Differential Reinforcement of Other Behavior (DRO)
Study: Haring & Kennedy (1990)
Summary
Differential reinforcement of other behavior (DRO) is a treatment that requires delivering reinforcement contingent on the nonoccurrence or absence of problem behavior during a pre-specified interval of time. Reinforcers are typically identified via functional assessment, but rewards identified using preference assessment, teacher report, student selection, or other indirect means are sometimes substituted for reinforcers.
- Target Grades:
- K, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
- Target Populations:
-
- Students with disabilities only
- Students with learning disabilities
- Students with intellectual disabilities
- Students with emotional or behavioral disabilities
- English language learners
- Any student at risk for emotional and/or behavioral difficulties
- Area(s) of Focus:
-
- Physical Aggression
- Verbal Threats
- Property Destruction
- Noncompliance
- High Levels of Disengagement
- Disruptive Behavior
- Social Behavior (e.g., Peer interactions, Adult interactions)
- Other: stereotypy (e.g., body rocking, tics)
- Where to Obtain:
- N/A
- Initial Cost:
- Free
- Replacement Cost:
- Contact vendor for pricing details.
-
No costs are associated with the use of DRO except for the costs of reinforcers/rewards and a timer.
- Staff Qualified to Administer Include:
-
- Special Education Teacher
- General Education Teacher
- Reading Specialist
- Math Specialist
- EL Specialist
- Interventionist
- Student Support Services Personnel (e.g., counselor, social worker, school psychologist, etc.)
- Applied Behavior Analysis (ABA) Therapist or Board Certified Behavior Analyst (BCBA)
- Paraprofessional
- Other:
- Training Requirements:
- Less than 1 hour of training
-
Training procedures were typically not described, but likely included an explanation of the rationale for DRO, procedures to apply when target behaviors occurred, and procedures for delivering reinforcers or rewards when target behaviors did not occur during an interval.
n/a
- Access to Technical Support:
- Not available
- Recommended Administration Formats Include:
-
- Individual students
- Small group of students
- Minimum Number of Minutes Per Session:
- Minimum Number of Sessions Per Week:
- Minimum Number of Weeks:
- Detailed Implementation Manual or Instructions Available:
- No
- Is Technology Required?
-
- Other technology: A timing device that may be set and re-set is the only technology necessary to implement DRO.
Program Information
Descriptive Information
Please provide a description of program, including intended use:
Differential reinforcement of other behavior (DRO) is a treatment that requires delivering reinforcement contingent on the nonoccurrence or absence of problem behavior during a pre-specified interval of time. Reinforcers are typically identified via functional assessment, but rewards identified using preference assessment, teacher report, student selection, or other indirect means are sometimes substituted for reinforcers.
The program is intended for use in the following age(s) and/or grade(s).
Age 3-5
Kindergarten
First grade
Second grade
Third grade
Fourth grade
Fifth grade
Sixth grade
Seventh grade
Eighth grade
Ninth grade
Tenth grade
Eleventh grade
Twelth grade
The program is intended for use with the following groups.
Students with learning disabilities
Students with intellectual disabilities
Students with emotional or behavioral disabilities
English language learners
Any student at risk for academic failure
Any student at risk for emotional and/or behavioral difficulties
Other
If other, please describe:
ACADEMIC INTERVENTION: Please indicate the academic area of focus.
Early Literacy
Alphabet knowledge
Phonological awareness
Phonological awarenessEarly writing
Early decoding abilities
Other
If other, please describe:
Language
Grammar
Syntax
Listening comprehension
Other
If other, please describe:
Reading
Phonics/word study
Comprehension
Fluency
Vocabulary
Spelling
Other
If other, please describe:
Mathematics
Concepts and/or word problems
Whole number arithmetic
Comprehensive: Includes computation/procedures, problem solving, and mathematical concepts
Algebra
Fractions, decimals (rational number)
Geometry and measurement
Other
If other, please describe:
Writing
Spelling
Sentence construction
Planning and revising
Other
If other, please describe:
BEHAVIORAL INTERVENTION: Please indicate the behavior area of focus.
