Assessment & Research

Use of activity schedule to promote independent performance of individuals with autism and other intellectual disabilities: a review.

Koyama et al. (2011) · Research in developmental disabilities 2011
★ The Verdict

Activity schedules are a proven, low-cost way to teach independence to learners with autism or ID in school, work, and home routines.

✓ Read this if BCBAs and RBTs running self-management goals in schools, group homes, or telehealth programs.
✗ Skip if Clinicians who only work on verbal behavior or who already have solid schedule systems in place.

01Research in Context

01

What this study did

Koyama et al. (2011) looked at 23 studies that used picture or written activity schedules with people who have autism or intellectual disability.

They wanted to know if these simple step-by-step cards really help learners stay on task without adult prompts.

Every study took place in a school, group home, or work site, and most used single-case designs.

02

What they found

Across all 23 studies, activity schedules boosted engagement, on-task behavior, and self-management.

The tool worked for preschoolers through adults and needed only low-cost photos or drawings.

03

How this fits with other research

Grahame et al. (2015) updated this picture four years later. Their review of 31 studies now calls visual activity schedules an evidence-based practice, strengthening the 2011 claim.

McDougall et al. (2017) zoomed in on inclusive classrooms. Their meta-analysis of 29 studies shows self-management tactics, including schedules, give moderate-to-strong gains for students with any disability.

Mattson et al. (2020) and Sances et al. (2019) stretch the idea to new ages and places. Middle-schoolers in resource rooms and adults in beekeeping jobs both became more independent when they followed a schedule.

Aguilar et al. (2023) move the tool onto Google Slides with parent coaching via telehealth, proving the method still works when families run it from home.

04

Why it matters

You can start using a paper, digital, or parent-run schedule next week. Pick a routine your learner struggles with, break it into photos or short text, and teach them to check off each step. The 2011 review and every update since say the same thing: activity schedules are cheap, flexible, and build real independence across ages and settings.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Take one daily routine, snap three photos of the steps, and teach your learner to cross each off as they go.

02At a glance

Intervention
self management
Design
systematic review
Population
autism spectrum disorder, intellectual disability
Finding
positive

03Original abstract

A literature review was conducted on the effectiveness of activity schedules. Twenty three studies that a) were peer-reviewed, b) were experimental, c) implemented activity schedule as a primary intervention, d) incorporated multiple activities, and e) aimed to teach learners to self-manage individual schedules were included in the review. The results demonstrated the effectiveness of activity schedules for promoting independence and self-management skills for a broad range of individuals with intellectual disabilities. An increase in engagement and on-task behavior was the most frequently cited outcome, followed by independent task initiation or transition and self-scheduling. Failure to include social validity measures and caregivers as interventionists were discussed. A corpus of the reviewed studies supports applications of activity schedule in school and (group) home settings.

Research in developmental disabilities, 2011 · doi:10.1016/j.ridd.2011.05.003