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. Author manuscript; available in PMC: 2014 Apr 20.
Published in final edited form as: Am J Speech Lang Pathol. 2012 Oct 15;21(4):397–414. doi: 10.1044/1058-0360(2012/11-0036)

TABLE 2.

Summary of single-subject experimental designs (SSEDs).

Design Research questions Advantages Disadvantages
Pre-experimental (AB) Does outcome X change from baseline levels with the introduction of intervention B? • Quick and efficient to implement.
• Appropriate for low-stakes decision making.
• Does not control for threats to internal validity; not an experimental design.
Withdrawal (ABA/ABAB) Does outcome X covary with introduction and withdrawal of intervention B? • Easy to implement, strong experimental control when effects are immediate and large. • There are ethical considerations regarding withdrawing or reversing a potentially effective intervention.
• Not all behaviors are “reversible.”
Multiple-baseline/multiple-probe Does outcome X change from baseline levels with the introduction of intervention B over multiple participants, responses, settings, etc.? • Does not require withdrawal of intervention.
• Appropriate for nonreversible behaviors.
• Ethical considerations regarding keeping individuals/behaviors in baseline conditions for a long period.
• Requires multiple individuals, responses, settings, etc., that are comparable in order to replicate effects.
Changing-criterion Do changes in the level of outcome X correspond to changes in the intervention criteria? • Does not require reversal.
• Appropriate for behaviors that can be changed gradually.
• Useful for consequence-based interventions.
• Change must take place in graduated steps; not appropriate for behaviors that require immediate change.
• Requires the use of incentive- or consequence-based interventions.
Multiple-treatment What are the relative effects of interventions A and B (and C, D, etc.) on outcome X compared to each other and/or baseline levels? • Can be extended to compare any number of interventions or variables.
• Can extend a withdrawal study when effects of initial intervention are not as pronounced as expected.
• Can be used to conduct component analyses of necessary and sufficient intervention components.
• Behaviors should be reversible to demonstrate relative effects.
• Only comparisons between adjacent conditions are appropriate.
• Can be time consuming and complicated to implement when the number of interventions being compared increases.
• Results are susceptible to multiple treatment interference.
Alternating treatments What are the relative effects of interventions A and B (and C, D, etc.) on outcome X compared with each other and/or baseline levels? • Can be extended to compare any number of interventions or variables.
• Can provide strong experimental evidence in relatively few sessions.
• Behaviors must be readily reversible to obtain differentiation between conditions.
• Results are susceptible to multiple treatment interference.
Adapted alternating treatments What are the relative effects of intervention A on outcome X and intervention B on outcome Y? • Less prone to multiple treatment interference.
• Can provide strong experimental evidence in relatively few sessions.
• Does not require reversal.
• Set of behaviors or stimuli must be directly comparable for effects to be meaningful.
• Potential generalization across behaviors must be considered.