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From Chapter 2, The Process: From Buying Equipment to Watching the Completed Video
Planning a VSM Shoot When Behavior Is the Concern
Many of the requests for VSM intervention are centered on inappropriate social behaviors, so let’s begin by reviewing the steps to take in planning a self-modeling video to change a behavior. Afterwards, I will discuss planning a video to teach a skill.
Step 1: Identify the Behavior to Work On
Identifying the behavior is step one in the planning process. The rule of thumb is that the behavior must be observable and measurable. Anger is not a behavior. A tantrum, on the other hand, is a behavior that can be viewed and measured (in frequency or duration). The following considerations can be applied in choosing the behavior:
1. The first question I ask parents or teachers who are looking for behavior change is, “Which behavior causes you the most grief or discomfort?” How important is the behavior in the social functioning of the child and/or family? Choose a behavior that causes a great deal of anxiety or stress for participants. Two objective ways to make this selection are to count the number of verbal prompts necessary to get the person to stop (or do) the behavior or to gauge how much of a physical prompt is needed to have the same results. You want the target behavior to be one that significantly affects the child or family.
2. Is the behavior a biological manifestation of the disability? This is a somewhat gray area, but if the behavior is a direct result of the condition (e.g., impulsivity with frontal lobe traumatic brain injury, seizures with epilepsy), it may not be something you can change. The basic tenet of VSM that must be applied here is whether the behavior is within reach or attainable by the person.
3. Is there an appropriate replacement behavior for the one being targeted? When trying to eliminate a negative behavior, the replacement behavior will be featured in the video.
4. How often does the behavior occur? If it occurs very rarely it will be difficult to evaluate results and the filming process will be lengthier. The child may have difficulty “identifying with” rare behaviors. That is, if she only rarely exhibits a behavior, she may not be able to recognize it as part of her actual behavior. For example, a child who has a tantrum every other day will recognize it on screen. The same child may bite, but only rarely and in circumstances that she perceives as very threatening. If you wanted to film a replacement behavior for the biting, the child would be so far removed from the biting that she wouldn’t be able to grasp the connection. However, these limitations do not hold true for some academic and language behaviors that the person does not presently use, but that may be very near the person’s ability. Teaching acquisition of new skills via VSM is quite appropriate. (See the next section.)
If you are choosing a behavior to work on at school, the selected behavior should be addressed in the child’s IEP/IFSP or individual behavior plan. If you have chosen a behavior to change that is not in one of these documents, then a meeting should be called and an amendment added to the plans.
When a behavior is addressed in a child’s IEP, the IEP should also specify how the child’s progress is to be assessed. You should include assessment in your planning process. Chapter 4 goes into assessment in detail, but suffice it to say here that it is important to have accurate measures of the rate and/or duration of behaviors prior to and after intervention with self-modeling.
Step 2: Do a Task Analysis
Some problematic situations such as getting ready for school in the morning or transitioning between classrooms involve multiple behaviors. In this case, it is important to break these down into the individual steps or behaviors and to identify which parts of the sequence are most challenging to the child. These challenging steps can receive added emphasis in the movie. For example, transitioning between classrooms might be composed of the following steps:
1. Prompt by teacher or bell that the period has ended.
2. Gather books and supplies necessary for the next class.
3. Walk to the door and stand in line.
4. Teacher says that class may go.
5. Walk from room 111 to 117.
6. Go to desk and get out appropriate materials.
Breaking down a situation or complex behavior into its component parts is called task analysis. If you are looking at a sequence of steps, the child’s actual behavior during the steps may be irrelevant other than it being problematic. Your goal in writing down the steps is to depict the correct steps in the process.
It would be time prohibitive to treat each problem behavior that occurs during the sequence as unique and then construct a separate video for all of them. This would also cause a loss of context and continuity. Instead, it usually makes the most sense to make one video showing the child using appropriate behavior from start to finish of the sequence. Alternately, you may want to make two videos if two distinct problem behaviors occur during a sequence. For instance, the child may use tantrums and aggression at certain points in her transition from class to class, but also at other times during the school day. In this case, I would look for all the triggers for the tantrums (given that falling to the floor occurs in other situations) and put these scenes in one movie (with replacement behaviors). Likewise, I would identify triggers for aggression and make these scenes in another movie with the child acting appropriately. But, do keep in mind that VSM often has generalized effects across behaviors, so the first video may lead to changes across behaviors. As you evaluate results, make sure to notice in areas other than the one targeted on the video.
Step 3: Identify Replacement Behavior(s)
Once you have pinpointed the behavior(s) you want to change and know when it occurs, you choose a more appropriate behavior to teach the person instead. For example, if a child typically pushes other kids out of the way to be first in line, you might decide to make a visual schedule to show all the class who gets to be line leader that day. You might then teach the child with autism to look at that schedule and see if her picture is on the line leader schedule that day. Or at home, if your child bites her brother when she wants him to give her the TV remote, you might have her tap him on the shoulder or hand him a card with a picture of the remote instead.
The key is to identify a behavior that will enable the person to get her needs met just as quickly and efficiently as the problem behavior does. In some cases, it may help to have an FBA done to help you identify an appropriate replacement behavior.
Step 4: Make a Storyboard
Once you have chosen a behavior or behaviors to teach, you map out what scenes you will film for your video. I do this by sketching out a storyboard.
