title: Power of magic hands: parent-driven application of habit reversal to treat complex stereotypy in a 3-year-old.
abstract: OBJECTIVE
  The authors assessed the effectiveness of habit reversal training (HRT) to treat a complex motor stereotypy in a healthy 3-year-old female.
  
  
  METHODS
  This data-based case study involved training parents in HRT to deliver the parent-driven intervention to the child. The frequency of the child's behaviors was estimated daily in 30-min intervals by her parents.
  
  
  RESULTS
  Outcomes supported the effectiveness of the intervention, with the estimated frequency of the stereotypy decreasing from occurring during approximately 85% of recorded intervals to less than 2% over a period of 4 weeks. Further record keeping over 19 weeks suggested treatment gains were generally maintained over time.
  
  
  CONCLUSIONS
  The current case study provides preliminary evidence supporting the effectiveness of modified HRT to reduce stereotypies in young children. Further, data suggest that the intervention may be extended to younger ages by teaching parents how to facilitate treatment delivery.
authors.affiliation: Division of Psychology, Institute on Development and Disability, Oregon Health & Science University, Portland, OR 97239, USA. freemaku@ohsu.edu
authors.forename: Kurt A
authors.initials: KA
authors.lastname: Freeman
authors.forename: Danny C
authors.initials: DC
authors.lastname: Duke
mesh_terms: D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006184:Habits; D006801:Humans; D010287:Parent-Child Relations; D010290:Parents / Q000193:education; D012193:Reversal Learning; D019956:Stereotypic Movement Disorder / Q000628:therapy*; D016896:Treatment Outcome