hilton

Dissertations

This study examined the effectiveness of a Picture Exchange Communication System (PECS) on increasing manding (i.e., making requests) and spontaneous vocalizations. Participants were a set of identical twin adult women, both with a diagnosis of autism. The main dependent variable was the number of mands emitted by the participants while utilizing PECS. During each phase of training, participants had to meet a specific criterion before receiving a preferred item. Once the participants met the criterion for each phase of PECS training, a new phase began. Spontaneous vocalizations were tracked during each phase of training to determine if, as previous studies …

Autism Project: Case Study Evaluating Behavioral Interventions For The Self-Injurious Behavior Of Biting, Brittani Rohrig

Honors Theses

Self-injurious (SIB) behavior is a common problem among the autism population, and often those who engage in SIB have done so since a very early age. There was a nine-year-old boy named Jack who was diagnosed with ASD and engaged in the self-injurious behavior of biting his hand. A functional analysis was conducted and it was found that the behavior was multiply controlled across three main conditions: alone/play, demand, and attention. The goal of this case study was to review previous interventions that did not eliminate the target behavior, analyze and revise the current protocols in place, and eliminate the …

Lack Of Medicaid Funding For Occupational Therapy Serving The Autism Spectrum Disorder Population Ages 0-5 Years, Nadia Yala

Honors Theses

The prevalence of autism in the United States is currently 1 in 68 children (Autism Alliance of Michigan, 2014). This is considered an epidemic. There are a variety of treatments available in the state of Michigan for children with autism, such as occupational therapy, speech therapy, physical therapy, and applied behavior analysis (ABA). Effective April 1^st, 2013, Michigan increased their funding cap for ABA therapy for treating children with autism. However, there is a lack of knowledge within the community and amongst professionals in regards to the critical treatment occupational therapy practitioners provide and as a result, there …