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Date of Award


Document Type

Thesis - Pacific Access Restricted

Degree Name

Master of Arts (M.A.)



First Advisor

Matthew Normand

First Committee Member

Carolynn Kohn

Second Committee Member

Scott Jensen


This study used an alternating-treatment design to determine the most effective treatment for noncompliance in five children (ages 2–5 years) and to train caregivers to implement the treatment during a 120-min outpatient meeting. Three treatments were assessed: high-probability instruction sequence, three-step guided compliance, and an eye contact procedure. The sessions took place in a university clinic and the parents acted as therapists during assessment and treatment. Generalization probes were conducted in the children's homes to further assess the effectiveness of the prescribed treatment and to evaluate the level of treatment integrity evidenced by the parents. An increase in compliance was observed during the generalization probe sessions for four of the five children. Four families implemented the prescribed treatment with at least 80% integrity after leaving the clinic, and all families reported being satisfied with the prescribed treatment.





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