Category Archives: Reinforcement

Tip of the Week: Clearing Up the Misconceptions About Reinforcement

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ABA often gets a bad rap due to misunderstandings about reinforcement. In my career alone, I’ve had people tell me that people are not like rats and pigeons, that reinforcement harms intrinsic motivation, and that when I do produce behavior change, it has nothing to do with ABA but with my abilities as a teacher. Today, I’d like to clear up some misconceptions about reinforcement.

Reinforcement is not equivalent to rewards. Reinforcement is anything that occurs immediately following a behavior that increases the future likelihood of that behavior. For instance, I am more likely to say hello to my neighbor down the street because in the past he has responded by saying “hello” back to me. However, I do not say hello to my next door neighbor because she has never responded to my greeting. My history of reinforcement with the neighbor down the street increases the likelihood that I will greet him upon seeing him.

Flowers GrassReinforcement occurs in the natural environment all the time, whether we are conscious of it or not. We are reinforced by paychecks for going to work, by our favorite dessert for visiting a restaurant 30 minutes out of our way, by compliments when we get a new haircut, and more. ABA utilizes reinforcement when an individual is not acquiring skills in order to help them learn. And when ABA is implemented correctly, reinforcement should be as close to naturally occurring reinforcers as possible and should be reduced systematically over time to levels that would naturally occur in their environment.

Reinforcement works for dogs and for humans. The previous two points illustrate that humans do respond to reinforcement, and decades of scientific research back that up. Comparing the work behavior analysts do with humans to the work behavior analysts do with other animals is not far off base. What is off base is using such a comparison to imply that behavior analysts treat people with disabilities like dogs. As with other professionals who work with individuals with disabilities, (such as speech therapists, physical therapists, nurses, etc.) most behavior analysts are professionals who put a lot of time, care, and love into their work.

Child Blowing BubblesReinforcement is individualized. Everything we do in ABA is individualized, because human beings are wonderfully complex creatures that cannot be characterized by statistics, averages, or norms. One of my students may find stickers reinforcing; another may show no interest. One student may find listening to music reinforcing; another may cover his ears and ask me to turn it off. In ABA, we seek to find the items and activities that are motivating for individuals; then use those as tools not only for reinforcement, but for increasing skills and broadening interests and opportunities. In an ideal ABA session, my students spend a lot of time engaging with items and activities that they enjoy while also learning and growing.

It’s easy to fall prey to misconceptions about reinforcement, but such misconceptions can make it impossible for us to understand how to alter the environment in order to provide the best possible outcomes for our students. As Skinner put it, “The ideal of behaviorism is to eliminate coercion: to apply controls by changing the environment in such a way as to reinforce the kind of behavior that benefits everyone.”

Over the next few weeks, we will be publishing a series on Differential Reinforcement procedures that will help you become more skilled in using reinforcement to affect behavior change.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Tip of the Week: Use Noncontingent Reinforcement – A Powerful Addition to Your Intervention

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Noncontingent reinforcement (NCR) is the presentation of reinforcement independent of behavior, and there are many studies out there that demonstrate it can have a significant impact on behavior.

Before we get to how you can use it with children with autism or other developmental disabilities, it’s important to recognize that noncontingent reinforcement happens all the time with all of us. A few common examples:

  • You’re walking alongside your child. Your child reaches up and grabs your hand. This is a behavior you like, but it did not occur because of any one behavior you exhibited, such as reaching for their hand or requesting their hand. They just did it spontaneously. This probably changes your behavior: you may smile, initiate a conversation, or give their hand a special squeeze.
  • It’s snack time at your preschool. You realize the bag of popcorn you’re giving for snack is almost empty, so you give each student a few extra kernels of popcorn. They did not “earn” it for good behavior, it was just a little extra reinforcement. This may change your students’ behavior: they may sit still a little longer as they eat the additional snack, say thank you, or exclaim, “More popcorn! Yay!”
  • A common example in preschool is placing a child on your lap during story time. They didn’t earn it, but it may change their behavior. For example, instead of calling out to get your attention, they may sit quietly for the duration of the story.
  • You’ve come home from a stressful day at work. You want to just sit down and veg in front of the TV for a few minutes, but discover that your husband has cooked dinner. This may change your behavior: you may sit down at the dining room table or give him a hug. Again, you didn’t exhibit a specific behavior that “earned” you dinner; it was presented independent of your behavior.

