Data-based decision making, an important component of positive behavior support, can be difficult in brief in-home therapy due to the limited amount of time a therapist has to directly observe the child. This difficulty is exacerbated when problem behavior occurs infrequently. When a therapist cannot reliably observe problem behavior, it is often necessary to rely on parental report. The current study evaluated three approaches for parental report of low frequency problem behavior: antecedent-behavior-consequence records, incident data, and interview. Each method was analyzed with clients in home-based therapy with 2-hour weekly appointments. All clients exhibited low-frequency (i.e., less than daily) and high-intensity (i.e., causes physical harm to self/others, damage to the environment, or severe decrement to family’s quality of life) problem behavior. The treatment goal for all clients was to reduce problem behavior (most commonly aggression, disruption, or self-injury). The number of instances of problem behavior captured by each method of data-collection, quality of the data (i.e., ability to detect treatment effects using the data), and therapist and parent acceptability of each measure were analyzed. Results are discussed in terms of the relative advantages and disadvantages of each measure, clinical application of the methods, and avenues for future research
