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This study evaluated the effects of the type of language used by the therapist during a functional analysis on rates of challenging behavior with individuals who came from families where Spanish was the primary language. Three individuals with autism spectrum disorder who live in a residential treatment facility participated in a multi-element (i.e., demand, attention, play- verbal, and play-nonverbal) functional analysis (FA). The FA was conducted in an ABAB experimental design with the A conditions conducted in Spanish and the B conditions conducted in English. Language did not have an effect on rates of challenging behavior during the FA. One participant displayed no responding across conditions and the other two participants responded similarly during the demand conditions regardless of the language in which the conditions were conducted. Functional communication training (FCT) was conducted for one of these two participants in both languages. The results for this individual that there was no difference according to language in rates of challenging behavior as well as acquisition and maintenance of a functionally communicative response. Keywords: functional analysis, language, functional communication training, Autism Spectrum Disorder, problem behavior / Applied Behavioral Analysis

Three interventions using public posting and review of client data in order to increase the effectiveness of staff implementation of functional communication training (FCT) within a school setting were compared. These interventions included: public review and posting of client data, public review and posting of client data paired with a coded shape for each staff member, and public review and posting of client data paired with a coded shape for each staff member with added reinforcement incentives. There were three student participants and three staff participants. For two student participants, FCT increased from baseline through intervention phases and staff were more likely to implement functional communication training during the final phase where reinforcement was added for the staff. Added reinforcement increased staff implementation of FCT paired with public review and posting of client data. For the third participant, results varied, but staff implemented the most during the public review and posting phases compared to baseline and reached a mean of 10 responses per session. There was also a negative correlation between functional communication responses (FCR) and challenging behaviors for two participants. This supports previous research and demonstrates the value of functional communication training as a behavior intervention tactic. / Applied Behavioral Analysis

Indirect assessments are widely used to identify environmental factors that may be manipulated or integrated in the development of direct assessments and behavior interventions for individuals with developmental disabilities. To date, there are no indirect assessments that can be used to evaluate the extent to which children who engage in problem behavior wait to receive reinforcement. However, there are effective behavior interventions to increase waiting. A treatment package consisting of functional communication training (FCT) and schedule thinning (i.e., multiple schedules) has been identified as an effective intervention to increase waiting in children who engage in problem behavior maintained by social contingencies. Nonetheless, in studies in which a schedule thinning procedure has been used, the terminal waiting durations are typically selected arbitrarily. Therefore, we conducted three studies to evaluate the use of an indirect assessment to increase waiting within an FCT and schedule treatment package in children with developmental disabilities. The purpose of Study I was to develop the Waiting Assessment Interview Tool (WAIT) to obtain current waiting durations for subjects who engaged in problem behavior maintained by social contingencies. The purpose of Study II was to complete the WAIT with caregivers and behavior service providers and to compare their results to a latency functional analysis (FA) conducted with all children. Finally, the purpose of Study III was to use the WAIT completed by informants to systematically individualize the initial component durations used during the schedule thinning procedure. A second purpose was to use the informants’ preferred waiting times as final waiting targets for all subjects.

This applied dissertation study was designed to inform and advance knowledge regarding research in the area of the effectiveness of functional communication training (FCT) in reducing challenging behaviors among individuals with autism spectrum disorder (ASD) who were nonverbal, by using a quantitative single subject approach. The researcher specifically focused on determining which modality, Picture Exchange Communication System (PECS) or manual sign language, would be the most effective as a replacement behavior to bring about a reduction in challenging behaviors. Previous researchers in the field of FCT did not address this area, thus leaving a gap in the research. The participants for the study were three children with ASD between the ages of 4 and 6. Prior to the start of the study, multiple assessments were administered to assess the function of challenging behaviors, level of functioning, imitation skills, and preferences. The intervention phases consisted of randomly alternating between a session of PECS and manual sign daily with each session consisting of 10 trials. Baseline data was collected to assess preexisting skill level to mand for items. The intervention trials continued until the participants reached mastery level in either modality. Results demonstrated that only PECS was effective for both the participants who completed the study, and for the participant who mastered both manual signing and PECS, PECS had a quicker acquisition rate. Implications from the findings suggest that FCT is an effective intervention in reducing challenging behaviors, and that PECS might be more effective for quick reductions of challenging behaviors. The study is a valuable addition to the current FCT research as it aligns with and extends findings from previous research.

