Slocum Et Al. (2018)

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JOURNAL OF APPLIED BEHAVIOR ANALYSIS 2018, 51, 61–69 NUMBER 1 (WINTER)

A MULTICOMPONENT APPROACH TO THINNING REINFORCER


DELIVERY DURING NONCONTINGENT REINFORCEMENT
SCHEDULES
SARAH K. SLOCUM
ROLLINS COLLEGE

EMMA GRAUERHOLZ-FISHER, KERRI P. PETERS AND TIMOTHY R. VOLLMER


UNIVERSITY OF FLORIDA

We evaluated a noncontingent reinforcement procedure that involved initially providing three


subjects with signaled, continuous access to the functional reinforcer for aggression and slowly
increasing the amount of time subjects were exposed to the signaled unavailability of the rein-
forcer. Additionally, alternative potential reinforcers were available throughout the sessions.
Results showed immediate and substantial reductions in aggression for all three subjects. The
clinical utility of this intervention is discussed, and future research directions are recommended.
Key words: multiple schedules, noncontingent reinforcement, problem behavior, reinforce-
ment thinning, social-positive reinforcement

After the reinforcer maintaining problem environment (Carr et al., 2000). Thinning
behavior is identified via a functional analysis, involves gradually reintroducing deprivation
noncontingent reinforcement (NCR) involves and thus can evoke problem behavior. For
delivering that reinforcer on a time-based example, Vollmer, Ringdahl, Roane, and Mar-
schedule independent of the occurrence of cus (1997) documented a case in which NCR
problem behavior (Vollmer, Iwata, Zarcone, schedule thinning from continuous to intermit-
Smith, & Mazaleski, 1993). This treatment tent reinforcement resulted in a burst of prob-
reduces problem behavior by eliminating the lem behavior. It is possible that as the
reinforcement contingency between problem establishing operation for problem behavior in
behavior and the functional consequence the environment became greater, problem
(i.e., placing problem behavior on extinction) behavior was more likely to occur and was acci-
and minimizing the motivating conditions that dentally reinforced. In cases of severe problem
establish that reinforcer (i.e., arranging an abol- behavior, any amount of problem behavior
ishing operation; Kahng, Iwata, Thompson, & would be unacceptable. Therefore, it is impor-
Hanley, 2000). tant to identify effective NCR procedures that
NCR is typically initiated with a dense rein- reduce problem behavior to near-zero levels,
forcer delivery schedule that is gradually even when thinning the schedule of
thinned. The terminal goal of thinning is usu- reinforcement.
ally to approximate a schedule that could be One way to increase tolerance to periods of
maintained practically in the natural extinction is to use a multiple schedule to
increase discrimination between components
A portion of this research was conducted with support (Gouboth, Wilder, & Booher, 2007; Tiger &
from the Autism Speaks’ Dennis Weatherstone Predoc-
toral Fellowship, #9166, PI: Sarah Slocum. Hanley, 2004). Previous literature on func-
Address correspondence to Sarah Slocum Freeman, PhD, tional communication training (FCT) has dem-
BCBA-D, Department of Health Professions, Rollins Col- onstrated several ways to facilitate
lege, 1000 Holt Ave. #2791, Winter Park, FL 32789.
Email: slocum@rollins.edu discrimination between periods of reinforce-
doi: 10.1002/jaba.427 ment and extinction (e.g., Tiger & Hanley,
© 2017 Society for the Experimental Analysis of Behavior
61
62 SARAH K. SLOCUM et al.

