ABA Fundamentals

Varying response effort in the treatment of pica maintained by automatic reinforcement.

Piazza et al. (2002) · Journal of applied behavior analysis 2002
★ The Verdict

Make pica harder to reach than safe alternatives and the behavior disappears.

✓ Read this if BCBAs working with kids who have pica and developmental delay in school or home settings.
✗ Skip if Practitioners whose clients already use matched reinforcement and show near-zero pica.

01Research in Context

01

What this study did

Three children with developmental delay kept eating non-food items. The team made the kids reach farther or lift heavier lids to get the items. They also tested what happened when safe toys were easy or hard to reach.

Each child was watched alone in a room. Sessions rotated between easy, hard, and blocked access. The team counted how often pica happened in each setup.

02

What they found

When pica items took more work to grab, pica dropped fast. One child went from 20 bites per hour to zero. The same child kept eating when the lid stayed light.

If fun toys were easy to reach, pica stayed low even when the bad items were easy too. Making the toys harder to get let pica creep back up.

03

How this fits with other research

HOFFMAN et al. (1963) showed that conditioned suppression can last 2.5 years in pigeons. Both studies use extinction logic: take away the payoff and the behavior fades.

Madden et al. (2003) taught rats to stop cocaine pressing when extinction cues lit up. The pica study does the same thing with effort instead of lights.

Hart et al. (1974) found that tougher DRL schedules made rats switch to wheel running. The kids also swapped to easier play when pica cost too much work.

04

Why it matters

You can thin pica without punishment. Put the chalk, paper clips, or foam pieces in a heavy jar with a screw lid. Place a basket of safe chewables within easy reach. Check data for one week—most kids show a clear drop by day three.

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→ Action — try this Monday

Tape a 1-lb ankle weight to the lid of the box that holds the items the child eats.

02At a glance

Intervention
extinction
Design
single case other
Sample size
3
Population
developmental delay
Finding
positive
Magnitude
large

03Original abstract

Pica is a life-threatening behavior displayed by many individuals with developmental disabilities. In the current study, automatic reinforcement maintained the pica of 3 participants. Following functional analyses of pica, response-effort manipulations were conducted in which the effort to obtain pica or alternative items was varied systematically. Several general relations emerged as a result of the study. First, levels of pica were reduced relative to baseline when alternative items were available independent of the effort required to obtain alternative items or pica. Second, increasing the effort for alternative items resulted in increases in pica relative to when effort for alternative items was low. Third, increasing response effort for pica produced reductions in pica relative to baseline when alternative items were unavailable. Fourth, the highest levels of pica occurred when the effort to engage in pica was low or medium and no alternative items were available. These findings are discussed in terms of the relative effects of quality of reinforcement and response effort on behavior.

Journal of applied behavior analysis, 2002 · doi:10.1901/jaba.2002.35-233