Noncontingent reinforcement can be a powerful addition to your interventions. But it looks a bit different when you’re using it as part of your intervention. You want to provide continuous access to the reinforcer maintaining the problem behavior so that the problem behavior becomes unnecessary. The preschooler sitting on the teacher’s lap is an excellent example, because the child has continuous access to the teacher’s attention. This can be faded over time, but can be an effective starting point for reducing problem behaviors when used in conjunction with other strategies.

Research has shown that noncontingent attention can decrease destructive behavior, noncontingent juice can decrease rumination, noncontingent access to preferred items can decrease inappropriate mealtime behavior, and noncontingent social interaction can decrease vocal stereotypy (Hanley, Piazza, & Fisher, 1997; Kliebert & Tiger, 2011; Gonzalez, Rubio, & Taylor, 2014; Enloe & Rapp, 2013). There is much more research out there that demonstrates that noncontingent reinforcement can impact behavior. Here are a few tips for using it:

  1. Make sure it matches the function. If your student is engaging in destructive behavior in order to escape a task, then providing noncontingent attention is unlikely to produce the behavior change you are expecting.
  2. Decide on a method for providing noncontingent reinforcement. Will you provide it continuously (like the preschooler sitting in the teacher’s lap) or provide it on an interval schedule (such as providing verbal attention every 2 minutes)?
  3. Take data! You need to know if the noncontingent reinforcement is actually decreasing the problem behavior or increasing the desired behavior. Define the behavior you want to change and then take data on its frequency, rate, or duration.
  4. Account for other students’ needs. If you are only using noncontingent reinforcement for one student, you need to be prepared to address the needs of other students. For example, if just one preschooler gets to sit in the teacher’s lap every day at story time, you may see an increase in problem behaviors from the other preschoolers in the class.
  5. Plan ahead! Our ultimate goal is that our learners be as independent as possible. Plan for how to fade your intervention over time.
  6. Take a look at the research. There are a few studies cited at the end of this article, but you may be able to find research simply by searching for “noncontingent” and the name of your problem behavior.

Noncontingent reinforcement is much easier to implement than many interventions that are available and can have a huge impact on your learner’s behaviors.

References
Enloe, K., & Rapp, J. (2013). Effects of noncontingent social interaction on immediate and subsequent engagement in vocal and motor stereotypy in children with autism. Behavior Modification , 38(3), 374-391.

Gonzalez, M., Rubio, E., & Taylor, T. (2014). Inappropriate mealtime behavior: The effects of noncontingent access to preferred tangibles on responding in functional analyses. Research in Developmental Disabilities , 35(12), 3655-3664.

Hanley, G. P., Piazza, C. C., & Fisher, W. W. (1997). Noncontingent presentation of attention and alternative stimuli in the treatment of attention-maintained destructive behavior. Journal of Applied Behavior Analysis , 30(2), 229-237.

Kliebert, M. L., & Tiger, J. H. (2011). Direct and distal effects of noncontingent juice on rumination exhibitied by a child with autism. Journal of Applied Behavior Analysis , 44(4), 955-959.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Pick of the Week: Sensory Tubes – Reinforcers filled with endless possibilities of stimuli!

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We love these Sensory Tubes here at Different Roads to Learning! This set of 4 clear and sturdy Sensory Tubes is remarkably versatile.
What we love about them is that you can fill each one with assorted visual or auditory stimuli that a particular student finds reinforcing, completely individualizing them. This week, take 15% off* your order of the Sensory Tubes by applying promo code TUBES15 at checkout!

Each tube features dual openings with 2 solid lids along with four vented lids that let children explore their sense of smell or even observe little critters.

The lids easily twist off and on, and the solid lids hold liquid securely inside. The tubes measure 12 inches in height and 2.5 inches in diameter. These Sensory Tubes will make your student’s reinforcement possibilities endless!

Don’t forget to save 15%* this week on your set of Sensory Tubes by applying promo code TUBES15 at checkout!

 

*Offer is valid until 11:59pm EST on December 23rd, 2014. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Pick of the Week: Token Towers – Reinforcing just got more fun!

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We can never get enough reinforcement tools, especially for group settings. Help students meet behavioral or academic goals with these interactive Token Towers. And this week only, you can save 15%* on your set of the Token Towers, by using promo code TOKENTWR at check out.

Set goals using the colored ring and insert tokens as reinforcement for appropriate behaviors or correct responses. The hard plastic chips with smiley faces make a fun noise as they drop into the containers, which is almost as fun as watching the tokens pile up!