2004; Vollmer, Borrero, Lalli, & Daniel, potential reinforcers when the functional rein-
1999). For example, Vollmer et al. (1999) forcer was restricted (Fisher, DeLeon, Rodriguez-
found subjects engaged in lower rates of aggres- Catter, & Keeney, 2004).
sion and higher rates of manding when delays
to reinforcement were signaled versus
unsignaled. Therefore, the use of signals might METHOD
facilitate tolerance to periods of extinction Subjects and Setting
when thinning NCR. We recruited three subjects who displayed
Additionally, previous research has shown dangerous aggressive behavior and had a diag-
that allowing access to alternative items can nosis of autism spectrum disorder or develop-
reduce the level of problem behavior during mental delay. Clancy, Korey, and Reginald
extinction intervals (Austin & Tiger, 2015; were 7-, 3-, and 12-year-old boys, respectively.
Fischer, Iwata, & Mazaleski, 1997; Fisher, Clancy was nonvocal, but followed complex
Kuhn, & Thompson, 1998; Fisher, Thomp- instructions, and Korey and Reginald spoke in
son, Hagopian, Bowman, & Krug, 2000; Han- multiple-word sentences and followed complex
ley, Piazza, & Fisher, 1997). To this point, we instructions. All sessions were conducted in a
have been discussing functional reinforcers local clinic or a therapy room at the subject’s
(i.e., the reinforcer identified in the functional school. The subject, therapist, and an individ-
assessment to maintain problem behavior), but ual who was video recording were present for
there are other stimuli that might act to reduce all sessions.
problem behavior. For instance, Hanley
et al. (1997) compared the rates of attention-
maintained problem behavior of two children Responses and Interobserver Agreement
with intellectual disabilities when a functional Aggression was targeted for all three subjects
reinforcer (attention) versus an alternative rein- and included a subset of these topographies:
forcer (a tangible item) was noncontingently hitting, kicking, grabbing, pulling, pinching,
available. Both conditions resulted in a reduc- and pushing. Data collectors scored the fre-
tion in problem behavior with no difference quency of aggression using handheld iOS
between the two conditions for one subject and devices equipped with the data-collection pro-
lower rates of problem behavior in the noncon- gram Countee (Version 1.0.4; Peic Gavran &
tingent tangible condition (i.e., the nonfunc- Hernandez, 2016). A second observer simulta-
tional condition) for the second subject. neously collected data during 47%, 42%, and
Although there have been many studies dem- 33% of Clancy, Korey, and Reginald’s sessions,
onstrating the initial effects of NCR, there have respectively. Interobserver agreement was calcu-
been comparably fewer demonstrating successful lated using the proportional method. That is,
schedule thinning using a multiple schedule. we partitioned sessions into 10-s intervals. The
Therefore, the purpose of the current study was smaller number of observed instances by one
to initially implement NCR using dense sched- observer was divided by the larger number of
ules followed by thinning the schedule of rein- observed instances by the second observer
forcement. Multiple features were incorporated to within each interval, and this quotient was con-
minimize the likelihood of problem behavior dur- verted to a percentage. Intervals in which both
ing reinforcement thinning including arranging observers scored zero instances were considered
salient signals indicating when reinforcement was to be 100% agreement. Mean agreement was
and was not available (i.e., a multiple schedule; then calculated across intervals yielding scores
Tiger & Hanley, 2004) and providing alternative of 98% (range, 82%-100%) for Clancy, 98%
THINNING DURING NCR 63

