Functional behavioral assessment (FBA) is defined as a range of behavior assessment procedures that are used to identify or clarify functional relationships between behavior and environmental events. A variety of methods and instruments are used within a FBA (e.g., record reviews, interviews, rating scales, direct observations, experimental analysis conditions) and the increased awareness of this methodology has created interest in properly investigating the psychometric properties (e.g., reliability, validity) of the measures. Preliminary convergent validity has been demonstrated across some of the measures used to identify functional relationships; however, further evaluation is needed to establish the psychometric properties as well as the utility of functional assessment measures. The primary purpose of the current research was to evaluate psychometric properties of a newly developed informant record (e.g., Functional Assessment Informant Record for Parents-Checklist; FAIR-P-CL). Specifically, the reliability of the measure (i.e., test-retest and inter-scorer reliability), validity of the measures (i.e., convergence with the Functional Assessment Screening Tool-Revised; FAST-R and convergence across phases of FBA), and socially validity (i.e., use of acceptability rating scales) were assessed. Results of the study suggested appropriate test-retest reliability of the FAIR-P-CL. Convergent validity was obtained across all phases of FBA with the majority of participants. The FAIR-P-CL identified the target behavior noncompliance as a multiple function behavior for 4 out of 5 participants suggesting the use of a treatment package in contrast to a specific function-based intervention. Appropriate social validity was obtained across the FAIR-P-CL, assessment and intervention phases of the study. Overall results of the study provided preliminary support for the psychometric properties of the FAIR-P-CL and extended the utility of functional assessment instruments to typically developing children in a clinic-based setting.

Abstract Background: Aphasia is a commonly treated language disorder; however there is discrepancy among professionals regarding classification and assessment practices (Code & Petheram, 2011; McNeil & Pratt, 2001). Current research focuses heavily on acute treatment; chronic aphasia is severely under-represented. A review of the literature revealed a wide array of standardized and non-standardized tests used to evaluate both acute and chronic aphasia cases. Overall, there appears to be variance in evaluation practices, especially among SLPs (Bland et al., 2013). Aims: The present study aims to quantify two variables that may account for this inconsistency in evaluation procedures: 1) years of clinical experience and 2) professional interest. Methods: SLPs with membership to either ASHA Special Interest Group 2 or the ABAI Speech-Pathology Interest Group were contacted to participate in a survey. They were presented with a demographic questionnaire and hypothetical vignettes detailing chronic aphasia cases. The data was collected through SurveyMonkey and exported to R for statistical analysis. Months of clinical experience were subsequently correlated to specific survey responses measuring the following variables: decision to reassess, decision of what clinical constructs to address, selection of assessments, and opinion regarding generalization of naming to functional requesting behavior. Results: Due to lack of participation, the professional interest variable was eliminated. A Spearman Rho test revealed statistical significance for 5 variables. The majority of participants supported reassessment, inclusion of functional assessments, and use of confrontational naming to target requesting. Further research is warranted on the subject, including possible development of a valid functional language assessment for chronic aphasia patients. Keywords: chronic aphasia, assessment, experience, professional interest, survey, functional behaviors

