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Running Head: RELATIONSHIP BETWEEN READING AND BEAHVIOR PROBLEMS
Preliminary Study of the Confined, Collateral, and Combined
Effects of Reading and Behavioral Interventions: Evidence for a
Transactional Relationship
Clayton R. Cook
Christopher Daikos
John Delport
University of Washington, Seattle
Evan Dart
Tai Collins
Louisiana State University
Paul Fitts
University of Wisconsin, La Crosse
READING AND BEHAVIOR PROBLEMS 2
This article has been accepted for publication in the journal Behavioral Disorders.
Abstract
Recent correlational studies provide support for a transactional
relationship between reading and behavior problems. A
transactional relationship implies that reading problems cause
behavior problems, and vice versa. This study took this basic
finding and examined its implications for intervention.
Specifically, this study employed single-case experimental
methods to examine the collateral (e.g., reading intervention
improves behavioral performance) confined (e.g., reading
intervention improves reading performance) and combined (e.g.,
reading plus behavioral intervention) effects of reading and
behavioral interventions. Preliminary results indicated that
both reading and behavioral interventions produced confined,
collateral, and combined effects on reading and behavioral
READING AND BEHAVIOR PROBLEMS 3
outcomes. Although a transactional relationship was demonstrated
for the majority of participants, findings indicated that
behavior function potentially moderates the effectiveness of the
reading intervention to improve behavior, suggesting that a
transactional relationship may not be universally true. The
implications and limitations of the results, as well as
directions for future research are discussed.
KEYWORDS:
Reading problems, behavior problems, reading intervention,
behavioral interventions, comorbid reading and behavior problems
READING AND BEHAVIOR PROBLEMS 4
Preliminary Study of the Confined, Collateral, and Combined
Effects of Reading and Behavioral Interventions: Evidence for a
Transactional Relationship
Reading and behavior problems frequently co-occur and
combine to put students at risk for short- and long-term
detriment in social, emotional, and academic aspects of life
(U.S. Department of Justice, 2001; Walker, Ramsey, & Gresham,
2004). Epidemiological studies indicate that behavior problems
co-occur with academic deficits 50 to 80 percent of the time
(Benner, Nelson, & Epstein, 2002; Kauffman, Cullinan & Epstein,
1987). Given the high base rates of comorbidity between reading
and behavior problems, several explanations have been proffered
to describe the pathological nature of this relationship
(Hinshaw, 1992; Lane, 2004; Lynam, 1996; Trout, Nordness, Pierce,
& Epstein, 2003). The most notable of these explanations were
described by Hinshaw (1992) in a seminal article published in
Psychological Bulletin.
According to Hinshaw (1992), there are four possible
explanations for the co-occurrence of reading and behavior
READING AND BEHAVIOR PROBLEMS 5
problems. The first explanation contends that reading problems
set the stage for or cause behavior problems (i.e., academic
pathway). That is, difficulty learning to read causes children to
disengage from the learning process and, in so doing, develop a
range of potential behavior problems, including disruptive and
noncompliant behaviors. The second explanation involves behavior
problems serving as a causal factor in the development of reading
problems (i.e., behavior pathway). Under this pathway, children
come to school with well entrenched patterns of behavior
problems, and it is these behaviors that interfere with their
ability to benefit from reading instruction and, ultimately,
learn. The third possible explanation is that there is a
reciprocal, or transactional, relationship between reading and
behavior problems (i.e., transactional pathway). This explanation
posits that reading and behavior problems exert transactional or
bidirectional influences one another. The fourth and final
explanation argues that some third, unknown variable is
responsible for the presence of reading and behavior problems.
For example, some researchers have speculated that inattention
READING AND BEHAVIOR PROBLEMS 6
may be responsible for both academic and behavior problems. From
a practical standpoint, these explanations take on importance
when considering the direct implications for intervention.
Two studies provide insight about the comorbidity between
reading performance and behavior problems. The first, a study
conducted by Trzesniewski, Moffitt, Caspi, Taylor, and Maughan
(2006), used participants from the Environmental Risk (E-Risk)
Longitudinal Twin Study and found evidence in support of a
reciprocal relationship between the two. In particular, they
noted that behavior problems significantly predicted later
reading problems after controlling for a host of variables
including prior reading problems. Likewise, reading problems
predicted subsequent behavior problems after holding constant
previous behavior problems. They interpreted the findings as
implying that interventions put in place to address reading
achievement should have a comparable indirect effect on
antisocial behavior, and the converse of this should also be
true.
READING AND BEHAVIOR PROBLEMS 7
More recently, Morgan, Farkas, Tufis, and Sperling (2008)
examined data taken from the Early Childhood Longitudinal Study –
Kindergarten Class (ECLS-K) to investigate a possible underlying
bidirectional relationship between reading and behavior problems.
Morgan et al. controlled for a host of possible confound
variables based on family resources, demographic disparity, and
prior academic and behavior problems. Holding these variables
constant, they found reading achievement to be a strong
determinant of future behavior problems and behavior problems,
specifically off-task behavior, to be a determinant of reading
problems. Together, the results from this correlational study and
the Trzesniewki et al. (2006) provide support for the
transactional relationship between reading and behavior problems.
Other studies have demonstrated a possible reciprocal
relationship between reading and problem behaviors through the
implementation of reading and behavior interventions, indicating
that students may behave inappropriately as a way of escaping or
avoiding aversive academic tasks or activities that exceed their
academic skills (Kellam, Mayer, Rebok, & Hawkins, 1998; Reinke,
READING AND BEHAVIOR PROBLEMS 8
Herman, Petros, & Ialongo, 2008). For instance, Lane,
O’Shaughnessey, Lambros, Gresham, and Bebee-Frankenberger (2001)
investigated the impact of a decoding intervention on first-grade
students with reading problems, impulsivity, and conduct
problems. They found that the reading intervention produced both
improved early reading and social interaction skills. As a
follow-up, Lane et al., (2002) found comparable results in a
study of first graders with concomitant early reading and
antisocial behavior problems.