This kit includes four Token Towers (red, yellow, green, and blue) and 140 tokens (35 for each tower). Each Token Tower has target goal levels of 5, 10, 15, 20, 25, 30 and can hold a maximum of 35 tokens. The towers measure 6 ½” tall with tokens measuring 1 ½” in diameter. Recommended for children ages 3 and up.

Don’t forget! We’re featuring this newly added set of Token Towers as our Pick of the Week, so be sure to use promo code TOKENTWR to take 15% off* your order.

*Offer is valid until 11:59pm EST on October 28th, 2014. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Guest Article: “Promoting Socialization in Children with Autism Through Play” by Julie Russell

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We’re so pleased to bring you this guest post by Julie Russell, Educational Director at the Brooklyn Autism Center (BAC). BAC is a not-for-profit ABA school serving children aged 5–21. Here, Julie describes specific, simple strategies for promoting socialization in children on the spectrum.

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Promoting Socialization in Children with Autism Through Play
by Julie Russell, Brooklyn Autism Center

Socialization – defined as a continuing process where an individual acquires a personal identity and learns the norms, values, behavior, and appropriate skills – is a vital part of life. It is also a particularly difficult skill for individuals with autism. Children with autism often struggle with initiating conversation, requesting information, making contextual comments, and listening and responding to others. These difficulties can interfere with the development of friendships for children on the spectrum.

The best way to improve socialization in children with autism is to emphasize play. There are several strategies to teach play skills to children on the spectrum that can help them improve socialization and develop friendships.

One method of teaching socialization is to condition the typically-developing peer as a reinforcer by pairing the peer with items and activities that are reinforcing for the child with Autism. The peer can give the child with Autism a preferred edible or join in on a preferred activity for the child with autism. If Ben’s (the child with autism) favorite edible is Twizzlers and his preferred activity is completing a puzzle, Adam (his typically developing peer) can offer Ben a Twizzler and join in on completing the puzzle. The typically developing peer is then associated with both the preferred edible and the preferred activity, making Adam a reinforcer for Ben.

This method is a great way to make the peer more desirable for the child with autism. The items or activities used for conditioning should only consist of items/activities that the child with autism already enjoys. When trying to introduce a new item or activity to the child with autism, peers should not be included right away. Trying to teach how to play with the item and the peer simultaneously can be confusing and over-stimulating for the child with autism. The child with autism should first be taught how to play appropriately with the age-appropriate activity during individual instruction, and then the peer can be included in the activity once mastery of the activity has been demonstrated.

Another way to promote socialization is to engage the child with autism in cooperative games, or any activity that requires interaction where each child has a role that is needed in order to complete the activity. This way, the motivation to engage with the typically developing peer will be higher. When teaching the child with autism how to play cooperative games, such as board games, you can include teaching skills that target turn taking and sharing. Children with autism (or any child) may have difficulties with giving up preferred items/activities, so these may be challenging skills to teach. In order to teach these skills with success, begin by having the child with autism share and take turns with non-preferred items/activities, then gradually fade in more highly preferred items to take turns and share.

Evidence-based practices such as social stories, peer modeling, and video modeling are also excellent methods to promote socialization in children with autism. Reading social stories and watching “expert” peers interact will allow children with autism to view and understand appropriate behavior before interacting with a new peer or practicing skills such as turn-taking, requesting information, and listening and responding to others.

All of the above methods of promoting socialization are used in Brooklyn Autism Center’s after school program BAC Friends, which pairs our students with typically developing peers from neighboring elementary and middle schools. We also provide additional opportunities for our students to practice peer socialization (along with academic work) during our reverse inclusion program with Hannah Senesh Community Day School. These methods combined with enthusiastic peers have helped our students improve their socialization skills and develop meaningful friendships.

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WRITTEN BY JULIE RUSSELL, MS, BCBA

Julie holds an M.S. in Applied Behavior Analysis from Simmons College in Boston, Massachusetts and received her BCBA in 2009. She has over 10 years of experience working with children with autism and related developmental differences in centers, schools, school districts and home-based programs. Julie received her supervision hours for board certification in behavior analysis by Dr. Nathan Blenkush, Ph.D., BCBA from JRC in Boston, Massachusetts. She was a Clinical Supervisor at ACES (Center for Applied Behavior Analysis) in San Diego California and Clinical Supervisor at the ELIJA School in Levittown, NY before joining the Brooklyn Autism Center as Educational Director.

