Section 5
Section 5
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    dTT
inTroducTion
               9
                                       Introduction
     • Discrete Trial Teaching is an imperative tool as it is used to deliver sessions to individuals on
       the autism spectrum and as well as other developmental issues.
     • Discrete- trial teaching is a highly structured teaching technique that often involves
       a teacher working one-to-one with an individual with autism in a distraction-free
       setting
                                                          Consequence
      Discriminative                                                                   Interval
                                   Response               (Reinforcer or
       Stimulus- SD                                                                 between trials
                                                             prompt)
A Discriminative stimulus is the antecedent stimulus that has stimulus control over behavior because
the behavior was reliably reinforced in the presence of that stimulus in the past. Discriminative stimuli
set the occasion for behaviors that have been reinforced in their presence in the past.
                                                                                                10
          What is Naturalistic Technique
          Teaching?
• For all naturalistic techniques, the instructor must contrive
  opportunities within the natural environment to provide for
  introduction of skills and for practice. They must look for
  motivating situations and contrive opportunities to learn within
  these situations.
• https://www.youtube.com/watch?v=yzgC9ZPzot8
                                                                     11
           Similarities between Naturalistic
           Techniques and DTT
• Breaking skills into small steps
• Providing Repetition
                                               12
                    Roots of DTT
                                                              13
          Current Practices in DTT
• Expansion of the content addressed through DTI-
1. Language Development
2. Social Skills development
3. Self help skills
4. Leisure and play skills
• Presentation and Prompting techniques-
1. Prompting and errorless learning
2. Task Interapersonal
3. Conditioned motivating operations
4. Use of DTI group instructions
                                                    14
                         Parts of DTT
1. Descriptive stimulus- This is the first step where you tell the learner
   what to do. EG- Touch head.
2. Response- This is what the learner does as a result of being given a
   SD. EG- learner touches head.
3. Consequence- This is what happens as a result of the response. In DTI,
   consequence can either be a reinforcement, EG- Good job! OR a prompt
   if the response was incorrect.
4. Intertrial Trial- This is the time gap between two discrete trials. This
   time is short and used to prepare for the next trial, record data and for
   the learner to engage with the reinforcer.
                                                                         15
                      Moving around DTI
• https://cequick.training.reliaslearning.com/courses/529189/REL-ABA-0-DTI1-
  V2_SCORM_R22/index_lms_html5.html
                                                                               16
               Solid Discriminative Stimuli
• The component that greatly determines the flow and quality of the response and the level
  of reinforcement/prompting is the SD. SDs start the trial, they tell what the learner to do.
• Verbal SDs- This a very common method of delivering trials, children receive verbal
  instructions all day long.
• Though we have to be careful when it comes to delivering them as sometimes words can
  confuse the learner.
• The receptive skills of the learner has to be considered when planning trials for them.
  Some new learners aren’t abled enough to respond to simple SDs too like “come here” or
  “pick it up”.
• The following slide is a guideline to help-
                                                                                            17
1. Low response to simple commands
• Little to no verbal directions in the SD. Use 2 word phrases max.
  Accompany with modelling prompts, hand over hand prompts, or gestures.
2. Some response to simple commands
• Keep the verbal directions to minimum. May need to use modelling
  prompts.
3. Moderate to high verbal
• Deliver verbal directions closely to what they might hear in the natural
  environment adjusting for familiarity level with the task or environment.
                                                                         18
                 Prompt Dependency
• When delivering SDs to the learner, it becomes crucial to keep track of the
  types of prompts and the amount of prompts delivered to the learner since
  we don’t want them to become dependent on the prompts.
• Hence we have to constantly evaluate the learner’s progress and if we get
  a hint of the learner being prompt dependent then we have to stop with
  verbal prompts and try to fade it with non-verbal cues.
• https://www.marybarbera.com/prompt-dependency/
                                                                           19
Improving attention skills and behaviour-
• When starting with a new learner who has trouble with compliance, we
  have to start very slow. The trick is to start with something simple to which
  they will respond correctly hence they gain a reinforcement.
• The gradual ways to increase complexity-
1. Move the item further away from the learner, requiring them to attend to
    the SD longer in order to access the item.
2. Reduce the size of the item or the time with it.
3. Increase the complexity requirement of the response.(eg- come here and
    sit down.)
4. Introduce simple gross motor imitation tasks using verbal accompanied
    with modeling or hand over hand SDs( Eg- “roll car”, “put in”)
                                                                             20
Zero or Unexpected Response to SD?