Externalizing Behavior
Verbal Threats
Property Destruction
Noncompliance
High Levels of Disengagement
Disruptive Behavior
Social Behavior (e.g., Peer interactions, Adult interactions)
Other
If other, please describe:
stereotypy (e.g., body rocking, tics)
Internalizing Behavior
Anxiety
Social Difficulties (e.g., withdrawal)
School Phobia
Other
If other, please describe:
Acquisition and cost information
Where to obtain:
- Address
- Phone Number
- Website
Initial cost for implementing program:
- Cost
- $0.00
- Unit of cost
Replacement cost per unit for subsequent use:
- Cost
- Unit of cost
- Duration of license
Additional cost information:
Describe basic pricing plan and structure of the program. Also, provide information on what is included in the published program, as well as what is not included but required for implementation (e.g., computer and/or internet access)
No costs are associated with the use of DRO except for the costs of reinforcers/rewards and a timer.Program Specifications
Setting for which the program is designed.
Small group of students
BI ONLY: A classroom of students
If group-delivered, how many students compose a small group?
Up to five studentsProgram administration time
- Minimum number of minutes per session
- Minimum number of sessions per week
- Minimum number of weeks
- If intervention program is intended to occur over less frequently than 60 minutes a week for approximately 8 weeks, justify the level of intensity:
Does the program include highly specified teacher manuals or step by step instructions for implementation?- No
BEHAVIORAL INTERVENTION: Is the program affiliated with a broad school- or class-wide management program?- No
-
If yes, please identify and describe the broader school- or class-wide management program: -
Does the program require technology? - Yes
-
If yes, what technology is required to implement your program? -
Computer or tablet
Internet connection
Other technology (please specify)
If your program requires additional technology not listed above, please describe the required technology and the extent to which it is combined with teacher small-group instruction/intervention:
A timing device that may be set and re-set is the only technology necessary to implement DRO.
Training
- How many people are needed to implement the program ?
- 1
Is training for the instructor or interventionist required?- Yes
- If yes, is the necessary training free or at-cost?
- Free
Describe the time required for instructor or interventionist training:- Less than 1 hour of training
Describe the format and content of the instructor or interventionist training:- Training procedures were typically not described, but likely included an explanation of the rationale for DRO, procedures to apply when target behaviors occurred, and procedures for delivering reinforcers or rewards when target behaviors did not occur during an interval.
What types or professionals are qualified to administer your program?
General Education Teacher
Reading Specialist
Math Specialist
EL Specialist
Interventionist
Student Support Services Personnel (e.g., counselor, social worker, school psychologist, etc.)
Applied Behavior Analysis (ABA) Therapist or Board Certified Behavior Analyst (BCBA)
Paraprofessional
Other
If other, please describe:
- Does the program assume that the instructor or interventionist has expertise in a given area?
-
No
If yes, please describe:
Are training manuals and materials available?- No
-
Describe how the training manuals or materials were field-tested with the target population of instructors or interventionist and students: - n/a
Do you provide fidelity of implementation guidance such as a checklist for implementation in your manual?- Yes
-
Can practitioners obtain ongoing professional and technical support? -
No
If yes, please specify where/how practitioners can obtain support:
Summary of Evidence Base
- Please identify, to the best of your knowledge, all the research studies that have been conducted to date supporting the efficacy of your program, including studies currently or previously submitted to NCII for review. Please provide citations only (in APA format); do not include any descriptive information on these studies. NCII staff will also conduct a search to confirm that the list you provide is accurate.
-
Barrett, R. P., Payton, J. B., & Burkhart, J. E. (1988). Treatment of self-injury and disruptive behavior with carbamazepine (tegretol) and behavior therapy. Journal of the Multihandicapped Person, 1, 79-91.
Barton, L. E., & LaGrow, S. J. (1985). Reduction of stereotypic responding in three visually impaired children. Education of the Visually Handicapped, 16, 145-151.
Bergstrom, R., Tarbox, J., & Gutshall, K. A. (2011). Behavioral intervention for domestic pet mistreatment in a young child with autism. Research in Autism Spectrum Disorders, 5, 218-221.
Call, N. A., Pabico, R. S., Findley, A. J., & Valentino, A. L. (2011). Differential reinforcement with and without blocking as treatment for elopement. Journal of Applied Behavior Analysis, 44, 903-907.