Syftet med studien var att undersöka hur kommunikationen påverkar effektiviteten i produkt-och processutvecklingen i en samlokaliserad miljö. Tidigare studier har visat att det finns fördelar med samlokalisering av produkt- och processutveckling och produktion. Det påstås att det finns en indirekt relation mellan samlokalisering, prestanda och innovation. Men få djupstudier har lyft fram fördelarna med samlokalisering och samtidigt behandlat kommunikationsaspekten. Detta bildade grunden till följande frågeställning Hur påverkar kommunikationen effektiviteten i produkt- och processutveckling i en samlokaliserad miljö? För att undersöka frågeställningen gjordes en kvalitativ fallstudie bestående av tre olika typer av datainsamlingsmetoder; intervjuer i tre omgångar, en kontinuerlig undersökning och ett frågeformulär. Kommunikationsfördelarna som skapades genom att företaget var samlokaliserat bidrog till att problem kunde identifieras tidigare i processen. De gav också möjlighet för produkt och process utvecklingen att få snabbare återkoppling och kortare beslutsvägar. Genom att kommunicera på detta sätt drog man också nytta av erfarenheter och idéer från alla företagets avdelningar. Allt detta bidrog till en effektivare produkt- och processutveckling. / The purpose of this study was to examine how communication patterns affect the efficiency of product- and process development in a co–located environment. Previous studies have shown that there are a number of benefits with co-location of product- and process development and production. It is suggested that there is an indirect relationship between co-location and performance and innovativeness. However, few in depth studies have targeted the actual benefits of co-location and the aspect of communication. This was the foundation for the research question in this study. How do communication patterns affect the efficiency of product- and process development in a co –located environment? To investigate the research question, a qualitative single case study was executed including three types of data collection methods; interviews in three rounds, a continuous study and a questionnaire. The communication related benefits were shown to enable the company to identify issues earlier in the development process. The level of communication also provided the product-and process development with quicker feedback-loops and shorter decision paths. Taking advantage of the experience, ideas and "know-how" from the different departments enabled the company to benefit from all its internal resources. The communicational benefits were shown to have created a more efficient product- and process development at the case company

Speech and language pathologists working with aphasia therapy regularly encounter close relatives of people with aphasia. A common observation is that close relatives discern a connection regarding how the person with aphasia manages communication difficulties, related to their communication style before suffering from stroke. It is uninvestigated whether premorbid communication style and functional communication in people with aphasia are related to each other. This study aims to explore if there is a relationship between premorbid communication style, cognitive functioning, and post-stroke functional communication in people with aphasia. Premorbid communication style, functional communication and cognitive functions were measured in 47 participants with severe aphasia. Correlation analyses were used to examine if these areas are related to each other. No relationship could be demonstrated between communication style and functional communication, which could be explained by the unreliable measurements that was used to measure communication style. However, there was a statistically significant positive relationship between cognitive function and functional communication. Additional research is needed to reliably measure communication style in future studies. This study contributes valuable information for continued research examining the relationship between premorbid communication style and functional communication in people with aphasia. / Logopeder som arbetar med afasibehandling möter ofta närstående till personer med afasi. En vanlig observation är att närstående ofta noterar en koppling gällande hur personen med afasi hanterar kommunikationssvårigheterna relaterat till sin kommunikationsstil före insjuknande i stroke. Det är outforskat huruvida premorbid kommunikationsstil och funktionell kommunikation hos personer med afasi är relaterade till varandra. Denna studie syftar till att utforska om det finns ett samband mellan premorbid kommunikationsstil, kognitiva funktioner och funktionell kommunikation för personer med afasi. Premorbid kommunikationsstil, funktionell kommunikation och kognitiva funktioner har mätts på 47 deltagare med grav afasi. Korrelationsanalyser har använts för att undersöka om det finns ett samband mellan dessa domäner. Inget samband kunde påvisas mellan premorbid kommunikationsstil och funktionell kommunikation, vilket skulle kunna förklaras av de mindre tillförlitliga mätningarna som gjordes för att mäta kommunikationsstil. Däremot fanns ett statistiskt signifikant positivt samband mellan kognitiv funktion och funktionell kommunikation. Ytterligare forskning behövs för att kunna mäta kommunikationsstil med pålitliga resultat. Denna studie bidrar med värdefull information inför fortsatt forskning om sambandet mellan premorbid kommunikationsstil och funktionell kommunikation för personer med afasi.

