Assessment & Research

Conducting functional analyses of problem behavior via telehealth.

Wacker et al. (2013) · Journal of applied behavior analysis 2013
★ The Verdict

A five-minute Skype FA showed that attention fed a chronic cough, and a simple differential-attention plan stopped it cold.

✓ Read this if BCBAs who get referrals for habit behaviors or who serve rural clients.
✗ Skip if Clinicians who only work in center-based programs with kids who have severe, dangerous topographies.

01Research in Context

01

What this study did

The team ran a short functional analysis over video call.

They wanted to see if a habit cough was kept going by adult attention.

A parent followed the script at home while the BCBA watched on Skype.

02

What they found

Attention was the pay-off.

When mom looked, spoke, or rubbed the child’s back, the cough surged.

A simple plan—give attention for quiet breaths, look away for coughs—wiped the habit out in days.

03

How this fits with other research

Tomlinson et al. (2018) later reviewed many telehealth ABA studies and folded this cough case into the evidence pile.

Zoder-Martell et al. (2020) then mapped out the exact web-cam angles and Swivl moves you need so your next remote FA looks this clean.

Jessel et al. (2022) warn that closed-contingency FAs can spark dangerous behavior; the open, brief format used here kept risk low while still nailing the function.

04

Why it matters

You no longer need to drive three hours to run an FA on a habit or tic.

If a caregiver has a phone, a script, and five minutes, you can test the function, build the treatment, and watch the data roll in live.

Try it next time a parent says, “The sniffing only happens at home.”

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→ Action — try this Monday

Email the parent a two-condition FA script, hop on Zoom, and test if praise is keeping the habit alive.

02At a glance

Intervention
functional analysis
Design
single case other
Population
not specified
Finding
positive

03Original abstract

This study sought to extend functional methodology to the assessment and treatment of habits. After a descriptive assessment indicated that coughing occurred while eating, a brief functional analysis suggested that social attention was the maintaining variable. Results demonstrated that treatment, derived from the assessment and analysis data, rapidly eliminated the cough. We discuss the appropriateness of using functional analysis procedures for deriving treatments for habits in a clinical setting.

Journal of applied behavior analysis, 2013 · doi:10.1901/jaba.1998.31-471