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RECRUITING
NCT04045600
NA

Refinements of Functional Communication Training

Sponsor: Rutgers, The State University of New Jersey

View on ClinicalTrials.gov

Summary

Although treatments for problem behavior, like functional communication training (FCT), can be highly effective in the clinic, changes in the way the FCT is implemented (e.g., when transferring treatment to the home, when teachers implement treatment with poor fidelity) can result in treatment relapse. The goal of this study is to evaluate whether using treatment signals and gradually introducing materials from natural contexts can help mitigate treatment relapse during context changes and poor treatment-integrity scenarios.

Official title: Stimulus Control Refinements of Functional Communication Training

Key Details

Gender

All

Age Range

3 Years - 17 Years

Study Type

INTERVENTIONAL

Enrollment

24

Start Date

2021-05-03

Completion Date

2025-12-31

Last Updated

2024-04-09

Healthy Volunteers

No

Interventions

BEHAVIORAL

Trad FCT

This intervention emulates a traditional reinforcement schedule-thinning method during FCT in which clinicians program delays to reinforcement without discriminative stimuli (e.g., the child learns that some FCRs result in reinforcement and some do not). By programming reinforcement approximately every 15 s, the rate of reinforcement will be equivalent to mult FCT. During Period 1 of this project, trad FCT served as an appropriate control condition to which mult FCT could be compared.

BEHAVIORAL

Mult FCT

This intervention involves correlating discriminative stimuli (e.g., purple and yellow index cards) with times in which reinforcement for the functional communication response (FCR) is and is not available. During Period 1 of this project, this procedure resulted in rapid reduction of destructive behavior and mitigated resurgence and renewal when the discriminative stimuli were used as programmed.

BEHAVIORAL

Mult FCT + Stimulus Fading

This condition is similar to mult FCT except that the experimenters will gradually incorporate natural stimuli (e.g., rugs, tables, lamps) into sessions to approximate target settings that may occasion relapse typically without such gradual stimulus fading.

Locations (1)

Children's Specialized Hospital - Rutgers University Center for Autism Research, Education, and Services

Somerset, New Jersey, United States