ABA Fundamentals

Behavioral vision training for myopia: stimulus specificity of training effects.

Leung (1988) · Journal of applied behavior analysis 1988
★ The Verdict

Visual acuity drills with fading and praise sharpen skill on the exact pictures you train, so plan extra steps when you need the skill to spread to new images.

✓ Read this if BCBAs teaching visual discrimination to teens or adults in clinic or vocational settings.
✗ Skip if Clinicians working only on social or language goals with no visual component.

01Research in Context

01

What this study did

The team ran a single-case experiment on adults with myopia. They taught each person to spot tiny black-and-white stripes on a computer screen.

Training used stimulus fading: the stripes started thick and easy, then slowly got thinner. Correct answers earned praise like "Good job!"

After the adults mastered the trained stripes, the testers showed new stripes the group had never seen. They wanted to know if skill would carry over.

02

What they found

Visual acuity on the trained stripes got better for every participant. Praise plus fading worked.

When the stripes changed size or angle, performance dropped. Transfer was only partial.

Eye prescriptions stayed the same. The training helped seeing, not the eyeball itself.

03

How this fits with other research

Plant et al. (2007) got full transfer in schoolwork by adding the same goal statement and icon to both training and test rooms. McLean (1988) saw only partial transfer because the visual target itself changed, with no shared cues.

Fantino (1969) also taught visual tilt with fading. Like McLean (1988), each learner used a slightly different part of the picture, so new pictures hurt performance.

Halbur et al. (2021) explain why: unless the key feature stands out and stays the same, stimulus control stays narrow. The older papers prove the theory.

04

Why it matters

When you teach a client to scan pictures, match logos, or read symbols, expect the skill to stick only if the look of the item stays close to what you used in teaching. Before moving to new materials, add shared cues—colors, borders, or wording—that travel with the learner. Check which exact feature the learner is really watching; if it changes, retrain with fading again.

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Keep one trained picture in the folder as an anchor and fade new pictures in beside it, giving praise for each correct pick.

02At a glance

Intervention
prompting and fading
Design
single case other
Sample size
1
Population
other
Finding
positive

03Original abstract

The present study assessed transfer of visual training effects for myopia using two different training stimuli and a single subject A-B-C-A design. A male student volunteer, with lens prescription of -3.0 D (left) and -2.0 D (right), served as the subject. During baseline (10 sessions), visual acuity was assessed by two behavioral acuity tests. One test consisted of 50 line drawings of common objects as testing stimuli and the other test had 50 Chinese characters. A procedure including stimulus fading and reinforcement (positive verbal feedback) was used to train the subject to identify either pictorial stimuli or Chinese characters presented from a distance. Training was effective in improving performance on both behavioral acuity tests during the training phases and follow-up but the change was more pronounced on the specific stimuli being used for training. Refractive errors assessed on a weekly basis showed no change in the physiology of both eyes. These results suggest that effects of visual training only partially transferred to untrained stimuli.

Journal of applied behavior analysis, 1988 · doi:10.1901/jaba.1988.21-217