ABA Fundamentals

Evaluating Efficacy and Preference for Prompt Type During Discrete-Trial Teaching.

Markham et al. (2020) · Behavior modification 2020
★ The Verdict

Hand-over-hand prompts sped mastery and were the top pick for three boys learning receptive labels.

✓ Read this if BCBAs running discrete-trial receptive programs with young learners with autism.
✗ Skip if Clinicians already committed to least-to-most prompting who dislike physical guidance.

01Research in Context

01

What this study did

Markham et al. (2020) compared three prompt types during receptive ID lessons for three boys with autism. They used an alternating-treatments design so each boy got gesture, model, and physical prompts across the same targets.

The team measured how fast each boy mastered new pictures and then asked which prompt he liked best.

02

What they found

Physical prompts won. Two boys mastered the pictures fastest with hand-over-hand help. The third boy learned equally fast with all prompts.

When the boys could pick, all three chose physical prompts. Gesture and modeling were never the favorite.

03

How this fits with other research

Frank-Crawford et al. (2024) scoping review shows DTT works, but most studies skip prompt details. Victoria adds the missing piece: prompt type changes speed and the learner cares.

Timberlake et al. (1987) also compared prompts with students with ID and found data-driven sequences saved trials. Victoria echoes that idea: pick the prompt that works fastest, not the one that feels nicest to staff.

Xue et al. (2024) and the 2016 delay papers (A et al., Majdalany et al.) warn that even small timing slips hurt learning. Victoria keeps timing equal and shows prompt form still matters.

04

Why it matters

If a child stalls during receptive ID, try a quick physical prompt first. It may cut sessions and the child probably likes it better anyway. Keep the prompt brief, fade fast, and watch for independence. One small change can save you and the learner time tomorrow.

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→ Action — try this Monday

Start the next receptive ID target with a light physical prompt and time trials to see if mastery beats your usual method.

02At a glance

Intervention
prompting and fading
Design
alternating treatments
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

The components of discrete-trial teaching (DTT) may be individualized to each learner during instruction (e.g., the type of prompts used). However, there is limited research on the relative efficiency and effectiveness of these different prompt types. In addition, the learner's preference for how they are taught is not always considered. The present study compared relative effectiveness of three prompt types (i.e., a gesture, modeling, physical guidance) to a no-prompt control condition during a receptive identification task with three boys with autism. One participant met the mastery criterion first in the model prompt condition, and two participants in the physical prompt condition. All participants selected the physical prompt during a concurrent-chains preference assessment. In addition, all participants completed a chained task using the most effective prompt type.

Behavior modification, 2020 · doi:10.1177/0145445518792245