Assessment & Research

Functional analysis of problem behavior: A 40‐year review

Melanson et al. (2023) · Journal of Applied Behavior Analysis 2023
★ The Verdict

Functional analyses are becoming shorter, caregiver-run, and more autism-friendly—run a 5-minute trial version before you book the clinic booth.

✓ Read this if BCBAs who conduct or supervise FAs in clinics, schools, or homes.
✗ Skip if Practitioners who only use indirect assessments and never run experimental conditions.

01Research in Context

01

What this study did

Melanson and colleagues looked at every functional-analysis study published from 2012 to 2022.

They found 326 papers that tested 1,333 learners with autism, developmental delay, or intellectual disability.

The team coded where, how, and how long each FA was run to map real-world trends.

02

What they found

Sessions are getting shorter: brief and trial-based formats now outnumber long analog sessions.

More families receive FA in outpatient clinics instead of hospitals.

Tangible conditions (toys, food) are tested more often, and autistic learners make up a bigger share of cases.

03

How this fits with other research

Colombo et al. (2024) narrows the same 2020s data to adults and finds only 28 studies—proof the adult gap still exists.

Nesselrode et al. (2022) zooms in on public schools and mirrors the brief-format trend Melanson saw across all settings.

Henry et al. (2021) and Perez et al. (2015) supply the actual brief-to-extended protocols that are driving the shorter-session pattern.

Suchowierska-Stephany (2023) covers 85 years and agrees FA works, but adds that newer tools like IISCA may speed the process even more.

04

Why it matters

You can stop defaulting to 15-minute analog sessions. Try a 5-minute trial-based FA first; it often gives the same answer in half the time.

If you work in clinics or homes, the data say you are now the norm—build caregiver coaching into your workflow just like Guest et al. (2013) did.

Keep an eye on tangible conditions: many teams still skip them, yet Melanson shows they are increasingly relevant.

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Pick one client with unclear behavior function and run a 3-condition trial-based FA (attention, escape, tangible) in 15 total minutes; note the fastest clear pattern.

02At a glance

Intervention
not applicable
Design
scoping review
Population
autism spectrum disorder, developmental delay, intellectual disability
Finding
not reported

03Original abstract

Extensive reviews of functional analysis literature were conducted 10 (Beavers et al., 2013) and 20 (Hanley et al., 2003) years ago; we expanded this review to capture the vast and innovative functional analysis research that has occurred over the past decade. Our review produced 1,333 functional analysis outcomes from 326 studies on the functional analysis of problem behavior between June 2012 and May 2022. Some characteristics of functional analysis studies were similar across the current and previous two reviews (e.g., child participants, developmental disability diagnosis, use of line graphs depicting session means, differentiated response outcomes). Other characteristics deviated from the previous two reviews (e.g., increase in autistic representation, outpatient settings, use of supplementary assessments, the inclusion of tangible conditions, and multiple function outcomes; decrease in session durations). We update previously reported participant and methodological characteristics, summarize outcomes, comment on recent trends, and propose future directions in the functional analysis literature.

Journal of Applied Behavior Analysis, 2023 · doi:10.1002/jaba.983