Assessment & Research

Using pictures to assess reinforcers in individuals with developmental disabilities.

Graff et al. (2003) · Behavior modification 2003
★ The Verdict

Simple line drawings usually pick the same reinforcers as real items, so leave the toy box at home.

✓ Read this if BCBAs running preference assessments in schools, day programs, or homes.
✗ Skip if Practitioners working with clients who have severe vision or language impairments.

01Research in Context

01

What this study did

The team compared two ways to find reinforcers for four adults with developmental disabilities. One way showed real items on a table. The other way showed simple line drawings of the same items on cards.

They used an alternating-treatments design. Each person touched or pointed to their top choices in both formats. Then the staff tested if those chosen items really worked as reinforcers in short work tasks.

02

What they found

For three of the four adults, the picture stack and the real-item stack gave almost the same ranking of favorites. The highly ranked items from both formats kept the adults working during the reinforcer test.

One person picked different favorites in the two formats. His picture choices still worked as reinforcers, but the match was weaker.

03

How this fits with other research

Buskist et al. (1988) and Allan et al. (1991) already showed that systematic tangible assessments beat staff guesswork. Burford et al. (2003) now asks, "Do we even need the tangible stuff?" The answer is mostly yes for pictures.

Villafaña et al. (2023) later extended the same idea to food-selective children. They added a quick taste after the picture choice and got results that matched full edible assessments without triggering refusal behavior.

Kang et al. (2013) swept up this study in a bigger review. Their take: pictorial tools are handy, but run a brief reinforcer test if the client has limited sight or naming skills.

04

Why it matters

You can carry a small deck of laminated pictures instead of a box of toys. This saves setup time and keeps assessments moving in classrooms, clinics, or homes. Start with pictures; if the learner’s choices don’t hold up in the reinforcer test, switch to tangible items for that person.

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Print and laminate 20 picture cards of your common items, run a quick paired-choice assessment, and test the top two picks in the next work session.

02At a glance

Intervention
preference assessment
Design
alternating treatments
Sample size
4
Population
developmental delay
Finding
positive

03Original abstract

Tangible preference assessments were compared with pictorial preference assessments for 4 individuals with developmental disabilities. In the tangible assessment, on each trial two stimuli were selected and placed in front of the participant, who approached one. In the pictorial assessment, on each trial two line drawings were placed in front of the participant, who pointed to one. For both assessments, the percentage of opportunities each stimulus was approached or touched was calculated, and hierarchies of preferred items were developed. The two assessments yielded similar preference hierarchies for 3 of 4 participants. Reinforcer assessments using a simple free operant response confirmed that items identified as highly preferred on tangible and pictorial assessments functioned as reinforcers.

Behavior modification, 2003 · doi:10.1177/0145445503255602