Conyers, C., Miltenberger, R. G., Maki, A., Barenz, R., Jurgens, M., Sailer, A., & Kopp, B. (2004). A comparison of response cost and differential reinforcement of other behavior to reduce disruptive behavior in a preschool classroom. Journal of Applied Behavior Analysis, 37, 411-415.
Daddario, R., Anhalt, K., & Barton, L. E. Differential reinforcement of other behavior applied classwide in a childcare setting. International Journal of Behavioral Consultation and Therapy, 3, 342-348.
Didden, R., de Moor, J., & Bruyns, W. (1997). Effectiveness of DRO tokens in decreasing disruptive behavior in the classroom with five multiply handicapped children. Behavioral Interventions, 12, 65-75.
Figueroa, R. G., Thyer, B. A., & Thyer, K. B. (1992). Extinction and DRO in the treatment of aggression in a boy with severe mental retardation. Journal of Behavior Therapy and Experimental Psychiatry, 23, 133-140.
Flood, W. A., & Wilder, D. A. (2004). The use of differential reinforcement and fading to increase time away from a caregiver in a child with separation anxiety disorder. Education & Treatment of Children, 27, 1-8.
Foxx, R. M., McMorrow, M. J., Fenlon, S., & Bittle, R. G. (1986). The reductive effects of reinforcement procedures on the genital stimulation and stereotypy of a mentally retarded adolescent male. Analysis & Intervention in Developmental Disabilities, 6, 239-248.
Grauvogel-MacAaleese, A., & Wallace, M. D. (2010). Use of peer-mediated intervention in children with attention deficit hyperactivity disorder. Journal of Applied Behavior Analysis, 43, 547-551.
Haring, T. G., Breen, C. G., Pitts-Conway, V., & Gaylord-Ross, R. (1986). Use of differential reinforcement of other behavior during dyadic instruction to reduce stereotyped behavior of autistic students. American Journal of Mental Deficiency, 90, 694-702.
Haring, T. G., & Kennedy, C. H. (1990). Contextual control of problem behavior in students with severe disabilities. Journal of Applied Behavior Analysis, 23, 235-243.
Himle, M. B., Woods, D. W., & Bunaciu, L. (2008). Evaluating the role of contingency in differentially reinforced tic suppression. Journal of Applied Behavior Analysis, 41, 285-289.
Kennedy, C. H., & Haring, T. G. (1993). Combining reward and escape DRO to reduce the problem behavior of students with severe disabilities. Journal of the Association for Persons with Severe Handicaps, 18, 85-92.
Kodak, T., Miltenberger, R. G., & Romaniuk, C. (2003). A comparison of differential reinforcement and noncontingent reinforcement for the treatment of a child's multiply controlled problem behavior. Behavioral Interventions, 18, 267-278.
Luiselli, J. K. (1990). Reinforcement control of assaultive behavior in a sensory impaired child. Behavioral Residential Treatment, 5, 45-53.
Luiselli, J. K., Helfen, C. S., Colozzi, G., Donellon, S., & Pemberton, B. (1978). Controlling self-inflicted biting of a retarded child by the differential reinforcement of other behavior. Psychological Reports, 42, 435-438.
Study Information
Study Citations
Haring, T. G. & Kennedy, C. H. (1990). Contextual control of problem behavior in students with severe disabilities.. Journal of Applied Behavior Analysis, 23() 235-243.
Participants
- Describe how students were selected to participate in the study:
- Participants were referred by teachers for engaging in frequent problem behaviors that interfered with classroom and community activities. Teachers completed the Motivation Assessment Scale (Durand, 1988) and participants scored relatively high (in a pool of four students) on the subscales of self-stimulation and escape and comparatively low on the subscales of attention and tangible reward.
-
Describe how students were identified as being at risk for academic failure (AI) or as having emotional/behavioral difficulties (BI): - Participant 1 (Sandra) engaged in frequent problem behaviors across settings including body rocking, loud vocalizations, and spitting. Participant 2 (Raff) engaged in body rocking, hand flapping, and head bobbing across settings.
-
ACADEMIC INTERVENTION: What percentage of participants were at risk, as measured by one or more of the following criteria:- below the 30th percentile on local or national norm, or
- identified disability related to the focus of the intervention?