Task analysis is particularly important in self-modeling because the individual steps be treated like scenes in a movie. Thus, you can take the six steps involved in transitioning to a new a new class listed above and include them in a storyboard that is an illustrated representation of the scenes in the movie. As you can see in the illustration of the Dinner Time Storyboard below, you do not need to be an artist to make a storyboard. You can create storyboard using stick figures. If possible, have the child participate in this process by helping to define the scenes and creating the drawings that these will represent on the storyboard.
When you are making the storyboard, you can decide whether the video should have a script. Any script can be placed in balloons similar to those in a comic strip.
Scripts can be an important component of self-modeling videos because labeling or naming the behaviors or steps in sequential process can help the viewer to focus on the important elements. Typically, self-modeling videos begin by labeling the behavior. For example, I have used something similar to the following to lead off the videos I produced: “Here’s Alicia! Let’s listen to her talking very nicely”; “I don’t have to get mad: starring Ian”; “Let’s watch Scott eat fast so he can get to play”; “Watch as Jamal talks with his friends and teachers." Putting these statements at the very beginning of the video helps children focus on the salient feature: the behavior you want to target.
Other script elements can be written into balloons in subsequent frames of the storyboard. The script can include actual lines that will be spoken while you are filming the role-playing activity, or it can be lines of a monologue for the child or another narrator that can be inserted before or after a role-playing scene. As an illustration of the latter use of the script, here is how I have used monologue in movies we have done for tantrums: Following a scene in which the child has acted out the appropriate response to a situation that would typically result in a tantrum, we film the child commenting on her own correct behavior (e.g., “If John jumps line, I will ask him to go back. If he doesn’t, I will tell the teacher. Getting mad won’t help”).
Adult narration should be kept to a minimum within the movie. It has been my experience that too many scene cuts to adults and even to peers can serve as a distraction. Remember, the child is the star in this project.
This planning process is somewhat different if you want to eliminate a behavior. First, when focusing on eliminating a behavior, you need to identify what triggers it. (This may require you to do a functional behavior analysis, if you haven’t already.) For example, you need to identify events that trigger a child’s tantrums or that cause your child to bite her brother or that lead to her flopping on the floor and refusing to move. Each triggering event can then become a scene in the movie and thus be depicted on a storyboard. (The process of observing and recording behavior is addressed in more detail in Chapter 4.)
In this case you certainly don’t want to show negative behavior; rather you want to define a behavior that would be a socially appropriate substitute. To continue the tantrum example, you might decide to show the child being calm when she is not called on in class, asking line jumpers to move back or informing teacher of the transgression, or complying with requests from teachers or parents.
In the particular situation illustrated on the storyboard below, two third-grade students with mild autism were having trouble controlling their tempers in an inclusive class. After a period of observation, four triggers for their tantrums were identified. These included not being called on when they knew an answer, being corrected for errors in academic work (e.g., missing spelling words or math problems on homework or quizzes), other children jumping ahead of them in line, and being asked to clean up before moving to another activity. We then chose a behavior to replace each inappropriate behavior and sketched a scene on the storyboard the triggering behavior with an appropriate reaction. (Replacement behaviors are best decided on by a team that includes the teacher, the parents, and the child, whenever possible.) for line jumping, we used the classroom rules of first asking the child to move back, and, if this didn’t work, politely telling the teacher about the situation.
In this case, the children who would be viewing the videos participated in coming up with the dialogue and discussing alternative ways to react to the situation. If they had not been able to devise their own dialogue, we would have either written simple dialogue (even a single word) that the children were able to say, or we would have had the children communicate nonverbally with the line jumper, such as with a picture symbol. (Interestingly, although the children with autism very much enjoyed role-playing and filming this scenario, the process of filming had no effect on their behavior. However, the day after watching the video, their tantrums miraculously vanished.)
Step 5: Figuring Out How to Get It All on Video
Once you’ve planned out what you want the video to show, you have to figure out how to get your actor(s) to perform as needed.
This will depend somewhat on the method you will be using to edit the film. You will have a lot more leeway in how you film if you are using video editing software on the computer because your ability to do more intricate editing will be enhanced. Cutting and cropping the video can be done frame by frame, so a missed line or burp can be easily removed. If you are using the VCR method, editing is not so exact. It is much easier if you film until you get the scene right and limit the amount of cutting as much as possible.
The two methods generally used to get children or adults to perform on a VSD video are:
1. role playing, and
2. imitation
(For) an exception, see the section on “Capturing Behaviors When Role-Play and Imitation Are Not Feasible,” below.)
Role Playing
This method is appropriate for children who can follow directions and who like to perform--to be “hams.” It can be a lot of fun for children when they see the filming as a game. Role playing is the same as acting in a play or class production. More on role playing is found below in the filming section.
Imitation
Some behaviors don’t fit well into a role-playing scenario or are more easily obtained through imitation. This is especially true of language production. In the role-playing discussed above, we fed our stars the scripts they were to say. That is basically what is done in imitation I say (or do) – you say (or do). In this situation, you sit across from the child and the camera is centered directly on her. Usually, all evidence of prompting will be eliminated in the editing process unless the adult or peer prompt is desired in the video (e.g., you are trying to show how to respond to questions). Even if the child is particularly unresponsive, over time you should be able to collect examples of the behavior you want if you are careful to select a skill that is within the child’s abilities.
Imitation can be used across a variety of behaviors. I have used this in every study I conducted in which some form of language production was the targeted behavior. If a child is speaking only in one-or two-word utterances, you can videotape her imitating longer phrases or sentences. Many children within the autism spectrum will readily mimic language spoken by an adult. You just need to know what would come next in the child’s language development.