Despite a mutual interest in disordered behavior, the psychological approaches of individual differences and behaviorism historically have had little common research or discourse. Moreover, over time, both fields independently have developed methods of assessment and treatment that--despite being broadly applicable across populations--exist only in parallel. This also is despite the facts that (1) individual differences frequently are defined by specific types of behavior (or lack thereof), and (2) behavioral analyses may include "organism" variables that share features with temperament variables. The primary goal of the current study is to examine relations between broad temperament factors and the function of problem behavior(s) identified through formal clinical assessment. The proposed model hypothesizes unique contributions of extraversion/surgency/positive affectivity (E/SPA) and neuroticism/negative affectivity (NNA) to the behavior functions of attention and escape, respectively. Subsidiary goals of the study included replicating previously identified temperament factors in this sample and assessing relations among temperament scales and behavioral form(s). Fifty-three children and their caregivers were recruited from 4 behavior treatment clinics at the University of Iowa. Caregivers were asked to complete two measures of temperament/personality: the Children's Behavior Questionnaire Short Form (CBQ) and the Schedule for Nonadaptive and Adaptive Personality--Other Report Form (SNAP-ORF). Children also underwent behavior assessment procedures as part of their scheduled clinic appointment, and these records were subsequently accessed to code function, form, frequency, and severity of problem behaviors. Results showed significant, positive relations between E/S-PA and measures of attention function. These findings were consistent across several (though not all) measures of E/S/PA and attention function. In contrast, no significant relation between N-NA and either escape or attention was found. Structural modeling of temperament/personality was broadly consistent with the three factors proposed by the CBQ and SNAP-ORF. Several unique findings at the lower order trait level also were noted and are discussed. The results from the current study provide an important first step in linking behavior and personality with regard to function in addition to behavioral form. Implications for the definitions of traits and function used in this project are discussed. Future research should expand on these preliminary findings to replicate and clarify relations among individual differences and behavioral functions.

Individuals with mild neurocognitive disorder complete many activities of daily living independently; however, they may require the use of compensatory strategies while performing everyday tasks. Compensatory strategies, such as external memory aids, incorporate a strengths-based approach to enhance the functional needs of individuals. Although external memory aids have a strong evidence-base, limited assessment tools and interventions are available to facilitate the development of individualized treatment plans that promote sustained strategy use. To better support the everyday needs of individuals with mild neurocognitive disorder and to inform clinicians who are developing interventions, the current dissertation includes four paper that examine a functional framework for external memory aid assessment and intervention. The first paper examined a group intervention teaching three types of external memory aids on functional strategy use, perceived strategy use, and cognitive skills. The second paper identified individual preferences for experiences with external memory aids during and following intervention. The third paper examined individual changes in functional and perceived strategy use following a group-based intervention teaching external memory aids. Lastly, the fourth paper examined the content validity and internal structure of the Functional External Memory Aid Tool: a measure that explores external memory aid use with simulated everyday tasks. By understanding the weaknesses in currently used assessment and intervention practices and the unique preferences of clients, this multi-manuscript dissertation aims to enhance the immediate and long-term needs of individuals with mild neurocognitive disorder.

This study assessed the convergent validity of the Functional Assessment Informant Record for Teachers (FAIR-T; Edwards, 2002) with analog functional analyses (FAs). Participants were five teachers and students located at a specialized school serving individuals with disabilities. Teachers had worked with the student for a minimum of 1 month, and students displayed a variety of behavioral topographies. The FAIR-T was conducted by the researcher using telephone or video conferencing technology, and analog functional analyses were conducted in a clinic setting by trained therapists within the course of the student’s typical treatment plan. Results of the FAIR-T were coded according to function, and the results of the analog FAs were graphed and analyzed visually. Results of the FAIR-T and FAs indicated limited convergence between the two assessment methods, though results were somewhat inconclusive. Results are discussed in relation to the utility of the FAIR-T, particularly in the school setting. Directions for future research are discussed in light of the need to delineate efficient means with which to conduct functional behavior assessments within the schools.

It was the goal of this study to examine the ecological validity of a number of measures of mental status for geriatric individuals. Subjects were 40 alert, ambulatory male VA patients. Mental status instruments included the Mini-Mental State Examination (MMSE), the Wechsler Memory Scale (WMS) and the Vocabulary subtest of the WAIS-R. Measures of functional behavior included the Woodcock-Johnson Scales of Independent Behavior (SIB) and the Parachek Geriatric Behavior Rating Scale (PGBRS). Significant relationships were found between the MMSE and the SIB, between the WMS and the SIB, and between the WMS and the PGBRS. It was found that estimation of functional behavior can be enhanced significantly through the use of battery of mental status instruments.

