What is a Preference Assessment? [RBT]

Applied Behavior Analysis (ABA) is a form of therapy that aims to change or improve a person's behavior. One important aspect of ABA is conducting preference assessments to identify an individual's preferred stimuli or activities. This information is then used to reinforce appropriate behavior, promote learning, and improve overall well-being. In this essay, I will explore the concept of preference assessments in ABA, providing three examples and three non-examples.

Preference assessments involve a systematic approach to identifying an individual's preferred items or activities. The goal is to determine the items or activities that are most motivating for the individual, which can then be used as a reinforcer to increase desirable behavior. There are several methods of conducting preference assessments, including the following:

  1. Single Stimulus Assessment: In this method, a therapist presents one item at a time to the individual and observes their reaction to it. The therapist records the individual's response and moves on to the next item. This process continues until all items have been presented. The items that elicit the most positive response from the individual are considered to be their preferred items.

  2. Paired Stimulus Assessment: In this method, two items are presented to the individual at a time. The therapist observes which item the individual selects and records the response. This process is repeated with different pairs of items until all items have been presented. The items that are consistently selected over others are considered to be the individual's preferred items.

  3. Multiple Stimulus Assessment: This method involves presenting several items to the individual at once. The therapist observes which item the individual selects and records the response. This process is repeated with different sets of items until all items have been presented. The items that are consistently selected over others are considered to be the individual's preferred items.

  4. Free Operant Preference Assessment: This type of preference assessment involves placing a variety of items or activities in the individual's environment and allowing them to interact with them freely for a set period of time. The therapist records which items or activities the individual engages with the most, and those items or activities are considered to be the individual's preferred items.

  5. Multiple Stimulus with Replacement Preference Assessment: This type of preference assessment is similar to the Multiple Stimulus Preference Assessment, but with replacement. The therapist presents the items one at a time and records the response. After each selection, the therapist replaces the selected item and continues the process until all items have been presented. This method allows the therapist to identify the individual's hierarchy of preferred items.

  6. Multiple Stimulus without Replacement Preference Assessment: This type of preference assessment is similar to the Multiple Stimulus with Replacement Preference Assessment, but without replacement. The therapist presents all items at once and records the response. After each selection, the therapist removes the selected item, and the process continues until all items have been presented. This method allows the therapist to identify the individual's hierarchy of preferred items and also takes into account the scarcity of preferred items.

  7. Asking a person about their preferences can be considered a form of preference assessment in ABA, but it is not a standardized method like the ones mentioned earlier. It is often used as an initial step to gain insight into an individual's preferences before conducting a more structured preference assessment. Asking a person about their preferences can be a useful tool in creating an individualized treatment plan that is tailored to their specific likes and dislikes. But it should be used in conjunction with other preference assessment methods to obtain a more comprehensive understanding of an individual's preferred stimuli or activities.

Examples:

  1. A therapist conducting a preference assessment, presents the child with different toys and observes which ones they show the most interest in. The therapist records the child's reactions and identifies the toys that are most preferred. These toys can then be used as a reinforcer for appropriate behavior during therapy sessions.

  2. A teacher conducting a preference assessment for a student with a learning disability presents different types of educational activities, such as worksheets, computer games, and hands-on activities. The teacher observes which activities the student engages with the most and records the responses. The preferred activities can then be used to reinforce appropriate behavior and promote learning.

  3. A caregiver conducting a preference assessment for a senior with dementia presents different types of food and observes which ones the senior enjoys the most. The caregiver records the responses and uses this information to create a meal plan that includes the senior's preferred foods.

Non-examples:

  1. A therapist uses a punishment-based approach to change behavior without conducting a preference assessment to identify what motivates the individual. Punishing behavior without providing reinforcement can lead to negative outcomes and may not effectively change behavior in the long term.

  2. A teacher uses a one-size-fits-all approach to educational activities without conducting a preference assessment to identify what type of activities the student enjoys. This approach may not effectively engage the student and may lead to a lack of motivation and disinterest in learning.

  3. A caregiver assumes that all seniors enjoy the same types of food without conducting a preference assessment to identify individual preferences. This approach may lead to a lack of enjoyment at mealtime and may not meet the individual's nutritional needs.