ABA Fundamentals

Remediation of the picture‐text problem for learners exhibiting reading deficits

Lewis et al. (2025) · Journal of Applied Behavior Analysis 2025
★ The Verdict

Keep the pictures: prompting kids to respond to text within picture-book pages works as fast as text-only and kids like it more.

✓ Read this if BCBAs teaching reading to elementary students with reading delays.
✗ Skip if Clinicians working on speech-only goals with no reading component.

01Research in Context

01

What this study did

Lewis and team worked with kids who struggle to read.

They placed printed words right on top of pictures in storybooks.

Then they asked the kids to point to the words while they looked at the pictures.

The researchers compared this picture-plus-text method to plain text pages only.

They used an alternating-treatments design so each child tried both ways.

02

What they found

Kids learned to read the words just as fast with pictures as without them.

The children also said they liked the picture pages better.

No extra time was needed to fade out the pictures later.

03

How this fits with other research

Bondy et al. (2004) mapped how PECS uses pictures to build verbal behavior.

Lewis extends that idea by showing pictures can also give reading skills.

Piller et al. (2017) found book and tablet picture schedules teach tasks at the same speed.

Lewis mirrors this null result: adding pictures did not slow reading gains.

Frampton et al. (2023) showed drawing graphic organizers boosts adult learning.

Both studies embed prompts inside visual tools to lift performance.

04

Why it matters

You can keep the pictures in early reading lessons.

Children enjoy the pages more and still master the words on time.

Next time you run a reading program, try placing the text on top of fun images first.

Fade the pictures only if the IEP team insists; the data say it is not required.

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→ Action — try this Monday

Place the target word on a sticker over the matching picture in the student’s favorite book and run a sight-word trial.

02At a glance

Intervention
prompting and fading
Design
alternating treatments
Sample size
6
Population
not specified
Finding
positive
Magnitude
medium

03Original abstract

Early reading materials are replete with pictures. Pictures purportedly improve reading comprehension and motivation; however, the simultaneous presentation of pictures and text can also impede textual control for some readers. Attempts to remediate restricted stimulus control in picture–text compounds suggest that omitting the picture element is most effective, although these arrangements may also be less socially valid. The current study is an evaluation of a novel compound stimulus prompt (CSP) arrangement that required that the learner differentially respond to the underselected (i.e., textual) element during picture‐book reading. The development of textual control in this condition was compared with that in text‐only and picture prompt arrangements. The CSP condition required the same or fewer sessions to produce textual control as the text‐only condition for five out of six participants who exhibited reading difficulties. Participants emitted more correct responses during CSP and picture prompt instruction and preferred these conditions to the text‐only condition during a concurrent‐chains assessment.

Journal of Applied Behavior Analysis, 2025 · doi:10.1002/jaba.70001