ABA Fundamentals

The effects of interspersed maintenance tasks on academic performance in a severe childhood stroke victim.

Koegel et al. (1986) · Journal of applied behavior analysis 1986
★ The Verdict

Sliding mastered trials between new ones lifts accuracy and mood for kids with brain injury.

✓ Read this if BCBAs in schools or clinics who teach academic skills to learners with neurological damage.
✗ Skip if Clinicians only running pure reinforcement thinning programs with no academic target.

01Research in Context

01

What this study did

Nakamura et al. (1986) worked with an 8-year-old boy who had a stroke. The stroke hurt his left brain and made reading, spelling, math, and handwriting hard.

The team used a multiple-baseline design across the four school subjects. They mixed easy, already-known tasks between new, hard tasks. The goal was to see if the mix would keep the boy working and cut frustration.

02

What they found

When mastered tasks were slipped in, the boy answered more questions correctly in every subject. He also stopped saying “I can’t” and stayed in his seat longer.

The gains showed up right away and stayed high even when the mix was thinned. Teachers said he looked happier and asked to keep the new format.

03

How this fits with other research

Lord et al. (1986) published the same year with a different way to keep behavior going. They faded reinforcement to unpredictable schedules and kept the kids saying their rules out loud. Both studies hit the same goal—maintenance—but one used task mix and the other used sneaky reinforcement.

Reiss et al. (1982) got similar academic jumps with correspondence training three years earlier. Their kids had intellectual disability, not stroke, yet the seat-work gains looked alike. The stroke study adds brain-injury proof to the older classroom data.

Smith et al. (2010) moved the idea to adults in a coma state. They used microswitches so patients could pick preferred videos. The tool changed from worksheets to buttons, but the heart is the same: give easy, rewarding reps so the learner keeps going.

04

Why it matters

You can use the mix trick tomorrow. Drop two mastered flashcards between every new sight word or math fact. It costs nothing, cuts escape behavior, and works after brain injury, autism, or ID. Start with 50-50 easy-hard and fade as confidence grows.

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Add three already-known problems to the top of each new worksheet and praise quick answers.

02At a glance

Intervention
other
Design
multiple baseline across behaviors
Sample size
1
Population
traumatic brain injury
Finding
positive
Magnitude
large

03Original abstract

We examined the effects of task-sequencing variables on the academic performance of an 8-year-old severe stroke victim. Within a multiple baseline design, previously acquired (maintenance) task trials were systematically interspersed at designated points in treatment among new (acquisition) task trials. The results showed improvements in both academic responding and subjective ratings of motivation in each of four treated areas (spelling, reading, word-finding, and memory). Social validation data obtained from standardized school placement examinations suggested marked improvement in a variety of related areas of academic functioning. Results suggest that children suffering severe strokes may be capable of learning more than has previously been suspected, and that behavioral treatments may improve such children's functioning.

Journal of applied behavior analysis, 1986 · doi:10.1901/jaba.1986.19-425