Treatment for Higher-Order Restricted Repetitive Behaviors (H-RRB) in Children with Autism Spectrum Disorder.

Lin et al. (2018) asked parents to run a home points game. The game rewarded preschoolers with autism for trying new ways to play instead of repeating the same rigid routine.

Three families joined. Each child had higher-order restricted repetitive behaviors, like lining toys the exact same way every time. Parents earned points when they used PRT bids for variation and when kids showed flexible play.

Rigid routines dropped and family fun rose. Parents said they felt more confident and played longer with their kids.

The kids started choosing new toys and new ways to use old toys. Everyone stayed happier during playtime.

Verschuur et al. (2019) showed that group PRT parent classes lower parent stress. Enjey adds a self-management chart to that mix and targets flexibility, not just language.

McCook et al. (2025) moved self-management into school with a 5-minute relaxation video. Enjey proves the same idea works at home for rigid play routines.

Tassé et al. (2013) used avoidance extinction to wipe out rituals in adults. Enjey reaches the same goal with preschoolers by teaching them to earn points for new responses, not by blocking the old ones.

You can hand parents a simple sticker chart and a short script. They watch for rigid play, prompt a new idea, and award a point. No extra clinic visits needed. Try it during parent coaching this week.