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Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D [email protected]
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Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D [email protected].

Jan 15, 2016

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Page 1: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing?Rose Iovannone, Ph.D., [email protected]

Page 2: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Objectives• Participants will:

• Describe the purpose of the Technical Adequacy evaluation tool• Apply a scoring rubric to case examples• Discuss further use of the evaluation in their settings

Page 3: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Advance Organizer• Essential Features of Tier 3 Behavior (FBA/BIPs)• Review of the Technical Adequacy Evaluation Tool and Rubric• Practice scoring• Discussion of how to use the tool in the future

Page 4: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Context for FBAs/BIPs• FBA/BIP—substantial evidence base • Behavior ‘gold’ standard for nearly 20 years• Systemic and skill issues impeding implementation• Wealth of literature providing evidence-basis

• BUT, does not address the contextual fit of FBA in school culture (Scott & Kamps, 2007)

• Educators’ willingness and ability to engage in process• Level and intensity of FBA necessary to result in improvements

• Conceptually, FBA seen as tool for use in multi-tiered system of supports rather than separate process• If part of process, may change traditional definition of what and

who is involved in FBA

Page 5: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Examples of the Problem• Forms vs. skills

• “Let’s create new forms” common solution• Paperwork vs. implementation• General vs. individualized• Training vs. coaching• Expert vs. collaborative team model• Separate silos vs. integrated, consistent process• Legalities vs. problem-solving

Page 6: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

The Top Twelve List of Things Needed at Tier 3/Individualized Behavior Supports (Iovannone & Kincaid, in prep.)

1. Multiple levels of Tier 32. Consistent, fluent process with problem solving-process framework3. Collaborative teaming4. Problem identification5. Data collection, simplified6. Linking hypothesis to the FBA 7. Linking BIP to hypothesis8. Multi-component behavior intervention plan matched to classroom

context9. Task-analyzed strategies10. Teacher and classroom coaching/support11. Array of outcome measures (child-specific, teacher fidelity, social

validity, alliance, fidelity of process, technical adequacy of products)12. Maintenance (beyond “warranty”)

Page 7: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

1. Multiple Levels of Tier 3 FBA • Three levels of Tier 3 • Match the level of need to the student

• Level 1: Classroom consultation (Facilitator and teacher)• Brief PTR• ERASE (Terry Scott)• Guess and Check (Cindy Anderson)

• Level 2: Comprehensive support (e.g., PTR; team-based process)• Level 3: Wrap around with person-centered planning

• Tier 3 most effective if Tiers 1 and 2 implemented with fidelity

Page 8: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

2. Consistent Tier 3 Process• Standardized process for ALL students requiring FBAs/BIPs• Incorporates following features:

• Identifying students needing Tier 3• Determining level of FBA support necessary to answer referral

concern• Decision points• Timelines between FBA, BIP, Support, Follow-up• Data tracking system• Coaching and fidelity

• Flowchart

Page 9: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

2. Consistent Tier 3 Process—Problem Solving Process

DEFINE THE PROBLEMWhat is the behavior of concern? What do we want to see

less of? What do we want the student to do more of?

PROBLEM ANALYSISFunctional Behavior

Assessment Hypothesis

DEVELOP AND IMPLEMENT PLAN

Behavior strategies linked to hypothesis; coaching/support

EVALUATEIs the plan effective?

What are the next steps?

Page 10: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

3. Collaborative Teaming• Discontinue expert model – need proficient facilitator to guide

team• Three levels of knowledge represented on teams

• Knowledge of student• Knowledge of ABA principles• Knowledge of district/campus context

• Consensus process established

Page 11: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

4. Problem Identification• Primary problem with many ineffective FBA/BIPs is that the

problem is not clearly identified:• Too general• Not defined• Baseline data confirming problem absent• Often, several behaviors listed and unclear which behavior was

the focus of the FBA• Not uncommon to see behaviors of concern “change” throughout

one FBA/BIP • Need to identify both the replacement behavior to increase as

well as problem behavior to decrease—consider broad categories including academic, social, behavior

Page 12: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

5. Simplify Data Collection• Progress monitoring must be:

• Feasible • Reliable• Sensitive to change• Flexible to match individual • Standardized (comparable across schools/students/districts)

• Direct Behavior Ratings (DBRs) offer a solution• Research supports their effectiveness (see Chafouleas, Riley-

Tillman)• LEAP (Phil Strain)• Individualized Behavior Rating Scale (IBRST) used in PTR

(Iovannone et al., in press).