• It is inevitable that sometimes the learner won’t give an
  expected response or shall not comply with the instruction. As
  interventionists we have to stop the urge to repeat the SD, say
  their name or to say “Pay attention” etc. It just makes it harder
  for them to comply and to understand what they’re supposed to
  respond to.
• Hence we have to wait until they respond or we make a non
  verbal prompt(physical, gestures) for them to respond.
                                                                  21
                Some Do’s or Don’ts.
1. Do use clear and concise language, keep it brief initially.
2. Do use non verbal forms of SD delivery, such as modeling.
3. Do use more natural language as the learner is able to respond more
   fluently.
4. Do prompt for compliance with the SD you delivered.
5. Do use non-verbal prompts to gain or re-gain compliance.
                                                                         22
Ensuring quality of responses from learners
 • It is crucial the quality of the responses that the learner gives to the SD. Even though they
   can be correct they can still display some sort of behaviours which isn’t exactly
   encouraged. Eg- Like falling out of the chair or barely gives an auditory response.
 • High quality responses are reinforced highly positively.
 • In order for the responses to be high quality, the criteria is-
 1. Giving some degree of eye contact.
 2. Putting forth effort
 3. Providing attention to what they’re doing
 4. Responding shortly after the SD( usually within 3 seconds)
                                                                                             23
                    Prompt Fading
• Prompt fading is very crucial as we want the learners to
  respond independently and not because of the help provided
  with prompts.
• It becomes important to evaluate the intrusiveness of prompts.
• What maybe highly intrusive for one might not be for the other
  learner. Intrusiveness of prompts depends on the ability and
  knowledge of the learner.
                                                                   24
                 DISC- Reinforcement
• In order to make ensure the reinforcement is effective and motivating for
  the learner, we follow the DISC guideline-
• Deprivation- If a person has not had access to a particular item and really
  likes it then a deprivation state can be very effective.
• Immediacy- The time between the response and how quickly the learner
  has access to the reinforcer impacts effectiveness.
• Size- If the person gets too much of a reinforcer, they will loose interest ie
  become satiated. And if they don’t get enough, it may not make an impact
  on the response.
• Contigency- If the reinforcer is only reserved for a target response, it will
  be much more effective in getting the person to make that particular
  response.
                                                                              25
Reinforcer Delivery- most effective delivery
                 strategies
 • It must be delivered immediately after the response
 • Reinforcers must be available and within arm’s reach
 • The type and amount of social reinforcement accompanying tangible or
   activity reinforcement such as “that’s great” and “way to go” is individual
   to the learner.
 • Social reinforcement should vary and not be monotonous.
 • If a learner’s response is prompted, they should receive some
   reinforcement. If the learner’s response is independent , they should
   receive more reinforcement.
                                                                             26
• A learner’s program may specify varying schedules of
  reinforcement, such as provide a reinforcer after every 3
  responses. Follow that schedule precisely to aid in building
  momentum for responding.
• If the reinforcer involves time with the activity or an item,
  signaling the end of time with a timer may benefit the
  learner in being able to begin the next trial without any
  behaviour issue.
• If edibles are used as reinforcers, make them small bits at a
  time to avoid possible unhealthy side effects and minimize
  time for consumption.
                                                                  27
          Therapist pairing with
          Reinforcer
• This simply means posing yourself as a reinforcer with the client
  you’re working with. Being welcoming and fun will make the child feel
  that they’re in a safe and fun place.
                                                                       28
           Session Preparation
• Preparing for each session with the child is very important as it
  sets the tone of the session.
• Ensure that the learning environment is minimally distracting so
  the learner concentrates on the SDs that you deliver.
• Be prepared with what you’ll be implementing for the session
  and how you will be delivering the particular trial ie, know and
  practice the trials in advance.
                                                                 29
           During the session, ensure you have
           the following materials within
1. Written skill plan (A skill acquisition plan is the written plan
   which is developed by the Behavior Analyst that contains
   information about behavior programming for the purposes of
   teaching certain skills)
2. Data collection sheets, a pen or the electronic device for data
   collection.
3. Materials needed to execute the trials organized according to
   the approximate order in which you need them.
4. Various levels of reinforcers.
                                                                  30
          Delivering the session
1. It begins with a positive social exchange between the learner
   and interventionist which may or may not be included in the
   pairing time.
2. A direction to go to the learning area which follows with a
   compliance, after which the interventionist reinforces the
   learner.( social/ tangible.)
3. Trials are quickly delivered.
4. Prompting and reinforcement occur seamlessly and according
   to what is indicated on the written plan.
                                                              31
• Crucial rule of thumb that is the response to SDs given in DTI is that it
  should occur within 3 seconds after delivery. This is important to build
  momentum in the session.