This study validated and evaluated the feasibility of a web-based electronic behavior assessment system, ‘eBA’, designed to facilitate collaboration between caregivers and service providers (behavior analysts) in conducting indirect functional behavior assessment (FBA). In Phase 1, the content and the web architecture of the eBA were validated and refined through a formative evaluation by five behavior analysts. In Phase 2, the eBA system was pilot tested with 10 service providers and 10 caregivers using a post-test only control group design to examine the efficiency and quality of the system and identify the levels of satisfaction with the system by the service providers and caregivers. The results indicated that the eBA system components were appropriate to conduct indirect FBA and useful for use by caregivers and service providers collaboratively, gathered quality information, and showed higher levels of caregiver and service provider satisfaction, compared to traditional paper-pencil format of assessment.

Presession pairing is an antecedent intervention that has shown to decrease problem behavior of elementary school children with autism, whose problem behavior is maintained by social reinforcement. It has also shown modest increases in academic responding. However, the research on presession pairing has not examined its efficacy or acceptability in the natural classroom setting when implemented by the teacher. Therefore, this study used teacher training and a multiple baseline across participants design to test the potential efficacy of teacher-implemented presession pairing in increasing on-task behavior and reducing problem behavior of four students with problem behavior in inclusive public elementary school classrooms. The results indicated that the presession pairing successfully increased on-task behavior and decreased problem behavior for all participating students. The social validity assessment indicated that the teachers found the presession intervention contextually fit, easy to implement, and effective for all students in the classroom.

ABSTRACT TECHNICAL AND APPLIED FEATURES OF FUNCTIONAL BEHAVIORAL ASSESSMENTS AND BEHAVIOR INTERVENTION PLANS by Shannon M. Hawkins When conducted correctly, functional behavior assessments (FBAs) can help professionals intervene with problem behavior using function-based interventions. Despite the fact that researchers have shown that effective interventions are based on function, recent investigators have found that most behavioral intervention plans (BIPs) are written without regard to the function of students’ problem behaviors as documented in their FBAs. This study was conducted to examine the overall technical adequacy of FBAs and BIPs within one educational system to evaluate reliance on the outcomes of FBAs in the development of BIPs. The technical and applied features of a randomly selected sample of 134 FBA/BIPs of students with disabilities, ages 3-21 years, who were receiving services due to their severe emotional and behavioral disorders (SEBD) or autism spectrum disorders (ASD) within the Georgia Network of Educational and Therapeutic Services (GNETS) were analyzed. In addition, similarities and differences between function-based strategies specified in BIPs were examined. Logistic regression was used to reveal the probability that a given behavioral function can predict which intervention(s) might be chosen. A series of chi-square tests of independence and a multinomial logistic regression model were used to examine how BIP component variables, demographic variables, behavioral function variables, and behavioral intervention variables related to each other statistically. Components described as critical in research literature for conducting FBAs and developing BIPs were absent from a significant number of the student files. Results suggest few of the prescribed interventions were likely to be related to function. The findings extend research on FBAs and BIPs, particularly as they are used with students with SEBD and autism, documenting that a significant number of BIPs are developed without regard of the function of the problem behavior.

This study examined the effectiveness of a school-based intervention process known as Prevent-Teach-Reinforce for children with a combination of externalizing and internalizing behaviors compared to children with only externalizing behaviors. The dependent variables examined were social skills, problem behaviors, and academic engaged time. Data for the current study were taken from archival data collected by the Florida Mental Health Institute that included students in kindergarten through 8th grade. A series of repeated-measures analysis of variance (ANOVA) was used to identify differences in improvement on the dependent variables for the two groups of students. Research questions focused on the main effects as well as interaction effects between the type(s) of behavioral problems displayed (i.e., externalizing only, combination of externalizing and internalizing). Behavior problem classification was determined by calculating students' individual subscale scores on the Social Skills Rating Scale. The current study found support for the use of the Prevent-Teach-Reinforce intervention for children with varying behavioral profiles. Significant improvements were found in social skills, behavioral problems, and academic engaged time for students. Additionally, results of this study indicate that internalizing behaviors did not serve as a moderator to treatment effectiveness for students with externalizing behavior problems who received the PTR intervention. That is, improvements were similar for both groups, demonstrating that PTR is a process that can be used in an equally-effective way for both populations.