Page 13: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Case Study- Mike: Behavior Rating Scale Behavior

Screaming 9+ times7-8 times5-6 times3-4 times0-2 times

54321

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Hitting 8+ times6-7 times4-5 times2-3 times0-1 times

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Expressing Frustration

40%+30-40%20-30%10-20%0-10%

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Transition to Non-preferred

Whimper or squealLouder than indoor voice

Outdoor play voiceLouder than outdoor play

Ear penetrating

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0

1/15

Page 14: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

BRS Psychometrics (Iovannone, Greebaum, Wang, Kincaid, & Dunlap, in press)

• Kappa coefficients of:• Problem Behavior 1 (n = 105): .82• Problem Behavior 2 (n = 90) : .77• Appropriate Behavior 1 (n = 103): .65• Appropriate Behavior 2 (n = 56): .76

Page 15: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Other Uses of BRS• Systemic data tracking method for Tier 3

• Sample system created by:• Cindy Anderson• School district in Florida

Page 16: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

6. Linking the Hypothesis to the FBA• Primary reason FBA is conducted• Hypothesis should be multi-component

• When (antecedents) these contextual/environmental events are present…….

• It is highly predicted that the behavior identified as the problem and focus of the FBA happens

• As a result, the student:• Gets out of or away from activities, people, tangibles, sensory input,

pain• Gets activities, people, tangibles, sensory input, pain attenuation• Confirmed by the consequences (what others do in response to the

behavior) that typically occur

• Method of organizing information • Competing behavior pathway• PTR Assessment Organization

Page 17: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Step 3: Case Study – MikeAssessment Summary Table of Problem Behavior

Prevention Data Teach Data Reinforce Data

Non-preferred taskReading, Math

Other students upset/madTeacher attending to others

TransitionPreferred to non-preferredChange in schedule

Denied item, told no, or to fix something

Gain attentionPeers, adults

Delay

Access to items

RedirectedReprimandedCalm/soothe

Personal spaceLater must complete task

Loss of or delay in reinforcement

Scre

amin

g, H

itting

Page 18: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Step 3: Case Study – MikeAssessment of Appropriate Behavior

Prevention Data Teach Data Reinforce Data

Independent workOne-on-one attentionSpecials

Peer interactionGetting attentionRaising handSharing attentionConversation skillsTaking turnsWaitingSelf-managementAsking for breakExpressing emotions

Treasure boxMovieAttentionHelping teacherGoing to media centerGoing outsideWalkFood

Pros

ocia

l

Page 19: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Mike’s Hypotheses

When…. he will As a result…

Mike is (a) asked to complete non-preferred tasks (Reading, Math), stop a preferred activity or transition to a non-preferred activity, or fix an error, or (b) when the teacher is attending to other students,

scream and hit. Mike is able to (a) delay the transition or non-preferred activity and (b) get attention from teachers and peers

Mike is (a) asked to a complete non-preferred task (Reading, Math), stop a preferred activity or transition to a non-preferred activity, or fix an error, or (b) when the teacher is attending to other students,

(a) express his frustration appropriately.

(b) Transition from preferred to non-preferred tasks

Mike is able to (a) delay the transition or non-preferred activity and (b) get attention from teachers and peers

Inap

pro

pri

ate

Ap

pro

pri

ate

Page 20: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

7. Linking the Hypothesis to the BIP

• Other primary purpose of conducting FBA• STOP generating list of general strategies• Each component of hypothesis generates an intervention

• Antecedents modified and made irrelevant• Replacement behavior so that problem behavior is ineffective• Functional equivalent reinforcer so the problem behavior is

inefficient

Page 21: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

8. Multi-Component Interventions Matched to Classroom Context

• Multi-component interventions include prevention, teaching and reinforcement strategies

• Team/Teacher(s) select strategies that are • feasible• effective• likely be implemented

Page 22: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.
Page 23: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

9. Task Analyzed Strategies• Forgotten art• Can’t just say “give choices”, “reinforce appropriate behavior”,

etc., “student will comply”• Breaking down the interventions into sequence of steps

• Allows teaching with precision• Allows assessment of teacher capacity• Provides foundation for training and for fidelity

Page 24: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Teach Strategies

Specific Strategy Steps

Replacement Behavior

Mike will be taught to use his voice output device to express his need to calm down.Steps:1. Mike’s device will be programmed to say “I need to calm

down.”2. Prior to transitioning to a non-preferred activity or at the end

of a preferred activity, say “If you start to get mad, you can choose to calm down.”