The research supporting the transactional relationship
between reading and behavior problems notwithstanding, other
research provides contradictory or mixed findings, particularly
when considering the collateral effects of reading instruction on
behavioral outcomes. For example, a recent best-evidence
synthesis by Nelson, Lane, Benner, and Kim (2011) found that
literacy instruction does not appear to have an overall
collateral effect on social adjustment. Despite the above-
mentioned research, there is limited research that has explicitly
and purposely examined the byproduct effects of reading
READING AND BEHAVIOR PROBLEMS 9
interventions to improve behavioral outcomes, and vice versa,
under tightly controlled experimental conditions.
Given mixed findings in the literature, it is premature to
suggest that a transactional relationship holds true for all
students with co-occurring reading and behavior problems.
Instead, of a universal transactional relationship it is possible
that certain factors moderate the relationship between reading
performance and behavior problems relationship. A moderator is a
variable that alters the relationship between two variables
(Baron & Kenny, 1986; Holmbeck, 1997). One possible moderator of
the relationship between reading instruction and behavioral
outcomes is the function of the student’s behavior problems. From
an applied behavior analytic perspective, there are two functions
of behavior: positive and negative reinforcement (Iwata, Dorsey,
Slifer, Bauman, & Richman, 1982). Positively reinforced classroom
problem behaviors are maintained because they gain access to or
come into contact with a desirable consequence, such as attention
from others, tangible item or activity, which increases the
future likelihood of the disruptive behavior (Cooper, Heron, &
READING AND BEHAVIOR PROBLEMS 10
Heward, 2007). Negatively reinforced classroom problem behaviors
are maintained because they allow the person to escape, avoid, or
minimize contact with an unpleasant stimulus, such as undesirable
social attention, an unfavorable directive, or aversive academic
tasks (Cooper, Heron, & Heward, 2007). Putting this into context,
it is reasonable to assume that a reading intervention may
improve both reading and behavior outcomes for students whose
function of behavior is to escape/avoid frustrating, boring or
difficult-to-complete reading tasks, but the same reading
intervention may not improve the behavior of students who engage
in behavior problems to obtain attention from others (Kern &
Clemens, 2007). In the former case, the reading intervention
serves as a functionally equivalent antecedent strategy (i.e.,
improved reading skills decreases aversiveness or difficulty of
engaging in reading tasks), while in the latter case it does
nothing to address the underlying function or purpose for the
behavior. To date, no research has investigated whether the
relationship between reading and behavior problems is moderated
by the function of behavior.
READING AND BEHAVIOR PROBLEMS 11
Purpose of Present Study
Assuming there is a reciprocal, transactional relationship
between reading and behavior problems, the logical prediction
that follows is that reading interventions should not only cause
improved reading performance but also improved behavioral
performance, and vice versa. Based on this logic, the primary
purpose of the present study was to examine whether reading and
behavioral interventions have collateral effects on behavior
problems and reading performance, respectively. The secondary
purpose of this study was to examine the confined and combined
effects of these interventions. Last, we were interested in
exploring whether the function of participants’ classroom
behavior problems moderated the collateral effects of the reading
intervention. For the sake of understanding the focus of this
study, it is important to understand the concepts of confined,
collateral, and combined effects of interventions and behavior
function as a moderator of intervention effectiveness.
Confined effects refer to those effects that are specific to
the purpose or designed intent of the intervention. For example,
READING AND BEHAVIOR PROBLEMS 12
the confined effect of a reading intervention is improved reading
performance. Collateral effects, on the other hand, refer to
those effects that are secondary byproducts of the intervention
that are not necessarily specific to the intent of the
intervention, but are nevertheless important outcomes. For
instance, improvement in a student’s reading performance as a
result a behavioral intervention is an example of a collateral
effect. The collateral effect provides evidence in support of
the causal relationship between the variable representing the
focus of the intervention and the variable representing the
secondary or byproduct effect, particularly when examined under
experimental conditions. Combined effects refer to the additive
effect that is observed when adding another intervention to one
in place. For example, a combined effect would be present if the
combination of reading and behavioral interventions produced
gains in performance greater than the gains produced by either
intervention alone. Developing an understanding of the confined,
collateral, and combined effects of reading and behavioral
interventions is important, to figure out the optimal design and
READING AND BEHAVIOR PROBLEMS 13
delivery of interventions for students with co-occurring reading
and behavior problems.
Based on research on functional behavior assessment, a
related research question was whether the hypothesized function
of problem behavior would moderate the effectiveness of the
reading intervention on behavioral outcomes. This research
question was generated from the distinction between negatively
and positively reinforced behaviors (Cooper, Heron, & Heward,
2007). In the case of negatively reinforced behavior problems
occurring in the classroom, academic instruction and related
activities represent unpleasant, aversive conditions and behavior
problems represent the response class being negatively reinforced
via escape/avoidance. For positively reinforced behavior
problems occurring in the classroom, peer attention represents a
common, desired stimulus that positively reinforces behavior
problems (Jones, Drew, & Weber, 2000). Throughout this study, we
refer to negatively reinforced behaviors as escape-motivated and
positively reinforced behaviors as attention-maintained, which is
READING AND BEHAVIOR PROBLEMS 14
consistent with the results of our functional behavior
assessments.
The distinction between escape-motivated and attention-
maintained behavior has implications for the transactional
relationship between reading and behavior problems and the
collateral effects of the reading intervention in particular.
Reading interventions should increase alternative behaviors
(i.e., reading skills) and make reading instruction and
activities less aversive or difficult thereby reducing behavior
problems. While reading interventions may be causally related to
reductions for students with escape-motivated behavior problems,
the same may not be true for children with attention-maintained
behavior problems. In the latter case, the child engages in
behavior problems to gain contact with attention, not to escape
an aversive reading instruction or activity. Thus, the reading
intervention is inconsistent with the function of behavior and
unlikely to have an impact on the child’s behavior problems.
