Assessment & Research

Intra-individual factors influencing efficacy of interventions for stereotyped behaviours: a meta-analysis.

Wehmeyer (1995) · Journal of intellectual disability research : JIDR 1995
★ The Verdict

Treat stereotypy sooner and pick tactics that fit the exact movement you see.

✓ Read this if BCBAs writing stereotypy plans for kids or adults with ID.
✗ Skip if Clinicians who only handle verbal behavior with no repetitive movements.

01Research in Context

01

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.

02

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.

03

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.

04

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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→ Action — try this Monday

List each client’s stereotypy form, then choose an intervention tested for that form and start this week.

02At a glance

Intervention
not applicable
Design
meta analysis
Population
intellectual disability
Finding
not reported

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