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Single-Case Research: Standards for Design and Analysis Thomas R. Kratochwill University of...

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Tom Kratochwill, ChairJohn Hitchcock

Rob Horner Sam Odom

David RindskopfWill Shadish

Joel Levin, Consultant

An individual “case” is the unit of intervention administration and data analysis. A case may be a single participant or a cluster of participants (e.g., a classroom or community).

Within the design, the case provides its own control for purposes of comparison. For example, the case’s series of outcome variables prior to the intervention is compared with the series of outcome variables during (and after) the intervention.

The outcome variable is measured repeatedly within and across different conditions or levels of the independent variable. These different conditions are referred to as “phases” (e.g., baseline phase, intervention phase).

Dep

ende

nt V

aria

ble

Baseline(A1 Phase)

Intervention(B1 Phase)

Baseline(A2)

Intervention(B2)

Days/Weeks/Months/Sessions

Baseline Interventions 1 and 2

Days/Sessions

Dep

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Intervention 1

Interv. 1 =

Interv. 2 =

Par

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1P

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Par

tici

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3P

arti

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Dep

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Baseline Intervention

Days/Weeks/Months/Sessions

Ambiguous Temporal PrecedenceSelectionHistoryMaturationTestingInstrumentationAdditive and Interactive Effects of Threats

Overarching: Which intervention is effective for this case?

Is this intervention more effective than the current “baseline” or “treatment” as “usual” condition? (e.g., does Intervention A reduce problem behavior for this case?)

Does adding B to Intervention A further reduce problem behavior for this case?

Is Intervention B or Intervention C more effective in reducing problem behavior for this case?

Evaluate the Design

Meets Evidence Standards

Meets Evidence Standards with Reservations

Does Not Meet Evidence Standards

Conduct Visual Analysis for Each Outcome Variable

Strong Evidence Moderate Evidence No Evidence

Effect-Size Estimation

Independent variable must be systematically manipulated

The outcome variable must be measured systematically

The study must include at least three attempts to demonstrate an intervention effect (replication)

The phase should typically include a minimum of five data points

The researcher determines when and how the independent variable conditions change

Measurement occurs over time Inter-observer agreement is reported Inter-observer agreement must be assessed

on each outcome variable in every phase and there should be measurement for at least 20% of the sessions distributed across all conditions of the study

Designs that generally meet this standard include:

ABAB Design Multiple Baseline Design Alternating Intervention Design

Designs not meeting this standard include:

AB Design ABA Design BAB Design

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Pro

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Aca

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DaysFirst Demonstration of Ef fect

Second Demonstration of Ef fect

Third Demonstration of Ef fect

Baseline1A1

Intervention1(Peer Tutoring)

B1 Baseline2A2

Intervention2(Peer Tutoring)

B2

Adam

Source: Horner & Spaulding, in press

ABAB Design

Pro

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rob

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Beh

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Baseline Intervention

Days

Anna

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Amy3

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Fred4

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Dillion

Multiple Baseline Design

Source: Horner & Spaulding, in press

Exceptions: If an ABAB or Multiple Baseline Design study has fewer than three or four data points in any one phase used to demonstrate an effect, the study may Meet Evidence Standards with Reservations

Alternating Treatment Design Randomized Designs Brief Functional Assessment

Evidence Standards Met Through Visual Analysis of Single-Case Research Data Displays

WWC Reviewers Trained in Visual Analysis of Data in Single-Case Design

Single-Case Design Visual Analysis: Training Goals

Define Six Variables used in visual analysis, and build fluency in applying those variables with attention to both main and interaction effects.

Provide a Four-Step Framework for analysis of single-case designs

Visual analysis Statistical analysis

Apply visual analysis to ABAB, Multiple Baseline Designs, and AlternatingTreatment designs.

Documenting Experimental Control◦ Three demonstrations of an “effect” at three

different points in time. A “basic effect” is a change in the dependent

variable when the independent variable is actively manipulated.

◦ To assess an “effect” Visual Analysis includes simultaneous assessment of: Level, Trend, Variability, Immediacy of Effect,

Overlap across Adjacent Phases, Consistency of Data Pattern in Similar Phases.

(Parsonson & Baer, 1978, 1992; Kratochwill & Levin, 1992)

Interpreting experimental control always involves assessment of data from the whole study (all phases), not just assessment of two adjacent phases.◦ Assessment of a “basic effect” is done with

adjacent phases.◦ Assessment of experimental control, however,

requires evaluation of all data in all phases.

Four Steps in AnalysisSix Variables for Consideration

Do Baseline data document a predictable pattern?

Do data within each phase allow documentation of a predictable pattern?

Do data between phases document basic effects?

Do data across phases document experimental control?

Level

Trend

Variability

Overlap

Immediacy of effect

Consistency across similar phases

Level Trend Variability Overlap Immediacy of Effect Consistency across similar phases Stability in non-intervened series when

effect demonstrated in one series

Magnitude of separation Greater the difference between two conditions, larger the

demonstration of a functional relation

Consistency of separation Greater consistency of separation between two conditions

(no overlap) larger the demonstration of a functional relation

Number of data points used to establish separation

The more points documenting separation to larger the demonstration of a functional relation.

The Tradition of Applied Behavior Analysis Lack of Consensus Surrounding the

Statistical Analysis of Single-Case Research Design

Use of Visual Analysis in Single-Case Design in Practice Settings

Structured Training in Visual Analysis (e.g., compare visual analysis of novices to experts)

Use Visual Analysis Protocol that Includes a Component Analysis and Judgmental Aids (e.g., Tawney & Gast, 1984)

Use Visual Analysis Criteria (e.g., Dual Criterion Method and Conservative Dual Criterion Method; Fisher, Kelly & Lomas, 2003; Swaboda, Kratochwill, & Levin, 2009)

Use of Randomization in Design [Response-Guided versus Non-Response-Guided Experimentation (e.g., Ferron & Jones, 2006; Todman & Dugard, 1999, 2001)]

Blind Visual Analysis Procedures from a “Data Analyst” (Ferron & Jones, 2006)

Use Both Visual and Statistical Analysis (e.g., Borckhardt, Nash, Murphy, Moore, Shaw, & Oneil, 2008; Brossart, Parker, Olson, & Mahadevan, 2006; Ferron & Jones, 2006;..among others)

Randomization applied to Single-Case Design Structure

Statistical Analysis of Single-Case Design to Determine Statistical Significance (e.g., randomization tests, time-series analysis, HLM )

Single-Case Design Effect Size Determination

Meta-Analysis (Single-Case Design Studies or Combined with Group Design Research)

Special appreciation to Rob Horner for his contributions to the visual analysis training slides.

Thomas R. Kratochwill, PhDEducational and Psychological Training

Center1025 West Johnson StreetUniversity of Wisconsin-MadisonMadison, Wisconsin 53706

E-Mail: [email protected]


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