- %
-
BEHAVIORAL INTERVENTION: What percentage of participants were at risk, as measured by one or more of the following criteria:- emotional disability label,
- placed in an alternative school/classroom,
- non-responsive to Tiers 1 and 2, or
- designation of severe problem behaviors on a validated scale or through observation?
- %
Provide a description of the demographic and other relevant characteristics of the case used in your study (e.g., student(s), classroom(s)).
Case (Name or number) | Age/Grade | Gender | Race / Ethnicity | Socioeconomic Status | Disability Status | ELL status | Other Relevant Descriptive Characteristics |
---|---|---|---|---|---|---|---|
test | test | test | test | test | test | test | test |
Design
- Please describe the study design:
- Multitreatment designs were used for both participants in each of two settings (leisure and task). A: Baseline B: DRO C: Time out For Participant 1 (Sandra), an A-B-C-B-C-B design was used to evaluate the relative effects of DRO and time out on stereotypy in the task condition, while an A-C-B-C-B-C design was used in the leisure setting. For Participant 2 (Raff), an A-C-B-C-B-C-B design was used to evaluate the relative effects of DRO and time out on stereotypy in the task condition, while an A-B-C-B-C design was used in the leisure setting.
Clarify and provide a detailed description of the treatment in the submitted program/intervention:- Both participants received the following treatments in task and leisure settings, respectively. DRO in instruction: Students had to omit stereotypy and produce a correct response to an instructional prompt during a trial to earn a token. Trials lasted 15 s each. After 10 tokens were earned, the student exchanged them for an edible reward and a break from instruction. If the student did not earn 10 tokens, sessions were ended after 10 min. DRO in leisure: Token delivery was contingent on the student omitting problem behavior for 15 s. Once the student earned 10 tokens for the omission of problem behavior, sessions ended and the student exchanged his or her tokens for an edible reward. If the student did not earn 10 tokens, sessions were ended after 10 min.
Clarify what procedures occurred during the control/baseline condition (third, competing conditions are not considered; if you have a third, competing condition [e.g., multi-element single subject design with a third comparison condition], in addition to your control condition, identify what the competing condition is [data from this competing condition will not be used]):- A single baseline phase was conducted until stable rates of stereotypy were observed (condition A). Subsequent to the initial baseline phase, the timeout condition served as the control/comparison condition. The same procedures were implemented for both participants in baseline and comparison (timeout) conditions, and were implemented as follows: Instruction baseline: Edible rewards were delivered contingent on correct responses that accumulated on a plate in front of the student until the end of the session, at which time the student consumed what he or she had earned. Problem behavior was ignored. Instructional sessions lasted 10 min. Timeout (task withdrawal) in instruction: As in baseline, edible rewards were accrued contingent on correct responses and available for consumption at the end of the session. Instructional tasks were removed for 15 s contingent on problem behavior. All sessions lasted 10 min. Leisure baseline: Students engaged in listening to a radio (Sandra) or looking at magazines (Raff). All problem behavior was ignored. Sessions lasted 10 min. Timeout (task withdrawal) in leisure: Leisure items were removed for 15 s contingent on problem behavior until problem behavior was omitted for 15 s. Sessions lasted 10 min.
Please describe how replication of treatment effect was demonstrated (e.g., reversal or withdrawal of intervention, across participants, across settings)- Replication for both participants was demonstrated by repeated, sequential introduction and withdrawal of DRO procedures in each setting (task and leisure).
-
Please indicate whether (and how) the design contains at least three demonstrations of experimental control (e.g., ABAB design, multiple baseline across three or more participants). - For Sandra, there were four demonstrations of experimental control in the task setting (A-B-C-B-C-B design) and four demonstrations of experimental control in the leisure setting (A-C-B-C-B-C design). For Raff, there were three demonstrations of experimental control in the leisure setting (A-B-C-B-C design) and five demonstrations of experimental control in the task setting (A-C-B-C-B-C-B design).
If the study is a multiple baseline, is it concurrent or non-concurrent?- N/A
Fidelity of Implementation
- How was the program delivered?
-
Individually
Small Group
Classroom
If small group, answer the following:
- Average group size
- Minimum group size
- Maximum group size
What was the duration of the intervention (If duration differed across participants, settings, or behaviors, describe for each.)?
