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FBA
Presentation
EDSE 624Jennifer Cain
University of Alaska
Anchorage
Sarah
9 year old female
No history of developmental delays
Evaluated for medical/mental/psychological causes for toe-walking
Diagnosed with idiopathic toe-walking and shortened Achilles Tendon at age 7
Treatments: physical therapy (ongoing); serial casting (12 weeks); Night splints (ongoing); surgery in future?
Behavior Target Behavior: avoidance behaviors
when asked to do exercises (through
stalling, fidgeting, doing out of sight)
Replacement Behavior: complete
exercises as shown by physical therapist in
a timely manner
FBA: Phase I Team: Mom, Dad, Physical Therapist
Interviewed student, parents, therapist
Direct Observation (ABC Data)
Function Matrix
Positive
Reinforcement
Negative
Reinforcement
Attention
Tangibles/Activit
y X
Sensory X
Phase II: Intervention and
Testing
Method 2: Adjust Antecedent Conditions:
Set up scheduled time with student to
complete stretches
3 times daily (before breakfast, afterschool,
and at bedtime)
Reminders from Mom or Dad
Reinforce Replacement
Behavior
Praise
Earning nights off from wearing night splint
Reduced exercises for quality
Extinguish Target Behavior
Redirection
Do task as directed
No activities until task is completed
Intervention Testing A-B-A-B testing using schedule and not
using schedule
Observations; collection of data using
latency chart
Latency DataTime Measured in Seconds
0
10
20
30
40
50
60
70
80
90
100
A B A B
Morning
Afternoon
Evening
Conclusions Adjusting the antecedent was the key to
changing behavior
Praise and pointing out achieved skills also showed importance of therapy and exercises and seemed to make a difference
Identifying sensory function also helped; looked at additional sensory inputs and explained to student
Currently implementation phase; fading using self-monitoring, checklist, and timer
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