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A PROCEDURE FOR IDENTIFYING PRECURSORS TO
PROBLEM BEHAVIOR
BRANDON HERSCOVITCH, EILEEN M. ROSCOE, MYRNA
E. LIBBY,
JASON C. BOURRET, AND WILLIAM H. AHEARN
NEW ENGLAND CENTER FOR CHILDREN
NORTHEASTERN UNIVERSITY
We describe a procedure for differentiating among potential
precursor responses for use in a
functional analysis. Conditional probability analysis of
descriptive assessment data identified
three potential precursors. Results from the indirect assessment
corresponded with those
obtained from the descriptive assessment. The top-ranked
response identified as a precursor
according to the indirect assessment had the strongest relation
according to the probability
analysis. When contingencies were arranged for the precursor in
a functional analysis, the same
function was identified as for target behavior, supporting the
utility of indirect and descriptive
methods to identify precursor behavior empirically.
DESCRIPTORS: descriptive assessment, functional analysis,
precursors, problem behavior,
response-class hierarchies
_____________________________________________________
__________________________
Functional analysis (Iwata, Dorsey, Slifer,
Bauman, & Richman, 1982/1994) involves
manipulating antecedents and consequences
for the target behavior of interest. Because a
functional analysis requires the repeated occur-
rence of a target response, it may not be
appropriate for response topographies that pose
risk of harm to others (e.g., severe aggression) or
the client (e.g., self-injury). One modification
that has addressed this concern involves a
functional analysis of precursor behavior (i.e.,
arranging contingencies for responses that
reliably precede the target behavior) based on
previous research showing that response topog-
raphies that occur in close temporal proximity
are often members of the same response class,
and by providing differential reinforcement for
earlier responses in the response-class hierarchy,
later more severe responses occur less often
(Harding et al., 2001; Lalli, Mace, Wohn, &
Livezey, 1995; Richman, Wacker, Asmus,
Casey, & Andelman, 1999).
Smith and Churchill (2002) conducted a
functional analysis of precursor behavior and
found similar outcomes from a functional
analysis of the target behavior and a functional
analysis of the hypothesized precursor behavior.
A study by Najdowski, Wallace, Ellsworth,
MacAleese, and Cleveland (2008) extended this
work by demonstrating that an intervention
based on a functional analysis of precursor
behavior was effective in eliminating partici-
pants’ precursor behavior. The implication of
these findings is that outcomes from functional
analyses of precursor responses may be used to
infer the function of more severe topographies
that occur later in the response-class hierarchy.
A potential limitation associated with both of
these studies is that indirect assessments alone
were used to identify precursor responses. Such
assessments have sometimes been found to have
poor reliability and validity for identifying the
function of problem behavior (e.g., Zarcone,
Rodgers, Iwata, Rourke, & Dorsey, 1991).
However, because an advantage of indirect
assessments is their ease of use and efficiency,
it may be useful to evaluate their utility for
identifying precursors by comparing the out-
This research is based on a thesis submitted by the first
author in partial fulfillment of requirements for the
master’s degree. We thank Jon Merritt, Leah Kara, and
Erin Louthen for their assistance in conducting the study.
Address correspondence to Eileen Roscoe, New En-
gland Center for Children, 33 Turnpike Road, South-
borough, Massachusetts 01772 (e-mail: [email protected]
org).
doi: 10.1901/jaba.2009.42-697
JOURNAL OF APPLIED BEHAVIOR ANALYSIS 2009, 42,
697–702 NUMBER 3 (FALL 2009)
697
comes of an interview regarding precursor
behavior with those obtained from direct
observation.
In a related study, Borrero and Borrero
(2008) evaluated the utility of comparative
probability analyses of descriptive assessment
data for confirming the predictive relation
between a hypothesized precursor response
(vocalizations) and the target behavior (aggres-
sion and property destruction). Although this
study demonstrated the utility of direct obser-
vation for confirming this predictive relation,
the authors did not evaluate the utility of this
approach for differentiating among several
potential precursor responses. Therefore, the
purpose of the present study was to extend
previous research by identifying a number of
possible precursors using an indirect assessment,
using a descriptive assessment to identify the
precursor with the strongest relation to targeted
problem behavior, and then conducting a
functional analysis on both this precursor and
the more severe targeted problem behavior.
