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Artigo Sobre Treino Nao Proficiente de Profissionais
Artigo Sobre Treino Nao Proficiente de Profissionais
Artigo Sobre Treino Nao Proficiente de Profissionais
In the past 10 years, a relatively large num- unable to provide instruction for such children.
ber of investigations have shown that behavior- The assumption generally made by school ad-
modification procedures can be effective in the ministrators is that the teachers are teaching cor-
treatment of autistic children (e.g., Hewett, rectly, and the children are unable to learn.
1965; Koegel and Rincover, 1974; Lovaas, As a result, it seems timely to assess whether
1966; Lovaas, Freitas, Nelson, and Whalen, or not teachers are (or even can) use the pro-
1967; Metz, 1965; Risley and Wolf, 1967; cedures that have been demonstrated in the lit-
Wolf, Risley, and Mees, 1964). In reviewing erature to be effective in teaching such children.
the literature, Kozloff (1975) and Lovaas and The present experiment was designed to: (1)
Koegel (1973) pointed out that: (1) behavior assess empirically whether or not a child's
modification has produced considerable treat- teacher is using behavior-modification proce-
ment gains in autistic children; and (2) these dures correctly; and (2) assess the necessity and
results have been replicated in numerous experi- feasibility of training teachers to teach autistic
mental laboratories. However, it is not at all cer- children effectively.
tain that any given teacher or therapist could
replicate these results (Lovaas, KoegeL, Simmons, 'This investigation was supported by the United
and Stevens-Long, 1973). This conclusion was States Public Health Service Research Grant MH
based primarily on the fact that there are cur- 11440 and MH28210 from the National Institute of
rently no published criteria for measuring Mental Health, and by State of California Research
whether or not a given individual is adept at Grant 42-00000-000832, Title VI-B of the United
States Elementary and Secondary Education Act. Many
using behavior-modification techniques with people assisted in this investigation. We are grateful
autistic children. Criteria for teacher certifica- for the help of Polly Dimalanta, Nancy Woodfield
tion in special education generally do not in- Everett, Glen Dunlap, Frank Schlosser, and Peggy
Pulleyn. We particularly appreciate the helpful sug-
clude a behavioral assessment of a teacher's gestions Laura Schreibman provided throughout this
ability to teach these children. Furthermore, most investigation. Reprints may be obtained from Robert
autistic children are still excluded from school L. Koegel, Social Process Research Institute, or Speech
Department, University of California, Santa Barbara,
programs on the grounds that the teachers are California 93106.
197
198 ROBERT L. KOEGEL, DENNIS C. RUSSO, and ARNOLD RINCOVER
Table 1
The assignment of target behaviors (B) and children (Ch) for each session of each
teacher in this experiment.
After
Base Training
Teacher 1 Ch1B1 Ch3B2 Ch1B3
Teacher 2 Ch2B4 Ch3B5 ChB6
Teacher 3 ChloB7 ChlB5 Ch9B | Ch11B3 Ch8B1o Ch9B7
Teacher 4 Ch2B,6 Ch2B8 Ch1B5
Teacher 5 Ch6B1l Ch7B19 Ch6B1o Ch71B2 Ch9B8 Ch8B21 Ch6B1O
Teacher 6 Ch3B17 Ch2Bl8 Ch2B5
Teacher 7 Ch4B1l Ch5B,2 Ch4B13 Ch8Bl4 Ch8B15 Ch4B8 Ch5B5
Teacher 8 ChB22 Ch1B23 Ch1B24
Teacher 9 Chl2B7 Ch2B7 Ch2B7 Gh12B7 Ch,2B7 Chl2B7
Teacher 10 Ch3B25 ChLB26 Ch3B23
Teacher 11 Ch3B27 Ch3B8 Ch2B1o
1 2 3 4 5 6 7
Task
200 ROBERT L. KOEGEL, DENNIS C. RUSSO, and ARNOLD RINCOVER
ance of the target behavior. On each trial, an of reliability percentages was identical for both
observer recorded whether the child's response the in vivo and videotape recordings.
was correct, incorrect, prompted, or an approxi- For child responses, one trainer and one naive
mation of the target behavior. If an approxima- observer independently and continuously re-
tion was performed, the observer noted whether corded the child's behavior in 24 (of 47) ran-
or not it was a closer approximation to the target domly selected sessions. The observers were in
behavior than the last reinforced response. If a agreement if, on a given trial, they both recorded
prompt was used to bring about a correct re- the response as correct, incorrect, prompted, or
sponse from the child, the observer noted a successive approximation. Reliability was cal-
whether the prompt was faded over the course culated for each session by dividing the number
of training. of agreements by the number of agreements plus
In addition to these trial-by-trial measures of disagreements in that session. The mean reliabil-
student improvement, we obtained a summary ity for these measures was 91.7%, with a range
measure of whether or not a child was learning of 84% to 100%. For the summary (improve-
in each session. A "+" was recorded if the child's ment versus no improvement) measure recorded
responding during the last 10 trials of the ses- in each of these 24 sessions, the observers were
sion was improved (i.e., a closer approximation, in complete agreement.
