Assessment & Research

Teaching an Infant to Request Help.

McKeown et al. (2024) · The Analysis of verbal behavior 2024
★ The Verdict

Progressive time delay gives children with autism fewer chances to practice mistakes while still reaching mastery.

✓ Read this if BCBAs and RBTs running discrete-trial lessons for young children with autism.
✗ Skip if Clinicians teaching daily living skills to adults or using naturalistic, non-DTT formats.

01Research in Context

01

What this study did

The authors pulled every experiment that compared constant time delay (CTD) with progressive time delay (PTD) for kids with autism.

They screened hundreds of papers and kept 22 that met strict rules. Then they counted errors, trials to mastery, and how often teachers had to change the procedure.

02

What they found

Both methods taught the new skill, but CTD made kids produce more wrong answers.

Teachers using CTD also stopped the script more often and it took longer for the cue to move from prompt to natural signal.

In short, PTD cut errors and kept the lesson on track.

03

How this fits with other research

Green et al. (1987) already said delayed prompting works, yet they warned we rarely check if the skill lasts. The new review echoes that gap—most CTD/PTD studies still skip maintenance probes.

Markham et al. (2020) found physical prompts beat gesture prompts for speed, but they did not test timing. McQuaid et al. (2024) now shows that even with the same prompt type, the timing pattern (fixed vs stretching) changes the error rate.

Frank‐Crawford et al. (2024) scanned 82 DTT papers and flagged the same weak spots: few teams report generalization or social validity. The CTD/PTD review fits right into their map—same success story, same missing pieces.

04

Why it matters

If you run discrete trials, choose progressive time delay to spare your learner extra errors and yourself extra corrections. Track maintenance and ask caregivers if the skill helps at home—those steps are still missing in most published programs.

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Switch your next teaching program from 0-s constant delay to 0-s then 2-s then 4-s progressive steps and count errors for one week.

02At a glance

Intervention
prompting and fading
Design
systematic review
Population
autism spectrum disorder
Finding
mixed

03Original abstract

A review of 22 empirical studies examining the use of constant (CTD) and progressive (PTD) time delay procedures employed with children with autism frames an indirect analysis of the demographic, procedural, methodological, and outcome parameters of existing research. None of the previous manuscripts compared the two response prompting procedures. This review suggests that the effectiveness of the two procedures is similar on some variables. However, the CTD procedure resulted in more errors to criterion, a greater magnitude of procedural modifications, and in a delayed moment of transfer of stimulus control than in the PTD studies. Conclusions may influence clinical and educational practices and indicate a need for research.

The Analysis of verbal behavior, 2024 · doi:10.1007/s10803-007-0390-4