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ERIC EJ941704: A Parametric Analysis of Errors of Commission during Discrete-Trial Training PDF

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JOURNALOFAPPLIEDBEHAVIORANALYSIS 2011, 44, 611–615 NUMBER3 (FALL2011) A PARAMETRIC ANALYSIS OF ERRORS OF COMMISSION DURING DISCRETE-TRIAL TRAINING FLORENCE D. DIGENNARO REED, DEREK D. REED, CYNTHIA N. BAEZ, AND HELENA MAGUIRE MELMARKNEWENGLAND Weinvestigatedtheeffectsofsystematicchangesinlevelsoftreatmentintegritybyalteringerrors ofcommissionduringerror-correctionproceduresaspartofdiscrete-trialtraining.Wetaught3 students with autism receptive nonsense shapes under 3 treatment integrity conditions (0%, 50%,or100%errorsofcommission).Participantsexhibitedhigherlevelsofperformanceduring perfect implementation (0% errors). For 2 of the 3 participants, performance was low and showednodifferentiationintheremainingconditions.Findingssuggestthat50%commission errorsmay beasdetrimental as100% commission errors on teachingoutcomes. Key words: treatment integrity, errors of commission, discrete-trial teaching, procedural fidelity _______________________________________________________________________________ Treatment integrity has been conceptualized (Northup, Fisher, Kahng, Harrell, & Kurtz, as consistent and accurate implementation of a 1997; Rhymer, Evans-Hampton, McCurdy, & treatment protocol in the manner in which it Watson, 2002). Similarly, Noell, Gresham, and was designed (Gresham, 1989). Numerous Gansle (2002) and Wilder, Atwell, and Wine applied studies provide evidence that client (2006) found that lower levels of treatment gainsarebestachievedwhentreatmentintegrity integrity impeded the acquisition of academic- is high (e.g., DiGennaro, Martens, & Klein- related skills (e.g., mathematics performance mann, 2007; DiGennaro, Martens, & McIn- and compliance to directives, respectively). tyre, 2005). However, in each of these studies, Although the studies mentioned above offer client gains were simply correlated with ob- scientifically rigorous examples of the impor- served integrity levels. The degree to which the tance of treatment integrity considerations, all treatment was implemented with fidelity was of these studies exclusively examined integrity not systematically manipulated. errors of omission (i.e., not implementing Some studies included parametric analyses in components of a protocol). Recent discussions which differing levels of integrity were experi- have expanded the concept of treatment mentally manipulated to demonstrate a func- integrity to include errors of commission (i.e., tional relation between treatment integrity and a violation of integrity due to implementation client outcomes. For example, several studies of procedures that are not prescribed by the demonstrated that behavior-reduction strategies treatment protocol; St. Peter Pipkin, Vollmer, were most effective when time-out procedures &Sloman,2010;Vollmer,Roane,Ringdahl,& were implemented with 100% integrity Marcus, 1999; Worsdell, Iwata, Hanley, Thompson, & Kahng, 2000). These studies Florence D. DiGennaro Reed and Derek D. Reed are now at the Department of Applied Behavioral Science, produced inconsistent results when behavior- Universityof Kansas. reduction strategies featured commission errors. Correspondence concerning this article should be For example,Vollmeret al.(1999)demonstrat- addressed to Florence D. DiGennaro Reed, Department ofAppliedBehavioralScience,UniversityofKansas,4056 ed that omission and commission errors during Dole Human Development Center, 1000 Sunnyside implementation of differential reinforcement of Avenue, Lawrence, Kansas 66045 (e-mail: fdreed@ alternative behavior reduced treatment efficacy ku.edu). doi:10.1901/jaba.2011.44-611 if a higher rate of reinforcement was delivered 611 612 FLORENCE D. DIGENNARO REED et al. for problem behavior. However, Worsdell et al. the experimenter’s hand within 5 s of the (2000) documented therapeutic outcomes dur- discriminative stimulus. Percentage accuracy ing functional communication training despite was calculated by dividing the total number of commission errors (i.e., reinforcement of prob- correct responses by the total number of trials lem behavior). In another study, commission and converting this ratio to a percentage. Data errors were found to be more detrimental than werecollectedbythefirstauthor(adoctoral-level omission errors in both a human operant task behavioranalyst)usingpaperandapencilduring and with children with disabilities in an onetothree5-minsessions3to5daysperschool educational setting (St. Peter Pipkin et al., week. The number of sessions varied due to the 2010). Based on the mixed results of these schedules of the classrooms and the experiment- studies, it is clear that additional research is er. The participants did not receive classroom needed to investigate the impact of commission instruction by the first author outside experi- errors on responding. To date, no study has mentalsessions.Anindependentsecondobserver exclusively examined errors of commission simultaneously collected data on participant during instruction. Using the parametric anal- behaviorandtheexperimenter’simplementation yses employed by Wilder et al. (2006) to ofdiscrete-trialtraining(i.e.,proceduralfidelity) examine the effects of omission errors on during 57% (Alek), 35% (Justin), and 41% preschoolers’ compliance to adult directives, (Salvatore) of sessions. For participant behavior, we examined the impact of commission errors an agreement was scored when both observers during discrete-trial instruction on the acquisi- scored student performance identically (i.e., as tion of receptive identification of nonsense correct or incorrect). Agreement was calculated shapes. as the number of agreements divided by agreements plus disagreements, multiplied by 100%. Mean percentage agreement was 99.6% METHOD (range, 90% to 100%) for Alek, 99.4% (range, Participants and Setting 90% to 100%) for Justin, and 99.8% (range, We recruited three boys (Alek, Justin, and 98%to 100%) for Salvatore.Procedural fidelity Salvatore) to participate in this study from a data were collected using a task analysis of privateschoolforindividualswithautism.Allof discrete-trial teaching, error correction, and the participants were 8 years old and had been consequence manipulation (i.e., appropriate diagnosed with autism. Alek had also been implementation of errors of commission). Pro- diagnosed with a variant of Landau-Kleffner cedural fidelity was 99.8% (range, 95% to syndrome and a seizure disorder. During their 100%) for Alek and 100% for both Justin and enrollment, participants received discrete-trial Salvatore. instruction and were accustomed to delayed reinforcement through the use of a token Design and Procedure economy. The study took place in the students’ A combined multielement and nonconcur- classrooms.Eachclassroomhadsixstudents,one rent multiple baseline design across participants teacher, and two to three teaching assistants. was used to evaluate the effects of differing levels of treatment integrity (i.e., commission Response Measurement, Interobserver Agreement, errors) on participants’ performance during and Procedural Fidelity discrete-trial instruction of receptive nonsense Thedependent variablewasthepercentage of shapes. discrete trials with accurate participant respond- Baseline. The experimenter presented three ing(i.e.,percentageaccuracy),whichwedefined different cards horizontally on a tabletop, each as placement of the correct target stimulus into depictingadifferentnonsenseshape.Subsequent ERRORS OF COMMISSION 613 to appropriate attending (i.e., hands on lap or rect response was followed by an error of tableandeyecontactwiththeexperimenter),the commission.During50%errorsofcommission experimenterinstructedtheparticipantsto‘‘find (i.e., bouba), every other incorrect response was [shape]’’ at which time the experimenter simul- rewarded with a token and social praise.1 taneously extended her hand to receive a card. Commission errors were not made during the We allowed participants up to 5 s to exhibit a 0% errors of commission condition (i.e., response. The experimenter did not deliver manoo). That is, this condition was associated programmed consequences (i.e., tokens, social with perfect integrity levels. Each session praise, and error correction) contingent on consisted of 10 consecutive trials of one shape performance. Each session consisted of 10 associated with that condition. The order of consecutivetrialsofthesameshape.Thelocation conditions was counterbalanced across sessions. of shapes on the tabletop was varied after each trial and was determined a priori by computer RESULTS AND DISCUSSION randomization. Figure 1presentstheparticipants’percentage Consequence manipulation. The purpose of accuracy across all sessions. During baseline, this phase was to examine the effects of performances were generally low across all treatmentintegrity manipulation on participant conditions. During the consequence manipula- performance. Participants received instruction tion, Alek’s performance across the three as described in baseline; however, the experi- conditions was initially undifferentiated. How- menter rewarded unprompted correct responses ever, after five sessions in each condition, His with a token and social praise. In addition, percentage accuracy was high and stable during least-to-most prompting was used as an error- the 0% errors of commission condition (M 5 correction procedure. Specifically, when partic- 90%) and low (M 5 42%) during the 50% ipantsmadeerrors,theexperimenterprovideda errors of commission condition. By the end of gestural prompt to the correct shape followed the study, his performance in the 50% errors by physical guidance at the hand if the gestural condition did not differ from performance prompt did not evoke correct responding. during the 100% errors condition (M 5 Correct responding with the prompt was 31%). Like Alek, Justin’s performance was followed by a neutral statement only (e.g., initiallyundifferentiated,butafterapproximate- ‘‘that’s [shape]’’). Thus, prompted correct lyfivesessions,heexhibitedahigherpercentage responses were not followed by praise and a accuracy when the experimenter made no token.Theconsequencemanipulationconsisted commission errors (M 5 47%). Performance of implementing discrete-trial teaching at three during the 50% and 100% errors conditions different integrity levels (e.g., 100%, 50%, and wassimilar(M524%inbothconditions).We 0%commissionerrors).Eachintegritylevelwas observed differential outcomes immediately for associatedwithonenonsenseshape(kiki:100% Salvatore. His percentage accuracy was highest errors; bouba: 50% errors; manoo: 0% errors). during the0%commission errorscondition (M A commission error consisted of reinforcing an 5 92%). He averaged 45% and 10% accuracy incorrect response by providing a token and social praise before the error-correction proce- dure was implemented. Thus, errors were 1 Actualpercentagesoferrorsofcommissionwere52%, reinforced as prescribed by each condition (see 52%,and53%forAlek,Justin,andSalvatore,respective- below) followed by error correction using least- ly. Obtained percentages deviated slightly from pro- grammed percentages due to the fact that student to-most prompting. During the 100% errors of performancedictatedhowmanycommissionerrorswould commission condition (i.e., kiki), every incor- be possible in10trials. 