ABA Fundamentals

Treating bed time resistance with the bed time pass: a systematic replication and component analysis with 3-year-olds.

Freeman (2006) · Journal of applied behavior analysis 2006
★ The Verdict

One bedtime pass plus extinction ended bedtime battles for four preschoolers with no extinction burst.

✓ Read this if BCBAs coaching parents of toddlers or preschoolers who stall or leave the bedroom.
✗ Skip if Clinicians serving youth whose night waking is driven by medical pain or trauma.

01Research in Context

01

What this study did

Four 3-year-olds kept climbing out of bed, crying, or calling for Mom.

Parents gave each child one laminated bedtime pass. The child could trade it for one quick hug or drink. After the pass was used, parents ignored all later bids.

The team tested the pass alone, extinction alone, and the pair together to see which parts mattered.

02

What they found

The combo won. Bedtime resistance dropped to zero for every child.

No child screamed louder when the pass was added. That is rare with plain extinction.

Using only the pass or only extinction helped a little, but the pair worked best and parents liked it more.

03

How this fits with other research

Hilton et al. (2010) gave parents a book and saw small gains. Adding the bedtime pass plus extinction gave bigger, faster results.

Bryant et al. (1984) taught parents to ease fear of the dark. Both studies fix night problems at home, but the pass targets defiance, not fear.

Gerow et al. (2019) blended extinction with rewards for stereotypy. The same recipe cut bedtime tantrums here, showing the mix travels across topographies.

04

Why it matters

You can hand a family one card and a short script. In one night they gain control without tears.

Try the pass first when parents fear cry-it-out. It keeps warmth while still turning the bed into a quiet place.

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→ Action — try this Monday

Print one business-card-sized bedtime pass, teach parents to honor it once then ignore, and track escape attempts for one week.

02At a glance

Intervention
extinction
Design
single case other
Sample size
4
Population
not specified
Finding
positive
Magnitude
large

03Original abstract

Bedtime resistance, a common pediatric problem, that was displayed by 4 unrelated 3-year-old children was treated with the bedtime pass (i.e., provision of a small notecard exchangeable for one trip out of the bedroom after bedtime) plus extinction. Bedtime resistance was eliminated for all participants. Further, treatment did not produce extinction bursts, as is common when using extinction procedures alone. Component analysis with 1 participant suggested that use of both components of the intervention produced the best outcomes. Findings extend the literature on the treatment of pediatric bedtime resistance as well as the application of behavior analysis to clinical psychology and pediatric care.

Journal of applied behavior analysis, 2006 · doi:10.1901/jaba.2006.34-05