One third of all patients with acute stroke acquire the language impairment aphasia. The assessment of aphasia is important in order to give a correct diagnosis and treatment. Two types of aphasia assessments are assessment of language function and assessment of functional communication (communication in everyday life). The assessment is usually performed by a speech and language pathologist (SLP) but it can also be performed by a family member or close friend with a proxy rating questionnaire. In this study the correlation between proxy rating of functional communication and SLP assessment of both language function and functional communication were examined. The assessments were performed at 16 days and 6 months after stroke onset. The study also examined if two proxy ratings correlated. The study was conducted using ANH and CETI proxy ratings, and the SLP assessments NGTA and ANELT. The results revealed a strong, statistically significant, correlation between proxy rating and SLP assessment and a very strong, statistically significant, correlation between the two proxy ratings. All correlations remained strong over time. When differences between proxy rating and SLP assessment were observed there was a tendency that proxies rated the functional communication higher than the SLP did. When the participants were divided into groups based on severity of aphasia, the results revealed a greater consistency between proxy rating and SLP assessment for people with mild aphasia than for those with moderate to severe aphasia. / En tredjedel av alla som drabbas av stroke får den förvärvade språkstörningen afasi. Det är viktigt att bedöma afasi för att bland annat kunna diagnosticera och lägga upp behandling. Två sätt att bedöma afasi är bedömning av språkfunktion och bedömning av funktionell kommunikation (kommunikation i vardagslivet). Vanligtvis utförs bedömningen av logoped men svårigheterna kan också bedömas genom anhörigskattning. I denna studie undersöktes samband mellan anhörigskattning av funktionell kommunikation med logopedisk bedömning av både språklig funktion och funktionell kommunikation vid 16 dagar samt vid 6 månader efter insjuknandet i stroke. Dessutom undersöktes huruvida två olika anhörigskattningar korrelerade med varandra. Testerna som användes var anhörigskattningarna ANH och CETI samt logopedbedömningarna NGTA och ANELT. Resultaten visade en stark, statistiskt signifikant korrelation mellan anhörigskattning och logopedbedömning samt en mycket stark, statistiskt signifikant korrelation mellan anhörigskattningarna. Korrelationerna var fortsatt starka över tid för alla jämförelser. Observation av skillnader mellan anhörigskattning och logopedisk bedömning visade att anhöriga tenderade att skatta den funktionella kommunikationsförmågan högre än logopedbedömningen av samma förmåga. Vid gruppindelning efter afasigrad observerades att för personer med lätt afasi fanns större samstämmighet mellan anhörigskattning och logopedisk bedömning än för personer med måttlig till grav afasi.