- Weeks
- 4.00
- Sessions per week
- 10.00
- Duration of sessions in minutes
- 10.00
- Weeks
- 5.00
- Sessions per week
- 10.00
- Duration of sessions in minutes
- 10.00
- Weeks
- Sessions per week
- Duration of sessions in minutes
- What were the background, experience, training, and ongoing support of the instructors or interventionists?
- The interventionist was a university-based experimenter who was the second author of the paper. No information about background or training was reported above and beyond university affiliation.
Describe when and how fidelity of treatment information was obtained.- Fidelity of treatment data were not reported
What were the results on the fidelity-of-treatment implementation measure?- Fidelity of treatment data were not reported
Was the fidelity measure also used in baseline or comparison conditions?- Fidelity of treatment data were not reported
Measures and Results
Measures Broader :
Study measures are classified as targeted, broader, or administrative data according to the following definitions:
-
Targeted measures
Assess outcomes, such as competencies or skills, that the program was directly targeted to improve.- In the academic domain, targeted measures typically are not the very items taught but rather novel items structured similarly to the content addressed in the program. For example, if a program taught word-attack skills, a targeted measure would be decoding of pseudo words. If a program taught comprehension of cause-effect passages, a targeted measure would be answering questions about cause-effect passages structured similarly to those used during intervention, but not including the very passages used for intervention.
- In the behavioral domain, targeted measures evaluate aspects of external or internal behavior the program was directly targeted to improve and are operationally defined.
-
Broader measures
Assess outcomes that are related to the competencies or skills targeted by the program but not directly taught in the program.- In the academic domain, if a program taught word-level reading skill, a broader measure would be answering questions about passages the student reads. If a program taught calculation skill, a broader measure would be solving word problems that require the same kinds of calculation skill taught in the program.
- In the behavioral domain, if a program taught a specific skill like on-task behavior in one classroom, a broader measure would be on-task behavior in another setting.
- Administrative data measures apply only to behavioral intervention tools and are measures such as office discipline referrals (ODRs) and graduation rates, which do not have psychometric properties as do other, more traditional targeted or broader measures.
Targeted Measure | Reverse Coded? | Evidence | Relevance |
---|---|---|---|
Targeted Measure 1 | Yes | A1 | A2 |
Broader Measure | Reverse Coded? | Evidence | Relevance |
---|---|---|---|
Broader Measure 1 | Yes | A1 | A2 |
Administrative Data Measure | Reverse Coded? | Relevance |
---|---|---|
Admin Measure 1 | Yes | A2 |
- If you have excluded a variable or data that are reported in the study being submitted, explain the rationale for exclusion:
Results
- Describe the method of analyses you used to determine whether the intervention condition improved relative to baseline phase (e.g., visual inspection, computation of change score, mean difference):
- Visual inspection
Please present results in terms of within and between phase patterns. Data on the following data characteristics must be included: level, trend, variability, immediacy of the effect, overlap, and consistency of data patterns across similar conditions. Submitting only means and standard deviations for phases is not sufficient. Data must be included for each outcome measure (targeted, broader, and administrative if applicable) that was described above.- Participant 1 (Sandra) Problem behavior in the task setting: In the initial baseline condition, problem behavior occurred for moderately high proportions of intervals across sessions and was relatively stable. In the first DRO condition, problem behavior decreased immediately, although in the third session, problem behavior occurred at higher than baseline rates. In the final two sessions in this phase, problem behavior returned to low levels and a decreasing/therapeutic trend was evident. When DRO was withdrawn and timeout was introduced, problem behavior returned to baseline levels. When DRO was reintroduced, problem behavior dropped immediately to a low level and was relatively stable. In the next time out phase, problem behavior increased to levels higher than baseline. In the final DRO phase, problem behavior decreased immediately to near zero rates and remained near zero for the remaining sessions. DRO was consistently effective at reducing problem behavior compared to time outs in the task setting for Sandra (five demonstrations). Problem behavior in the leisure setting: In the initial baseline condition, problem behavior was variable but occurred for moderately high