This study included participants who were receiving special
education services under the category of specific learning
READING AND BEHAVIOR PROBLEMS 15
disability, but engaged in high rates of behavior problems. The
sample is suitable for publication in this journal for a number
of reasons. First, there is a continuum of students with
emotional and behavioral disorders that range from those who
receive formal identification for special education services
under the category of emotional disturbance and those whose EBD
may not be severe enough to warrant a formal diagnosis (Gagnon &
Leone, 2006). Moreover, many students with EBD are often
inappropriately placed in programs for students with learning
disabilities (Lopez, Forness, MacMillan, Bocian, & Gresham, 1998;
Svetaz, Ireland, & Blum, 2000) or simply not identified as having
an emotional disturbance because of the social maladjustment
exclusionary clause (Merrell & Walker, 2004). In these instances,
it is important to examine the specific behavioral patterns to
determine whether they are consistent. All of the student
participants included in this study exhibited externalizing
behavior patterns in the classroom that are consistent with
having or being at risk for an EBD.
Methods
READING AND BEHAVIOR PROBLEMS 16
Participants and Setting
This study involved six students from two special education
classrooms (6th and 7th Grade) at a middle school in a moderately
sized urban school district in Southern California. Students
were identified for participation in this study based on a
multiple gating procedure, which was developed out of the spirit
of the Systematic Screening for Behavior Disorders (Walker &
Severson, 1990). The first gate involved teachers nominating the
top six students in their class who met definitions of disruptive
classroom behavior and poor reading performance. The next gate
consisted of having teachers complete a brief behavior rating
form (Combined Frequency Index) and obtaining extant standardized
reading scores. Students who had clinically significant behavior
problems (T-score > 64) on the brief behavior rating form and
performed below the 15th percentile on the reading index from
CAT/6 California Achievement Tests 6th Edition Survey were passed
on to the final gate. The final gate consisted of a Can’t
do/Won’t do assessment to rule out students whose reading
problems fit the definition of a performance deficit (i.e., won’t
READING AND BEHAVIOR PROBLEMS 17
do problem) rather than an acquisition deficit (can’t do problem)
(VanDerHeyden, Witt, & Naquin, 2003). The Can’t do/Won’t do
assessment consisted of administering curriculum-based
measurement oral reading fluency probes first without an
incentive and then with an incentive. If the student’s
performance improved in the face of the incentive, then it was
determined that the student had more of a performance deficit
(won’t do problem) and was excluded from participating in this
study. This resulted in the identification of three students
from each class to participate in the study. Consent was
obtained from the parents and teachers and assent was obtained
from each student prior to the onset of the study.
The demographic information for the participants is
displayed in Table 1. The average age of the six participants was
12.3 years old. With regard to ethnicity, three of the students
were African American, two were Caucasian, and one was Latino.
In terms of gender, five of the participants were male and one
was female. All students were receiving special education
services under the category of specific learning disability.
READING AND BEHAVIOR PROBLEMS 18
Sage had an additional diagnosis of OHI for ADHD related
symptoms. As for the teachers, both had special education
teaching certificates. The 6th Grade teacher had been a special
education teacher in a self-contained classroom for seven years,
while the teacher in the 7th Grade class had been teaching
special education students in resource and self-contained
classrooms for 10 years.
Experimental Design
A concurrent multiple-baseline across classrooms design was
used to examine the confined, collateral and combined effects of
the reading and behavioral interventions. For each class, there
were two intervention phases, each lasting three weeks in
duration. Random assignment was used to determine the order each
class would receive the interventions (e.g., reading or
behavioral intervention first). The 6th Grade class consisting
of Frank, Ramón, and Sage was selected to receive the
interventions in the following sequence: behavioral intervention
followed by the addition of the reading intervention. The 7th
Grade class consisting of Jake, Ryan, and Marcia had an extended
READING AND BEHAVIOR PROBLEMS 19
baseline and received the interventions in the following
sequence: reading intervention followed by the addition of the
behavioral intervention. Although this design did not permit
replication of intervention effects across classrooms, it did
permit an analysis of within classroom replication across
participants. Experimental control was established via the
extended baseline and demonstration that reading and/or behavior
performance did not improve until the introduction of the
intervention, albeit a different intervention. The point of the
extended baseline was to demonstrate that performance remained
stable for the participants in the 7th Grade class until the
introduction of an IV, which was under the experimenter’s
control.
Measures
Reading performance. Curriculum-based measurement reading probes
were used to assess reading level and progress in response to the
interventions. Specifically, Aimsweb 6th and 7th Grade oral
reading fluency (ORF) probes were used. Aimsweb ORF probes have
been repeatedly demonstrated to be reliable and valid general
READING AND BEHAVIOR PROBLEMS 20
outcome measures of reading performance (Hosp, Hosp, & Howell,
2006). Standardized guidelines for administering and scoring the
probes were followed. The reading fluency score was established
by calculating the number of words read correct per minute. Three
probes were administered each assessment occasion and the median
score was used as the final ORF score for that occasion.
Problem behavior. To measure behavior problems, the Behavioral
Observation of Students in Schools (BOSS; Shapiro, 2004) direct
observation PDA was used. In particular, the behavioral response
categories of academic engaged time (AET) and disruptive behavior
(DB) were used as proxies for behavior problems. AET was defined
as instances when the student was paying attention to instruction
by looking at the teacher or speaker and working on the academic
task at hand. Examples of AET included writing, reading aloud,
raising a hand and waiting patiently, talking to the teacher or
other student about assigned material, and looking things up that
are relevant to the assignment. DB was defined as behaviors that
are not related to the task at hand and are disruptive to
learning or the classroom environment, but do not pose immediate
READING AND BEHAVIOR PROBLEMS 21
danger to the other peers, teachers, or property (e.g., call
outs, talking to peer when not permitted, out of seat, behavior
that draws other peers off-task, playing with object). The BOSS
utilizes a partial interval time sampling procedure to record the
percent of intervals the target student is academically engaged.
