A rapid treatment analysis of compliance in young children

Document Type

Conference Presentation



Conference Title

Annual Meeting of the California Association for Behavior Analysis


California Association for Behavior Analysis


Irvine, CA

Date of Presentation



The purpose of this study was to use an alternating treatment design to rapidly determine the most effective treatment for noncompliance in five children (ages 3-6 years) and to train caregivers to implement the treatment during a 90-minute outpatient meeting. Three treatments were assessed: fixed-time delivery of attention, high-probability instruction sequence, and a three-step guided compliance procedure. The sessions took place in a university clinic and the parents acted as therapists during assessment and treatment. Three follow-up sessions were conducted in the child’s home to further assess the effectiveness of the prescribed treatment and to evaluate the level of treatment integrity evidenced by the parents. Parents also were asked to choose the treatment they preferred following the multi-element analysis and again following a review of the data from the analysis and report treatment satisfaction during follow up sessions. Data indicate that the rapid treatment analysis produced differentiated levels of compliance for four of the participants. Overall, compliance increased following the analysis and parents implemented the treatments with integrity. Parent-reported preferences for treatment changed following review of the multi-element analysis data for two participants and overall satisfaction with the prescribed treatments was high.

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