Assessment & Research

Increasing the efficiency of paired-stimulus preference assessments by identifying categories of preference.

Ciccone et al. (2015) · Journal of applied behavior analysis 2015
★ The Verdict

A single paired test that finds the learner’s favorite food group gives you reliable reinforcers for weeks.

✓ Read this if BCBAs who run preference assessments in clinic, school, or home programs.
✗ Skip if Practitioners serving clients with strict dietary or allergy lists.

01Research in Context

01

What this study did

The team ran one paired-stimulus preference assessment with six children who had developmental delays.

Instead of testing every single snack, they first sorted all foods into groups like gummy, salty, or fruit.

They then let each child pick between two foods until a clear favorite group emerged.

02

What they found

Every child chose items from the winning group as reinforcers later on.

No extra tests were needed—knowing the top category was enough.

03

How this fits with other research

Livingston et al. (2018) repeated the same shortcut with four new children and got the same result.

Butler et al. (2021) tracked edible likes for a full year and saw little change, so the one-time category test stays valid.

Zeleny et al. (2020) watched kids in feeding therapy and found food likes did not shift even after daily bites—another sign the category trick holds steady.

04

Why it matters

You can save minutes every session. Run one quick category-based paired test, then keep pulling new snacks from the top group without re-assessing. The method has now worked across three studies and stays stable over months of treatment. Try it on Monday: pick two gummy candies, let the learner choose, and stock your reinforcer bin with more gummies.

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→ Action — try this Monday

After you find the top food category, grab three new items from that shelf and use them straight away—skip individual trials.

02At a glance

Intervention
preference assessment
Design
single case other
Sample size
6
Population
developmental delay
Finding
positive

03Original abstract

A paired-stimulus preference assessment was conducted for 6 individuals with developmental disabilities. We selected stimuli that were representatives of 4 categories: chocolate, salty and crunchy, gummy, and fruit and vegetable. For all 6 participants, at least 3 of the 5 most preferred items came from the same category. On subsequent reinforcer assessments, items from the highest ranked preference category, some of which were included in the preference assessments and some of which were not, functioned as reinforcers. These findings suggest that after categories of preferred items are identified, clinicians may be able to identify reinforcers for some individuals without conducting additional assessments.

Journal of applied behavior analysis, 2015 · doi:10.1002/jaba.190