METHOD
Participant and Setting
Jay, a 10-year-old boy who had been
diagnosed with autism and attended a residen-
tial program for students with developmental
disabilities, participated in this study. He used a
picture exchange communication system and
demonstrated a wide range of receptive skills,
including discrimination of multiple-step direc-
tives. His primary problem behavior was head-
directed self-injury (head hitting). He was
included in this study because staff reported
that his head hitting often occurred in close
temporal succession to several other response
topographies. Descriptive assessment sessions
were conducted in Jay’s classroom, which
included a table and two individual-sized desks
to accommodate four students. He sat at one of
the desks with his teacher while the other
students and teachers were present and engaged
in typical classroom activities. Functional
analysis sessions were conducted in a room
(1.5 m by 3 m) equipped with a wide-angle
video camera and a table with two chairs.
Response Measurement and
Interobserver Agreement
Jay’s target response was head hitting (any
instance of Jay’s head coming into contact with
another body part or object from a distance of
8 cm or more). Staff-reported precursor re-
sponses included finger biting (Jay’s upper and
lower teeth coming into contact with one or
more of his fingers simultaneously), loud
vocalizations (vocalizations above conversational
level), tailbone hitting (Jay forcefully dropping
his weight onto his tailbone, from a distance of
8 cm or more), hand clasping (Jay’s fingers
clasped with palms together simultaneously for
any duration of time), and elbow hitting (Jay’s
elbow forcefully striking a surface from 8 cm or
more). Although some of these potential
precursor responses were also forms of problem
behavior, none were as intense or were as likely
to result in tissue damage as was head hitting.
All sessions were videotaped. Trained observ-
ers scored dependent variables using handheld
computers with software designed for behavior-
al data collection, the calculation of conditional
probabilities, and interobserver agreement. Ob-
servers recorded head hitting, finger biting,
tailbone hitting, and elbow hitting using frequen-
cy measures and loud vocalizations and hand
clasping using duration measures. During the
functional analysis, data were summarized as
responses per minute by dividing the total
number of responses that occurred during each
session by the total number of minutes in each
session. Interobserver agreement datat were
collected during the entire 56-min descriptive
assessment and during 36% of the functional
analysis sessions. For the descriptive assessment,
mean agreement was 98% for head hitting, 97%
for finger biting, 89% for loud vocalizations, 97%
for tailbone hitting, 94% for hand clasping, and
98% for elbow hitting. Mean agreement during
the functional analysis was 96% (range, 89% to
698 BRANDON HERSCOVITCH et al.
100%) for head hitting and 96% (range, 84% to
100%) for finger biting.
Indirect Assessment
Interviews were conducted individually with
16 respondents who worked as Jay’s teachers on
a daily basis. During the interview, the
experimenter explained that a precursor was a
reliable predictor of problem behavior and then
asked respondents if they could identify
precursors to Jay’s head hitting. If respondents
identified more than one response topography
as a precursor behavior, they were asked to rank
precursors as primary, secondary, and tertiary.
Results of the survey are depicted in Table 1.
Finger biting and loud vocalizations were
identified most often as precursors, with finger
biting being reported by the largest number of
respondents as a primary precursor followed by
loud vocalizations. Four of the six respondents
who did not identify finger biting as a primary
precursor identified it as a secondary precursor.
Descriptive Assessment
Jay was videotaped in his regular classroom
setting, Monday through Friday, 10 a.m. to 3
p.m., in 5- to 12-min observation periods.
Materials that were present included a desk and
chair, academic supplies, and leisure items.
Taping continued until 20 instances of problem
behavior had been captured; the total observa-
tion length of the descriptive assessment was
56 min. Tapes were scored for the occurrence
of head hitting alone and within 10 s of the five
putative precursor responses, using handheld
computers as previously described. A data-
analysis program calculated conditional and
unconditional (background) probabilities, using
a method similar to that described by Vollmer,
Borrero, Wright, Van Camp, and Lalli (2001).