Observations were performed by three trained graduate students;
each observation lasted 30 minutes in duration; were not
performed until the observers reached 90% agreement with one
another during training sessions; and were conducted during the
language arts block, but not during the time and place in which
the reading intervention was implemented. Inter-observer
agreement was calculated on 20% of the observations during
baseline and intervention phases for each of the student
participants. The results of the IOA for each of the participants
for each phase are depicted in Table 1. Across all participants,
the mean IOA was 92% (minimum 84%; maximum 98%) and 98% (minimum
93%; maximum 100%) for AET and DB, respectively, indicating an
acceptable level of agreement (Salvia & Ysseldyke, 2004).
READING AND BEHAVIOR PROBLEMS 22
Functional behavior assessment. Two advanced graduate students, one
with BCBA certification and the other one working towards BCBA
certification, with extensive experience conducting FBAs and
developing behavior intervention plans performed the FBAs for
this study. A combination of indirect and direct measures was
used to conduct the FBA. The indirect measures included teacher
and student interviews derived from O’Neill et al. (1997) and the
Problem Behavior Questionnaire (Lewis, Scott, & Sugai, 1994).
Once the initial information was gleaned from the FBA interviews
about the antecedents, behaviors, and consequences, the Problem
Behavior Questionnaire was administered to cross-validate the
initial hypotheses. Based on the agreement found between these
assessments, the initial hypothesis was that four of the
participants (Frank, Ramón, Jake, and Marcia) engaged in escape-
motivated disruptive classroom behavior during academic tasks in
order to escape/avoid doing the work, while the other two (Sage
and Ryan) were engaging in attention-maintained disruptive
classroom behavior in order to gain attention from peers across
different activities.
READING AND BEHAVIOR PROBLEMS 23
The next step in the FBA consisted of direct observations
using an A-B-C observation form to (dis)confirm the initial
working hypotheses (O'Neill, Horner, Albin, Sprague, Storey, &
Newton, 1997). Conditional probabilities were calculated to
examine the relationship between the target behavior and
consequences under different antecedent conditions. Specifically,
the probability that the participants’ target behavior was
followed by either escape or attention was calculated during two
antecedent conditions (academic tasks vs. transition/free-time).
The results of the conditional probability analysis are depicted
in Table 2. Given that disruptive behavior is incompatible with
academic engagement, all participants were associated with
conditional probabilities that indicated the target behavior was
followed 100% of the time by escape from the academic task.
However, consistent with the initial hypotheses, differentiated
outcomes were observed when assessing the conditional
probabilities for the attention consequence during academic tasks
and the consequences of escape and attention during
transition/free-time antecedent conditions. For Sage and Ryan
READING AND BEHAVIOR PROBLEMS 24
(hypothesized attention-maintained), the conditional
probabilities indicated attention was associated with the target
behavior across both antecedent conditions. On the other hand,
for Frank, Ramón, Jake, and Marcia, attention was rarely
associated with the occurrence of the target behavior during both
academic tasks and transition/free-time conditions. Moreover,
the four hypothesized escape-motivated participants had near zero
levels of target behavior during transition/free time, indicating
that the target behavior was functionally related to academic
task via escape. Therefore, collectively, the results of the
multi-step FBA indicated that four of the participants’
disruptive behavior problems were escape-motivated (negative
reinforcement – Jake, Ramón, Frank, and Marcia) and the other two
participants were attention-maintained (positive reinforcement –
Sage and Ryan).
Interventions
Reading intervention. The reading intervention consisted of the
Six-Minute Solution (Adams & Brown, 2006) and small group
decoding instruction focusing on the alphabetic principle. The
READING AND BEHAVIOR PROBLEMS 25
Six-Minute Solution involves repeated readings of one-minute
nonfiction passages and a peer-tutoring and feedback system that
keeps students motivated and on task. Repeated reading and peer
tutoring have both been found to increase fluency (NRP, 2002).
The decoding instruction consisted of instruction targeting the
alphabetic principle, which is designed to improve knowledge
about, and interplay between phonemic awareness (i.e., sound-
spoken language correspondence) and phonics (i.e., sound-written
language correspondence). Specifically, lessons from the
Corrective Reading curriculum were used to target these areas.
Corrective Reading program has been shown to effectively improve
students’ early literacy and literacy skills (Polloway, Epstein,
Polloway, Patton, & Ball, 1986). Forty minutes of class time was
reserved each day during the study to deliver the reading
intervention protocol.
Behavioral Intervention. The behavioral intervention program
consisted of two empirically supported strategies: Check in/Check
out (CICO; Crone, Horner, & Hawken, 2004) and self monitoring
protocol. CICO is a mentor-based behavior support program that
READING AND BEHAVIOR PROBLEMS 26
consists of four steps: (a) morning check in with mentor, (b)
teacher evaluation and feedback, (c) check out with mentor and
performance feedback, and (d) notification to parent of student’s
performance. The four-step cycle is repeated on a daily basis
throughout the school week. Several studies have demonstrated
the efficacy of CICO to decrease the disruptive behavior of
students (Filter et al., 2007; Hawken, MacLeod, & Rawlings, 2007;
Todd, Campbell, Meyer, & Horner, 2008). The self monitoring
protocol was designed for the participants to monitor their on-
task behavior and absence of problem behavior (Crawley, Lynch, &
Vannest, 2006; Gureasko-Moore, DuPaul, & White, 2007; Peterson,
Young, Salzberg, West, & Hill, 2006; Petscher, & Bailey, 2006).
The participants were provided self monitoring charts and a
vibrating clock, which was set to vibrate on a variable interval
7-minute schedule. When the clock vibrated, the participants were
instructed to reflect on their behavior and mark down whether
they had been on-task and engaging in expected behaviors (i.e.,
on-task, hands to self, and following instructions).
