This study is investigating how different ways of providing rewards affect "extinction bursts" in children aged 3 to 17. An extinction burst is when problem behaviors, like aggression or self-injury, temporarily get worse at the start of a new treatment. The study aims to understand if changing the amount or timing of rewards can reduce these bursts, which can be risky for the child and others. Participants will have their problem behaviors placed on extinction (meaning no rewards for those behaviors), while rewards are given for positive communication. The study will look at the rate of destructive behavior over five years to see if the interventions are successful. You may be eligible if your child has problem behaviors occurring at least 10 times a day, despite previous treatment, and these behaviors are maintained by social positive reinforcement.

Study design

This is an interventional study planning to enroll 40 participants. It will test different behavioral interventions to see their effect on problem behaviors.

What's involved

Not specified in the trial record.

Compensation

Not stated in the trial record.

Follow-up

The primary outcome, rate of destructive behavior, will be measured at 5 years.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.