Choice-making interventions to reduce challenging behavior for individuals with intellectual and developmental disabilities.

A systematic literature review was conducted to summarize the current literature on interventions incorporating choice to reduce challenging behavior. Current literature supports the effectiveness of choice-making interventions on reducing challenging behavior. However, choice-making interventions can vary by the type of choices offered, such choice of activity and choice of materials. Few studies have compared these various approaches to choice-making interventions. The purpose of this study was to compare the effectiveness of choice of activity and choice of materials on both challenging behavior and task completion with two children with developmental disabilities. The two choice-making interventions were compared within an alternating treatment design embedded within an ABAB design. Both choice-making interventions resulted in a decrease in challenging behavior and increase in task completion, relative to baseline. However, choice of activity resulted in less challenging behavior relative to choice of materials for one of the two participants. Implications of the results will be discussed.