Individualized goals were set for each student based on their
READING AND BEHAVIOR PROBLEMS 27
baseline data and participants were rewarded with an item or
activity from their reward menu each day if they met their goal.
To ensure acceptable levels of treatment integrity, graduate
research assistants assisted the teachers with implementing the
reading and behavioral interventions. Given the importance of
adequate treatment integrity to appropriately address the
research questions guiding this study, data were collected to
monitor implementation and provide performance-based feedback to
increase future integrity.
Treatment Integrity
Treatment integrity data were collected to assess the degree
to which the interventions were implemented consistently and
accurately. A combination of permanent products (e.g., self
monitoring forms and Check in/Check out attendance sheets) and
direct observation checklists were used to gather treatment
integrity data. Data were collected on three separate occasions
during each phase of intervention implementation. For the
behavioral intervention, there were six components across the
permanent product and direct observation measures that were used
READING AND BEHAVIOR PROBLEMS 28
to calculate percent integrity: (a) self monitoring form
completed (permanent product), (b) morning Check in/ attendance
form (permanent product), (c) afternoon Check out attendance
form, (d) student self-recorded behavior on chart (direct
observation), (e) periodic honesty check for self-monitoring
(direct observation), (f) teacher provided prompts and feedback
(direct observation). With regard to the reading intervention,
there were five components across the permanent product and
direct observation measures that were used to calculate percent
integrity: (a) attendance form for supplemental reading
instruction (permanent product), (b) progress monitoring graph
with session specific data point (permanent product), (c) teacher
or aide delivered fluency instruction (direct observation), (d)
teacher or aide delivered decoding instruction targeting phonemic
awareness or phonics (direct observation), and (e) teacher or
aide provided multiple opportunities to practice (direct
observation). The results of the treatment integrity assessment
for the behavioral intervention were as follows: Jake (m = 94%;
range = 83 - 100%), Marcia (m = 100%; range = 100%), Ryan (m =
READING AND BEHAVIOR PROBLEMS 29
89%; range = 83 - 100), Frank (m = 100%; range = 100%), Sage (m =
94%; range = 83 – 100%), and Ramón (m = 94%; range = 83 – 100%).
The results of the treatment integrity assessment for the reading
intervention were as follows: Jake (m = 100%; range = 100%),
Marcia (m = 100%; range = 100%), Ryan (m = 100%; range = 100%),
Frank (m = 93%; range = 80 - 100%), Sage (m = 100%; range =
100%), and Ramón (m = 100%; range = 100%). Together, these
results indicated that both interventions were implemented with
adequate levels of integrity for the participants.
Results
The data were interpreted using a combination of visual
inspection and behavior change estimates. For the ORF measure,
words read correct per minute per week (WRC per week) for each
condition was calculated as an estimate of reading growth during
baseline and intervention conditions and compared to established
growth rates (Hosp, Hosp, & Howell, 2007). For the AET and DB
measures, the mean percentages across phases were compared to
evaluate either the percent increase or decrease, depending on
the measure. The results are presented and interpreted in two
READING AND BEHAVIOR PROBLEMS 30
ways. First, the data are aggregated across students in each
class to examine class-level effects. Second, the individual-
level data within each classroom were visually displayed to
examine individual-level responses to the interventions, see
Figures 1, 2, and 3. The following is organized according to the
four main research inquiries guiding this study.
Research Question 1: To what extent do reading and behavioral
interventions are associated with confined effects?
As a reminder, confined effects refer to those effects that
are specific to the purpose of the intervention (i.e., reading
intervention improving reading performance and behavior
intervention improving behavior performance).
Confined effects of the reading intervention. Participants in the 7th
Grade Class were the only students to receive the reading
intervention alone. The aggregated results from the 7th Grade
Class indicated that the reading intervention was associated with
confined effects to improve reading fluency (see Figure 1).
Specifically, while the participants in the 7th Grade Class
decreased at rate of approximately 1 word per week during
READING AND BEHAVIOR PROBLEMS 31
baseline, they experienced an increase in 4.5 WRC per week once
the reading intervention was implemented. Comparison of these
growth rates to normative growth rates for ORF revealed that the
participants far exceeded established growth rates for students
in the same grade (Hosp, Hosp, & Howell, 2007).
Examination of the individual ORF response trajectories
indicated that all three participants in the 7th Grade Class
responded well to the reading intervention, see Figure 1. For
example, Marcia had a decreasing trendline at baseline, but
experienced an upward trend in her reading performance once the
reading intervention was implemented. Although Ryan and Jake had
slightly increasing trendlines at baseline, the slope of their
ORF data during the reading intervention phase was visibly
steeper, indicating improved reading fluency and providing
support for the confined effects of the reading intervention. The
WRC per data indicated that Marcia experienced the greatest
confined effects relative to baseline, while Ryan experienced the
weakest. However, all three participants had WRC per week
estimates during the reading intervention phase that exceeded
READING AND BEHAVIOR PROBLEMS 32
expected growth rates for students’ their same age (Hosp, Hosp, &
Howell, 2007).
Confined effects of the behavioral intervention. The participants in the
6th Grade Class were the only group who received the behavioral
intervention alone. The class-level results for AET and DB
indicated that the participants’ behavior improved as a result of
the behavioral intervention. Specifically, results for the AET
dependent variable indicated that while the participants were on-
task for only half of the time (49%) during baseline, their
academic engagement increased to over 70% once the behavior
intervention was introduced. This change was equal to an increase
in an hour more of academic engagement for every 6 hours of
instruction. As for the DB dependent variable, the average
percent intervals of DB decreased from 27% at baseline to 13%
during the behavior intervention only condition. These results
indicated that amount of observed DB was reduced in half with the
introduction of the behavior intervention.
