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Increasing Compliance - A Quantitative Synthesis of Applied Research On High-Probability Request Sequences
Increasing Compliance - A Quantitative Synthesis of Applied Research On High-Probability Request Sequences
Exceptionality: A Special
Education Journal
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Increasing Compliance: A
Quantitative Synthesis of
Applied Research on High-
Probability Request Sequences
David L. Lee
Published online: 08 Jun 2010.
To cite this article: David L. Lee (2005) Increasing Compliance: A Quantitative Synthesis
of Applied Research on High-Probability Request Sequences, Exceptionality: A Special
Education Journal, 13:3, 141-154, DOI: 10.1207/s15327035ex1303_1
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EXCEPTIONALITY, 13(3), 141–154
Copyright © 2005, Lawrence Erlbaum Associates, Inc.
David L. Lee
Department of Educational and School Psychology and Special Education
Pennsylvania State University
Dealing with problem behavior is a difficult challenge for practitioners (Westling & Fox,
2000). One type of problem behavior, noncompliance, can have a profound negative im-
pact on vocational, personal, social, and academic success (Hutchinson & Belfiore,
1998; Walker & Walker, 1991). Many interventions have been developed in an effort to
increase compliance among both children and adults across various settings.
Walker and Walker (1991) suggested four approaches to dealing with noncompli-
ance. First, practitioners can change the antecedents that occasion noncompliance. For
example, Kern, Childs, Dunlap, Clarke, and Falk (1994) modified the length, content,
and mode used to perform academic tasks for an 11-year-old student with a history of
academic noncompliance. This multicomponent antecedent intervention resulted in a
decrease in noncompliance. Second, compliance to requests can be increased using
techniques such as differential reinforcement to increase more adaptive behavior while
decreasing noncompliance. Hagopian and Thompson (1999) used reinforcement to
systematically increase the compliance of an 8-year-old boy with cystic fibrosis during
Requests for reprints should be sent to David L. Lee, Department of Educational and School Psychology
and Special Education, Pennsylvania State University, Great Valley, 30 East Swedesford Road, Malvern, PA
19355. E-mail: davidlee@psu.edu
142 LEE
Three of the four methods described by Walker and Walker (1991) are based on deliv-
ering consequences for appropriate and/or inappropriate behavior. Although effective in
many cases, consequence-based strategies are not without drawbacks. For example, pun-
ishing noncompliance using verbal reprimands can work reasonably well if the student is
not seeking attention. If the student is seeking attention, verbal reprimands may inadver-
tently reinforce noncompliance. Similarly, time-out can be effective when the student is
not engaging in inappropriate behavior to avoid or escape from tasks. Removing a stu-
dent from a nonpreferred activity may increase the likelihood of inappropriate behavior
in similar situations in the future. Even with more positive approaches, practitioners
must wait for students to engage in appropriate behavior before reinforcement can occur
(i.e., catch them being good). This may be problematic within the context of a busy class-
room. Ultimately, consequence-based methods rely on practitioners to observe students
and deliver consequences.
A second type of strategy can be implemented prior to the occurrence of non-
compliant behavior and can be used as a preventive technique. Methods that prevent non-
compliance, such as those employed by Kern et al. (1994), may be more efficient and
produce longer lasting results (Walker & Walker, 1991). These techniques have the ad-
vantage of not requiring the inappropriate behavior to occur before the intervention is
implemented. One preventive technique to increase compliance that has received empiri-
cal support is the use of high-probability (high-p) request sequences.
