Context-sensitive cognitive-behavioural supports for young children with TBI: A replication study

OBJECTIVE: To replicate an investigation of the effects of a multi-component cognitive-behavioural intervention on the challenging behaviour of two young children with growing behavioural concerns after TBI. EXPERIMENTAL DESIGN: Single-subject reversal designs used to document the effects of the combined behavioural, cognitive and executive function intervention on the following dependent variables: frequency and intensity of aggressive behaviours, amount of work accomplished. PARTICIPANTS: Two young children with escalating behaviour problems after TBI. INTERVENTION: Integrated components of positive behaviour supports, cognitive supports (e.g. graphic organizers) and an executive function routine (goal-plan-do-review). RESULTS: Reduced frequency and intensity of challenging behaviours; increased quantity of work completed. CONCLUSIONS: Positive replication of previous single-subject experiments demonstrating the potential for successfully treating behaviour disorders in young children with TBI using a support-oriented intervention that combines behavioural, cognitive and executive function components.