Examination of the individual AET and DB data indicated that
all three participants in the 6th Grade Class responded well to
READING AND BEHAVIOR PROBLEMS 33
the behavioral intervention. Ramón exhibited the greatest net
gain in AET, with an increase from 37% at baseline to 79% during
behavioral intervention. Frank began baseline with the highest
AET, yet he still evidenced observable improvements in AET
following the introduction of the behavioral intervention.
Although Sage demonstrated the weakest confined effects, his AET
still improved relative to baseline, with a 15% increase in AET,
which is equivalent to roughly 10 minutes of extra time on-task
per instructional hour.
With regard to DB, the confined effects of the behavior
intervention were replicated across all three participants in the
6th Grade Class (see Figure 2). Ramón’s DB decreased the most
following the introduction of the behavior intervention
(reduction from 31% to 11%), followed by Sage (reduction from 27%
to 14%), and then Frank (reduction from 22% to 13%).
Collectively, the results across these three participants’ AET
and DB data provide support for the confined effect of the
behavioral intervention.
READING AND BEHAVIOR PROBLEMS 34
Research Question 2: To what extent are reading and behavioral
interventions associated with collateral effects?
Collateral effects are those effects that are secondary
outcomes, or byproducts, of an intervention. Therefore,
behavioral improvements that result from the implementation of
the reading intervention and reading gains produced as a function
of the behavioral intervention were examined separately.
Collateral effects of the reading intervention. To evaluate the
collateral effect of the reading intervention, the focus was
directed exclusively to the participants in the 7th Grade Class,
as they received the reading intervention alone while their
behavior performance was concurrently observed (see Figures 2 and
3). Results indicated that whereas the participants in the 7th
Grade Class’ average AET was 45% at baseline, once the reading
intervention was introduced their AET as a group increased to
67%. This represented a 22% increase from baseline. As for the
DB, the participants in the 7th Grade Class engaged in disruptive
behavior for an average of 32% of the intervals during baseline,
but demonstrated a reduction to 19% of the intervals once the
READING AND BEHAVIOR PROBLEMS 35
reading intervention was implemented. This reduction was
associated with a 13 percent decrease from baseline, which over
an instructional hour represents eight fewer minutes of DB.
With regard to individual effects, visual inspection of
Figures 2 and 3 revealed that two of the three students showed
marked improvement in AET and DB as a result of the reading
intervention. As can be seen, Marcia demonstrated the most
improvement in behavior relative to baseline, with a 48 percent
increase in AET and a 23 percent decrease in DB. Jake also
demonstrated improved behavior as a result of the reading
intervention, with an increase in AET by 19% and a decrease in DB
by 12% from baseline to the reading intervention. Ryan was the
only student who did not demonstrate a collateral effect of the
reading intervention (0% increase in AET and a 1% increase in
DB). Further interpretation of Ryan’s data is discussed below
the section below.
Collateral effect of the behavioral intervention. To assess the collateral
effects of the behavioral intervention, only data collected from
participants in the 6th Grade class were evaluated because they
READING AND BEHAVIOR PROBLEMS 36
were the only ones to receive the behavioral intervention alone,
see Figure 1. Beginning first with the class-level data,
collateral effects of the behavioral intervention were observed
as the participants as a whole increased from an average increase
of 0.45 WRC per week during baseline to an average increase of
4.78 WRC per week once the behavioral intervention was
implemented. This increase exceeded normative growth rates for
students their same age, and at this rate of progress the
participants would likely catch up to their peers’ performance
(Hosp, Hosp, & Howell, 2007).
Across all participants, examination of the individual-level
data provided evidence in support of the collateral effects of
the behavioral intervention. Specifically, all three of the
participants demonstrated growth in reading performance
contingent upon implementation of the behavior intervention.
Frank and Ramón demonstrated comparable collateral effects in
response to the behavioral intervention by improving at a rate of
over 5 WRC per week. Sage demonstrated the least improvement
relative to baseline. However, he still increased by an average
READING AND BEHAVIOR PROBLEMS 37
of 3.33 WRC per week following the implementation of the behavior
intervention, compared to only 0.67 WRC per week increase during
baseline. These results provide replicated support for the
individualized collateral effects of the behavioral intervention
to improve reading performance.
Research Question 3: To what extent are reading and behavioral
interventions associated with combined effects?
Data from both classes were used to assess the combined
effects of the reading and behavioral interventions. The presence
of combined effects was determined by visually and statistically
comparing reading and behavior performance during the combined
intervention phase to reading and behavior performance during the
reading intervention only and behavior intervention only
conditions. Both class- and individual-level data supported the
additive benefits of combining reading and behavioral
interventions. The combined effects on behavior performance are
discussed first.
While participants in the 6th Grade class averaged 76% AET
during the behavioral intervention only condition, when the
READING AND BEHAVIOR PROBLEMS 38
reading intervention was combined, their average increased to
85%. This increase is equivalent to six additional minutes of
academic engagement per instructional hour, which is equal to 32
extra minutes of academic engagement for a six-hour instructional
day or 160 minutes over the course of a week. Similar effects
were found for the 7th Grade Class. The average AET for the 7th
Grade Class increased from 66% during the reading intervention
only phase to 89% when the behavioral intervention was added to
the reading intervention. This 23% increase is equal to 14-
minutes of extra academic engagement per instructional hour.
Together, the class-level data indicated that the reading and
behavioral interventions demonstrated combined effects.
The class-level data revealed similar findings for the DB
outcome. While the 6th Grade group engaged in DB for 12% of the
intervals during the behavioral intervention only phase, their DB
decreased to 8% during the combined intervention phase. As for
the 7th Grade group, the average DB decreased from an average of
18% during the behavioral intervention only phase to an average
of 5% during the combined intervention phase. Across both
READING AND BEHAVIOR PROBLEMS 39
classrooms, the participants as a group demonstrated reductions
in DB during the combined intervention phase when compared to the
behavioral intervention only phase.