3. As soon as Mike starts to get upset, prompt him to use his device (hierarchy—hand-over-hand, gesture, verbal).

4. Once Mike communicates “I need to calm down”, present him with the choice board of calming strategies and ask him, “What do you want?”

5. As soon as he is calm, praise him (e.g., “You made a good choice.”.

6. Allow Mike to engage in his choice until he is calm for 1-minute.

7. If Mike does not want to leave his choice, then start becoming animated with students in the non-preferred activity.

Page 25: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Prevent Strategies

Specific Strategy steps

Environmental Support

Paris will be provided a visual checklist that will list her tasks needing to be completed during independent work time. Paris will check off (a) completion, and (b) neatness.1.Before independent work time, the teacher will give Paris a choice of vis-à-vis color pen to write down her tasks2.The teacher will review “Complete” and “Neat” tasks with Paris and how Paris will self-evaluate.3.The teacher and Paris will determine the number of checks Paris will need to get her choice reinforcer activity.4.When Paris thinks she is finished, she will take her pen and check whether each task is complete and neat.5. Paris will make eye contact with the teacher and raise her hand.6.The teacher will indicate that she has seen her hand (popsicle stick) and either go over immediately or indicate to Paris to ‘wait’. 7.The teacher will provide Paris feedback on her self-evaluations of completeness and neatness, and if the teacher agrees with the feedback, release Paris to a chosen reinforcer activity

Paris—Step 4: PTR Intervention

Page 26: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.
Page 27: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.
Page 28: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Teach Strategies

Specific Strategy Steps

Replacement Behavior

Replacement behavior: Raising hand to ask for help or attentionParis will be taught how and when to raise her hand.A. Independent Work Time1. When Paris requires assistance or attention, she will first

make eye contact with her teacher—no sounds/words will come from Paris.

2. After eye contact, she raises her hand—making no noises/sounds. She keeps her hand in the air, straight.

3. The teacher indicates how long it will be before she can get to Paris (no more than 2 minutes should elapse).

B. Small Group Instruction1. When Paris wants is answering a question or wants to

make a comment, she will raise her hand straight up in the air. No words will be spoken.

2. Paris will wait until the teacher either (a) calls on her, or (b) indicates her hand raising with a popsicle stick

Page 29: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Teach Strategies

Specific Strategy Steps

Self-Management

Paris will be taught to monitor her hand-raising behaviors.1. A bar chart will be given to Paris to keep in a folder. 2. As Paris raises her hand and earns popsicle sticks, she will indicate on the graph the number of times she raises her hand each day.3. A daily goal for hand raising behaviors will be set and reviewed. 5. A verbal/gestural prompt can be provided to remind Paris to graph her hand raising behaviors.

Page 30: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.
Page 31: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Reinforce Strategies

Specific Strategy Steps

Replacement Behavior: Raising Hand

1. When Paris raises her hand, the teacher will either recognize Paris and have her ask her question, answer a question, or make her comment.

2. If the teacher is teaching a group, she will say, “Wait. Watch the clock second hand go around ___ time, and I’ll get your question.”

3. Each time Paris raises her hand, she will get a popsicle stick and verbal praise or positive gesture from the teacher.

4. The teacher will wear an apron (and Paris’ job will be to remind her to wear the apron). Popsicle sticks will be kept in one pocket. Each time Paris raises her hand and the teacher is unable to get to Paris or have her make a comment, the teacher will move one popsicle stick out of the holding pocket over to another pocket in which the ‘earned’ popsicle sticks will be kept.

5. At the end of instructional blocks, the teacher will have Paris count her popsicle sticks and arrange for Paris to trade them for orange cones (magnets) to be put on the board. Each 5 popsicle sticks will earn Paris a cone.

Page 32: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Reinforce Strategies

Specific Strategy Steps

Group Contingency

1. For each 5 popsicle sticks earned, an orange cone symbol will be placed on the white board visible for the entire class.

