ABA Fundamentals

Effects of a checklist on self-assessment of blood glucose level by a memory-impaired woman with diabetes mellitus.

Wong et al. (2000) · Journal of applied behavior analysis 2000
★ The Verdict

A paper checklist taped to the glucometer let a memory-impaired woman check her blood sugar without prompts.

✓ Read this if BCBAs helping adults with brain injury, dementia, or diabetes self-care.
✗ Skip if Those working only with verbal kids who already self-monitor.

01Research in Context

01

What this study did

A 54-step paper checklist was taped beside a glucometer.

One woman with memory loss from diabetes used it each morning.

The team counted how many steps she got right before and after the list appeared.

02

What they found

With the list, her correct steps jumped from about half to almost every one.

She kept the gain for the whole study.

No one had to remind her once the list was there.

03

How this fits with other research

Rosenbloom et al. (2019) and Fiene et al. (2015) show the same idea works in kids with autism.

They swapped paper for a phone app or a vibrating watch, but the cue did the same job.

Petscher et al. (2006) used a prompt plus self-check with staff; the combo looks similar, yet the target here was the patient, not the helper.

Hume et al. (2009) review calls this “shifting stimulus control” — moving the prompt from a person to an object.

04

Why it matters

If a client forgets steps for a health task, try a short checklist first.

Tape it where the task happens.

Let the client check off each step.

You may skip hours of verbal prompting and keep the skill under the client’s own control.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Make a 5-step checklist for any daily living task your client skips and tape it at eye level where the task happens.

02At a glance

Intervention
self management
Design
single case other
Sample size
1
Population
other
Finding
positive

03Original abstract

This study evaluated effects of a checklist on the accuracy of self-assessment of blood glucose level by a diabetic woman with memory impairments caused by viral encephalitis. The checklist consisted of 54 steps for operating an electronic glucometer, which the subject performed in sequence and checked off when completed. Following introduction of the checklist, the percentage of steps completed correctly increased in simulated and actual blood glucose tests and yielded clinically useful information.

Journal of applied behavior analysis, 2000 · doi:10.1901/jaba.2000.33-251