Similar to the Borrero and Borrero (2008)
study, two conditional probability analyses and
two unconditional probability analyses were
conducted. To calculate the probability of target
behavior given precursor behavior, the number
of occurrences of the precursor response that
were followed by an occurrence of the target
response (head hitting) within 10 s was divided
by the total number of occurrences of that
precursor response. To calculate the probability
of precursor behavior given target behavior, the
number of occurrences of the target behavior
Table 1
Reported Precursors during Indirect Assessment
Respondent Primary Secondary Tertiary
1 Finger biting Loud vocalizations
2 Finger biting Loud vocalizations Tailbone hitting
3 Loud vocalizations Tailbone hitting
4 Finger biting Loud vocalizations Tailbone hitting
5 Finger biting Loud vocalizations
6 Finger biting Loud vocalizations and clasping hands Elbow
hitting
7 Finger biting Loud vocalizations Clasping hands
8 Finger biting Clasping hands Loud vocalizations
9 Finger biting Loud vocalizations
10 Loud vocalizations Finger biting
11 Loud vocalizations Finger biting
12 Loud vocalizations Finger biting
13 Loud vocalizations
14 Finger biting
15 Elbow hitting Finger biting
16 Finger biting
Total Finger biting 5 62.5% Loud vocalizations 5 43.8%
Tailbone hitting 5 12.5%
Loud vocalizations 5 31.3% Finger biting 5 25% Loud
vocalizations 5 6.3%
Elbow hitting 5 6.3% Clasping hands 5 12.5% Elbow hitting 5
6.3%
Clasping hands 5 0% Tailbone hitting 5 6.3% Clasping hands 5
6.3%
Tailbone hitting 5 0% Finger biting 5 0%
PRECURSORS TO PROBLEM BEHAVIOR 699
that occurred within 10 s following a potential
precursor was divided by the total number of
occurrences of the target behavior. To calculate
the unconditional probability of the target
behavior, the number of 10-s intervals that
contained the target response was divided by the
total number of 10-s intervals in the assessment.
To calculate the unconditional probability of
the precursor response, the number of 10-s
intervals that contained the precursor response
was divided by the total number of 10-s
intervals in the assessment.
Results of the comparative probability anal-
yses based on the descriptive assessment are
depicted in Figure 1 (top). The probability of
the target behavior (head hitting) given finger
Figure 1. The top panel depicts comparative probability
analyses, including the probability of target behavior (head
hitting) given precursor behavior (finger biting; p[TB|Pre]), the
unconditional probability of target behavior (p[TB]), the
probability of precursor behavior given target behavior
(p[Pre|TB]), and the unconditional probability of precursor
behavior (p[Pre]). The middle and bottom left panels show
results from the functional analysis of head hitting, and the
middle and bottom right panels show results from the functional
analysis of finger biting.
700 BRANDON HERSCOVITCH et al.
biting was .8, given loud vocalizations was .14,
given tailbone hitting was .13, given hand
clasping was 0, and given elbow hitting was 0.
The probability of finger biting given head
hitting was 1.0, given loud vocalizations was
.65, given tailbone hitting was .09, given hand
clasping was 0, and given elbow hitting was 0.
The unconditional probability of head hitting
was .04. A comparison of conditional and
unconditional probabilities shows that head
hitting was more probable given finger biting,
loud vocalizations, and tailbone hitting and that
this difference was most prominent given finger
biting. These data also show that the probability
of finger biting, loud vocalizations, and tailbone
hitting was greater preceding head hitting than
it was unconditionally and that this difference
was most pronounced for finger biting. To-
gether, these analyses showed that finger biting,
loud vocalizations, and tailbone hitting might
be considered precursors for head hitting, with
the relation between finger biting and head
hitting being the most apparent. This outcome
was in agreement with 58% of the respondents
who noted that finger biting was the most
reliable precursor response.
Functional Analyses
Two functional analyses were conducted.
Differential consequences were provided for
head hitting during the first functional analysis,
and differential consequences were provided for
finger biting in the second functional analysis.
Less than 1 month had elapsed between the
completion of the first functional analysis and
the start of the second functional analysis.