2. After 5 cones get on the board (indicating 25 hand raises), the entire class will earn free time at the end of the day. They can go outside, see a movie, go to the library or play games.

3. The class will be prompted to praise Paris for helping them earn free time.

Self-Management 1. At the end of the day, Paris will record the number of popsicle sticks she earned for her hand raising behavior.

2. If she meets her goal (25), a good note will go home to her grandmother.

Environmental Support (completing task)

1. After Paris raises her hand indicating her work is completed and her checklist is filled in, the teacher will walk over to Paris’ desk.

2. The teacher will praise Paris for completing her checklist.3. The teacher will provide feedback on Paris’ self-evaluation.4. If Paris meets her goal, she will be praised and released to her selected

reinforcing activity.5. If Paris did not meet her goal, the teacher will verbally praise her for

trying and have Paris say how she could meet her goal the next day.

Page 33: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Reinforce Strategies

Specific Strategy Steps

Discontinue Reinforcement of Problem Behavior

If Paris calls out, the teacher will:

1. If Paris is looking at the teacher, the teacher will hold up a popsicle stick as a visual cue to remind her of her hand raising behavior. No verbal redirects will be given.

2. If Paris is not looking at the teacher, the teacher will say “Paris” in a flat affect. When Paris looks at the teacher, the teacher will hold up a popsicle stick as a cue.

3. The popsicle stick being held up moves into the ‘oops I forgot’ apron pocket. Initially, Paris will be allowed 10 oops popsicle sticks before they are subtracted from her total earned.

4. If during the next opportunity, Paris raises her hand unprompted after getting the oops stick, the teacher will move the oops stick into the ‘earned’ popsicle pocket.

Page 34: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Case Study Jeff: PTR Intervention Plan

Prevent Strategies

Description

Choice-Making Using a choice matrix, decide upon the choice that will be offered to Jeff each day with his writing assignment. The following choices will be rotated: (a) Within—writing tool to use (pen/pencil), color notebook paper, color of eraser, topic; (b) Who—peer for writing partner; (c) Where—Robin’s room, round table, desk; (d) When—part now, part later, whole task nowSteps:1.Right before giving the writing assignment to Jeff, decide upon the choice to be offered. 2.Once the choice is determined, present it to Jeff by saying, “What do you want to use for writing today? The pen or the pencil?”3.Praise Jeff for making the choice—”Thank you for making a choice.” and honor the choice

Page 35: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Jeff—Intervention PlanPrevent Strategies

Description

Environmental Support

Visual Timer: Set a visual timer for the amount of time agreed upon with Jeff to complete the writing assignment.

Steps:1. Discuss the goal for completing the writing assignment. Say, “I

think you can complete the assignment in ___ minutes. What do you think?”

2. Set the timer by saying, “Jeff, let’s see if you can beat the timer. Today, you have ___ minutes (time from step 1) to complete the writing. Ready, set, go.”

Page 36: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Jeff—Intervention PlanTeach Strategies

Description

Pro-academic Replacement Behavior—Academic Engagement

Jeff will be taught how to remain engaged on a writing assignment. Engagement is defined as: working on a task without disrupting by raising hand to speak, keeping pencil upright, and letting neighbors work.

Steps:1. Divide Jeff’s writing task into 3 major sections—starter, details,

conclusion2. Tell Jeff that for each section completed, he earns a “dot” that

he should place in the envelope hanging at the side of his desk.3. Inform him that he can use the dots later to get out of work and

to get special rewards for himself and the rest of the class.4. Review his self-management checklist/dot total sheet with Jeff.

Review each section of the writing assignment (step 1), his goal (time for completion), and academic engaged behaviors.

5. On Monday, a weekly goal should be discussed and set.

Page 37: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Jeff—Intervention PlanReinforce Strategies

Description

Reinforce Pro-academic Replacement Behavior—Academic Engagement

Jeff will be reinforced for academic engagement and meeting his daily goal with allowable/earned escape represented by the dots. Jeff can use his dots to get out of doing work/problems during independent work times.

Steps:1. At the end of the writing period or when Jeff completes his writing

(whichever event occurs first), review Jeff’s self-management checklist.

2. For each behavior on the checklist, discuss with Jeff whether he performed the activity. If yes, place a check in the box. If no, place an “x” in the box. For each check, Jeff should be given a dot. When reviewing, say, “Jeff, did you write a starter sentence?”… Did you stay on task? Did you meet your goal?” When giving dots, say “Jeff, how many checks do you have today? How many dots do you earn?”

