title: A systematic review and evaluation of response redirection as a treatment for challenging behavior in individuals with developmental disabilities.
abstract: Response redirection is widely used in clinical practice as a treatment for repetitive behavior or stereotypy in persons with developmental disabilities. However, to date the procedure has received comparatively little empirical evaluation. The current review sought to examine the literature describing the efficacy of response redirection alone, response interruption and redirection (RIRD), and multi-element treatment packages incorporating response redirection, as interventions for challenging behavior in individuals with developmental disabilities. Additionally, the status of response redirection, and RIRD, as evidence-based practice was evaluated in accordance with Reichow's (2011) recently developed criteria. Results indicated that interventions involving response redirection or RIRD typically led to large decreases in challenging behavior but did not result in behavioral suppression. On the basis of the current literature and in accordance with Reichow's criteria, interventions incorporating response redirection do not yet constitute evidence-based practice. The implications of these findings, for both research and practice, are discussed.
authors.affiliation: National University of Ireland, Galway, Ireland.
authors.forename: Sinéad
authors.initials: S
authors.lastname: Lydon
authors.forename: Olive
authors.initials: O
authors.lastname: Healy
authors.forename: Mark
authors.initials: M
authors.lastname: O'Reilly
authors.forename: Anna
authors.initials: A
authors.lastname: McCoy
mesh_terms: D001321:Autistic Disorder / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000628:therapy*; D002658:Developmental Disabilities / Q000523:psychology / Q000628:therapy*; D006801:Humans; D012054:Reinforcement, Psychology; D019956:Stereotypic Movement Disorder / Q000523:psychology / Q000628:therapy*
keywords: Automatic reinforcement; Challenging behavior; Developmental disabilities; Empirically supported treatment; Evidence-based; Problem behavior; Redirection; Response interruption and redirection; Response redirection; Stereotypy