Immediate and subsequent effects of response interruption and redirection on targeted and untargeted forms of stereotypy.
RIRD gives fast, durable cuts in motor stereotypy and will not boomerang later, yet it leaves untargeted vocals mostly untouched.
01Research in Context
What this study did
Two children with autism took part. Each had loud motor stereotypy, like hand flapping.
The team used response interruption and redirection, or RIRD. They blocked the movement and asked the child to do another action with his hands.
Sessions happened at a table. The researchers watched to see if the stereotypy stayed low after they stopped RIRD.
What they found
Motor stereotypy dropped the moment RIRD started. It stayed low while the team watched.
Untargeted vocal stereotypy barely moved. It did not rise later, so there was no boomerang effect.
How this fits with other research
Falligant et al. (2020) ran a direct replication. They added fun items after each RIRD block. Motor stereotypy still fell, showing the basic effect holds even when you sweeten the deal.
Ding et al. (2017) asked the same question about untargeted forms. They used NCR and DRO instead of RIRD. Their untargeted stereotypy often fell, while J et al. saw almost no change. The gap is likely about procedure: NCR gives steady sensory input that can quiet other forms; RIRD only interrupts and redirects.
Hawkes et al. (1974) showed that stopping self-stimulation boosts play. J et al. add a safety note: after you stop, the behavior does not surge back. Together they tell us suppression can be clean if you redirect, not just block.
Why it matters
You can use RIRD to get quick, lasting drops in motor stereotypy without fear of a rebound. Do not rely on it to cut vocal stereotypy at the same time. If you need both to fall, pair RIRD with matched sensory input or run a separate NCR plan for the vocals.
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02At a glance
03Original abstract
A number of studies have shown that response interruption and redirection (RIRD) decreases immediate engagement in targeted stereotypic behaviors; however, its effects on untargeted stereotypy have not yet been studied, and its effects following removal of treatment are unclear. We evaluated the immediate and subsequent effects of RIRD on targeted motor stereotypy, as well as untargeted but higher probability vocal stereotypy, of two participants diagnosed with autism, using a three-component multiple-schedule design. Treatment with RIRD decreased immediate engagement in motor stereotypy for both participants, and did not increase subsequent engagement above baseline levels for either participant. In addition, RIRD produced modest changes in immediate engagement in untargeted vocal stereotypy for both participants. We briefly discuss the clinical implications and limitations of the findings from this study.
Behavior modification, 2013 · doi:10.1177/0145445513485751