Functional analyses were similar to those
described by Iwata et al. (1982/1994), with
alone, attention, play, and demand conditions
presented in a multielement design. During the
alone condition, Jay was alone in a room with
no leisure items. During the attention condi-
tion, no leisure items were present, and the
therapist pretended to work and diverted
attention away from Jay. The therapist provided
brief vocal and physical attention following
target or precursor behavior. During the play
condition, preferred leisure items were contin-
uously available, and the therapist provided
brief attention to Jay on a fixed-time 15-s
schedule. During the demand condition, the
therapist presented instructions (e.g., wiping the
table, tying a shoelace, folding a towel), using a
three-step prompting hierarchy, and removed
the demands for 30 s following target or
precursor behavior.
RESULTS AND DISCUSSION
Results from the functional analyses are
depicted on the middle (head hitting) and
bottom (finger biting) panels of Figure 1.
During the functional analysis of head hitting
(left), head hitting and finger biting (precursor
response) occurred at differentially higher rates
in the demand condition, suggesting mainte-
nance by escape from tasks. During the
functional analysis of precursor behavior (right),
finger biting occurred at differentially higher
rates in the demand condition, suggesting
maintenance by escape from tasks. Thus, the
functional analysis of both the target and
precursor behaviors identified the same main-
taining consequence. It is also important to note
that a reduction in the target response (head
hitting) was observed during the functional
analysis of finger biting (M 5 2.2 responses per
minute during demand sessions) relative to the
functional analysis of head hitting (M 5 5.3
during demand sessions). In addition, the
temporal sequence of finger biting and head
hitting during the functional analysis of head
hitting was such that 95% of finger biting began
prior to an occurrence of head hitting. Thus,
finger biting primarily preceded the occurrence
of head hitting during the functional analysis.
The present findings extend previous research
on functional analysis of precursor behavior by
including both indirect and descriptive methods
for identifying precursor responses. Further, the
current study extends Borrero and Borrero
(2008) by conducting comparative probability
PRECURSORS TO PROBLEM BEHAVIOR 701
analyses with multiple potential precursor
responses to determine to what extent findings
obtained from the indirect assessment matched
those from the descriptive assessment. The
present findings also replicate previous research
showing that outcomes of the functional
analysis of both the target behavior and
precursor behavior showed the same outcome,
and the functional analysis of precursor behav-
ior resulted in fewer occurrences of the target
response. These findings support the predictive
validity of a functional analysis of precursor
behavior and suggest the clinical utility of this
approach for decreasing risk associated with a
functional analysis of severe problem behavior.
Although results of the current study provide
support for both indirect and descriptive
assessment methods for identifying precursor
behavior, additional research is needed to assess
the generality of both approaches across
participants and response topographies. In the
current study, most respondents interviewed
identified the correct precursor as being the
most likely during the survey, but approximate-
ly a third of the respondents did not. In future
research, functional analyses of multiple re-
sponses identified by both descriptive and
indirect assessments might be compared to
determine whether secondary or tertiary pre-
cursors are also members of the same response
class as more severe problem behavior. In
addition, it is important to note that, although
levels of head hitting decreased during the
functional analysis of precursor behavior, it
continued to occur. Therefore, conducting a
functional analysis of precursor behavior may
not ensure complete suppression of the problem
behavior during the analysis.
REFERENCES
Borrero, C. S. W., & Borrero, J. C. (2008). Descriptive
and experimental analyses of potential precursors to
problem behavior. Journal of Applied Behavior
Analysis, 41, 83–96.
Harding, J. W., Wacker, D. P., Berg, W. K., Barretto, A.,
Winborn, L., & Gardner, A. (2001). Analysis of
response-class hierarchies with attention-maintained
problem behaviors. Journal of Applied Behavior
Analysis, 34, 61–64.
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E.,
& Richman, G. S. (1994). Toward a functional
analysis of self-injury. Journal of Applied Behavior
Analysis, 27, 197–209. (Reprinted from Analysis and
Intervention in Developmental Disabilities 2, 3–20,
1982)
Lalli, J. S., Mace, F. C., Wohn, T., & Livezey, K. (1995).
Identification and modification of a response-class
hierarchy. Journal of Applied Behavior Analysis, 28,
551–559.
Najdowski, A. C., Wallace, M. D., Ellsworth, C. L.,
MacAleese, A. N., & Cleveland, J. M. (2008).
Functional analyses and treatment of precursor
behavior. Journal of Applied Behavior Analysis, 41,
97–105.
Richman, D. M., Wacker, D. P., Asmus, J. M., Casey, S.
