School & Classroom

Accumulated reinforcers increase academic responding and suppress problem behavior for students with Attention‐Deficit Hyperactivity Disorder

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

Letting tokens pile up during math lifts work and drops problem behavior in kids with ADHD, even when they say they prefer quick payouts.

✓ Read this if BCBAs running classwide or individual interventions for students with ADHD.
✗ Skip if Clinicians who only work in clinics or with adults.

01Research in Context

01

What this study did

Three elementary students with ADHD did math problems at their desks.

Each child faced three setups in random order: tokens that pile up, tokens given right away, or no tokens.

The teacher ran short sessions and counted correct answers and any off-task or disruptive acts.

02

What they found

When tokens stacked up, every child solved more problems and hardly acted out.

Kids said they liked quick small payouts, but their work told a different story.

The piled-up condition beat both instant pay and no pay by a clear margin.

03

How this fits with other research

Aspiranti et al. (2022) also saw big gains with ADHD kids in class, but they used fidget spinners instead of tokens. Together the papers show both sensory toys and saved-up rewards can boost focus; you now have two tools, not one.

Alba et al. (1972) and Kazdin (1977) set the early groundwork. They proved teacher praise beats error correction and that timing matters. Robinson updates their ideas by testing how you schedule tokens, not just when you speak.

Farrant et al. (1998) taught students to ask, “How am I doing?” That self-check raised spelling work. Robinson keeps the academic target but swaps self-talk for stacked coins, giving you another route to the same goal.

04

Why it matters

You can run a token pile during any seat-work task. Tell the child, “Each correct answer earns a chip; chips stay here until the end.” Watch work rise and problem behavior fall, even if the student says he wants instant prizes. No extra staff, no fancy gear—just let the reinforcers wait.

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Start a token stack: give one plastic chip for each correct math problem and keep the chips in view until the session ends.

02At a glance

Intervention
token economy
Design
alternating treatments
Sample size
3
Population
adhd
Finding
positive
Magnitude
large

03Original abstract

We compared rates of academic responses and problem behavior during mathematics with distributed and accumulated reinforcer arrangements for 3 students with Attention-Deficit Hyperactivity Disorder who engaged in chronic, severe problem behavior. All 3 students engaged in more academic responding and less problem behavior when reinforcers accumulated throughout the session, relative to conditions in which reinforcers were distributed throughout the session or withheld completely. We then conducted concurrent-chain analyses to evaluate student preference for the reinforcer arrangements. Two students preferred distributed reinforcers, even though this arrangement continued to produce problem behavior. One student preferred accumulated reinforcers. Our data replicate previous findings regarding the efficacy of accumulated-reinforcer arrangements, but suggest that students do not always prefer the most efficacious reinforcer arrangement.

Journal of Applied Behavior Analysis, 2019 · doi:10.1002/jaba.570