Sequential evaluation of behavioral treatments and methylphenidate dosage for children with attention deficit hyperactivity disorder.
Tailored DR plans can cut classroom disruptions as well as stimulant pills for students with ADHD.
01Research in Context
What this study did
Gulley et al. (2003) worked with three students with ADHD in a classroom. Each child got a behavior plan made just for them. The team tested if these plans could lower disruptive behavior as well as the stimulant drug methylphenidate.
What they found
All three students showed the same drop in problem behavior with the behavior plans as with the drug. The plans worked without any pills.
How this fits with other research
Brinker et al. (1975) first showed that pigeons could learn to pause longer after reinforced pecks. This early work laid the ground for the DRL and DR schedules used in the kids’ plans.
Fox et al. (2016) later found that adults with ADHD learn motor skills faster with shorter practice blocks. Both studies push the same idea: tweak the learning setup, not the person.
Eisenhower et al. (2006) tracked kids on methylphenidate for years and saw only small, short-term weight loss. Veronica et al. now give you a way to skip the drug side effects entirely.
Why it matters
You can match medication results with nothing but good behavior programming. Start with a brief functional assessment, then build a DR plan that gives the child attention or tokens for longer and longer calm periods. Track the data each day. If the curve mirrors the drug phase, you have a pill-free option that parents love.
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02At a glance
03Original abstract
We used a sequential approach to evaluate the relative and combined effects of different types of behavioral treatments, as well as dosage of methylphenidate (MPH), on the disruptive behavior of 3 students who had been diagnosed with attention deficit hyperactivity disorder. Results showed that individualized behavioral treatments produced decreases in disruptive behavior equivalent to MPH for all 3 participants and demonstrated the need to evaluate behavioral treatments and medication dosage on an individual basis.
Journal of applied behavior analysis, 2003 · doi:10.1901/jaba.2003.36-375