3. Jeff uses dots by sticking it over a problem/question he doesn’t want to do and showing the teacher when he uses a dot. He can escape as long as he has dots in his envelope.

4. If Jeff uses a dot to get out of work, immediately say “You used a dot to get out of ____. You earned it!”

5. If Jeff meets his weekly goal, he can go to his brother’s kindergarten class and read a book to them.

Page 38: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Jeff—Intervention PlanReinforce Strategies

Description

Group Contingency (Modified)

If Jeff meets his daily (time) goal for completing his writing assignment within the time agreed upon, the class earns a bonus letter toward the mystery reinforcer of the week. When Jeff earns the class this letter, the class provides attention to Jeff by thanking him and celebrating (clapping hands, saying “Yeah”.

Steps:1. After reviewing Jeff’s self-management sheet, ask him, “Did you

meet your goal today?”2. If yes, “You did meet your goal. Let’s tell the class they’ve

earned a letter for the mystery reinforcer.” 3. Tell the class, “Jeff met his goal today. We get another letter on

the board.”4. Prompt the class to thank Jeff (if they haven’t done so

spontaneously).5. If no, “You worked hard and tried. You’ll do it tomorrow!”

Page 39: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.
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10. Teacher and Classroom Coaching, Support• Do not assume teacher/team knows how to implement plan• Schedule 30 minutes to review plan and go over steps• Problem-solve if teacher has difficulties

• Modify plan• Choose different intervention

• Teach the student the plan

Page 42: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Case Study: Sample Coaching Checklist for Mike

Task Analysis of Intervention D

iscu

ss

Q &

A

Ver

bal

R

ole-

pla

y O

bse

rve

Fee

db

ack

Training

Review

PREVENT – Environmental Support 1. Mini schedule of group & center time available Yes No Yes No

2. Schedule reviewed prior to task Yes No Yes No

3. Schedule reviewed & items crossed off Yes No Yes No

TEACH – Replacement Behavior

1. Remind to use Dynamite prior to transition Yes No Yes No

2. Provided choice board and honored choice Yes No Yes No

REINFORCE –Replacement Behavior

1. Verbally or gesturally acknowledge ASAP Yes No Yes No

2. Allowed to cool off for 1-minute Yes No Yes No

TOTAL (# Yes/ # Total) Fidelity Score ( .00 – 1.00)

Page 43: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

11. Array of outcome measures (child-specific, teacher fidelity, social validity, alliance, fidelity of process, technical adequacy of products)

• Individualized Behavior Rating Scale • Fidelity scores• Social validity- Did teacher like the process, are they likely to

use strategies, would they do it again, etc.? • Alliance—Did they like you? Did they feel like you respected

their input? Did you do a competent job as a consultant?

Page 44: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

PTR Plan Self-Assessment Example for Mike

Intervention Type Fidelity Impact1 = none; 5 = great

Environmental Support1. Mini schedule present and available2. Mini schedule reviewed prior to activity3. Mike prompted to cross off items as completed

Y/N/NAY/N/NAY/N/NA

1 2 3 4 5

Replacement Behavior—Functional1. Voice output device present and available2. Prompted Mike to use voice output device to

request, “I need to calm down”3. Prompted Mike to choose his calm down activity

Y/N/NAY/N/NA

Y/N/NA

1 2 3 4 5

Reinforce Replacement Behavior—Functional1. Teacher responded to Mike’s request for “I need to

calm down” with verbal praise (flat affect)2. Teacher granted Mike his choice and provided

verbal praise (flat affect)

Y/N/NA

Y/N/NA

1 2 3 4 5

Page 45: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

12. Maintenance (beyond warranty)

• Dynamic process-not static• Decision making process based on data• Determine levels of support needed, fading, shaping,

generalizing, extending, etc.

Page 46: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Steps for Evaluating Outcomes• Make sure you have both fidelity measures (self and/or

observation scores) AND student outcomes (Behavior Rating Scale measures)

• Decision rules• What constitutes adequate fidelity? 80%, 70%, something else?• What constitutes adequate student progress? (e.g., 3 or more

consecutive ratings at or above goal line?)