D., & Andelman, M. (1999). Further analysis of
problem behavior in response-class hierarchies. Jour-
nal of Applied Behavior Analysis, 32, 269–283.
Smith, R. G., & Churchill, R. M. (2002). Identification of
environmental determinants of behavior disorders
through functional analysis of precursor behaviors.
Journal of Applied Behavior Analysis, 35, 125–136.
Vollmer, T. R., Borrero, J. C., Wright, C. S., Van Camp,
C., & Lalli, J. S. (2001). Identifying possible
contingencies during descriptive analyses of severe
behavior disorders. Journal of Applied Behavior
Analysis, 34, 269–287.
Zarcone, J. R., Rodgers, T. A., Iwata, B. A., Rourke, D.
A., & Dorsey, M. F. (1991). Reliability analysis of the
motivation assessment scale: A failure to replicate.
Research in Developmental Disabilities, 12, 349–362.
Received February 27, 2008
Final acceptance November 10, 2008
Action Editor, James Carr
702 BRANDON HERSCOVITCH et al.
A PROCEDURE FOR IDENTIFYING PRECURSORS TOPROBLEM BEHAVIOR.docx

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A PROCEDURE FOR IDENTIFYING PRECURSORS TOPROBLEM BEHAVIOR.docx

  • 1. A PROCEDURE FOR IDENTIFYING PRECURSORS TO PROBLEM BEHAVIOR BRANDON HERSCOVITCH, EILEEN M. ROSCOE, MYRNA E. LIBBY, JASON C. BOURRET, AND WILLIAM H. AHEARN NEW ENGLAND CENTER FOR CHILDREN NORTHEASTERN UNIVERSITY We describe a procedure for differentiating among potential precursor responses for use in a functional analysis. Conditional probability analysis of descriptive assessment data identified three potential precursors. Results from the indirect assessment corresponded with those obtained from the descriptive assessment. The top-ranked response identified as a precursor according to the indirect assessment had the strongest relation according to the probability analysis. When contingencies were arranged for the precursor in a functional analysis, the same function was identified as for target behavior, supporting the utility of indirect and descriptive methods to identify precursor behavior empirically. DESCRIPTORS: descriptive assessment, functional analysis, precursors, problem behavior, response-class hierarchies _____________________________________________________
  • 2. __________________________ Functional analysis (Iwata, Dorsey, Slifer, Bauman, & Richman, 1982/1994) involves manipulating antecedents and consequences for the target behavior of interest. Because a functional analysis requires the repeated occur- rence of a target response, it may not be appropriate for response topographies that pose risk of harm to others (e.g., severe aggression) or the client (e.g., self-injury). One modification that has addressed this concern involves a functional analysis of precursor behavior (i.e., arranging contingencies for responses that reliably precede the target behavior) based on previous research showing that response topog- raphies that occur in close temporal proximity are often members of the same response class, and by providing differential reinforcement for earlier responses in the response-class hierarchy, later more severe responses occur less often (Harding et al., 2001; Lalli, Mace, Wohn, & Livezey, 1995; Richman, Wacker, Asmus, Casey, & Andelman, 1999). Smith and Churchill (2002) conducted a functional analysis of precursor behavior and found similar outcomes from a functional analysis of the target behavior and a functional analysis of the hypothesized precursor behavior. A study by Najdowski, Wallace, Ellsworth, MacAleese, and Cleveland (2008) extended this work by demonstrating that an intervention based on a functional analysis of precursor behavior was effective in eliminating partici-
  • 3. pants’ precursor behavior. The implication of these findings is that outcomes from functional analyses of precursor responses may be used to infer the function of more severe topographies that occur later in the response-class hierarchy. A potential limitation associated with both of these studies is that indirect assessments alone were used to identify precursor responses. Such assessments have sometimes been found to have poor reliability and validity for identifying the function of problem behavior (e.g., Zarcone, Rodgers, Iwata, Rourke, & Dorsey, 1991). However, because an advantage of indirect assessments is their ease of use and efficiency, it may be useful to evaluate their utility for identifying precursors by comparing the out- This research is based on a thesis submitted by the first author in partial fulfillment of requirements for the master’s degree. We thank Jon Merritt, Leah Kara, and Erin Louthen for their assistance in conducting the study. Address correspondence to Eileen Roscoe, New En- gland Center for Children, 33 Turnpike Road, South- borough, Massachusetts 01772 (e-mail: [email protected] org). doi: 10.1901/jaba.2009.42-697 JOURNAL OF APPLIED BEHAVIOR ANALYSIS 2009, 42, 697–702 NUMBER 3 (FALL 2009) 697