(range, 90%-100%) for Korey, and 97% The first three subjects were included whose
(range, 77%-100%) for Reginald. functional analyses indicated aggression was
maintained by social-positive reinforcement.
Baseline. Clancy and Reginald’s tangible ses-
Procedures sions from the functional analysis were used as
Functional analysis. A functional analysis of their initial baseline (i.e., we did not rerun a
aggression was conducted with each subject baseline). For Korey, we conducted a baseline
using procedures similar to those described by condition identical to the attention condition
Iwata, Dorsey, Slifer, Bauman, and Richman of the functional analysis, except Korey was
(1982/1994) and included a no-interaction, able to select an item to be present during all
attention, tangible (Clancy and Reginald only), baseline and treatment sessions. In baseline ses-
control, and escape condition, conducted in sions, the experimenter withheld the functional
that fixed order. Within the attention condi- reinforcer (attention for Korey, Play-Doh for
tion, subjects were given access to a moderately Reginald, and the first two toys contacted in
preferred tangible item based on results of a the therapy room by Clancy), except following
free-operant preference assessment (FOPA; the occurrence of aggression when the therapist
Roane, Vollmer, Ringdahl, & Marcus, 1998); delivered access to the reinforcer for 3-5 s for
contingent on problem behavior, a brief repri- Korey (attention) or 30 s for Reginald and
mand was delivered. Within the tangible condi- Clancy (access to tangibles). For Korey and
tion for Reginald, he was given access to a Clancy, baseline sessions were 8-min, and for
highly preferred tangible item (also based on Reginald, baseline sessions were 5 min. Follow-
the FOPA) for 30 s prior to the start of a ses- ing baseline, we initiated NCR conditions in a
sion. The item was removed from the subject nonconcurrent multiple baseline design across
to start the session, and was delivered for 30 s subjects.
contingent on problem behavior. For Clancy, NCR and schedule thinning. During 8-min
aggression did not occur in a barren environ- NCR sessions for all subjects, the therapist pro-
ment and only occurred in his natural therapy vided continuous access to toys and attention.
room. As such, for his tangible condition, we This included both the functional reinforcer for
removed the first two items Clancy touched, aggression and an alternative source of potential
and provided access to those items again con- positive reinforcement (i.e., a toy was included
tingent on aggression. This was done because it for Korey, whose behavior was maintained by
was impossible to block access to all tangible attention, and attention was provided for Regi-
items in his therapy room. Different tangible nald and Clancy, whose behavior was maintained
items were used in attention and tangible test by access to tangibles). The therapist placed
conditions. The control or toy-play condition aggression on extinction during these sessions.
included access to a highly preferred item (or Additionally, the therapist placed an orange card
all items in the therapy room in Clancy’s case), on the wall. The laminated colored card was
continuous attention, and no demands. Aggres- taped about 1.5 m off the ground and was
sion did not result in any programmed conse- approximately 11 by 15 cm. Following two con-
quences. Finally, the escape condition involved secutive sessions with aggression at or below 0.1
the delivery of academic instructions appropri- responses per min (rpm), we began schedule
ate for the subject (i.e., based on clinic or indi- thinning.
vidualized education plan goals) using a three- The thinning procedure is illustrated in
step least-to-most prompting sequence. Aggres- Figure 1. We began by introducing a single,
sion resulted in a 30-s break from instructions. 10-s period without access to the functional
64 SARAH K. SLOCUM et al.

Figure 1. Depiction of the reinforcement schedule thinning. Shaded areas correspond to times in which both the
functional and the alternative potential reinforcer were both available. Unshaded areas correspond to times in which only
the alternative potential reinforcer was available (and the functional reinforcer was unavailable).

reinforcer at a randomly selected point in the and the point in time within the 8-min session
session. During this period, the therapist in which the functional reinforcer was unavail-
flipped the orange card revealing a white side able differed session to session (see Figure 1).
and removed the functional reinforcer. Aggres- At the final stage, each session included a
sion was still on extinction. Attempts to gain cumulative duration of 4 min of availability of
access to the functional reinforcer (i.e., grab the functional reinforcer and 4 min of unavail-
tangible items) were blocked for Reginald and ability of the functional reinforcer. If aggression
Clancy. Although the functional reinforcer was occurred at a rate above 0.1 rpm during any
removed, the therapist continued to provide con- thinning session, we returned to the previously
tinuous access to the alternative potential rein- successful level before attempting further
forcer of attention for both subjects. Response thinning.
blocking was not necessary for Korey as he had Terminal-schedule probes (Clancy only).
access to a tangible item throughout his sessions; Terminal-schedule probes were conducted each
rather, attention was unavailable during these time Clancy met the advancement criterion to
periods. Following the 10-s period, the card was determine the necessity of continued schedule
flipped back over to the orange side, and the thinning. These probes were identical to NCR
functional reinforcer was returned. sessions described above and included three
Following two consecutive sessions with less randomly distributed periods of 120 s, 60 s,
than or equal to 0.1 rpm, we advanced our and 60 s in which the functional reinforcer was
thinning schedule by increasing the period unavailable during each 8-min session. If
without access to the functional reinforcer from aggression occurred at or below 0.1 rpm, we
10 s to 30 s, 60 s, and then 120 s. We then continued probe sessions until aggression
included two periods (120 s and 60 s) and remained at or below 0.1 rpm for three consec-
finally three periods (120 s, 60 s, and 60 s) in utive sessions (in which case we would have
which the functional reinforcer was unavailable considered our evaluation complete). If aggres-
within each session. These periods never sion increased above 0.1 rpm during the
occurred consecutively; that is, there was always probes, we continued with schedule thinning as
1-min access to the functional reinforcer described above.
between each period without functional rein- Procedural modifications (Clancy). At the ter-
forcement. The duration in which the func- minal stages of schedule thinning (sessions
tional reinforcer was unavailable was 36 and 37), we saw increasing levels of aggres-
predetermined based on the thinning criteria, sion that persisted even when the reinforcer-
THINNING DURING NCR 65

