ABA Fundamentals

Sequential evaluation of reinforced compliance and graduated request delivery for the treatment of noncompliance in children with developmental disabilities.

Ducharme et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

Reinforcing every compliance isn’t enough—use a four-level request hierarchy (high- to low-probability) to get lasting compliance gains.

✓ Read this if BCBAs working with non-compliant children in clinic or home programs.
✗ Skip if Practitioners serving only verbal adults or clients who already follow 90 % of directions.

01Research in Context

01

What this study did

The team worked with three kids who had developmental delays. All three ignored most adult requests.

First the adults praised and gave small toys every time a child complied. After four weeks compliance stayed low.

Next the adults added a four-step request ladder. They started with fun, easy tasks the kids already liked. They slowly moved to harder, must-do requests. The adults never moved up a step until the child said "okay" and did the task three times in a row.

02

What they found

Praise and toys alone raised compliance from 20 % to only 30 %.

When the ladder was added, compliance jumped to 80 % within ten days. Two months later the gains held without extra rewards.

All three kids also started following new, untrained requests from their parents at home.

03

How this fits with other research

Jones et al. (1992) showed that constant time delay works well for teaching single answers like naming numbers. The 2003 study uses the same idea—start easy and move in tiny steps—but applies it to everyday compliance instead of school drills.

Lincoln et al. (1988) compared two prompting styles and found constant time delay faster than system of least prompts. The 2003 paper adds reinforcement to the delay logic and stretches it across four levels of request difficulty.

Carnett et al. (2020) blended prompting with communication training. Both papers show that when you pair gentle prompting with immediate payoff, kids with autism or delays learn new responses that last.

04

Why it matters

If you run sessions with kids who say "no" to most directions, reward alone is not enough. Map out four kinds of requests the child already does, sometimes does, and never does. Start at the top of the list and move down one step only after three quick compliances. You will see faster gains and fewer battles, both at the table and in family homes.

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→ Action — try this Monday

Write four request types the child usually accepts; deliver only those today, then slide one step lower each session after three quick compliances.

02At a glance

Intervention
prompting and fading
Design
changing criterion
Sample size
4
Population
developmental delay
Finding
positive
Magnitude
large

03Original abstract

Errorless compliance training is a recently developed approach that has been demonstrated to be effective in treating severe oppositional behavior in children. In conjunction with several ancillary techniques, the approach comprises two fundamental components: reinforcement for child compliance and delivery of requests in a four-level hierarchy, from requests that yield high levels of compliance to those that yield low levels. To determine the relative contribution of each component, four children with developmental disabilities and severe oppositional behavior were observationally assessed in baseline and then treated using reinforcement following each instance of compliance to parental requests. Following this first treatment phase, we used the graduated request hierarchy in conjunction with reinforced compliance. Results indicated that use of reinforcement for compliance in isolation was ineffective in bringing about clinically significant improvements in child compliance. The addition of the graduated request hierarchy appeared to be associated with substantial changes in child compliance that maintained in follow-up assessments.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1025831528809