Applied behavior analysis and discrete trial training for functional verbal communication in children with autism in an islamic inclusive school
Jurnal Konseling dan Pendidikan October 12, 2026 Volume 14, Number 3 4 authors
Abstract
Functional verbal communication is a central target of intervention for children with Autism Spectrum Disorder (ASD), yet response to structured behavioral teaching varies across learners and settings. This study examined changes in functional verbal communication following an Applied Behavior Analysis (ABA) intervention using Discrete Trial Training (DTT) in an Islamic inclusive school. The study involved six children with ASD and used an A-B-A single-case experimental structure consisting of four baseline sessions (A1), ten intervention sessions (B), and four post-intervention baseline sessions (A2). The primary outcome was the observed level of functional communication during teaching opportunities; interviews and documentation were used as contextual sources. Data were examined through phase-based visual analysis of level, trend, variability, immediacy, and overlap. All six participants showed stable, low A1 scores, followed by a marked increase during B. The plotted scores increased from an A1 range of 1.0–2.0 to 7.5–8.7 at the end of the intervention phase. During A2, scores remained above the initial baseline for all participants, ranging from 5.5–8.0, with small within-phase fluctuations. The pattern is consistent with improvement and maintenance of functional communication, although the A-B-A design, small sample, single-school setting, and absence of reported inter-observer agreement limit causal inference and generalizability. The study therefore supports the value of structured DTT in this context while indicating the need for replication with stronger controls, independent observers, and longer follow-up.
Authors
Diana Zumrotus Sa'adah
Universitas Islam Negeri Fatmawati Sukarno Bengkulu
Zubaedi Zubaedi
Universitas Islam Negeri Fatmawati Sukarno Bengkulu, Indonesia
Timi Krismonia
Universitas Islam Negeri Fatmawati Sukarno Bengkulu
Bravo, A., & Schwartz, I. S. (2022). Teaching imitation to young children with autism spectrum disorder using discrete trial training and contingent imitation. Journal of Developmental and Physical Disabilities, 34(4), 655–672. https://doi.org/10.1007/s10882-021-09819-4
Briggs, A. M., Zohr, S. J., & Harvey, O. B. (2024). Training individuals to implement discrete-trial teaching procedures using behavioral skills training: A scoping review with implications for practice and research. Journal of Applied Behavior Analysis, 57(1), 86–103. https://doi.org/10.1002/jaba.1024
Barkaia, A., Stokes, T. F., & Mikiashvili, T. (2017). Intercontinental telehealth coaching of therapists to improve verbalizations by children with autism. Journal of Applied Behavior Analysis, 50(3), 582–589. https://doi.org/10.1002/jaba.391
Carnett, A., Bravo, A., & Waddington, H. (2017). Teaching mands for actions to children with autism spectrum disorder using systematic instruction, behavior chain interruption, and a speech-generating device. International Journal of Developmental Disabilities. https://doi.org/10.1080/20473869.2017.1412561
Carnett, A., Ingvarsson, E. T., Bravo, A., & Sigafoos, J. (2020). Teaching children with autism spectrum disorder to ask “where” questions using a speech-generating device. Journal of Applied Behavior Analysis, 53(3), 1383–1403. https://doi.org/10.1002/jaba.663
Cariveau, T., Kodak, T., & Campbell, V. (2016). The effects of intertrial interval and instructional format on skill acquisition and maintenance for children with autism spectrum disorders. Journal of Applied Behavior Analysis. https://doi.org/10.1002/jaba.322
Contreras, B. P., & Betz, A. M. (2016). Using lag schedules to strengthen the intraverbal repertoires of children with autism. Journal of Applied Behavior Analysis, 49(1), 3–16. https://doi.org/10.1002/jaba.271
Delprato, D. J. (2001). Comparisons of discrete-trial and normalized behavioral language intervention for young children with autism. Journal of Autism and Developmental Disorders, 31(3), 315–325. https://doi.org/10.1023/A:1010747303957
Dixon, M. R., Blevins, A., Belisle, J., & Bethel, B. (2019). Teaching children with autism extended verbal utterances under audience control in the context of show-and-tell. Behavior Analysis in Practice, 12(1), 194–198. https://doi.org/10.1007/s40617-018-0250-z
Dunkel-Jackson, S. M., Dixon, M. R., & colleagues. (2018). Promoting generalized advanced language skills of children in intensive behavioral intervention with the Promoting the Emergence of Advanced Knowledge Generalization Module (PEAK–G). Behavior Analysis in Practice, 11(4), 289–306. https://doi.org/10.1007/s40617-017-0204-x