• https://www.youtube.com/watch?v=7pN6ydLE4EQ
                                                                          32
To continue building a good momentum-
• SDs should be delivered quickly and clearly; should be short as possible
   as long and diverse words will confuse the learner.
• Responding is encouraged to occur immediately after the SD delivery.
• And reinforcement or prompting should follow through right after the
   response of the learner. Reinforcements should be genuine and
   enthusiastic.
• When following through errorless learning, the prompting is delivered
   simultaneously with the SD or quickly before the child responds to
   encourage right answers to motivate the learner.
                                                                       33
           Session Conclusion
• As the session concludes, you can slow down the momentum
  and let the learner play with the reinforcers a little longer than
  usual.
• As a family member/guardian comes to pick up the learner,
  inform them details about the session.
• Re-arrange the room and refill the consumables.
• Complete the session’s data into the data sheet.
• Re-evaluate the session mentally, think about areas of
  improvement.
                                                                       34
           Written skill acquisition plans
• Written skill acquisition plans are individualized plans for
  learners that provide goals and procedures necessary to
  teaching the skills associated with each goal.
                                                                 35
           Components of WSAP
1. Goal- Specifies the long-term outcome for a learner’s
   performance within a set of skills.
2. Teaching procedures- The type of teaching techniques that
   will be delivered. Eg- DTI, Naturalistic techniques.
3. Materials- Items used in the trial.
4. Instructions (SD)- directions for the interventionist to give to
   the learner
5. Target Response- What the learner is expected to do as a
   result of the instructions.
                                                                      36
           Components of WSAP
1. Goal- Specifies the long-term outcome for a learner’s
   performance within a set of skills.
2. Teaching procedures- The type of teaching techniques that
   will be delivered. Eg- DTI, Naturalistic techniques.
3. Materials- Items used in the trial.
4. Instructions (SD)- directions for the interventionist to give to
   the learner
5. Target Response- What the learner is expected to do as a
   result of the instructions.
                                                                      37
             Shaping and Chaining
• Shaping involves teaching a larger behaviour by reinforcing smaller
  related behaviours until the larger one is displayed.
• The smaller behaviours are called successive approximations which are
  reinforced until the targeted larger behaviour is performed.
• Shaping can be used to teach many tasks such as hand gestures, foreign
  languages, etc.
• Chaining involves teaching a task that usually has a routine or a procedure
  to it. Like- solving a long division problem, baking cookies.
• The end product could be somewhat reinforcing since it results in a
  finished task.
                                                                            38
           Data Collection
• It is crucial to collect data as it indicates the learner’s progress
  in the sessions.
                                                                         39
• TRIAL DATA- Trial data is where the interventionist records the results of
  each trial one by one as the session proceeds.
                                                                               40
• Probe Data- This method includes recording data for a set of discrete trials
  for a designated number of trials, Eg- 1 to 3 trials. The recording of data is
  stopped when the learner has mastered the skill.
                                                                                   41
           Interpretation
• Interpretation of data is the stage where it can be determined if
  the trials in the session with the learner are effective or not.
• If there is improvement in target behaviours then more complex
  skills can be added to the session to help the learner.
• If there is no improvement or there is a decrease in
  improvement of meeting target behaviours, the BCABA team
  has to review the trials and SDs being implemented with the
  learner immediately to ensure that they aren’t wasting time with
  the learner and are focused on meeting the targets.
                                                                  42
          Mastery and Generalization
• Fluent- On a given skill taught in DTI format, meeting mastery
  criteria of 90% correct responding or above across multiple
  consecutive sessions can be considered fluent.
• Generalization- The process of generalization starts before
  fluency is achieved. Prompt and stimulus fading mark the
  beginning of this process. It is achieved when the learner uses
  the skill taught in DTI in the environment in response to the
  naturally occurring cues.
                                                                    43
            How generalization is implemented
            https://www.youtube.com/watch?v=xU395HgXl2s
                                                                         44
            Criticisms of DTI
• Though there has been extensive research resulting positive results from
  DTI, there have been a couple of criticisms regarding it and as well as
  ABA-
• DTI has been criticized for being rote and rigid in it’s highly structured
  learning settings. This can be true if well enough prompt and stimulus
  fading and generalization techniques are not implemented in the trials. To
  make the trials and the skills learnt from it more applicable to real life,
  generalization techniques have to be implemented accurately and at the
  right time.
                                                                            45
             Innovations
• Mass trials- This is when the same target is presented over and over again-
  encouraging repetition. This method is useful when starting out DTI with a new
  learner who has undeveloped skills. EG- T1- Touch Red, T2- Touch red, T3-
  Touch Red.
