Assessment & Research

Using general‐case procedures outside of autism intervention: A systematic review

Hickey et al. (2024) · Behavioral Interventions 2024
★ The Verdict

Write your general-case procedure so clear that a stranger could run it, and always probe for real-world transfer.

✓ Read this if BCBAs writing skill-acquisition plans for any population outside autism.
✗ Skip if Clinicians who only run packaged curricula with no plan to customize.

01Research in Context

01

What this study did

Hickey et al. (2024) hunted for every paper that used general-case teaching with people who do NOT have autism. They screened 3,000 records and kept 42 studies.

The team checked two things: did authors write the steps so clearly that you could copy them, and did anyone test if the skill actually transferred to new places, people, or materials.

02

What they found

Most papers left out the recipe. Only one in three gave enough detail for you to run the same program.

Even worse, only one in four ever checked if the learner could still do the skill with untrained items or in new settings. The rest just stopped after the last training trial.

03

How this fits with other research

Gianoumis et al. (2012) saw the same hole in staff-training studies. They found 46 of 54 papers used generalization tactics, but most never measured if the staff kept the skills on the job.

Neely et al. (2018) reviewed functional-communication training and got the same story: 37 studies, almost no generalization probes. The problem is not the method; it is the follow-through.

Rasing et al. (1992) warned us 30 years ago. Their narrative review said social-skills research for kids with emotional disorders barely checked generalization. Hickey’s team shows nothing has changed.

04

Why it matters

If you use general-case training, treat the write-up like a BCBA task list item. List every stimulus set, response form, and decision rule. Then schedule at least one probe in a fresh setting or with untrained materials. Your future self—and every RBT who inherits the plan—will know the skill actually stuck.

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Pick one current program, add a single untrained item probe this week, and log if the learner passes.

02At a glance

Intervention
not applicable
Design
systematic review
Population
not specified
Finding
not reported

03Original abstract

AbstractRecently, there has been a call for the application of behavior analytic technology to more diverse domains. Although general‐case procedures are most often applied in autism service delivery, they can be applied to more diverse domains ranging from organizational behavior management to public health initiatives. This literature review, therefore, provides an overview of technological descriptions of general‐case procedures and their applications in areas other than autism intervention. Evaluated variables include the population, independent and dependent variables, generalization measures, and social validity assessments. The results suggest that most researchers are not using a technological description of general‐case procedures nor are they assessing for generalization. Recommendations for future researchers and clinicians include better descriptions of general‐case procedures, evaluation with different populations, assessment of acceptability and more comprehensive evaluations of generalization.

Behavioral Interventions, 2024 · doi:10.1002/bin.2000