Page 47: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Primary Decisions

• If Fidelity scores are inadequate, determine the reasons (intervention too difficult, not feasible, not described adequately….)• Retrain/coach the teacher/implementer• Modify the interventions so that they are feasible, simpler• Select different interventions that match the hypothesis

• Student outcomes (decision contingent upon outcome trend)• Maintain intervention• Intensify intervention• Modify intervention• Fade intervention components• Shape behavior outcomes to become closer approximations of desired

behavior• Expand the intervention (additional people, additional settings or routines)• Conduct another FBA if hypothesis is suspect, team has new data, or context

has changed

Page 48: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

POSITIVE BEHAVIOR CHANGE

•BRS data indicate positive trends toward desired goals

•Good fidelity implementation scores

Next Steps

ExtensionExtend the scope of the BIP

Generalization

Settings•Additional routines•Multiple classes•Across entire day

GeneralizationInterventionists

•School staff•Multiple service providers•Family

Shaping

Increase desired goal responses

Fading Reinforcers Reduce type and/or amount of reinforcement provided

Delayed GratificationIncrease time intervals within reinforcement

schedule

Intermittent ScheduleProvide reinforcers at

irregular intervals

Self-ManagementShift control for behavior

monitoring from teacher to student

Page 49: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Increase in Problem BehaviorBRS data indicate a trend/movement

away from desired goals

FBA Variables•Appropriate function determined?•Interventions match function?•Appropriate replacement behavior determined and skills taught?

Low Fidelity Variables•Strategies implemented as designed?•Strategies implemented daily?•All setting events addressed?•Reinforcers provided as designated?

Training and Technical Assistance•Additional training outside classroom•Modeling of strategies with student•Increase technical assistance in classroom (observation/feedback)

BIP Variables:•Interventions difficult to implement?•Insufficient planning/prep time?•Insufficient time to implement?•Lack of resources?

BIP Strategies•Modify current interventions•Select alternative strategies•Determine appropriate reinforcers•Reinforcers readily available

Page 50: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

EVALUATING THE TECHNICAL ADEQUACY OF FBAS AND BIPS

Page 51: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Current Status of FBA/BIP Implementation in Schools (Scott & Kamps, 2007)• Although FBA in special education law since 1997, no systematic

policies adopted at federal level• No guidance on key components (who should do FBAs, what features

must be included, etc.)• Three primary flaws in school-setting use (Scott, Liaupsin, Nelson, &

McIntyre, 2005).• Often used as reactive process

• Loses power of prevention in developing interventions addressing minor behaviors before they get serious

• “Expert” model overlooks valuable input gained from persons with whom student consistently interacts

• Rigid, rigorous procedures not feasible in public school settings• In response, schools have “implemented a variety of inexact practices

and procedures that have been loosely labeled as FBA, the majority of which are not tied to any solid evidence base. (Scott, Anderson, & Spaulding, 2008)

Page 52: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Technical Adequacy Research• Recent studies conducted exploring technical adequacy of FBAs

• Blood, E., & Neel, R. S. (2007). From FBA to implementation: A look at what is actually being delivered. Education and Treatment of Children, 30, 67-80.

• Evaluated FBAs/BIPs of 43 students in self-contained classrooms for EBD (K-12) in one school district in western US

• Reviewed FBAs/BIPs for inclusion of essential components (listed in article)

• Interviewed 6 EBD teachers about use of FBA/BIPs in planning and developing programs (e.g., “what is included on the plan?”, “How is plan implemented?” “How do you show progress?”

• Van Acker, R., Boreson, L., Gable, R. A., & Potterton, T. (2005). Are we on the right course? Lessons learned about current FBA/BIP practices in schools. Journal of Behavioral Education, 14, 35-56.