  • 4. comes of an interview regarding precursor behavior with those obtained from direct observation. In a related study, Borrero and Borrero (2008) evaluated the utility of comparative probability analyses of descriptive assessment data for confirming the predictive relation between a hypothesized precursor response (vocalizations) and the target behavior (aggres- sion and property destruction). Although this study demonstrated the utility of direct obser- vation for confirming this predictive relation, the authors did not evaluate the utility of this approach for differentiating among several potential precursor responses. Therefore, the purpose of the present study was to extend previous research by identifying a number of possible precursors using an indirect assessment, using a descriptive assessment to identify the precursor with the strongest relation to targeted problem behavior, and then conducting a functional analysis on both this precursor and the more severe targeted problem behavior. METHOD Participant and Setting Jay, a 10-year-old boy who had been diagnosed with autism and attended a residen- tial program for students with developmental disabilities, participated in this study. He used a picture exchange communication system and demonstrated a wide range of receptive skills, including discrimination of multiple-step direc-
  • 5. tives. His primary problem behavior was head- directed self-injury (head hitting). He was included in this study because staff reported that his head hitting often occurred in close temporal succession to several other response topographies. Descriptive assessment sessions were conducted in Jay’s classroom, which included a table and two individual-sized desks to accommodate four students. He sat at one of the desks with his teacher while the other students and teachers were present and engaged in typical classroom activities. Functional analysis sessions were conducted in a room (1.5 m by 3 m) equipped with a wide-angle video camera and a table with two chairs. Response Measurement and Interobserver Agreement Jay’s target response was head hitting (any instance of Jay’s head coming into contact with another body part or object from a distance of 8 cm or more). Staff-reported precursor re- sponses included finger biting (Jay’s upper and lower teeth coming into contact with one or more of his fingers simultaneously), loud vocalizations (vocalizations above conversational level), tailbone hitting (Jay forcefully dropping his weight onto his tailbone, from a distance of 8 cm or more), hand clasping (Jay’s fingers clasped with palms together simultaneously for any duration of time), and elbow hitting (Jay’s elbow forcefully striking a surface from 8 cm or more). Although some of these potential precursor responses were also forms of problem
  • 6. behavior, none were as intense or were as likely to result in tissue damage as was head hitting. All sessions were videotaped. Trained observ- ers scored dependent variables using handheld computers with software designed for behavior- al data collection, the calculation of conditional probabilities, and interobserver agreement. Ob- servers recorded head hitting, finger biting, tailbone hitting, and elbow hitting using frequen- cy measures and loud vocalizations and hand clasping using duration measures. During the functional analysis, data were summarized as responses per minute by dividing the total number of responses that occurred during each session by the total number of minutes in each session. Interobserver agreement datat were collected during the entire 56-min descriptive assessment and during 36% of the functional analysis sessions. For the descriptive assessment, mean agreement was 98% for head hitting, 97% for finger biting, 89% for loud vocalizations, 97% for tailbone hitting, 94% for hand clasping, and 98% for elbow hitting. Mean agreement during the functional analysis was 96% (range, 89% to 698 BRANDON HERSCOVITCH et al. 100%) for head hitting and 96% (range, 84% to 100%) for finger biting. Indirect Assessment Interviews were conducted individually with
  • 7. 16 respondents who worked as Jay’s teachers on a daily basis. During the interview, the experimenter explained that a precursor was a reliable predictor of problem behavior and then asked respondents if they could identify precursors to Jay’s head hitting. If respondents identified more than one response topography as a precursor behavior, they were asked to rank precursors as primary, secondary, and tertiary. Results of the survey are depicted in Table 1. Finger biting and loud vocalizations were identified most often as precursors, with finger biting being reported by the largest number of respondents as a primary precursor followed by loud vocalizations. Four of the six respondents who did not identify finger biting as a primary precursor identified it as a secondary precursor. Descriptive Assessment Jay was videotaped in his regular classroom setting, Monday through Friday, 10 a.m. to 3 p.m., in 5- to 12-min observation periods. Materials that were present included a desk and chair, academic supplies, and leisure items. Taping continued until 20 instances of problem behavior had been captured; the total observa- tion length of the descriptive assessment was 56 min. Tapes were scored for the occurrence of head hitting alone and within 10 s of the five putative precursor responses, using handheld computers as previously described. A data- analysis program calculated conditional and unconditional (background) probabilities, using a method similar to that described by Vollmer,
