Function-based interventions for LD?

Most readers are likely familiar with the idea that one can, by carefully assessing the antecedents and consequences of a problem behavior, essentially determine what is causing that problem behavior to occur. Given that at least some—many?—students with Learning Disabilities (LD) have some problem-some behaviors, wouldn’t it be cool if there was an evidence base about using functional analysis techniques to document development of procedures for addressing the problem behaviors of students with LD?

In “A Systematic Review of Function-Based Interventions for Students with Learning Disabilities,” Professor John McKenna and his colleagues examined the research literature in search of that very evidence base. They were able to locate only a few studies that met the most rigorous standards, but those studies allowed them to conclude that this idea is a promising one. Here’s the source and the abstract with a hot DOI. I think the publisher (Wiley) may be allowing public access to the entire article, so try clicking on the PDF to download it. (I can’t tell, ’cause I’m working from my office, which has free access anyway; drop a comment to let me know.)

McKenna, J. W., Flower, A., Kim, M. K., Ciullo, S., & Haring, C. (2015). A systematic review of function-based interventions for students with learning disabilities. Learning Disabilities Research & Practice, 30, 15-28. DOI:10.1111/ldrp.12049

Students with learning disabilities (LD) experience pervasive academic deficits requiring extensive academic intervention; however, they may also engage in problem behaviors that adversely affect teaching and learning, thus lessening the potential impact of specialized instruction and supports. The learning deficits of students with LD are prevalent in the extant research, but behavioral needs appear to receive less attention. The authors report the results of a systematic review investigating the evidence-base for function-based interventions for students with LD using the What Works Clearinghouse (WWC) criteria for evaluating single-case studies. Fourteen studies with 17 participants met inclusion criteria, with the majority occurring in elementary settings. Although interventions tended to be effective, few included maintenance and generalization measures. Because of the small number of studies (n = 4) that met WWC design and effectiveness standards, the authors conclude that function-based interventions, although promising, cannot currently be considered an evidence-based practice for students with LD. Implications for practice, areas for future research, and study limitations are reported.

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