During the past 15 years, much has been written about the use of high-p request se-
quences as a method to enhance compliance (see Davis & Brady, 1993; Killu, 1999,
for reviews). For this intervention, an individual is asked to complete a series of 3 to 4
very brief requests with a high probability of compliance. Immediately after complet-
ing the high-p task sequence, the individual is asked to complete a request with a low
probability of compliance (i.e., low-p). For example, a teacher may deliver a series of
high-p requests (e.g., give me five, touch your nose, clap your hands) just prior to a re-
quest that generally results in noncompliance (e.g., get out your materials). The results
of a series of studies have shown that compliance to low-p requests was enhanced
when those requests were preceded by the completion of several brief, highly pre-
ferred requests/activities (Davis & Reichle, 1996; Horner, Day, Sprague, O’Brian, &
Heathfield, 1991; Mace et al., 1988). Although the mechanism responsible for the ef-
fects of high-p sequences is the subject of debate (see Brandon & Houlihan, 1997;
Houlihan & Brandon, 1996; Nevin, 1996, for discussion), research indicates that the
intervention is effective at increasing compliance across a variety of settings and be-
haviors.
BEHAVIORAL MOMENTUM 143
High-p request sequences are based on the work of Nevin and colleagues in the area of
behavioral momentum. Nevin, Mandell, and Atak (1983) proposed the theory of behav-
ioral momentum in an effort to explain behavioral persistence under varying environ-
mental conditions. In Newtonian physics, momentum is comprised of an object’s mass
and velocity. Objects with relatively greater mass and velocity are more resistant to envi-
ronmental changes than objects with relatively less mass and velocity. For example, a bus
traveling at 50 mph has more momentum (and is more difficult to stop) than a small car
traveling at the same speed. Nevin (1996) theorized that operant behavior possesses a
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METHODS
time frame was chosen because the first applied study that examined the use of high-p re-
quest sequences was published in 1987. Finally, data in each study had to be presented
using a single-subject/time-series format. Case studies (AB designs) were excluded from
the review.
The search strategy utilized for this study was a three-stage model identical to that
employed by Schlosser and Lee (2000). First, a computerized search of the literature was
conducted using ERIC and PsycINFO databases with the following key words:
high-probability request/command sequence, high-p requests, interspersed requests, and
behavioral momentum. Second, a hand search was conducted of pertinent journals.1
Finally, an examination of all references of included studies was conducted (i.e., ances-
tral search).
1A list of journals hand searched for this synthesis can be obtained from the author.
BEHAVIORAL MOMENTUM 145
to assess generalization and was calculated using baseline and generalization data series,
respectively. Similarly, maintenance percentage of nonoverlapping data (MPND) was
used to assess maintenance of high-p effects and was calculated using the highest of the
last three points of intervention and maintenance data series.
Coding Categories
All studies were reviewed using the following coding categories:
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RESULTS
Twenty-eight studies met the inclusion criteria for this quantitative analysis. The unit of
analysis for this review was the participant. In the event that multiple measures were used
or data for the participant were collected across settings or behaviors (e.g., a multi-
146 LEE
TABLE 1
Number of Comparisons, Percentage of Data Series, and Mean IPNDs
Across Participant Classifications
Classifications n % M SD
ple-baseline design), a mean PND was calculated for that participant. This procedure
yielded 68 participants. Characteristics of participants, interventions, and study designs
were analyzed using one-way analyses of variance (ANOVAs). Main effects were fol-
lowed up using Tukey’s Honestly Significant Difference with an alpha set at .05. Tukey’s
test was selected because it limits comparison-wise Type 1 error to p = .05. Correlational
analyses were also conducted where appropriate.
Interrater agreement for this review was established by having a second coder inde-
pendently code 19% of the data series. The interrater agreement between the author and
the second coder was 97.30%.
2Standardized mean differences were calculated using pooled standard deviations of the groups being com-
pared (Olejnik & Algina, 2000). Cohen (1988) suggested the following terms for evaluating values of d: small
effect = .20, medium effect = .50, large effect = .80.
BEHAVIORAL MOMENTUM 147
TABLE 2
Number of Comparisons, Percentage of Data Series, and Mean IPNDs
Across Intervention Settings
Settings n % M SD
ward differences in compliance among settings, F(5, 58) = 2.29, p = .057. Follow-up
analyses indicated that interventions delivered in segregated classrooms (d = 2.46) and
inclusive classrooms (d = 1.80) were more effective than interventions delivered in resi-
dential placements.
