Assessment & Research

A simultaneous discrimination procedure for the measurement of vision in nonverbal children.

Newsom et al. (1977) · Journal of applied behavior analysis 1977
★ The Verdict

A toy-rewarded stripe test gives you fast, accurate vision data from nonverbal kids.

✓ Read this if BCBAs who assess or teach nonverbal children with autism or ID.
✗ Skip if Practitioners working only with fully verbal school-age clients.

01Research in Context

01

What this study did

Researchers needed a way to test eyesight in kids who could not name letters or talk. They built a simple box with two windows. One window showed black and white stripes. The other stayed gray.

The child pointed to the stripes. If the guess was right, a toy lit up and played music. The stripes got thinner each time. The team worked with eleven nonverbal children, most with autism.

02

What they found

Eight of the eleven children finished the whole test in one to three short visits. Their final stripe width matched, or beat, the score from a regular eye chart.

Kids stayed on task because the toy gave instant reward. No tears, no drops, no speech needed.

03

How this fits with other research

Whiting et al. (2015) later used the same fade-in trick to teach fine visual matches to adults with severe ID. They moved from testing eyesight to training new discriminations, showing the method can both measure and teach.

Ganz et al. (2004) hit a wall with standard prompting until they tilted the cards 45°. Their tweak reminds us that tiny physical details matter when you fade stimuli.

Stevenson et al. (2025) scoured thirteen newer studies and found no off-the-shelf autism test for kids with visual loss. The 1977 box still stands as one of the few ready tools that work without words.

04

Why it matters

You can copy this box in one afternoon. Two pieces of cardboard, a printer, and a dollar-store toy are enough. Run the same fade-in sequence before you write goals for reading or matching. If the child can see the stripes, your later errorless teaching will stick. If not, you just saved weeks of pointless trials.

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Tape two index cards to a box, load a singing key-chain, and run five stripe trials to check if vision is blocking learning.

02At a glance

Intervention
prompting and fading
Design
single case other
Sample size
15
Population
autism spectrum disorder, mixed clinical
Finding
positive

03Original abstract

Few nonverbal developmentally disabled children ever receive adequate vision assessment because of their limited language skills. The present study details a simultaneous discrimination procedure for measuring subjective visual acuity in such children. A stimulus fading procedure was used to train a discrimination between Snellen Es differing in orientation, and a psychophysical tracking method was used to determine acuity thresholds. The procedure was tested with 11 nonverbal autistic and schizophrenic children and validated with four nonpsychotic children. Eight of the psychotic children were successfully examined in one to three sessions. Two of these children were identified as having significant acuity losses. The validity assessment showed that the experimental procedure resulted in thresholds equal to or slightly lower than those obtained with the Illiterate E chart.

Journal of applied behavior analysis, 1977 · doi:10.1901/jaba.1977.10-633