614 FLORENCE D. DIGENNARO REED et al. Figure1. Percentage accuracyonthe receptiveidentification task during discrete-trial teachingacross baseline and consequence manipulation conditions foreach participant. ERRORS OF COMMISSION 615 during the 50% and 100% commission errors integrity and student outcomes to identify the conditions, respectively. level of integrity needed to prevent declines in These findings replicate previous research and studentperformance.Theseresultscouldinform suggest that relatively higher degrees of treatment practitionersaboutacceptablecriterionlevelsfor integrityyieldbetteracquisition(Noelletal.,2002; stafftrainingandongoingevaluation. Wilder et al., 2006). That is, commission errors appear to degrade performance just as omission REFERENCES errorsdo.ThedegradinglevelsofaccuracyforAlek DiGennaro, F. D., Martens, B. K., & Kleinmann, A. E. imply that persistent low integrity could adversely (2007). A comparison of performance feedback affect performance even for those students who procedures on teachers’ treatment implementation showinitialprogressundersuboptimalconditions. integrity and students’ inappropriate behavior in special education classrooms. Journal of Applied Most important, however, the present study Behavior Analysis,40,447–461. suggests that making some commission errors DiGennaro, F. D., Martens, B. K., & McIntyre, L. L. contingent on incorrect responses may be just as (2005). Increasing treatment integrity through nega- tive reinforcement: Effects on teacher and student detrimental as making many commission errors behavior. SchoolPsychology Review, 34, 220–231. duringdiscrete-trial instruction. Gresham,F.M.(1989).Assessmentoftreatmentintegrity Several limitations exist that should be ad- in school consultation and prereferral intervention. School Psychology Review,18,37–50. dressed in future research. First, all of the Noell, G. H., Gresham, F. M., & Gansle, K. A. (2002). participants had previous exposure to errorless Does treatment integrity matter? A preliminary teaching strategies that were not used in this investigation of instructional implementation and mathematics performance. Journal of Behavioral study. The degree to which this affected perfor- Education,11, 51–67. mance is unknown, but we suspect that Justin’s Northup, J., Fisher, W., Kahng, S., Harrell, R., & Kurtz, P. relativelylowerperformanceevenunderoptimal (1997). An assessment of the necessary strength of trainingconditionsmayhavebeeninfluencedby behavioraltreatmentsforseverebehaviorproblems.Journal ofDevelopmentalandPhysicalDisabilities,9,1–16. thetypeofteachingstrategyweselected.Second, Rhymer,K.N.,Evans-Hampton,T.N.,McCurdy,M.,& the assignment of one shape to each integrity Watson, T. S. (2002). Effects of varying levels of conditionwasnotcounterbalancedacrosspartic- treatment integrity on toddler aggressive behavior. Special Services intheSchools,18,75–81. ipants; thus, faster acquisition in one condition St.PeterPipkin,C.S.,Vollmer,T.R.,&Sloman,K.N. may have been due to the specific instructional (2010). Effects of treatment integrity failures during targetassociatedwiththatcondition.Finally,itis differential reinforcement of alternative behavior: A translational model. Journal of Applied Behavior unlikely that practitioners who work in applied Analysis,43,47–70. settingswillexhibiterrorpatternssimilartothose Vollmer,T.R.,Roane,H.S.,Ringdahl,J.E.,&Marcus, that we programmed in this preliminary study. B. A. (1999). Evaluating treatment challenges with differential reinforcement of alternative behavior. That is, the procedural errors we examined may Journal ofAppliedBehavior Analysis, 32,9–23. notberepresentativeofthosetypicallycommitted Wilder,D.A.,Atwell,J.,&Wine,B.(2006).Theeffects inappliedsettings,and,asaresult,theecological of varying levels of treatment integrity on child compliance during treatment with a three-step validity ofour findingsmay becompromised.It prompting procedure. Journal of Applied Behavior will be valuable, then, for future studies to Analysis,39,369–373. examine the effects of other types of procedural Worsdell, A. S., Iwata, B. A., Hanley, G. P., Thompson, fidelity errors during discrete-trial instruction. R.H.,&Kahng,S.(2000).Effectsofcontinuousand intermittent reinforcement for problem behavior Moreover,researchsuggeststhatpractitionersare during functional communication training. Journal unlikely to implement procedures with 100% of AppliedBehaviorAnalysis,33,167–179. accuracy in practice settings (e.g., DiGennaro et Received May 25,2010 al., 2007). Thus, future studies should examine Final acceptanceJanuary 5, 2011 the relation between decrements in treatment Action Editor,Thomas Higbee

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