Assessment & Research

The independent use of self-instructions for the acquisition of untrained multi-step tasks for individuals with an intellectual disability: A review of the literature.

Smith et al. (2015) · Research in developmental disabilities 2015
★ The Verdict

Adults with ID can teach themselves new multi-step routines once they learn to give their own cues.

✓ Read this if BCBAs supervising vocational, residential, or life-skills services for adults with intellectual disability.
✗ Skip if Clinicians focused only on early-intervention or academic drills with children.

01Research in Context

01

What this study did

Boudreau et al. (2015) read every paper they could find on adults with intellectual disability teaching themselves new multi-step tasks.

They looked at three decades of work, pulling together how people used picture books, spoken cues, or written lists to guide themselves without a teacher.

02

What they found

The review shows that once adults learn to talk themselves through a task or follow their own picture manual, they can tackle brand-new jobs with little extra help.

Self-instruction turns the learner into the teacher, cutting down staff time and building real-world independence.

03

How this fits with other research

Meuret et al. (2001) already said self-managed cues work for severe and profound disabilities; A et al. simply widen the lens and confirm the same trend across mild, moderate, and severe ID.

Barthelemy et al. (1989) and Feldman et al. (1999) give early proof-of-concept: two adults solved work problems and ten mothers learned child-care steps using self-instruction. The 2015 review bundles these single stories into one clear message.

Lancioni et al. (2011) looks like a clash—they found automatic verbal prompts beat self-requested ones. The difference is who pushes "play": in E’s study the machine talked; in the reviewed studies the learner talks. Both boost accuracy, but self-instruction adds the bonus of learner control.

04

Why it matters

If you run vocational or daily-living programs, stop chaining every step yourself. Teach the adult to state the next move aloud or point to their own picture list, then fade yourself out. One short training on self-instruction can save hours of later prompting and open the door to any task that comes along.

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Pick one routine, make a short picture or verbal cue list, and teach the learner to say or point to each step before doing it.

02At a glance

Intervention
self management
Design
systematic review
Population
intellectual disability
Finding
not reported

03Original abstract

Systematic instruction on multi-step tasks (e.g., cooking, vocational skills, personal hygiene) is common for individuals with an intellectual disability. Unfortunately, when individuals with disabilities turn 22-years-old, they no longer receive services in the public school system in most states and systematic instruction often ends (Bouck, 2012). Rather than focusing instructional time on teacher-delivered training on the acquisition of specific multi-step tasks, teaching individuals with disabilities a pivotal skill, such as using self-instructional strategies, may be a more meaningful use of time. By learning self-instruction strategies that focus on generalization, individuals with disabilities can continue acquiring novel multi-step tasks in post-secondary settings and remediate skills that are lost over time. This review synthesizes the past 30 years of research related to generalized self-instruction to learn multi-step tasks, provides information about the types of self-instructional materials used, the ways in which participants received training to use them, and concludes with implications for practitioners and recommendations for future research.

Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2015.01.010