Intervention Characteristics
The majority of intervention sessions (85.3%) were conducted using a one-to-one for-
mat, whereas small (10.3%) and large groups (4.4%) were rarely utilized. No differences
in IPND were found across intervention group formats, F(2, 61) = 1.10, p = .340
(one-to-one M = 76.32, SD = 29.69; small group M = 90.79, SD = 14.75; large group M =
65.00, SD = 26.46).
TABLE 3
Number of Comparisons, Percentage of Data Series, and Mean IPNDs
Across Category of Low-p Requests
Request n % M SD
High-p request sequences. High-p requests were most often developed using
recommendations from staff that were followed up by empirical validation (77.9% of
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participants). For those participants where high-p requests were initially empirically val-
idated, the mean percentage of compliance to high-p requests prior to the intervention
was 84.3% (SD = 9.70). No differences were found for IPND during intervention be-
tween high-p requests that were validated and those that were not validated, F(2, 61) =
.273, p = .762. The high-p sequences utilized for 76.5% of participants were requests that
were unrelated to task completion (e.g., Mace et al., 1988), whereas 20.60% were related
to task completion (e.g., Belfiore et al., 1997). No differences were found between
high-p sequences that were topographically related to the low-p task (M = 75.03, SD =
22.14) and those unrelated to the low-p task (M = 79.52, SD = 28.62), F(1, 61) = .293, p =
.590.
Compliance with high-p requests was monitored throughout intervention phases for
72% of participants resulting in a mean percentage of compliance of 89.50% (SD =
16.57). A moderate correlation was found between compliance with high-p requests dur-
ing intervention phases and IPND (r = .45, p = .002, n = 46). No relationship was found
between compliance with high-p requests during initial assessments and high-p compli-
ance during intervention phases (r = .13, p = .438, n = 39).
For 23.5% of data series, no consequences were delivered by the intervenor for com-
pletion of high-p sequences compared with 73.5% of data series where consequences
were delivered (e.g., verbal praise). An ANOVA revealed differences, F(1, 60) = 4.44, p
= .039, in levels of compliance when intervenors delivered consequences for compliance
with high-p requests (M = 81.36, SD = 28.08) and when they did not (M = 63.84, SD =
27.89; d = .62).
A moderate correlation was found between IPND and time between compliance with
the final high-p request in a sequence and delivery of a low-p request (interprompt time
[IPT]; r = –.28, p = .037, n = 54). To further examine the effects of IPT on compliance,
participants were grouped into three categories based on IPT. Group 1 contained those
participants with an IPT of less than 5 sec (IPND M = 79.26, SD = 28.33). Group 2 con-
tained those participants with IPTs ranging from 5 to 9 sec (IPND M = 89.84, SD =
15.22). Finally, Group 3 contained those participants with IPTs of 10 sec or more (IPND
M = 67.41, SD = 36.55). A trend toward differences was found, F(2, 51) = 3.09, p = .054.
Follow-up analyses yielded differences between Groups 2 and 3, suggesting that the in-
tervention is most effective when the low-p request is delivered within 10 sec of the final
high-p request in a sequence (d = .96).
TABLE 4
Number of Comparisons, Percentage of Data Series, and Mean IPNDs
Across Experimental Designs
Designs n % M SD
(19.1%). An ANOVA yielded an effect of design, F(6, 57) = 3.08, p = .011. Follow-up
analyses revealed differences between a combination of alternating treatments/reversal
designs and traditional reversal designs indicating that traditional reversal designs may
be less sensitive to the effects of the high-p intervention (d = 1.72).
The dependent measure utilized most often (70% of participants) was compliance to
low-p requests (IPND M = 80.39, SD = 28.07), followed by a measure of inappropriate
behavior (14.50%; IPND M = 60.08, SD = 38.18), latency to respond to low-p requests
(9.60%; IPND M = 57.00, SD = 29.78), and other (6.00%; IPND M = 86.88, SD = 21.69).
An ANOVA revealed differences in IPND among dependent variables employed, F(3,
79) = 2.91, p = .040. Follow-up analyses, however, failed to reveal any specific differ-
ences between dependent measures.