  • 8. Borrero, Wright, Van Camp, and Lalli (2001). Similar to the Borrero and Borrero (2008) study, two conditional probability analyses and two unconditional probability analyses were conducted. To calculate the probability of target behavior given precursor behavior, the number of occurrences of the precursor response that were followed by an occurrence of the target response (head hitting) within 10 s was divided by the total number of occurrences of that precursor response. To calculate the probability of precursor behavior given target behavior, the number of occurrences of the target behavior Table 1 Reported Precursors during Indirect Assessment Respondent Primary Secondary Tertiary 1 Finger biting Loud vocalizations 2 Finger biting Loud vocalizations Tailbone hitting 3 Loud vocalizations Tailbone hitting 4 Finger biting Loud vocalizations Tailbone hitting 5 Finger biting Loud vocalizations 6 Finger biting Loud vocalizations and clasping hands Elbow hitting 7 Finger biting Loud vocalizations Clasping hands 8 Finger biting Clasping hands Loud vocalizations 9 Finger biting Loud vocalizations 10 Loud vocalizations Finger biting 11 Loud vocalizations Finger biting 12 Loud vocalizations Finger biting 13 Loud vocalizations
  • 9. 14 Finger biting 15 Elbow hitting Finger biting 16 Finger biting Total Finger biting 5 62.5% Loud vocalizations 5 43.8% Tailbone hitting 5 12.5% Loud vocalizations 5 31.3% Finger biting 5 25% Loud vocalizations 5 6.3% Elbow hitting 5 6.3% Clasping hands 5 12.5% Elbow hitting 5 6.3% Clasping hands 5 0% Tailbone hitting 5 6.3% Clasping hands 5 6.3% Tailbone hitting 5 0% Finger biting 5 0% PRECURSORS TO PROBLEM BEHAVIOR 699 that occurred within 10 s following a potential precursor was divided by the total number of occurrences of the target behavior. To calculate the unconditional probability of the target behavior, the number of 10-s intervals that contained the target response was divided by the total number of 10-s intervals in the assessment. To calculate the unconditional probability of the precursor response, the number of 10-s intervals that contained the precursor response was divided by the total number of 10-s intervals in the assessment. Results of the comparative probability anal- yses based on the descriptive assessment are depicted in Figure 1 (top). The probability of the target behavior (head hitting) given finger
  • 10. Figure 1. The top panel depicts comparative probability analyses, including the probability of target behavior (head hitting) given precursor behavior (finger biting; p[TB|Pre]), the unconditional probability of target behavior (p[TB]), the probability of precursor behavior given target behavior (p[Pre|TB]), and the unconditional probability of precursor behavior (p[Pre]). The middle and bottom left panels show results from the functional analysis of head hitting, and the middle and bottom right panels show results from the functional analysis of finger biting. 700 BRANDON HERSCOVITCH et al. biting was .8, given loud vocalizations was .14, given tailbone hitting was .13, given hand clasping was 0, and given elbow hitting was 0. The probability of finger biting given head hitting was 1.0, given loud vocalizations was .65, given tailbone hitting was .09, given hand clasping was 0, and given elbow hitting was 0. The unconditional probability of head hitting was .04. A comparison of conditional and unconditional probabilities shows that head hitting was more probable given finger biting, loud vocalizations, and tailbone hitting and that this difference was most prominent given finger biting. These data also show that the probability of finger biting, loud vocalizations, and tailbone hitting was greater preceding head hitting than it was unconditionally and that this difference was most pronounced for finger biting. To- gether, these analyses showed that finger biting, loud vocalizations, and tailbone hitting might
