Assessment & Research

Precursor behavior and functional analysis: A brief review

Heath et al. (2019) · Journal of Applied Behavior Analysis 2019
★ The Verdict

Test the mild early signs instead of the dangerous act and you still learn the function.

✓ Read this if BCBAs who assess severe problem behavior in clinic or schools.
✗ Skip if BCBAs who only treat food selectivity or toileting.

01Research in Context

01

What this study did

Heath and his team read every precursor functional analysis paper they could find.

They wrote a short guide that tells you when to test mild behaviors instead of dangerous ones.

02

What they found

The review shows you can watch for early signs like hand flaps or soft vocalizations.

If these signs predict aggression or self-harm, you can run the FA on the safe behavior.

03

How this fits with other research

Schmidt et al. (2020) tested the guide in a clinic and proved it works in one afternoon.

Borlase et al. (2017) had already shown the same thing two years earlier, so the review pulls their data together.

Rettig et al. (2019) went further and showed blocking the early signs stops pica before it starts.

04

Why it matters

You no longer need to wait for a bite or a head-hit to learn the function. Watch for the client’s first small twitch, sigh, or repetitive hand lift. Run a five-minute test with that mild behavior. You get the same answer and keep everyone safe.

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→ Action — try this Monday

Pick one client, list three subtle behaviors that come right before the big problem, and run a five-minute FA on the safest one.

02At a glance

Intervention
not applicable
Design
narrative review
Finding
not reported

03Original abstract

Researchers have developed precursor functional analyses to provide an alternative, and presumably safer, format for functional analysis of severe problem behavior. When researchers use functional analysis contingencies for precursor behaviors, it is possible to infer functional characteristics about severe problem behaviors based on patterns of less severe precursor behaviors, permitting practitioners to complete the assessment with less risk to clients, practitioners, or others. The current paper discusses recent advances in the development and validation of precursor identification, and offers suggestions and future directions for investigating and implementing precursor functional analyses. We propose a decision-making model, in which practitioners integrate procedures to identify precursors into the functional-analysis process, to expedite the analysis of severe problem behaviors.

Journal of Applied Behavior Analysis, 2019 · doi:10.1002/jaba.571