a reduced prompt, or a higher percentage of
correct responding) as compared to the first 10 RESULTS
trials of the session. Conversely, a "0" was re-
corded if responding during the last 10 trials Measurement of Teacher Behavior
showed no improvement, or a deterioration, Before and After Training
when compared to the first 10 trials. Data for all 11 teachers, showing their use
of behavior-modification procedures during base-
Reliability line and posttraining sessions, are presented in
Reliability of recording the teachers' use of Figure 1. Each point represents a composite
behavior-modification procedures was assessed score based on the average per cent correct use
by the following procedure. Two observers (usu- of the five categories of behavior-modification
ally one trainer and one naive observer) inde- procedures during a given session. The ordinate
pendently (data sheets shielded from each others' shows the per cent correct use of the behavior-
sight) recorded data for 24 of the 47 sessions modification procedures; sessions are presented
in this experiment. In addition, two naive ob- on the abscissa.
servers independently recorded data from 16 During the baseline sessions, all 11 teachers
videotaped sessions shown to them in a random- evidenced low percentages. The percentages for
ized order. An agreement or disagreement be- 10 of the 11 teachers were consistently below
tween observers was recorded for each of the 58%, and in two instances were as low as 0%.
five procedures in each 30-sec interval. An agree- The remaining teacher achieved scores of 63 %,
ment was counted if both observers marked the 91 %, and 71 % during three baseline sessions.
same square on their data sheets, and a disagree- In the posttraining sessions, the 11 teachers
ment was counted if only one observer marked scored between 90% and 100% correct use of
a given square. Reliability for each session was behavior-modification procedures for 25 of the
calculated by dividing number of agreements 26 sessions. For each teacher, this change repre-
(summing across categories) by the total number sents both a decrease in the frequency of incor-
of agreements plus disagreements for that ses- rect intervals, and an increase in the frequency
sion. The mean per cent agreement for these of correct intervals, the number of recording
sessions was 94.6%. The range (82% to 100%) intervals per session remaining constant. All 11
202 ROBERT L. KOEGEL, DENNIS C. RUSSO, and ARNOLD RINCOVER
After
Base After Training Base Training
100
to#TC
60
TEACHER 1
20 - 0
l-1r -1.
I I I I
100 0....
(I,
60
w TEACHER 2
201 0
-1.
I 11 I I
w
u
0 100
60
z TEACHER 3
Y 20
4 I I I1 I I~~~
w
I-- 100
U 60
w
TEACHER 4 10
0 20 0
U I
I I II I I I
I--
z 100
w
U
w 60
a. TEACHER 5
20_
I I I l1
1 2 3 4 5 6 7
100 lc
TASKS
60 L
0
TEACHER 6
20
L- 1--I
*
I I
I
I I I
1 2 3 4 5 6 7
TASKS
Fig. 1. The session-by-session per cent of correct use of behavior-modification procedures by teachers before
and after teacher training.
teachers showed considerable increases in their
correct use of behavior-modification procedures Measurement
of Children's Behavior
after the training program. Furthermore, after Before and After Teacher Training
training, teacher behavior generalized to new To determine whether correct performance of
tasks. the five techniques of behavior modification was
BEHAVIOR MODIFICATION WITH AUTISTIC CHILDREN 203
sufficient for teaching autistic children, we as- a given child during a given session is shown
sessed whether there was an increase in the on the ordinate, and blocks of 10 training trials
child's (unprompted) correct responses during are shown on the abscissa. Single vertical lines
each session. During 20 of the 21 baseline ses- separate different sessions; double vertical lines
sions, the children showed either no improve- signify the time at which the teacher was trained.
ment or a decrease in correct responding. In Since different behaviors were being taught to
marked contrast, after the teachers were trained, different children in each session, the number of
the children improved their level of correct re- trials varied (from 20 to 100 trials) over sessions.
sponding during each of 26 posttraining sessions. The first teacher (Teacher 3 in Figure 2) at-
Figure 2 shows all of the data for four repre- tempted to teach three different behaviors to
sentative teachers. Per cent correct responses three different children during the baseline ses-
performed on the particular task being taught to sions. Ih all three instances, the data are similar;
C,)
w
Cf)
Baseline After Training
z
0
100-
80 - Tk
*P1*/
a-
CL)
w
n
60- 1l :hedule Faded
0 40-
-J
20- TI Task 2 Task 3 Task 4 Task 5 Task 6 TEACHER 9
I
0-
w
cr
0
z
ILI
w
w
a.
80-
60 - I
40-
TEACHER 7
20- TI T21 T3 I OSK T5 Task 6 Task 7
0-
TRIALS
Fig. 2. The per cent of correct responding by the children before and after teacher training. Per cent correct
responses are plotted for each block of 10 trials within a session.