Simplifying the Science: Parent-Conducted Toilet Training for Kids with Autism

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For many of the families I work with, toilet training their child with autism becomes a long, painful process. I typically recommend the Rapid Toilet Training (RTT) protocol developed by Azrin & Foxx (1971) but many parents struggle to maintain implementation without the presence of a behavior therapist or toilet training specialist. And while Azrin & Foxx’s results have been replicated in other studies, RTT has primarily been used in educational and outpatient settings, and the amount of time it has taken to complete toilet training has been longer than in the initial study.

This is why I was especially excited to come across the study by Kroeger & Sorensen (2010) about “A parent training model for toilet training children with autism,” which is based on Azrin & Foxx’s initial study with some key modifications. This study focuses on parent-conducted toilet training in the home and was completed with two children with autism.

As mentioned in previous blog posts, the best interventions usually are multi-pronged approaches. This is no different. While there are multiple steps involved, it’s important to recognize that one of these children was fully toilet trained in 4 days, and the other in 11 days. Both children maintained toilet training skills when researchers checked in at 2 weeks, 6 months, and 3 years. Setting aside a few days or a couple of weeks to complete this intensive protocol may be intimidating at first, but achieving similar results as the two children in the study has a huge impact on the life of your child and the entire family.

Prior to starting the intervention, they received medical consent and clearance from the children’s attending developmental pediatricians. They then performed a preference assessment (the RAISD) to determine reinforcers. The study then states that “The families were asked to restrict the children’s access to these reinforcers for a minimum of 3 days prior to implementing the intensive training treatment protocol.”

The intensive toilet training program had 5 components:

Increased fluids: In consultation with a pediatrician, the study states that “parents were instructed to increase the children’s access to fluids for 3 days prior to implementing the training.” This increase in fluid intake continued until 6:00 PM on the first day of training.

Toilet scheduled sitting: Since the protocol was completed in the privacy of the children’s homes, the children were able to remain undressed from the waist down while being toilet trained. The children were continuously seated on the toilet, then able to leave the toilet for voiding in the toilet, or for brief “stretching” breaks. As they achieved higher frequency of appropriate voiding in the toilet, the amount of time spent on the toilet decreased and the amount of time escaping the toilet increased. (The schedule for fading out time seated on the toilet is detailed in Table 1 of the study.) Also, while seated on the toilet, the child was able to play with preferred items, but not the most preferred items.

Reinforcement for continent voids: According to the study, “If the child successfully voided while on a scheduled sit, they were provided immediate reinforcement (primary edible reinforcement and planned escape to a preferred activity). If the child self-initiated a void while on a break, he was provided immediate reinforcement and a new break time was begun after the self-initiated break.”

Redirection for accidents: When accidents occur, a neutral verbal redirection was provided, such as “We go pee on the toilet” and then the child was physically redirected back to the toilet. Once they were on the toilet, a scheduled sit was begun.

Chair scheduled sitting: Once the child began to experience success with voiding on the toilet, a chair was placed next to the toilet. During scheduled sits, the child would sit on the chair. If he began to void on the chair, the study states that he “was provided with the least intrusive, minimal, physical prompt. When he independently moved from the chair to the toilet to void three consecutive times, the chair was systematically moved away from the toilet in 2-feet increments.”

The study goes into further detail on each of these five components, as well as how to generalize the skill and how parents were trained in the protocol. The study made modifications to the Azrin & Foxx study to make it easier to apply in the home setting for parents, and it removed any form of punishment.

While this is a comprehensive toilet training program that requires a high level of time and attention from the parents, it is set up to help parents achieve results in a relatively short period of time.

The study states, “Parents of incontinent children with developmental disabilities report higher personal stress and distress likely related to the toileting problems presented by their children than parents of toilet trained children with developmental disabilities. It could be deduced then that continence training not only increases associated hygiene factors and access to activities and placements, but also increases the quality of life for the parents by reducing stress and subsequently for other family members such as siblings as corollary recipients of the distress” (Macias et al., 2006).

The potential to improve the quality of life for both your child with autism and your entire family is worth the challenge of implementing this protocol.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals.

Pick of the Week: NEW! Caterpillar Token Board – Reinforce and monitor behavioral success

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Reinforce and monitor behavioral success with our brand new Caterpillar Token Board, a versatile chart that’s perfect for focusing on a specific task, behavior, or goal. This week, you can save 15%* on your Caterpillar Token Board by entering or mentioning promo code CATERP1 online or over the phone during check-out.