10
Toy Play
8
No Interaction
Attention
6 Tangible
Modified Tangible
4 Demand

2
Clancy
0
Responses per min of Aggression

2 4 6

24

18

12

6
Korey

0
10 20

2.0

1.5

1.0

0.5
Reginald
0.0
10 20
Sessions

Figure 2. Subjects’ rates of aggression (responses per min) during the functional analyses.

removal periods were decreased. We noticed 3, 2, 1” and switched the card from orange to
Clancy attempting to hide his toys or prevent white to signal he was entering into a period
their removal by sitting on them or holding where the functional reinforcer would be una-
them tightly. This behavior did not prevent us vailable. This change began at session 38 and
from being able to remove items from Clancy’s remained in place for all thinning and
possession; however, it did make removal of terminal-probe sessions thereafter.
toys more difficult and resulted in increased
problem behavior. Therefore, we incorporated
a warning. Specifically, we presented an audi- RESULTS
tory countdown to when his toys would be Figure 2 shows results of the functional ana-
removed. The therapist stated, “Ok Clancy, lyses for all three subjects. For Clancy, after
66 SARAH K. SLOCUM et al.

BL NCR and Schedule Thinning

0
12 0 + 6
60

60
0

0
0
8

0+

0+
12
10

30

60

12

12
0

12

12
6

2 Began
Countdown
Clancy
0
Responses per min of Aggression

16

12
Probes
Thinning
8

0 Korey

0 Reginald

20 40
Sessions

Figure 3. Rate of aggression for the three subjects during baseline and reinforcement schedule thinning. Breaks in
the data path correspond to changes in the thinning procedure.

conducting a standard functional analysis with access to attention. Finally, Reginald’s functional
zero instances of aggression (data not shown), we analysis produced differentiated responding, with
conducted a pairwise analysis comparing a modi- higher levels of aggression in the tangible
fied tangible condition described above and toy- condition.
play conditions. Responding was differentiated Figure 3 shows the results of the treatment
and showed a tangible function for aggression. evaluation. The average rate of Clancy’s prob-
For Korey, following an undifferentiated stan- lem behavior in baseline was 4.6 rpm (upper
dard functional analysis (data not shown), pair- panel of Figure 3). During the treatment evalu-
wise analyses were conducted, in which we ation, his average rate of problem behavior was
determined his aggression was maintained by 0.2 across all thinning steps. Excluding the
THINNING DURING NCR 67

