Evaluating parent implementation on differential reinforcement without escape extinction on compliance during nail clipping
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Many young children diagnosed with autism spectrum disorder (ASD) are resistant to tolerating a variety of personal hygiene tasks performed by caregivers or health professionals, leading to poor hygiene and overall health. Previous research conducted by Schmuamcher and Rapp (2001), Bishop et al. (2013) and Dowdy et al. (2018) evaluated hygiene tolerance interventions which included compliant-contingent positive reinforcement without escape extinction. The purpose of the current study was (1) to evaluate a differential reinforcement for alternative behavior (DRA) without escape extinction and (2) to evaluate behavioral skills training (BST) with two child-parent dyads to assess the effectiveness of the DRA without escape extinction procedure on increasing compliance to nail clipping routines. The results of this study indicated that the DRA procedure without escape extinction was an effective procedure for increasing compliance during nail clipping routines for one of the two participants. For the second participant, results also indicated that implementing BST with caregivers over the DRA procedures was an effective method to train parents to complete nail clipping routines.
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M.S.