With a cute, furry friend, kids will be motivated to work and stay on task both at home and in school. Use the Caterpillar Token Board for a short-term goal, such as helping your child sit still at the dinner table, or getting their homework done without complaining, as well as tracking long-term goals. This token board serves as a portable reward system to encourage positive behavior and reduce anxiety. The Caterpillar Token Board comes with 8 reusable reward stars, a magnetic strip on the back for easy display, and a Suggestion Guide. Measures approximately 9 x 5 inches.

Don’t forget to take 15% off* your order of the new Caterpillar Token Board by applying CATERP1 at check-out!

*Offer is valid until 11:59pm EDT on August 19, 2014. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Pick of the Week: Parachute Play—Reinforce a Variety of Skills with Summer Fun & Games

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Parachute-6footThe end of the school year means more sunshine and fun outdoors. Start the summer holidays with our bright and colorful parachute, and save 15%* when you order it this week with promo code PCHUTE2! The parachute comes in two different sizes—our 6-foot parachute fits up to 6 (pictured left) and our 12-foot parachute (pictured at the bottom) fits up to 8 children for play.

Parachute Play has something for every child. You can teach colors, peer play, and basic prepositions of “over” and “under”. Children love sweeping the parachute up in the air and watching it flutter down. Best of all, it’s just plain fun for all of us!

And if you’re feeling like you should be focusing on school readiness and not play, the Parachute can help there too! You can download a copy of our Modified Instructions for Parachute Play written by our BCBA Sam Blanco for a variety of games modified for learners of different levels. Below are also some of Sam’s tips on various skills that can be reinforced with the simple yet wondrous parachute:

  • Manding (Requesting) – I frequently use a parachute to have my early learners mand for actions. For example, I’ll have the learner lie down on the parachute, then they have to mand for me to “pick up the handle,” “swing,” “ready, set, go,” or “stop.” I also use the parachute (or a blanket) to teach early learners with autism how to request a parent’s attention. I will have the parent hide behind the parachute, and when the child says “Mommy” or “Daddy” the parent will drop the parachute so he/she is immediately visible and give the child lots of attention in the form of tickles, kisses, verbal praise, etc.
  • Comparisons/Adjectives – To help students understand the concept of big and little, I will have the children stand around the sides of the parachute holding onto it with their hands. I will place an object on the parachute, and we will bounce the parachute up and down to try to get the object to fall into the hole in the center of the parachute. Some objects will fall, but some will be too big to fall into the hole. I will ask the students why the object fell or did not fall.
  • Sorting – I will place several colorful objects on the parachute. We will then bounce the parachute up and down playfully. After a 30 seconds to a minute, we will put the parachute back on the floor, and the student will have to move each object onto a panel of the parachute that matches in color.
  • Identifying Body Parts – Because the parachute has a hole in the middle, I will sometimes use it for identifying body parts. The learner can lie down on the floor. Then I will put the parachute on top of them. I’ll pretend I’m looking for them (for example, “Where is Charlie?”) Then I’ll position the parachute so that one part (such as their hand or their nose) is clearly visible. I’ll lightly touch it and say “What is that?” and have the student label nose or hand or elbow, etc. Once the learner has an idea of the game, I may let them initiate it, or have them say “Find my nose” and I’ll place the parachute so their nose is visible.
  • Song Fill-ins – I like to sing songs while shaking or spinning the parachute. For students with autism or other language delays who struggle with this skill, the parachute can be a great motivator to help with song fill-ins and other intraverbal skills. I will sing the song while shaking or spinning the parachute, and I’ll stop singing AND moving the parachute when I want the child to fill in a word. As soon as the child fills in the word, I will begin singing and moving the parachute again. For many students, this is more motivating than a high five or saying “good job.”
  • Quick Responding – If you are working with learners with autism, the absence of quick responding is sometimes a serious barrier to learning. I have found that using the parachute is a good way to motivate the student to respond quickly when presented with at ask by using it as described above with the song fill-ins. Once I am getting quick responding with the parachute, I quickly begin to work on generalizing the skill to other environments (such as the table or during a floor activity).

Don’t forget to save 15%* this week only on your Parachute when you enter or mention promo code PCHUTE2 at check out!

*Offer is valid until 11:59pm EDT on July 8th, 2014. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Free Downloadable Token Board

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I don’t know if it’s all of this talk about extreme temperatures, the polar vortex phenomenon or just an early itch for spring to arrive. Whatever it is, a current student of mine became interested in picnics and in turn I was inspired to find a new way to motivate him through challenging homework sessions in the evenings.

