ABA Fundamentals

A verbal-instruction system to help persons with multiple disabilities perform complex food- and drink-preparation tasks independently.

Lancioni et al. (2011) · Research in developmental disabilities 2011
★ The Verdict

Automatic spoken cues beat self-requested ones for speed and accuracy in adult kitchen skills.

✓ Read this if BCBAs teaching daily living skills to adults with ID or multiple disabilities.
✗ Skip if Clinicians working only on vocal language or academic drills.

01Research in Context

01

What this study did

Three adults with multiple disabilities learned to cook simple meals.

Each person wore a small MP3 player wired to ear-buds.

The player spoke the next step automatically. No button pressing was needed.

Researchers compared this to a system where users had to ask for each cue.

02

What they found

With automatic cues, all three adults made more correct steps and finished faster.

Skills jumped the very first day the new system started.

No extra training was required.

03

How this fits with other research

Callahan et al. (2010) got the same quick gains using computer videos instead of spoken words.

The task was the same—food prep—showing the idea works across audio and video.

Boudreau et al. (2015) reviewed thirty years of self-instruction studies. They praise teaching people to cue themselves.

Our study flips that idea: we cue first, then fade later. The two papers fit together like a staircase.

Meier et al. (2012) tried picture cues with Alzheimer’s patients and also hit 90 % correct.

Together these studies say: pick the cue type the learner can hear, see, or press, then let the tech do the pacing.

04

Why it matters

If a client struggles with multi-step cooking, try an automatic voice prompt before you try self-request. You can record the recipe on any cheap MP3 app. Play it step-by-step during the next meal prep. Watch for faster, cleaner performance right away. Fade the cues only after the skill is solid.

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Record a three-step recipe on a phone, hit play, and let the audio guide the client—no buttons needed.

02At a glance

Intervention
prompting and fading
Design
single case other
Sample size
3
Population
mixed clinical
Finding
positive

03Original abstract

In a recent single-case study, we showed that a new verbal-instruction system, ensuring the automatic presentation of step instructions, was beneficial for promoting the task performance of a woman with multiple disabilities (including blindness). The present study was aimed at replicating and extending the aforementioned investigation with three adults with multiple disabilities. During Part I of the study, the new instruction system was compared with a system requiring the participants to seek instructions on their own. Two tasks were used, one per system. During Part II of the study, the new system was applied with two additional tasks. The results of Part I showed that (a) the participants had a better performance (i.e., in terms of correct steps or task execution time) on the task carried out with the new system than on the task carried out with the comparison/control system, and (b) the performance of this latter task improved rapidly when the new system was used with it. The results of Part II showed satisfactory performance with each of the two tasks carried out directly with the new system. The implications of these data were discussed.

Research in developmental disabilities, 2011 · doi:10.1016/j.ridd.2011.05.036