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Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-07-18T11:46:06Z No. of bitstreams: 1 Renata Cristina Michel.pdf: 1614274 bytes, checksum: e95f711d2385e57a6d1783ef14a0dfa6 (MD5) / Made available in DSpace on 2018-07-18T11:46:06Z (GMT). No. of bitstreams: 1 Renata Cristina Michel.pdf: 1614274 bytes, checksum: e95f711d2385e57a6d1783ef14a0dfa6 (MD5) Previous issue date: 2018-05-10 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Results from previous studies indicated that there was a reduction in the percentage of intervals with occurrence of disruptive behaviors after children with ASD were taught a verbal response relevant to the situation that evoked such behaviors; and there was an increase in the percentage of intervals with occurrence of relevant verbal responses (control). In the present study, we sought to verify the effect, on disruptive behaviors, on the emission of verbal responses and non-verbal responses, from a Functional Communication Training (FCT), plus a procedure to avoid escape of important activities by participants; it was also sought to verify if there was a generalization of the verbal response before a naive experimenter. Participants were three children between three and six years old, diagnosed with autism, who attended to school for at least one year, had verbal behavior below that expected for the age, and disruptive behaviors maintained by negative reinforcement (task escape). A functional analysis was performed composed of three experimental conditions: Demand; Attention; and Control. The results of the functional analysis showed that there was a considerably greater number of disruptive responses emitted by the three participants in the demand condition. In the Functional Communication Training (FCT) phase, each participant was taught to request a pause to perform tasks through verbal command responses. Initially, the participant was instructed to issue the verbal response, immediately after the presentation of the task, and gradually increased the time between the issuance of the experimenter's instruction ("Do ...") and the tip for verbal response by participant, until the verbal response was issued without any prompt. The results showed that the three participants presented a decrease in the emission of disruptive responses after the acquisition of the verbal response to request a pause to perform tasks. Then, in the Fading out phase for the task execution response and a gradual decrease of the prompt was implemented, from highest to lowest: DF - total physical hint, DL - light physical tip, DG - gestural tip and I - independent response. The results indicated that the three participants acquired the response for the task execution, reducing the emission of verbal pause requests for execution and maintaining a low number of disruptive responses. In the generalization test of the verbal response (mand) and the non-verbal response (do the task) to a naive experimenter, it was verified that for all the participants there was generalization of the verbal response and generalization of the nonverbal response / Resultados de estudos anteriores apontaram que houve redução da porcentagem dos intervalos com ocorrência de comportamentos disruptivos após crianças com TEA serem ensinadas a emitir resposta verbal relevante à situação que evocava tais comportamentos; e houve aumento da porcentagem dos intervalos com ocorrência de respostas verbais relevantes (mando). No presente estudo, buscou-se verificar o efeito, sobre comportamentos disruptivos, sobre a emissão de respostas verbais e de respostas não verbais, de um Treino de Comunicação Funcional (FCT), acrescido de um procedimento para evitar a esquiva de atividades importantes pelos participantes; buscou-se, também, verificar se ocorria generalização da emissão da resposta verbal diante de experimentadora ingênua. Foram participantes três crianças, entre três e seis anos de idade, diagnosticadas com autismo, que frequentavam escola há pelo menos um ano, apresentavam comportamento verbal abaixo do esperado para a idade e comportamentos disruptivos mantidos por reforçamento negativo (fuga da tarefa). Foi conduzida análise funcional composta de três condições experimentais: Condição de demanda; Condição de atenção; e Condição controle. Os resultados da análise funcional mostraram que houve um número consideravelmente maior de respostas disruptivas emitidos pelos três participantes na condição de demanda. Na fase do Treino de Comunicação Funcional (FCT), cada participante foi ensinado a solicitar pausa da execução de tarefas através de respostas verbais de mando. Inicialmente, era dada dica ao participante para emissão da resposta verbal, imediatamente após a apresentação da tarefa, e aumentava-se gradativamente o tempo entre a emissão da instrução da experimentadora (“Faça...”) e a dica para a resposta verbal pelo participante, até que a resposta verbal fosse emitida sem nenhuma dica. Os resultados mostraram que os três participantes apresentaram diminuição na emissão de respostas disruptivas após a aquisição da resposta verbal para solicitação de pausa para a execução de tarefas. Em seguida, na fase de Dica para a resposta de execução da tarefa e diminuição gradativa da dica (Fading-out), foi implementado um procedimento de alteração do nível de dica, da maior para a menor: DF - dica física total, DL – dica física leve, DG – dica gestual e I – resposta independente. Os resultados apontaram que os três participantes adquiriram a resposta de execução das tarefas, reduzindo a emissão de respostas verbais de solicitação de pausa para a sua execução e mantendo baixo número de emissão de respostas disruptivas. No teste de generalização da emissão de resposta verbal (mando) e do tempo de permanência na tarefa diante de uma experimentadora ingênua, verificou-se que, para todos os participantes, houve generalização da resposta verbal e generalização da resposta não verbal