  • 11. be considered precursors for head hitting, with the relation between finger biting and head hitting being the most apparent. This outcome was in agreement with 58% of the respondents who noted that finger biting was the most reliable precursor response. Functional Analyses Two functional analyses were conducted. Differential consequences were provided for head hitting during the first functional analysis, and differential consequences were provided for finger biting in the second functional analysis. Less than 1 month had elapsed between the completion of the first functional analysis and the start of the second functional analysis. Functional analyses were similar to those described by Iwata et al. (1982/1994), with alone, attention, play, and demand conditions presented in a multielement design. During the alone condition, Jay was alone in a room with no leisure items. During the attention condi- tion, no leisure items were present, and the therapist pretended to work and diverted attention away from Jay. The therapist provided brief vocal and physical attention following target or precursor behavior. During the play condition, preferred leisure items were contin- uously available, and the therapist provided brief attention to Jay on a fixed-time 15-s schedule. During the demand condition, the therapist presented instructions (e.g., wiping the table, tying a shoelace, folding a towel), using a three-step prompting hierarchy, and removed
  • 12. the demands for 30 s following target or precursor behavior. RESULTS AND DISCUSSION Results from the functional analyses are depicted on the middle (head hitting) and bottom (finger biting) panels of Figure 1. During the functional analysis of head hitting (left), head hitting and finger biting (precursor response) occurred at differentially higher rates in the demand condition, suggesting mainte- nance by escape from tasks. During the functional analysis of precursor behavior (right), finger biting occurred at differentially higher rates in the demand condition, suggesting maintenance by escape from tasks. Thus, the functional analysis of both the target and precursor behaviors identified the same main- taining consequence. It is also important to note that a reduction in the target response (head hitting) was observed during the functional analysis of finger biting (M 5 2.2 responses per minute during demand sessions) relative to the functional analysis of head hitting (M 5 5.3 during demand sessions). In addition, the temporal sequence of finger biting and head hitting during the functional analysis of head hitting was such that 95% of finger biting began prior to an occurrence of head hitting. Thus, finger biting primarily preceded the occurrence of head hitting during the functional analysis. The present findings extend previous research on functional analysis of precursor behavior by including both indirect and descriptive methods
  • 13. for identifying precursor responses. Further, the current study extends Borrero and Borrero (2008) by conducting comparative probability PRECURSORS TO PROBLEM BEHAVIOR 701 analyses with multiple potential precursor responses to determine to what extent findings obtained from the indirect assessment matched those from the descriptive assessment. The present findings also replicate previous research showing that outcomes of the functional analysis of both the target behavior and precursor behavior showed the same outcome, and the functional analysis of precursor behav- ior resulted in fewer occurrences of the target response. These findings support the predictive validity of a functional analysis of precursor behavior and suggest the clinical utility of this approach for decreasing risk associated with a functional analysis of severe problem behavior. Although results of the current study provide support for both indirect and descriptive assessment methods for identifying precursor behavior, additional research is needed to assess the generality of both approaches across participants and response topographies. In the current study, most respondents interviewed identified the correct precursor as being the most likely during the survey, but approximate- ly a third of the respondents did not. In future research, functional analyses of multiple re- sponses identified by both descriptive and
  • 14. indirect assessments might be compared to determine whether secondary or tertiary pre- cursors are also members of the same response class as more severe problem behavior. In addition, it is important to note that, although levels of head hitting decreased during the functional analysis of precursor behavior, it continued to occur. Therefore, conducting a functional analysis of precursor behavior may not ensure complete suppression of the problem behavior during the analysis. REFERENCES Borrero, C. S. W., & Borrero, J. C. (2008). Descriptive and experimental analyses of potential precursors to problem behavior. Journal of Applied Behavior Analysis, 41, 83–96. Harding, J. W., Wacker, D. P., Berg, W. K., Barretto, A., Winborn, L., & Gardner, A. (2001). Analysis of response-class hierarchies with attention-maintained problem behaviors. Journal of Applied Behavior Analysis, 34, 61–64. Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197–209. (Reprinted from Analysis and Intervention in Developmental Disabilities 2, 3–20, 1982) Lalli, J. S., Mace, F. C., Wohn, T., & Livezey, K. (1995). Identification and modification of a response-class hierarchy. Journal of Applied Behavior Analysis, 28, 551–559.
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