Assessment & Research

Performance in temporal discounting tasks by people with intellectual disabilities reveals difficulties in decision-making and impulse control.

Willner et al. (2010) · American journal on intellectual and developmental disabilities 2010
★ The Verdict

A five-minute coaching boost helps most adults with ID wait for bigger rewards—check their executive function first.

✓ Read this if BCBAs teaching money or delay skills to adults with ID in day programs.
✗ Skip if BCBAs working only with young children or severe behavior cases.

01Research in Context

01

What this study did

Romanowich et al. (2010) asked the adults with intellectual disability to play a waiting game.

They could pick $5 today or wait for $10 next week.

Only the adults could stick with the rules after one try.

The team then gave a short 5-minute coaching session.

They tested again to see who could wait better.

02

What they found

After coaching, 12 more adults could wait for the bigger reward.

The ones who still struggled had poor executive function scores.

IQ scores did not predict who would improve.

Working memory and planning skills did.

03

How this fits with other research

Poppes et al. (2010) ran a similar study with money choices.

Both papers show adults with ID lean on single facts, not big pictures.

Both link the trouble to weak executive skills, not low IQ.

Su et al. (2008) found verbal memory predicts daily living skills.

Paul adds that executive skills predict learning new money tasks.

Together they say: train the brain skill that matches the goal.

04

Why it matters

When you assess money skills, add a quick executive function probe.

A five-minute prompt like “stop and think first” can triple success.

Pick clients with stronger working memory for complex money goals.

Others may need simpler choices or more coaching steps.

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→ Action — try this Monday

Add one executive function probe before your next delay task—use a-BC or a simple working memory game.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
40
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

The subjective value of rewards declines as a function of the delay to receive them (temporal discounting). Three temporal discounting tasks that assessed preferences between small amounts of money (10 pence) over short delays (60 s), moderate amounts of money (10 pound) over moderate delays (2 weeks), and large amounts of money (1000 pound) over long delays (12 months) were presented to people with intellectual disabilities (Full-Scale IQ < 70) and to a comparison group (ns = 20 for each group). Measures of IQ, financial knowledge, memory, and executive functioning were also obtained. Only a third of the service users were able to perform the temporal discounting tasks consistently, and they tended to respond impulsively. The proportion of participants responding consistently increased following training. Both the initial performance and the effect of training were related to executive functioning but not IQ.

American journal on intellectual and developmental disabilities, 2010 · doi:10.1352/1944-7558-115.2.157