Picnic Token BoardI decided when creating this token economy to print an abundance of items for the picnic blanket token board. I did this because the particular student I had in mind when making this was struggling to even approach the homework table, let alone begin his homework. So, I thought that having an opportunity to talk about which tokens we would bring on the “picnic” as well as which back up reinforcer he would earn in exchange for the tokens before starting to earn them would motivate him to come to the homework table more easily. In fact, this allowed for a softer transition away from preferred activities to the homework table. Depending on the student you could use five tokens or ten. We’ve assembled two printable pages of these tokens and token board for you to download here. See the steps for assembly below:

  1. Picnic Tokens ButtonPrint the files using a color printer and cut out each image.
  2. Laminate them separately and then cut them out of the lamination sheets.
  3. Attach the loop side of Velcro dots to the individual images and either 5 or 10 Velcro dots with the hook side onto the picnic blanket depending on which number is most appropriate for your student.
  4. If the learner needs a visual reminder of what they are working for (backup reinforcer) you could easily print up child specific reinforcers to be attached to the picnic basket as a reminder.
  5. If your learner does not require a visual reminder of the backup reinforcer you could easily adhere the laminated picnic basket to the backside of the picnic basket leaving an opening at the top and use it as a storage pocket for any tokens you aren’t using.

For more free autism resources, make sure to click here and sign up for our mailing list! 

Tip of the Week: Using a MotivAider to Help Parents Give Positive Reinforcement

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Several years ago I worked with an eight-year-old girl named Stella in her home. Gina, her mother, was at her wit’s end. She had Stella, a four-year-old daughter, and an 18-month-old son to care for plus household duties, balancing work and home life, and maintaining her marriage. She constantly felt stressed, which was compounded by the fact that Stella was not yet speaking or communicating any needs beyond what she wanted to eat, was still not toilet trained, and made a mess everywhere she went. Gina felt that she spent her days following Stella around the house, picking up after her, and yelling at her to stop. She frequently would find Stella dumping out a bin of toys or sweeping all the books off of a shelf, then try to distract her with a Youtube video or a snack.

At this point, Gina was feeling hopeless.

DRT_382_MotivAiderSo you can imagine that she was highly skeptical when I suggested that using the MotivAider, a simple device that vibrates at timed intervals, might make her life easier. And while she was prepared for me to try to change Stella’s behaviors, she was not expecting me to suggest she change some of her own behaviors. However, she decided to give it a try.

She set the MotivAider to vibrate every two minutes, then clipped it to her waistband. Her instructions? Every time she felt it vibrate, she should go find Stella. If Stella was engaging in appropriate behaviors (sitting calmly, looking at a book without damaging it, playing with a toy she enjoyed, or watching a video) Gina would give her some positive reinforcement. This included but was not limited to giving her hugs, presenting a snack, watching the video with her, or bringing up her favorite Youtube videos if she was doing something else. If Stella was engaging in an inappropriate behavior, Gina would ignore it (as long as Stella was not in any danger.)

To Gina’s surprise, Stella quickly stopped dumping out bins of toys and making a mess all over the house. All Gina needed was an easy reminder to catch Stella doing something good.

The MotivAider is one of my all-time favorite tools. You can program it to vibrate on a fixed or variable schedule at different duration and intensity levels. I use it for many things, but I’ve had great success in using it with parents. It’s easy for them to use independently, they can use it even when I am not present, and it fits into their busy lifestyles.

Many parents (and teachers) get stuck in the same cycle as Gina did, consistently reinforcing undesirable behaviors by providing attention whenever those behaviors are present. With the help of the MotivAider, Gina was able to change that contingency. (It should be noted that this intervention would not work as described above for a behavior that is not maintained by attention.)

While I was brought in to help change Stella’s behavior, we also changed Gina’s behavior. When we started, Gina provided reinforcement to Stella at every two minute interval in which she found her behaving appropriately. Over time we increased that interval, so that Stella wasn’t receiving such a high rate of reinforcement.

Gina reported that the house felt more calm now, and she had more energy during the day. It also gave her a confidence boost. Having success in this one area made her feel more hopeful and invested in creating success in other areas. Other families I’ve used it with have experienced similar results. One simple tool can lead to massive change for a family.

**Names and identifying characteristics have been changed to protect the identities of my clients.