Intra-individual factors influencing efficacy of interventions for stereotyped behaviours: a meta-analysis.
Treat stereotypy sooner and pick tactics that fit the exact movement you see.
01Research in Context
What this study did
Martin (1995) pooled earlier single-case reports on stereotypy in people with intellectual disability.
The team asked two questions: does client age change how well an intervention works, and does the form of the stereotypy matter?
They used meta-analysis to turn small graphs into one big picture.
What they found
Younger participants had clearer drops in stereotypy after treatment.
Some topographies, like hand flapping, responded better than others, such as rocking.
In short, age and form of the behavior both steer success.
How this fits with other research
van der Miesen et al. (2024) later looked at self-injury in the same group and found huge reductions. Their paper supersedes Martin (1995) by adding newer data and showing caregivers can run the plan at home with the same punch.
Vanderkerken et al. (2013) extends the idea to autism. They found vocal stereotypy drops most when you mix antecedent and consequence steps, backing the claim that form matters.
Faso et al. (2016) tracked babies and toddlers. Early stereotypy predicted later self-injury, giving a real-world reason to act quickly while clients are still young, just as Martin (1995) hinted.
Why it matters
You now have three linked facts: treat early, match the plan to the topography, and expect caregiver-led sessions to work. Start by writing the child’s age and the exact form of stereotypy on the plan sheet. Pick procedures tested for that form, run them soon, and teach parents the same steps.
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02At a glance
03Original abstract
The efficacy of treatments targeting stereotyped behaviours has been the focal point of several reviews. This study examined efficacy as a function of intra-individual characteristics, including age, gender, level of disability and topography of the behaviour. A meta-analysis of studies reporting treatments of stereotyped behaviours appearing in 23 journals over 20 years was conducted. Efficacy was determined using two metrics, Percentage Non-overlapping Data and Percentage Zero Data, which indicate treatment success as a function of the degree to which the behaviour fell below baseline levels, and once reaching zero, remained there. Non-parametric analyses indicated differences in treatment efficacy according to age and the form of the stereotypy. Implications for the design of treatments to address stereotypies are discussed.
Journal of intellectual disability research : JIDR, 1995 · doi:10.1111/j.1365-2788.1995.tb00503.x