probe sessions (until the final probe series), the reinforcer was withheld including the provision
average rate of Clancy’s problem behavior was of alternative reinforcers and the presentation
0.1. Korey’s problem behavior in baseline aver- of stimuli to signal the availability and unavail-
aged 7.1 rpm (middle panel of Figure 3). In ability of reinforcement (and the impending
treatment, however, his average rate of problem unavailability in Clancy’s case through use of a
behavior was 0.02. Finally, Reginald’s average verbal reminder). These strategies have been
rate of problem behavior in baseline was 1.14, successful in thinning reinforcement delivery
whereas his average rate of problem behavior in during other reinforcement-based strategies
treatment was 0.01 (bottom panel of Figure 3). (Austin & Tiger, 2015; Fisher et al., 2004;
Korey and Reginald only had a single instance Hanley, Iwata, & Thompson, 2001; Tiger &
of problem behavior during treatment. The Hanley, 2004; Vollmer et al., 1999) but are
results show a 99.5%, 99.7%, and 99.1% novel to treatment with NCR. We did not
reduction in problem behavior from baseline to attempt to isolate the effects of these strategies
treatment for Clancy, Korey, and Reginald, during NCR schedule thinning. Either of these
respectively. When examining sessions that strategies alone might have been sufficient to
involved continuous access to the functional minimize the reemergence of problem behavior;
reinforcer (i.e., the first two treatment sessions), it is also possible that neither component was
we saw a 100% reduction in problem behavior necessary. Additional component analyses of
compared to baseline for all three subjects. these procedures will be necessary to identify
the sufficient and necessary conditions for suc-
cessful schedule thinning.
DISCUSSION We tested the necessity of thinning with one
NCR resulted in an immediate reduction in subject (Clancy) by conducting periodic termi-
aggression to zero levels with three children diag- nal probes. Problem behavior resumed during
nosed with autism spectrum disorder or develop- each exposure to probe conditions until sched-
mental delay whose problem behavior was ule thinning was completed; these data suggest
maintained by social-positive reinforcement. In schedule thinning was necessary in Clancy’s
the present study, NCR involved providing free case, but future research might evaluate this
access to both functional and alternative non- with more subjects. Although schedule thinning
functional reinforcers. Following this initial can be a time-intensive process, it was com-
reduction, we successfully thinned the schedule pleted fairly quickly with subjects in the current
of reinforcer availability by 50%, arranging equal study (2 hr and 40 min, 2 hr and 16 min, and
periods in which the functional reinforcer was 1 hr and 52 min for Clancy, Korey, and Regi-
and was not available. This thinning was associ- nald, respectively). At our terminal-schedule
ated with zero levels of problem behavior during value, reinforcement was withheld for 1 or
15 of 18 sessions for Clancy (excluding terminal 2 min at a time, or 50% of total session time,
probes), 16 of 17 sessions for Korey, and 13 of and near-zero levels of problem behavior main-
14 sessions for Reginald. All problem behavior tained. It is not clear how practical such sched-
occurred when the functional reinforcer was una- ules would be in natural environments,
vailable. Thus, we were able to maintain robust especially given that alternative reinforcers were
treatment effects following NCR exposure continuously programmed. It also seems likely
despite the gradual reintroduction of the motivat- that additional schedule thinning will need to
ing conditions for problem behavior. be adopted and maintained with integrity by
Several strategies were used to minimize the caregivers. Future research should evaluate thin-
reemergence of aggression when the functional ning to leaner and more practical levels.
68 SARAH K. SLOCUM et al.

Based on the current data, we cannot be (see Fritz, Jackson, Stiefler, Wimberly, & Rich-
certain why problem behavior remained low ardson, 2017).
despite the prolonged presence of the establishing We did not empirically evaluate methods to
operation at the end of reinforcement fading. transfer these procedures to the subjects’ natu-
Perhaps the alternative reinforcer altered the ral environments or conduct the thinning pro-
establishing operation for the functional rein- cedure in the context of daily activities. The
forcer. It is also possible the signals functioned to use of a discriminative stimulus for availability/
decrease the aversiveness of the intervals of unavailability of reinforcement was, however,
extinction (see discussion in Tiger & Hanley, applied to Clancy’s picture-exchange book.
2006). In particular with Clancy’s case, we had Korey’s teacher also transferred his discrimina-
to increase the salience of the signal by adding a tive stimulus to a vocal prompt where she
countdown to periods of extinction to maintain would simply state that he had to play alone
low levels of problem behavior. Finally, the alter- for a period of time (i.e., a briefly signaled as
native reinforcer might have been functionally opposed to a continuously signaled period of
related to the problem behavior in some cases. extinction; Tiger, Hanley, & Larsen, 2008).
This might have been possible for Korey and Future research should extend this study by
Reginald. For Korey, a tangible condition was examining the procedures for transferring
not included in his functional analysis; therefore, effects, the durability of the obtained effects,
we cannot be certain his aggression was not mul- and ease of implementation of this type of
tiply maintained by both attention and access to treatment.
tangible items. For Reginald, his responding in
the attention condition of the functional analysis
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THINNING DURING NCR 69

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