204 ROBERT L. KOEGEL, DENNIS C. RUSSO, and ARNOLD RINCOVER
the children showed no improvement. In fact, correctly, their teaching was effective in produc-
during these sessions all children evidenced a ing gains in the children's responding. (2) The
lower percentage of correct responding at the training procedure was effective, for all teachers,
end of the session than at the beginning. The in increasing the correct use of the procedures.
results for the other three teachers during base- Further, after training, the teachers' correct use
line sessions are similar. Out of a total of 14 of these procedures generalized to new target
baseline sessions, 13 showed either no improve- behaviors and new children.
ment or a reduced level of correct responding by The training procedure was a package involv-
the end of the session. ing the use of modelling, feedback, and training
After the four teachers had been trained, the manuals. We did not do a component analysis
children's correct responding increased. Every and as such cannot be sure which components
child showed large increases in the per cent of contributed to each aspect of the results. It is
correct responses during each of 12 sessions con- possible that certain components influenced ac-
ducted after teacher training. In four sessions, the quisition of the techniques and others influenced
teachers introduced new prompt, shaping, or re- generalization. A component analysis of this or
inforcement-schedule fading techniques (marked any other teacher-training program might lead
in the figure by asterisks). Although temporary to interesting results (Bandura, 1976; Kazdin
drops in correct responding occurred in these and Moyer, 1976).
cases, each child quickly regained at least 90% There was no attempt to determine correla-
correct responding. tions between intermediate levels of teacher pro-
ficiency (e.g., 50%, 70%, etc.), and the rates of
Generalized Use of Behavior change in correct responding of the children. A
Modification Procedures 909% proficiency on the five procedures was al-
The teachers were not specifically trained to most always sufficient to ensure effective modifi-
teach the particular behaviors used in the post- cation of the behavior of these severely autistic
training assessment; these results show that the children. It may, however, be interesting to note
training procedures produced generalized correct that, during one of the baseline sessions for
applications of the procedures taught during Teacher 9, there was no improvement in child
training. In addition, it may be important to note performance with a high level of correct teacher
that posttraining Sessions 2 and 3 for two teach- performance. Thus, other categories of teacher
ers (Teachers 5 and 7) were conducted two and behavior may be important to measure and
four months after training, leading us to feel some categories may be more important than
optimistic about the durability of the results of others. Possibly some other variable, such as
training. consistency in teacher behavior across sessions,
may to some extent influence the results (note
that this teacher worked with the same child in
DISCUSSION every session). As Parsonsen, Baer, and Baer
The results showed the following. (1) The (1974) and Herbert and Baer (1972) pointed
assessment procedure reliably differentiated be- out, there can be value in improving the overall
tween teachers with respect to their correct use performance of someone who is already mod-
of defined behavior-modification procedures. erately competent.
Generally, when teachers failed to use the pro- The five categories measured and trained in
cedures correctly, then efforts to teach the chil- this investigation are not the only ones that
dren produced no measurable improvement. could be studied. Several investigators (e.g., Le-
Conversely, when the teachers showed consist- Laurin and Risley, 1972; Sailor and Taman,
ently high percentages of using the procedures 1972) have suggested that the physical config-
BEHAVIOR MODIFICATION WITH AUTISTIC CHILDREN 205
uration of the teaching environment may be an LeLaurin, K. and Risley, T. The organization of
important variable influencing learning. In our day-care environments: "zone" versus "man-to-
man" staff assignments. Journal of Applied Be-
own laboratory, we have investigated various havior Analysis, 1972, 5, 225-232.
procedures that are effective for teaching a group Lovaas, 0. I. A program for the establishment of
of autistic children in a classroom setting (Koegel speech in psychotic children. In J. K. Wing (Ed),
Early childhood autism: clinical, educational and
and Rincover, 1974). As these or other new social aspects. London: Pergamon Press, 1966.
functional relationships are discovered, then new Pp. 115-144.
categories should also be included in the assess- Lovaas, 0. I., Freitas, L., Nelson, K., and Whalen, C.
ment and training procedures. The contribution The establishment of imitation and its use for the
establishment of complex behavior in schizo-
that the present study offers at this time is not phrenic children. Behaviour Research and Ther-
in providing an all-inclusive list of procedures apy, 1967, 5, 171-181.
to measure but, rather, in suggesting that it is Lovaas, 0. I. and Koegel, R. L. Behavior modifica-
tion with autistic children. In C. Thoresen (Ed),
important to measure carefully both the behav- Behavior modification in education. Chicago:
ior of the teacher and the behavior of the child University of Chicago Press, 1973. Pp. 230-258.
in order to discover functional relationships Lovaas, 0. I., Koegel, R. L., Simmons, J. Q., and Ste-
vens-Long, J. Some generalization and follow-
between the two. up measures on autistic children in behavior ther-
apy. Journal of Applied Behavior Analysis, 1973,
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