• Distractor Trials- Usually used after mass trials. These trials are implemented by
  providing a distractor along with the target item. The learner has to discriminate
  the target item from the distractor item in order to provide the correct response.
• Current DTI trials initially involve mass trials but then progress to implementing
  random rotation or mixed trials.
• https://www.youtube.com/watch?v=o27lKuEqyEw
                                                                                   46
• By including distractors and randomly rotating trials
  systematically, you are working towards improving the learner’s
  memory of the SD or target response. This aids in retention of
  information and long term retention of skills.
• Mixing trials that are easier with more difficult ones also helps to
  motivate the learner to maintain responding at higher levels and
  to reduce the motivation to escape.
                                                                    47
            Errorless Learning
            https://www.youtube.com/watch?v=h5_zJIm1B_k
• This is helpful when teaching the learner a new skill. It helps keep the
  learner motivated. This technique is where the correct response is
  prompted right before the learner responds to encourage correct response
  hence reinforcing the learner.
• The process is-
1. Deliver the SD
2. Quickly provide the most intrusive prompt necessary for correct
    responding.
3. Deliver the reinforcer immediately
4. Repeat trials reducing the prompts as the response warrants.
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NATURAL ENVIRONMENT TEACHING
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       Reinforcement-Based
          Discrimination
                   SD           After
              Brelandlesss   Chicken
              target         has food
Before Behavior
Chicken       Chicken
has no food   pulls the
              trigger
                                After
                   SD        Chicken
                             has no food
                Breland
                                           88
       Reinforcement-Based
          Discrimination
                   SD            After
              Written word   Student has
                “shoe”       n + 1 tokens
               Behavior
  Before
              Student says
Student has      “shoe”
n tokens
                  SD            After
              NOT written    Student has
              word “shoe”    n tokens
                                            89
       Reinforcement-Based
        Discrimination 
                                After
                 SD
                             Child has
                            cookie
Before Behavior
                  SD            After
                             Child has
              No            no cookie
                                         90
       Reinforcement-Based
          Discrimination
                                After
               SD            Student has
                             answer
               Behavior
  Before
              Student
Student has   asks
no answer     questions
After
                S D          Student has
                             no answer
                                           91
          discriminaTion Training
          procedure
• Reinforcing a response in the presence of one stimulus and
  extinguishing it in the presence of another stimulus.
S D
                                                               92
      Discrimination Training
            Procedure
• Reinforcing a response in the presence of
  one stimulus and extinguishing it in the
  presence of another stimulus.
S D
                                              93
      Discrimination Training
            Procedure
• Reinforcing a response in the presence of
  one stimulus and extinguishing it in the
  presence of another stimulus.
S D
                                              94
           sTimulus discriminaTion
           (sTimulus conTrol)
• The occurrence of a response more frequently in the presence
  of one stimulus than in the presence of another, usually as a
  result of a discrimination training procedure
S D
                                                              95
Discriminated Reinforcement
               SD        After
            Light on     Food
 Before     Behavior
No food    M270
           presses the
           lever
                          After
              SD
                         No food
           Light off
                                   96
               What is the Prompt Hierarchy?
         “ The prompt hierarchy is defined by the amount of
        assistance/instruction that each prompt requires from
       the teacher for the child to present a correct response.”
                                                               97
                          Naturalor
Environmental
                                                            98
                                                 Position
                    Position object in a way that a student is likely to take it
                                                        100
              Object
Place a needed object near student to encourage
               them to complete the task
                                                  101
               Visual
Student refers to icons/symbols, pictures or visual
          schedules to complete desired task
                                                      102
                             Indirect Verbal
                 Give student hints as to what they are supposed to do
It looks like
     you                 Oh, What’snext?
  dropped                                                           Oh my,
something.
                                                                 it is socold
                                                                 out today.
                                       I can’t
Yum, something                       understan
  smells good.                        d you…
                                                                           103
                             Direct Verbal
                              Full verbal instructions
                                          105
           Full Physical
Full hand-over-hand or hand-under-hand support
                                                 106
                  Natural or
                                                                leasT
                    Position                                    resTricTive
Position object in a way that a student is likely to take it
                    Gesture
  Point or use another gesture that will direct student
                     Object
       Place a needed object near student to
                          encourage them to complete
                          the task
                      Visual
               Indirect Verbal
Give student hints as to what they are supposed to do
                 Direct Verbal
                      Full verbal instructions
               Partial Physical
              Light physical touch or direction
           to encourage student to finish the task
Near Errorless
Teacher Provides a Controlling
Prompt on Every Trial
  Prompts Never Fade
Determine Controlling Prompt
Ahead of Teaching
Two Type of Trials
  Probe
  Teaching
                                          108
Simultaneous Prompting
                         109
Constant Time Delay
                      110
Constant Time Delay
                      111
Progressive Time Delay
                         112
Most to least
                113
No-No-Prompting
                  114
115
116
117
118
119
    mainTenance
The ability to maintain the learned skill across time.