Across both classrooms, all but one of the participants
demonstrated combined effects when compared to the reading or
behavior intervention only condition, see Figure 2. Sage was the
only participant whose behavior did not improve once the reading
intervention was combined with the behavioral intervention.
Further discussion of the null finding for Sage is discussed in
the section below.
With regard to reading outcome, the addition of the reading
intervention to the behavioral intervention resulted in an
increase from 4.78 WRC per week during the behavioral
intervention only condition to 6.68 WRC per week during the
combined intervention phase for participants in the 6th Grade
class. For students in the 7th Grade class, a similar increase
from 4.74 to 6.34 WRC per week was observed when the behavioral
intervention was combined with the reading intervention. For both
classes, these increases indicated a greater likelihood of
READING AND BEHAVIOR PROBLEMS 40
closing the gap between their performance and their peers’ when
receiving both reading and behavioral interventions.
Results for the individual-level data revealed that all
participants demonstrated additive improvements in reading
performance when the interventions were combined together, see
Figure 1. Ryan and Frank demonstrated the greatest net gain in
WRC per week followed by Marcia and Sage, when compared to
reading or behavioral intervention only phase. Although difficult
to see in Figure 1, the slopes or trend of performance in the
combined intervention phase was steeper than the trend or slope
in the solo intervention phase, which indicated combined effect
on reading performance for all participants.
Research Question 4: To what extent does the behavior function
moderate the collateral effects of the reading intervention?
The results of the FBAs indicated that four of the
participants’ problem behavior was hypothesized to be maintained
by escape/avoidance (Ramón, Frank, Jake and Marcia) and two of
the participants’ problem behavior was hypothesized to be
maintained by social attention (Sage and Ryan). Consistent with
READING AND BEHAVIOR PROBLEMS 41
one of the inquiries guiding this study, visual analysis revealed
that differential findings were observed based on the
hypothesized function of the problem behavior. While the
participants with hypothesized escape-maintained problem behavior
(Jake, Ramón, Frank, and Marcia) demonstrated improvements in
problem behavior with the introduction of the reading
intervention, the participants with hypothesized attention-
maintained problem behavior (Sage and Ryan) did not show
improvements in their behavior problems when the reading
intervention was introduced either alone or in combination with
the behavioral intervention (see Figures 2 and 3). The purest
examination of the moderating role of behavior function was for
Ryan. Ryan was in the class that received the reading
intervention only. Whereas Ryan’s AET and DB demonstrated minimal
to no improvement in response to the reading intervention, Jake
and Marcia both experienced notable changes in behavior
performance.
Sage’s data also provided support for the moderating effect
of behavior function on the collateral effect of the reading
READING AND BEHAVIOR PROBLEMS 42
intervention, as he was in the class that received the reading
intervention in addition to the behavioral intervention. While
Sage demonstrated improvements in problem behavior with the
behavioral intervention, he did not evidence incremental
improvements in behavior when the reading intervention was added.
Unlike Sage, Frank and Ramón demonstrated additive improvements
(reductions in DB and increase in AET) once the reading
intervention was combined with the behavioral intervention. Take
together, the results for Ryan and Sage provide data supporting
behavior function as a moderator of the collateral effects of the
reading intervention.
Discussion
Recent studies indicate that a transactional relationship
between reading and behavior problems may exist (Morgan, Farkas,
Tufis, & Sperling, 2008; Trzesniewski, Moffitt, Caspi, Taylor, &
Maughan, 2006). A transactional relationship implies that reading
problems cause behavior problems and, in turn, behavior problems
cause reading problems. Direct implications for intervention stem
READING AND BEHAVIOR PROBLEMS 43
from this transactional hypothesis to improve the performance of
with students who co-occurring reading and behavior problems.
As expected, the reading and behavioral interventions were
associated with positive confined effects. Given prior research
supporting the efficacy of the reading (repeated readings and
decoding instruction) and behavioral (CICO/self-monitoring)
interventions used in this study, it was little surprise that
they produced confined effects. Nevertheless, the results
provide additional support for the use of these particular
reading and behavioral interventions to improve students’ reading
and behavioral performance, respectively.
Findings also supported the main hypothesis of this study.
That is, findings provided evidence supporting a transactional
relationship between reading and behavior problems in that both
collateral and combined effects were observed. The reading
intervention contributed to unique improvements in behavioral
performance, while the behavioral intervention independently
produced gains in participants’ reading performance. Moreover,
when combined together, the reading and behavioral interventions
READING AND BEHAVIOR PROBLEMS 44
resulted in improvements in reading and behavior above and beyond
the effects produced by either intervention implemented
independently. These results, however, were tempered by the
moderating effect of behavior function on the collateral effect
of the reading intervention.
Consistent with our prediction, the collateral effects of
the reading intervention was moderated by the hypothesized
function of the participants’ behavior problems. The effect sizes
revealed that the reading intervention had collateral effects on
behavior problems for participants whose behavior problems were
hypothesized to be escape-maintained. However, for Ryan and Sage,
whose behavior problems were hypothesized to be attention-
maintained, the reading intervention was associated with minimal
to no improvements in behavioral performance. This finding is
consistent with notion of functionally equivalent interventions
(Maag, 2005). Given that Sage and Ryan engaged in disruptive
classroom behavior to gain attention from others—not to escape
difficult, boring, or otherwise aversive academic work—the
reading intervention did not diminish the need to for Ryan and
READING AND BEHAVIOR PROBLEMS 45
Sage to gain attention via disruptive classroom behaviors. On the
other hand, the reading intervention likely served to diminish
the difficulty and/or aversiveness of the reading/language arts
tasks for the participants with escape-motivated disruptive
behavior, which led to a reduction in behavior problems.
