ABA Fundamentals

A graduated guidance procedure for teaching self-dressing skills to multihandicapped children.

Sisson et al. (1988) · Research in developmental disabilities 1988
★ The Verdict

Graduated guidance plus praise can teach complete dressing to preschoolers with several disabilities.

✓ Read this if BCBAs writing adaptive-skills programs for young children in clinic or home.
✗ Skip if Practitioners who only serve verbal teens with high-functioning autism.

01Research in Context

01

What this study did

The team worked with two preschoolers who had several disabilities. Each child needed help putting on clothes.

Teachers used graduated guidance. They gave full hand-over-hand help at first. Then they faded to light touches. Finally they gave only praise.

The study ran a multiple baseline across dressing steps. That means teaching shirt first, then pants, then socks.

02

What they found

Both kids learned to dress themselves head to toe. They kept the skill weeks later. They also dressed at home without help.

Graduated guidance plus praise was enough. No extra rewards were needed.

03

How this fits with other research

Pickering et al. (1985) did almost the same thing three years earlier with adults. They also used task analysis plus graduated guidance for life skills. The 1988 study shows the package works for preschoolers too.

Faso et al. (2016) flipped the script. They had parents give graduated guidance for yoga poses instead of dressing. Same prompt fading, new skill, new teacher. It still worked.

Luiselli (1993) swapped the skill again. They taught deaf-blind toddlers to self-feed with prompt fading. All three studies show one truth: if you fade prompts step by step, kids with major disabilities learn daily living skills.

04

Why it matters

You already know graduated guidance. Now you know it works for full dressing chains in very young kids with multiple diagnoses. No fancy tech needed—just your hands and praise. Try it next time you write a toilet-training or hand-washing program. Break the chain, fade your touch, and watch independence grow.

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Pick one dressing step, give hand-over-hand help, then fade to a light tap while praising each success.

02At a glance

Intervention
prompting and fading
Design
multiple baseline across behaviors
Sample size
2
Population
mixed clinical
Finding
positive

03Original abstract

The effectiveness of a graduated guidance procedure for increasing independence in dressing was examined in a multiple baseline analysis across behaviors. Two multihandicapped children were trained to dress in socks, pants, and shirt. In training sessions, subjects completed the entire sequence of steps involved in putting on the training garment on each trial. Trainer assistance was provided as necessary, but was faded systematically according to a hierarchy of intrusiveness. Positive reinforcement was delivered contingent on dressing with increased independence. Assessment of independent responses followed each training session. Dependent measures were derived from a task analysis of each dressing behavior. Results showed that both children learned dressing skills, although rates of acquisition varied considerably. Generalization of treatment effects to similar garments was observed; maintenance of skills was evident at follow-up probes conducted at 36 weeks for one child and 18 weeks for the other.

Research in developmental disabilities, 1988 · doi:10.1016/0891-4222(88)90035-2