Eid, A. M., Aljaser, S. M., AlSaud, A., Asfahani, S., Alhaqbani, O., Mohtasib, R., Aldhalaan, H., & Fryling, M. (2017). Training parents in Saudi Arabia to implement discrete trial teaching with their children with autism spectrum disorder. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-016-0167-3
Eldevik, S., Strømgren, B., Eikeseth, S., Fields, A., Goetz, C. M., & Titlestad, K. B. (2026). Clinically significant outcomes of early intensive behavioral intervention for children with autism spectrum disorders: An individual participant data meta-analysis. Autism Research, 19(1), e70169. https://doi.org/10.1002/aur.70169
Frampton, S. E., & Shillingsburg, M. A. (2018). Teaching children with autism to explain how: A case for problem solving? Journal of Applied Behavior Analysis, 51(2), 236–254. https://doi.org/10.1002/jaba.445
Gevarter, C., O’Reilly, M. F., Kuhn, M., Mills, K., Ferguson, R., Watkins, L., Sigafoos, J., Lang, R., Rojeski, L., & Lancioni, G. E. (2016). Increasing the vocalizations of individuals with autism during intervention with a speech-generating device. Journal of Applied Behavior Analysis, 49(1), 17–33. https://doi.org/10.1002/jaba.270
Grosberg, D., & Charlop, M. H. (2017). Teaching conversational speech to children with autism spectrum disorder using text-message prompting. Journal of Applied Behavior Analysis, 50(4), 789–804. https://doi.org/10.1002/jaba.403
Halbur, M., Kodak, T., Reidy, J., & Bergmann, S. (2024). Comparing manipulations to enhance stimulus salience during intraverbal training. The Analysis of Verbal Behavior, 40(2), 235–247. https://doi.org/10.1007/s40616-023-00190-3
Han, D.-G., Lee, Y., Kim, H.-S., Suh, H.-W., Lee, J., Shin, S.-H., Yang, M., Choi, H., Kim, T.-H., Kang, J.-G., Ko, E., Lee, J., & Park, M.-H. (2026). Effectiveness and experiences of early intensive behavioral and naturalistic developmental behavior interventions for autism spectrum disorders: A mixed-methods systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 20, 14. https://doi.org/10.1186/s13034-025-00997-z
Hyman, S. L., Levy, S. E., & Myers, S. M. (2020). Identification, evaluation, and management of children with autism spectrum disorder. Pediatrics, 145(1), e20193447. https://doi.org/10.1542/peds.2019-3447
Ingvarsson, E. T., & Hollobaugh, T. (2010). Acquisition of intraverbal behavior: Teaching children with autism to mand for answers to questions. Journal of Applied Behavior Analysis, 43(1), 1–17. https://doi.org/10.1901/jaba.2010.43-1
Ingvarsson, E. T., Kramer, R. L., Carp, C. L., Pétursdóttir, A. I., & Macias, H. (2016). Evaluation of a blocked-trials procedure to establish complex stimulus control over intraverbal responses in children with autism. The Analysis of Verbal Behavior, 32(2), 205–224. https://doi.org/10.1007/s40616-016-0071-5
Jennett, H. K., Harris, S. L., & Delmolino, L. (2008). Discrete trial instruction vs. mand training for teaching children with autism to make requests. The Analysis of Verbal Behavior, 24, 69–85. https://doi.org/10.1007/BF03393058
Jobin, A. (2020). Varied treatment response in young children with autism: A relative comparison of structured and naturalistic behavioral approaches. Autism, 24(2), 338–351. https://doi.org/10.1177/1362361319859726
Kelley, M. E., Shillingsburg, M. A., Castro, M. J., Addison, L. R., & LaRue, R. H. (2007). Further evaluation of emerging speech in children with developmental disabilities: Training verbal behavior. Journal of Applied Behavior Analysis, 40(3), 431–445. https://doi.org/10.1901/jaba.2007.40-431
Kratochwill, T. R., Hitchcock, J. H., Horner, R. H., Levin, J. R., Odom, S. L., Rindskopf, D. M., & Shadish, W. R. (2013). Single-case intervention research design standards. Remedial and Special Education, 34(1), 26–38. https://doi.org/10.1177/0741932512452794
Kratochwill, T. R., Horner, R. H., Levin, J. R., Machalicek, W., Ferron, J., & Johnson, A. (2021). Single-case design standards: An update and proposed upgrades. Journal of School Psychology, 89, 91–105. https://doi.org/10.1016/j.jsp.2021.10.006
Kratochwill, T. R., Horner, R. H., Levin, J. R., Machalicek, W., Ferron, J., & Johnson, A. (2023). Single-case intervention research design standards: Additional proposed upgrades and future directions. Journal of School Psychology, 97, 192–216. https://doi.org/10.1016/j.jsp.2022.12.002
Kratochwill, T. R., Ferron, J., & Levin, J. R. (2026). Reporting guidelines for single-case experimental design research: Recommendations for data analysis. Journal of School Psychology, 115, 101528. https://doi.org/10.1016/j.jsp.2025.101528
Najdowski, A. C., Bergstrom, R., Tarbox, J., & St. Clair, M. (2017). Teaching children with autism to respond to disguised mands. Journal of Applied Behavior Analysis, 50(4), 733–743. https://doi.org/10.1002/jaba.413
Neely, L., Graber, J., Kunnavatana, S., & Cantrell, K. (2020). Impact of language on behavior treatment outcomes. Journal of Applied Behavior Analysis, 53(2), 796–810. https://doi.org/10.1002/jaba.626
