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The present study evaluated the effects of noncontingent escape and differential negative
reinforcement of other behavior in reducing problem behaviors and increasing compliance
in 2 children with disabilities. Results showed that both methods reduced problem be-
havior and increased compliance for both children.
DESCRIPTORS: differential reinforcement of other behavior, noncontingent rein-
forcement, compliance, problem behavior, negative reinforcement
Noncontingent reinforcement (NCR) and Roane, Fisher, and Sgro (2001) demonstrat-
differential reinforcement of other behavior ed covariation between compliance and
(DRO) are treatment procedures in which problem behavior when NCR was imple-
reinforcement is delivered independent of mented in an instructional setting, although
the problem behavior (NCR) or contingent that investigation involved the application of
on the absence of the problem behavior positive reinforcement. The purpose of the
(DRO) in intervals of time. In the case of present study was to evaluate changes in
problem behavior maintained by escape compliance resulting from the use of NCE
from instructional activities, the reinforcer and DNRO procedures for problem behav-
delivered in a DRO or NCR procedure ior maintained by escape.
could involve brief escape from the task. Al-
though a few studies have demonstrated the
effectiveness of differential negative rein- METHOD
forcement of other behavior (DNRO) or Participants and Setting
noncontingent escape (NCE) procedures for
decreasing escape-maintained problem be- Participants were 2 children who engaged
havior occurring in instructional contexts in problem behavior during instructional ac-
(e.g., Coleman & Holmes, 1998; Vollmer, tivities. Andy was a 4-year-old boy who had
Marcus, & Ringdahl, 1995), little is known been diagnosed with autism and had deficits
about the effects of NCE or DNRO on in a number of areas including language
compliance with instructional activities. skills. John was a 4-year-old boy who had
Coleman and Holmes measured compliance been diagnosed with autism and who did
as well as problem behavior when evaluating not have any identified cognitive deficits.
NCE and showed that compliance increased Baseline and treatment sessions were con-
as problem behaviors decreased. Similarly, ducted in a quiet, private room in the chil-
dren’s homes with only the researchers and
the child present. The room contained var-
This study was conducted as a thesis by the first
author. Tiffany Kodak is now at Louisiana State Uni- ious session materials, a table and chair, and
versity. a videocamera for recording the sessions.
Address correspondence to Raymond G. Milten- Andy’s task materials included cards with
berger, Department of Psychology, North Dakota
State University, Fargo, North Dakota 58105 (e-mail: pictures, words, or letters on them. Two
ray.miltenberger@ndsu.nodak.edu). cards were placed on a table and Andy was
379
380 TIFFANY KODAK et al.
asked to point to one of the cards. John’s 5-point Likert scale (5 5 strongly agree, 1 5
task materials included a marker and paper strongly disagree) for a maximum acceptabil-
with words written on it in large letters. ity score of 45 and a minimum score of 9.
John was asked to trace each letter of the
words on the paper. Procedure and Experimental Design
We evaluated NCE and DNRO using an
Target Behaviors and Data Collection alternating treatments design embedded in a
Disruptive behavior included pounding, nonconcurrent multiple baseline design
grabbing, throwing, or pushing task mate- across subjects. In baseline and treatment
rials, scribbling on the materials with a pen, sessions, the child worked on an instruction-
pounding or pushing the table, saying or al task. We praised each correct answer and
shaking his head no, resisting physical used a three-prompt sequence (vocal, mod-
prompts, throwing the pen, and hitting the eled, and physical prompt) when the child
pen in the therapist’s hand. Compliance was did not engage in the task upon request. If
measured as the number of trials in which the child got out of his chair during a ses-
the child initiated the task following the sion, we guided him back to the chair. Each
therapist’s initial demand but before an ad- baseline and treatment session lasted 15
ditional prompt was delivered, divided by min. We conducted two to four sessions
the number of trials. Each session was vid- each day, 3 to 6 days per week. Two thera-
eotaped. The onset and offset of problem pists (first and third authors) conducted al-
behavior was recorded using the VCR timer. ternating baseline sessions each day so that
Interobserver reliability was conducted by the subject was exposed to the two therapists
having a second observer independently who eventually conducted the NCE and
score 25% of the baseline and treatment ses- DNRO conditions.
sions for both participants. A reliability per- Baseline. The therapist instructed the
centage was calculated by dividing the sec- child to engage in the educational task and,
onds of agreement on the occurrence and if the problem behavior occurred, the ther-
nonoccurrence of the target behavior by the apist removed the task materials and turned
total seconds in the observation period. away from the child for 10 s, providing a
Agreement between the observers on the on- brief escape from the task. Prior assessments
set and offset of the target behavior was re- showed that problem behavior was most
corded when the raters were within 1 s of probable during task situations when it was
each other. Mean agreements on problem followed by escape from the task.
behavior for Andy and John, respectively, NCE. In the first treatment session, the
were 92.7% (range, 89% to 99%) and 94% child received a continuous break. Next, a
(range, 85.6% to 98.4%). Mean agreements 10-s break was provided every 10 s. When
on compliance for Andy and John, respec- two consecutive sessions were completed
tively, were 94.6% (range, 90.7% to 100%) with problem behavior below the criterion
and 97.2% (range, 91% to 100%). level (85% reduction from baseline mean),
the NCE interval was increased from 10 s,
Treatment Acceptability to 20 s, to 30 s, to 1 min, to 1.5 min, and
The parents rated the acceptability of finally to 2 min. John’s criterion level for in-
NCE and DNRO using the Treatment Eval- creasing the NCE interval was 0.66 respons-
uation Inventory—Short Form (TEI-SF; es per minute or less. Andy’s criterion level
Kelley, Heffer, Gresham, & Elliot, 1989). was 0.33 responses per minute or less. John’s
The TEI-SF has nine questions rated on a reinforcement schedule was increased to 50
A COMPARISON OF NCE AND DNRO 381
Figure 1. The top two panels show the rate of problem behavior across baseline and treatment conditions
for John and Andy. The bottom two panels show the percentage of compliance across baseline and treatment
conditions for John and Andy.
s of break delivered every 10 s in the NCE any problem behavior. As sessions proceed-
sessions. ed, the DNRO interval was increased from
DNRO. In the first treatment session, we 10 s, to 20 s, to 30 s, to 1 min, to 1.5 min,
provided a continuous break. In the second and ended at 2 min. The DNRO intervals
treatment session, the DNRO interval was were increased only if the rate of the prob-
10 s. If the child did not engage in problem lem behavior was equal to or less than the
behaviors in the interval, a 10-s break was individual criterion level. During DNRO,
provided. If the problem behavior occurred John’s reinforcement schedule increased in a
within the time period, the clock was reset manner identical to that in the NCE con-
and the break was given after 10 s without dition.
382 TIFFANY KODAK et al.