proportions of intervals. In the first time out condition, problem behavior decreased over several sessions. When the DRO was introduced, problem behavior returned to baseline levels. Changes were immediate over subsequent demonstrations. Problem behavior consistently occurred at baseline rates during the DRO condition and at low levels during the timeout condition, indicating DRO was ineffective at reducing problem behavior relative to time out in the leisure setting for Sandra (five demonstrations that timeout was superior to DRO in the leisure setting). Correct responding in the task setting: Sandra produced around 1 correct response per minute in the initial baseline condition. During DRO, correct responding increased to roughly double the rates of baseline responding, with a slightly increasing trend. When time out was introduced, responding decreased immediately and with a further decreasing trend toward near-zero rates. When DRO was reintroduced, rates immediately increased to previous levels. Subsequent withdrawals and introductions produced the same effect. Demonstrations of effect were consistent across opportunities, thus DRO was effective compared to time out at increasing correct responding in the instructional setting (five demonstrations). Participant 2 (Raff) Problem behavior in the leisure setting: Problem behavior occurred at moderately high and stable levels during the initial baseline and timeout conditions. When DRO was introduced, problem behavior decreased steadily to near-zero rates. When timeout was reintroduced and DRO withdrawn, problem behavior occurred at baseline levels and showed an increasing trend. In subsequent demonstrations, problem behavior dropped immediately to low levels with decreasing trends in DRO conditions, and baseline levels with an increasing trend in the remaining time out condition. DRO was effective at reducing problem behavior in the leisure setting for Raff (five demonstrations). Problem behavior in the task setting: Problem behavior occurred at high and stable rates during initial baseline and DRO conditions. Upon introduction of the timeout contingency, level of problem behavior decreased and was variable but without trend. When DRO was reintroduced, problem behavior increased moderately and then showed an increasing trend until timeout was reintroduced. Problem behavior dropped to low and slightly variable levels, indicating that DRO was ineffective compared to time out for reducing problem behavior in the task setting for Raff (three demonstrations that timeout was superior to DRO in the task setting). Correct responding in the task setting: In the initial baseline condition, responding averaged around 1 correct response per minute, and continued at this rate through the initial timeout condition. When DRO was introduced, an immediate change in level was apparent, along with an increasing trend. When DRO was withdrawn and time out reintroduced, rates of correct responding dropped to low levels and showed a decreasing trend. This pattern between DRO and timeout continued consistently across remaining opportunities for demonstrations. DRO consistently produced high rates of correct responses compared to time out for Raff, despite its failure to decrease problem behavior in the task condition (6 demonstrations).
Additional Research
- Is the program reviewed by WWC or E-ESSA?
- No
- Summary of WWC / E-ESSA Findings :
What Works Clearinghouse Review
This program was not reviewed by What Works Clearinghouse.
- How many additional research studies are potentially eligible for NCII review?
- 6
- Citations for Additional Research Studies :
Call, N. A., Pabico, R. S., Findley, A. J., & Valentino, A. L. (2011). Differential Reinforcement with and without Blocking as Treatment for Elopement. Journal of Applied Behavior Analysis, 44, 903-907.
Conyers, C., Miltenberger, R. G., Maki, A., Barenz, R., Jurgens, M., Sailer, A., & Kopp, B. (2004). A Comparison of Response Cost and Differential Reinforcement of Other Behavior to Reduce Disruptive Behavior in a Preschool Classroom. Journal of Applied Behavior Analysis, 37, 411-415.
Foxx, R. M., McMorrow, M. J., Fenlon, S., & Bittle, R. G. (1986). The Reductive Effects of Reinforcement Procedures on the Genital Stimulation and Stereotypy of a Mentally Retarded Adolescent Male. Analysis & Intervention in Developmental Disabilities, 6, 239-248.
Grauvogel-MacAaleese, A., & Wallace, M. D. (2010). Use of Peer-Mediated Intervention in Children with Attention Deficit Hyperactivity Disorder. Journal of Applied Behavior Analysis, 43, 547-551.
Himle, M. B., Woods, D. W., & Bunaciu, L. (2008). Evaluating the Role of Contingency in Differentially Reinforced Tic Suppression. Journal of Applied Behavior Analysis, 41, 285-289.
Luiselli, J. K., Helfen, C. S., Colozzi, G., Donellon, S., & Pemberton, B. (1978). Controlling Self-Inflicted Biting of a Retarded Child by the Differential Reinforcement of Other Behavior. Psychological Reports, 42, 435-438.
Data Collection Practices
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