These findings challenge the universality of the notion of a
transactional relationship between reading and behavior problems,
as well as provide support for a functional, rather than a
topographical, approach to understanding behavior problems. For
some students with comorbid reading and behavior problems, the
relationship between the two appears to be best explained by
Hinshaw’s (1992) fourth explanation which stipulates that some
third unknown variable is responsible for the manifestation of
reading and behavior problems. It is also possible that in some
cases reading and behavior problems may not share a common
etiology.
It is noteworthy to discuss how the behavioral intervention
impacted reading scores, considering that a ‘can't do vs. won't
do’ procedure was implemented and potential participants with
READING AND BEHAVIOR PROBLEMS 46
reading performance deficits were excluded from this study. A
logical question to ask is: how did behavioral intervention
positively impact reading performance? One possible explanation
is that the improved reading fluency in response to the
behavioral intervention is a byproduct of increased student
engagement. In the classroom, engagement has been argued to serve
as the behavioral conduit through which a student’s attentional
resources are devoted to learning (Connell & Wellborn, 1991),
including the academic skills they acuire (Skinner & Belmont,
1993) and their overall academic achievement (Finn & Rock, 1997).
Given the critical role student engagement plays with regard to
learning (Fredricks, Blumenfeld, & Paris, 2004; Skinner, Furrer,
Marchand, & Kindermann, 2008), students were more likely to be
receptive of the business-as-usual reading instruction while
receiving the behavioral intervention, which resulted in greater
skill acquisition. Notwithstanding this explanation, there is
also the possibility that an unknown variable could better
explain the improved reading, which is consistent with Hinshaw’s
(1992) fourth explanation.
READING AND BEHAVIOR PROBLEMS 47
Implications
The results revealed that the whole, or combination, of
reading and behavioral interventions is greater than the either
of its parts. The implication of this finding is that school
staff should attempt to intervene on both fronts when confronted
with students with co-occurring reading and behavior problems.
This finding takes on enhanced meaning when interpreted in light
of the response to intervention (RtI) models of service delivery.
RtI has been a major stimulus for discussion in education,
particular with regard to providing academic supports (Cook,
Sprague, Browning Wright, & Sadler, 2008; Gresham, 2005). The
data from this study indicate that RtI models designed to support
students only with regard to academic performance may be narrowly
focused. Instead, a comprehensive RtI model that integrates
academic and behavioral approaches from assessment to
intervention is likely to be the most effective service delivery
system. This assertion is supported by McIntosh, Chard, Boland,
and Horner (2006) research synthesis in which they found that
combined academic and behavior service delivery models were
READING AND BEHAVIOR PROBLEMS 48
associated with better school-wide academic and behavior outcomes
than multi-tiered models focused on academics or behavior alone.
Limitations and Directions for Future Research
This study, like all others, has limitations that are
important to be cognizant of in order appropriately interpret the
findings. First, given the design, we were unable to evaluate
collateral effects of the interventions across both classes to
replicate the findings. Rather, only one class received the
reading intervention or behavioral intervention only, which
limited our evaluation of the confined effects to one class per
intervention. A better design with greater external validity
would be a group-based design consisting of randomly assigning
individuals to four treatment conditions: reading intervention
only, behavioral intervention only, combined reading and
behavioral intervention, and business-as-usual control.
Second, future research delving into collateral effects of
interventions should seek to confirm the present findings as well
as address new questions. Although evidence for collateral
effects between reading and behavioral interventions is provided,
READING AND BEHAVIOR PROBLEMS 49
its scope is limited to the specific interventions used in the
study. More research should be conducted to explore whether
using different reading and behavioral interventions will yield
similar results. If collateral effects do not hold across many
interventions, the transactional relationship between reading and
behavior problems, becomes questionable. Further work must be
done to determine which behavioral and academic interventions
produce optimal collateral effects.
Third, descriptive methods were used to develop a hypothesis
of behavior function. It is possible that the hypothesized
behavior functions for the participants were inaccurate; thus,
undermining the results of our moderator analysis. A more
tenable approach would have been to conduct experimental
functional analyses for each of the participants to ascertain
behavior function. Given the difficulties of conducting school-
based function analyses, we used descriptive FBA methodology.
Also, credence was added to the results of our FBA in that we
observed differential results based on the hypothesized function
of each of the participants behavior problems.
READING AND BEHAVIOR PROBLEMS 50
Last, the sample of participants included students who were
receiving special education services under the category of
specific learning disability. The findings of this study could
potentially be different if the sample included students who had
formally been identified as having an underlying emotional
disturbance. Although this may be true, as stated earlier, many
students with specific learning disabilities have undiagnosed EBD
(Lopez, Forness, MacMillan, Bocian, & Gresham, 1998; Merrell &
Walker, 2004); therefore, the sample included in this study is
likely to be representative of the population of students with
EBD.
Conclusion
This study provides evidence in support of the transactional
relationship between reading and behavior problems. However,
results tentatively indicate that this relationship may depend on
the function of the behavior problem, thereby moderating the
effect of reading interventions on students’ behavior problems.
School practitioners can benefit from an understanding of the
causal relationship between reading and behavior problems.
READING AND BEHAVIOR PROBLEMS 51
Further research is needed to determine with whom and under what
circumstances reading or behavioral interventions, or the
combination of the two, can be used to effectively address the
needs of students with co-occurring reading and behavior
problems.
READING AND BEHAVIOR PROBLEMS 52
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Table 1.
Inter-observer Agreement Estimates for Each Participant by Each Phase
Participant &
Phases
AET IOA DB IOA
Jake
Baseline 92% 98%Reading only 95% 100%Combined 95% 100%
Marcia
Baseline 100% 90%Reading only 96% 100%Combined 88% 96%
Ryan
Baseline 86% 84%Reading only 92% 88%Combined 90% 88%
Frank
Baseline 92% 100%Behavioral only 96% 96%Combined 95% 100%
Sage
Baseline 85% 94%Behavioral only 88% 96%Combined 96% 94%
Ramón
Baseline 90% 86%