• 71 completed FBA/BIPs submitted for review from school districts across midwest state

• Rating scale developed for analysis (see article for scale)

Page 53: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Some Results of Technical Adequacy Research• Teaming issues:

• Teacher and other input not included• Identifying behaviors

• Target behaviors were missing or inadequately defined• Match of FBA to Hypothesis

• Attempt to assign one function/hypothesis to group of target behaviors (e.g., treated all behaviors as one behavior—collected data and developed interventions)

• Hypothesis statements missing or inadequate• Behavior intervention plan development

• Behavior strategies not linked with hypothesis statement(s)• Predominant type of BIP “hierarchical stock list of possible positive and

negative consequences” that follow any problem behavior.• Replacement behaviors not included• Van Acker—46% FBA/BIPs reviewed only included aversive strategies

Page 54: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Some Results of Technical Adequacy Research• Follow-up

• Lack of follow-up support for monitoring and evaluating plan including fidelity

• No follow-through on next steps (promote and check maintenance and generalization of behavior change)

• Blood interviews with teachers• None was able to identify behavior goals nor describe behavior

intervention• Did not use FBA/BIPs in development of behavior interventions

Page 55: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Purpose of Our Tool• Determine the technical adequacy of FBA/BIPs and establish

baseline• District • Campus/School• Individual

• Second step in requesting Tier 3 technical assistance from Florida PBS/RTI:B Project (Interview of Tier 3 process first step)

• Report generated to guide action planning

Page 56: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Development of Tool• Review of literature to identify essential components for

adequate FBA/BIPs• Original measure included 24 items (FBA/BIP)• Edited to 20 items• Sent out to three national experts (Terry Scott, Cindy

Anderson, Glen Dunlap) to review• Is the item essential?• Is the item worded clearly?

• Final tool contains 18 items (9 FBA/9 BIP)• Scores range from 0-2 for each item.

Page 57: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

SAMPLE GRAPHS/TABLES GENERATED BY TOOL

Page 58: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Sample Graphs—Baseline/post FBA

Page 59: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Sample Graphs BIP Baseline/Post

Page 60: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Sample Graph: Total FBA/BIP Baseline/Post

Page 61: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Sample Tables Baseline/Post

Page 62: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Sample Tables: Baseline/Post comparison

Page 63: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

PRACTICE TIME

Page 64: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Before practicing….• Review of tool items

• Evaluation• Scoring guide

Page 65: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Practice Time• Team up with others• Try scoring the sample completed FBA/BIP given to you with the

evaluation tool• Come to consensus on the scores• Debrief

• What did you like?• What did you dislike?• What was easy?• What was difficult?• What questions do you still have?

Page 66: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Evaluating Your District’s FBA/BIPs• Within your district team, evaluate the technical adequacy of

your district’s FBA/BIPs brought to the training• Be ready to debrief

• You do NOT need to tell anyone your scores• Discuss anything you learned or didn’t learn in evaluating

technical adequacy• Use outcomes to start developing strategic action plan steps

to achieve district goals.

Page 67: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Next Steps• Action Planning

• What will you be doing in your district to improve your FBA/BIPs?

Page 68: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

PTR Publications• PTR Manual

• Dunlap, G., Iovannone, R., Kincaid, D., Wilson, K., Christiansen, K., Strain, P., & English, C., 2010. Prevent-Teach-Reinforce: The School-Based Model of Individualized Positive Behavior Support. Baltimore: Paul H. Brookes.

• Journal Articles• Iovannone, R., Greenbaum, P., Wei, W., Kincaid, D., Dunlap, G., & Strain, P. (2009).

Randomized controlled trial of a tertiary behavior intervention for students with problem behaviors: Preliminary outcomes. Journal of Emotional and Behavioral Disorders, 17, 213-225.

• Dunlap, G., Iovannone, R., Wilson, K., Strain, P., & Kincaid, D. (2010). Prevent-Teach-Reinforce: A standardized model of school-based behavioral intervention. Journal of Positive Behavior Interventions, 12, 9-22

• Strain, P. S., Wilson, K., & Dunlap, G. (2011). Prevent-Teach-Reinforce: Addressing problem behaviors of students with autism in general education classroom. Behavior Disorders, 36, 160-171.

• Iovannone, R., Greenbaum, P., Wei, W., Kincaid, D., & Dunlap, G. (in press). Reliability of the Individualized Behavior Rating Scale-Strategy for Teachers (IBRS-ST): A Progress Monitoring Tool. Assessment for Effective Intervention.

• Sears, K. M., Blair, K. S. C., Iovannone, R. & Crosland, K., (in press). Using the Prevent-Teach-Reinforce model with families of young children with ASD. Journal of Autism and Developmental Disabilities.

Page 69: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.

Questions?

Page 70: Evaluating the Technical Adequacy of FBAs and BIPs: How are Schools Doing? Rose Iovannone, Ph.D., BCBA-D iovannone@usf.edu.