Procedural integrity data were collected for 76.5% of participants. The mean agree-
ment for procedural integrity reported was 96% (SD = 4.14). Interobserver agreement for
intervention was collected for 100% of data series yielding a mean agreement of 95.9%
(SD = 3.99).
DISCUSSION
The purpose of this article was to synthesize findings from a series of studies that exam-
ined the effects of high-p request sequences as a method to enhance compliance. The
mean IPND across settings, categories of requests, and variations of the high-p proce-
dure of 77.37 (SD = 28.51) indicated that the intervention was effective (Scruggs &
Mastropieri, 2001). However, differential effects of the high-p intervention were found
for age of participants and method of intervention implementation.
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According to the criteria outlined by Scruggs and Mastropieri (2001), the high-p in-
tervention was effective for preschool, elementary, and middle/high school groups.
However, the intervention was not as effective for adults. There are several factors that
may have contributed to these discrepancies across age groups. First, history of rein-
forcement may have played a role in the persistence of the noncompliant behavior of the
adult group. The adult participants were an average age of 38 years, and the behaviors
targeted for intervention may have been reinforced over a period of many years. The
adults did not begin their respective studies any less compliant than individuals in the
other age groups. However, their behavior was more resistant to change, which may indi-
cate that history of reinforcement may not necessarily increase the rate of responding but
may increase behavioral persistence. Second, the adult participants in these studies pro-
gressed through a school system 20 or more years ago that looked quite different from
schools now in terms of resources and methods to teach positive proactive behavior.
Most of these individuals received programs in group homes or institutional settings
where the protection of laws, such as the Individuals with Disabilities Education Act,
that mandate intensive positive programming do not apply. Clearly, history and schedule
of reinforcement and long-term effects of positive programming are key variables that
must be further examined within the context of increasing compliance.
A second area where differential effects were found was in the way that high-p inter-
ventions were implemented. The high-p request sequence intervention is based on the
premise that increasing the rate of responding within a response class results in enhanced
resistance to change, which allows behavior to persist when disruptions from the envi-
ronment occur (low-p requests). This increase in response rate, and presumably rein-
forcement rate, is accomplished through the use of a series of requests that are likely to
occasion compliance (e.g., high-p requests). Several findings from this quantitative syn-
thesis provide information regarding factors that may affect rate of responding within a
response class and subsequent compliance to low-p requests. First, a relationship was
found between compliance with high-p requests and intervention effectiveness. That is,
for the procedure to work well, the high-p sequence had to occasion compliance through-
out the intervention. Forty percent of data series where the intervention was judged as in-
effective (IPND < 50) had high-p compliance percentages under 80% during interven-
tion phases. Conversely, 90% of data series judged as effective or very effective (IPND >
70) had compliance percentages above 80%.
Second, positive intervenor consequences (e.g., praise) for compliance to high-p re-
quests seemed to enhance the effectiveness of the intervention. Changing the density of
reinforcement associated with a response class through the increased rate of responding
to high-p sequences is a key component to this intervention. The increased level of rein-
BEHAVIORAL MOMENTUM 151
forcement that results from compliance with high-p requests builds the momentum to a
point whereby responding persists even when changes in the environment, such as the in-
troduction of a low-p request, are evident.
Finally, increases in the time between the last high-p and the low-p request in a series
(IPT) results in decreased compliance to low-p requests. Increasing the IPT may disrupt
the temporal contiguity between high-p and low-p requests and decrease the overall level
of reinforcement during that series of requests (Mace et al., 1988).
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Killu (1999) suggested that high-p request sequences are advantageous in that they
can be used to prevent noncompliant behavior, do not require close physical proximity to
a potentially violent person, and can be implemented by a variety of intervenors across
settings. The results of this meta-analysis confirm those findings by Killu and expand the
knowledge base on high-p request sequences by outlining areas of potential interest for
both practitioners and researchers.
The results of this meta-analysis must be viewed within the context of the limitations
of this review. First, only studies published in peer-reviewed journals were used in the
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