title: Toward the development of structured criteria for interpretation of functional analysis data.
abstract: Using functional analysis results to prescribe treatments is the preferred method for developing behavioral interventions. Little is known, however, about the reliability and validity of visual inspection for the interpretation of functional analysis data. The purpose of this investigation was to develop a set of structured criteria for visual inspection of multielement functional analyses that, when applied correctly, would increase interrater agreement and agreement with interpretations reached by expert consensus. In Study 1, 3 predoctoral interns interpreted functional analysis graphs, and interrater agreement was low (M = .46). In Study 2, 64 functional analysis graphs were interpreted by a panel of experts, and then a set of structured criteria were developed that yielded interpretive results similar to those of the panel (exact agreement = .94). In Study 3, the 3 predoctoral interns from Study 1 were trained to use the structured criteria, and the mean interrater agreement coefficient increased to .81. The results suggest that (a) the interpretation of functional analysis data may be less reliable than is generally assumed, (b) decision-making rules used by experts in the interpretation of functional analysis data can be operationalized, and (c) individuals can be trained to apply these rules accurately to increase interrater agreement. Potential uses of the criteria are discussed.
authors.affiliation: Kennedy Krieger Institute, Baltimore, Maryland 21205, USA.
authors.forename: L P
authors.initials: LP
authors.lastname: Hagopian
authors.forename: W W
authors.initials: WW
authors.lastname: Fisher
authors.forename: R H
authors.initials: RH
authors.lastname: Thompson
authors.forename: J
authors.initials: J
authors.lastname: Owen-DeSchryver
authors.forename: B A
authors.initials: BA
authors.lastname: Iwata
authors.forename: D P
authors.initials: DP
authors.lastname: Wacker
mesh_terms: D006801:Humans; D008607:Intellectual Disability; D001523:Mental Disorders / Q000175:diagnosis*; D015588:Observer Variation; D011897:Random Allocation