Assessment & Research

Description of a practitioner model for identifying preferred stimuli with individuals with autism spectrum disorders.

Karsten et al. (2011) · Behavior modification 2011
★ The Verdict

Use the paper’s decision model to pick the quickest SPA method that still yields high-preference stimuli for your autistic learners.

✓ Read this if BCBAs who assess reinforcers for autistic clients in clinic or school settings.
✗ Skip if Practitioners looking for statistical outcome data or workplace-only applications.

01Research in Context

01

What this study did

Amore et al. (2011) walked 20 autistic clients through a decision tree. The tree picks the fastest preference test that still finds strong reinforcers.

They showed each step with real cases. No numbers on how well it worked—just the model.

02

What they found

The paper gives you a flow chart, not data. You answer yes/no questions like “Can the client approach items?” and land on one of four quick assessments.

The 20 stories show how the choices look in clinic rooms.

03

How this fits with other research

Kahng et al. (1999) and Cohen-Almeida et al. (2000) ran head-to-head tests first. S found real items beat pictures. D found asking beats showing for most clients and saves minutes. M’s tree folds both lessons in: it steers you to tangible items unless the client can talk, then it lets you ask.

Herbek et al. (2026) adds a new twist. They show free-operant with response restriction cuts problem behavior during the test. M’s older tree does not list that option, so you might add it when behavior is rough.

Simonian et al. (2020) widens the lens. Their review shows preference tests already work with adult employees. M’s decision model was built for kids with autism, but the same flow could travel to workplace settings.

04

Why it matters

You no longer guess which preference test to run. Follow the flow chart, pick the quickest route, and start teaching faster. Add Herbek’s free-operant twist if problem behavior pops up. Save time, reduce stress, and still find reinforcers that work.

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Print the flow chart, tape it to your clipboard, and let it pick your next preference assessment format before session starts.

02At a glance

Intervention
preference assessment
Design
case series
Sample size
20
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The rich technology of stimulus preference assessment (SPA) is a product of 40 years of experimental research. Basic principles of reinforcement and a modest empirical literature suggest that high-preference stimuli identified via SPA may enhance treatment efficacy and decrease problem behavior more effectively than less-preferred stimuli. SPAs can be conducted using one of several methods associated with different time requirements and outcomes. Despite the broad applicability of preference assessments, we are unaware of widely available practitioner guidelines that prescribe when to use SPAs, how to select and modify specific SPA procedures, and how to supplement SPAs with other procedures for maximizing performance. The purpose of the current article is to describe a model for practitioners to select and conduct preference assessments based on practical considerations and research findings. Data are also reported from the application of the proposed model to preference assessments for 20 individuals diagnosed with autism spectrum disorders.

Behavior modification, 2011 · doi:10.1177/0145445511405184