Maintenance
                   Avoid                                           Occasionally
                                               Self Management
Reinforcement   Punishment /   Train Loosely                      Probe & Teach
                                                    Strategy
                 Extinction                                      Maintenance Skill
                                                                                     120
                          mainTenance
◾The child can “perform a response over time, even after systematic
 applied behavior procedures have been withdrawn” (Alberto & Troutman,           2013,
  p. 405)
◾Cannot be assumed
    Particularly true for children with autism, who often display deficits in
     maintaining previously acquired skills (Harris &Weiss, 2007)
                                                                                         121
                      sTraTegies To promoTe
                       mainTenance: Fading
                       prompTs
◾ Prompting is commonly used to teach children with developmental
  disabilities
◾ Prompt dependency
   When a child becomes dependent on the prompt for correct responding (Maurice,
    Green, & Luce, 1997)
   Not uncommon for children with autism
   When stimulus control from the prompt to the naturally occurring cue does not
    occur
                                                                                    122
         Fading prompTs, conT’d
◾Most-to-least prompting
   Begin with a more supportive/intrusive prompt, and fade to a less supportive
    one
   Fade in a gradual &systematic manner
   E.g., full physical partial physical gestural verbal
◾Least-to-most prompting
   Begin with less supportive prompt &increase support as needed
   E.g., verbal gestural physical
   One child responds correctly with prompt, fade support over time (begin most-
    to-least)
   Disadvantage: high number of errors
                                                                                    123
           Fading prompTs, conT’d
◾Stimulus shaping (LeBlanc & Etzel, 1979)
◾Extra-stimulus &within-stimulus prompting              (Schreibman, 1975)
   Extra-stimulus
      An additional cue is presented
      Child attends to 2stimuli: prompt & training stimulus
      Fading procedure: most-to-least
   Within-stimulus
      “exaggeration of the relevant component of the training stimulus” (p. 91)
      Child attends to 1 stimulus: the training stimulus
      Fading procedure: gradually fade exaggerated feature
                                                                                   124
      Fading prompTs: eXamples
◾Least-to-most prompting
   TBD
◾Extra-stimulus prompting
   TBD
◾Within-stimulus prompting
   TBD
                                 125
                 sTraTegies To promoTe
                 mainTenance: Thinning
                 sr+       schedule
◾When teaching a new skill, it is often necessary to initially reinforce
 behavior more frequently that what would be typical in the natural
 environment
   In teaching situations, a CRF may be used
   But in the natural environment, a VR schedule may be in place
◾Once the child acquires the skill, reinforcers should be introduced that
 will maintain the behavior in the natural environment
                                                                              127
sTraTegies To promoTe mainTenance:
          oTher consideraTions
 ◾Frequency of skill
    How often does the student have the opportunity to perform the skill?
 ◾Maintenance checks
    Build into part of child’s program
    Probe performance every 2 days, week, 2 weeks, etc.
                                                                             128
                      generaliZaTion
◾Stimulus generalization
   Train a response under 1 set of stimuli
   The response occurs in the presence of different (but similar) stimuli
◾Response generalization
   Train a response under 1 set of stimuli
   In the presence of the training stimuli, if the trained response is no longer
    reinforced, the student engages in a new response
◾Response generalization
   TBD
                                      130
programming For generaliZed ouTcomes
                                                                                              131
        seQuenTial modiFicaTion
                                                             132
naTurallY occurring conTingencies
◾Use reinforcers that occur in the natural environment
   In natural settings, what reinforcer is contingent on the behavior?
                                                                           133
               mulTiple eXemplars
                                                                             134
        program common sTimuli
                                                                           135
          mediaTe generaliZaTion
                                                                            136
               Train To generaliZe
◾When ageneralized response occurs throughout the school day,
 reinforce it!
   Especially when unprompted, or not instructed to do so
◾E.g.,
   Teaching play
   Teaching requests for attention
                                                                137
promoTing generaliZaTion: general case
               programming
   ◾Teach behaviors that    (Horner, McDonnell, & Bellamy, 1986)
     1. Are “performed across the full range of appropriate stimulus conditions
        encountered by the student” (p. 290)
     2. Are not performed in conditions when the behavior is inappropriate
     3. Endure over time
138