Parker, R. I., Vannest, K. J., & Davis, J. L. (2011). Effect size in single-case research: A review of nine nonoverlap techniques. Behavior Modification, 35(4), 303–322. https://doi.org/10.1177/0145445511399147
Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42(2), 284–299. https://doi.org/10.1016/j.beth.2010.08.006
Peters, L. C., & Thompson, R. H. (2015). Teaching children with autism to respond to conversation partners’ interest. Journal of Applied Behavior Analysis, 48(3), 544–562. https://doi.org/10.1002/jaba.235
Reichow, B., & Wolery, M. (2009). Comprehensive synthesis of early intensive behavioral interventions for young children with autism based on the UCLA young autism project model. Journal of Autism and Developmental Disorders, 39(1), 23–41. https://doi.org/10.1007/s10803-008-0596-0
Reichow, B., Barton, E. E., Boyd, B. A., & Hume, K. (2012). Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD). Cochrane Database of Systematic Reviews, 2012(10), CD009260. https://doi.org/10.1002/14651858.CD009260.pub2
Rodgers, M., et al. (2021). Intensive behavioural interventions based on applied behaviour analysis for young children with autism: An international collaborative individual participant data meta-analysis. Autism, 25(4), 1139–1151. https://doi.org/10.1177/1362361320984932
Sandbank, M., Bottema-Beutel, K., Crowley, S., Cassidy, M., Feldman, J. I., Canihuante, M., & Woynaroski, T. (2020). Intervention effects on language in children with autism: A Project AIM meta-analysis. Journal of Speech, Language, and Hearing Research, 63(5), 1537–1560. https://doi.org/10.1044/2020_JSLHR-19-00167
Sandbank, M., Bottema-Beutel, K., Crowley LaPoint, S., Feldman, J. I., Barrett, D. J., Caldwell, N., Dunham, K., Crank, J., Albarran, S., & Woynaroski, T. (2023). Autism intervention meta-analysis of early childhood studies (Project AIM): Updated systematic review and secondary analysis. BMJ, 383, e076733. https://doi.org/10.1136/bmj-2023-076733
Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., Kasari, C., Ingersoll, B., Kaiser, A. P., Bruinsma, Y., McNerney, E., Wetherby, A., & Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428. https://doi.org/10.1007/s10803-015-2407-8
Virués-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes. Clinical Psychology Review, 30(4), 387–399. https://doi.org/10.1016/j.cpr.2010.01.008
Warren, Z., McPheeters, M. L., Sathe, N., Foss-Feig, J. H., Glasser, A., & Veenstra-VanderWeele, J. (2011). A systematic review of early intensive intervention for autism spectrum disorders. Pediatrics, 127(5), e1303–e1311. https://doi.org/10.1542/peds.2011-0426
White, E. N., et al. (2021). Augmentative and alternative communication and speech production for individuals with ASD: A systematic review. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-020-04854-0
Wolfe, K., Barton, E. E., & Meadan, H. (2019). Systematic protocols for the visual analysis of single-case research data. Behavior Analysis in Practice, 12(2), 491–502. https://doi.org/10.1007/s40617-019-00336-7
Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., Brock, M. E., Plavnick, J. B., Fleury, V. P., & Schultz, T. R. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of Autism and Developmental Disorders, 45(7), 1951–1966. https://doi.org/10.1007/s10803-014-2351-z
Yu, Q., Li, E., Li, L., & Liang, W. (2020). Efficacy of interventions based on applied behavior analysis for autism spectrum disorder: A meta-analysis. Psychiatry Investigation, 17(5), 432–443. https://doi.org/10.30773/pi.2019.0229
Citation generator
Cite this article
Diana Zumrotus Sa'adah; Zubaedi Zubaedi; Timi Krismonia; Muhammad Nabahan Azizy (2026). Applied behavior analysis and discrete trial training for functional verbal communication in children with autism in an islamic inclusive school. Jurnal Konseling dan Pendidikan, 14(3), 25-36. https://doi.org/10.29210/1229100
Diana Zumrotus Sa'adah; Zubaedi Zubaedi; Timi Krismonia; Muhammad Nabahan Azizy. "Applied behavior analysis and discrete trial training for functional verbal communication in children with autism in an islamic inclusive school." Jurnal Konseling dan Pendidikan 14, no. 3 (2026): 25-36. https://doi.org/10.29210/1229100
Diana Zumrotus Sa'adah; Zubaedi Zubaedi; Timi Krismonia; Muhammad Nabahan Azizy (2026) 'Applied behavior analysis and discrete trial training for functional verbal communication in children with autism in an islamic inclusive school', Jurnal Konseling dan Pendidikan, 14(3), pp. 25-36. https://doi.org/10.29210/1229100
Diana Zumrotus Sa'adah; Zubaedi Zubaedi; Timi Krismonia; Muhammad Nabahan Azizy. "Applied behavior analysis and discrete trial training for functional verbal communication in children with autism in an islamic inclusive school." Jurnal Konseling dan Pendidikan, vol. 14, no. 3, 2026, pp. 25-36. https://doi.org/10.29210/1229100