Autism & Developmental

Assessing and teaching job-related social skills to adults with neurodevelopmental disorders in Italy

Radogna et al. (2024) · Behavior Analysis in Practice 2024
★ The Verdict

BST plus small tokens can teach adults with NDD the social moves they need at work and the skill will carry over to real coworkers.

✓ Read this if BCBAs helping adults with autism or developmental delay get or keep competitive jobs.
✗ Skip if Clinicians who only serve early-childhood or strictly clinic-based clients.

01Research in Context

01

What this study did

Radogna and her team in Italy worked with three adults who have neurodevelopmental disorders.

The adults wanted to learn job-related social skills like greeting coworkers and asking for help.

The trainers used Behavioral Skills Training plus a token system. Adults earned tokens for good practice and traded them for small prizes.

Sessions happened in a community room. Later, the team watched the adults try the same skills at real job sites.

02

What they found

All three adults learned the new social skills quickly.

They still used the skills weeks later and used them with new coworkers they had never met.

Supervisors and family members said the changes were useful and looked natural.

03

How this fits with other research

Pierce et al. (1994) did something very similar thirty years earlier. They used BST without tokens to teach U.S. adults with developmental disabilities how to answer job-interview questions. Both studies got good generalization, showing the core BST recipe keeps working.

Callahan et al. (2022) also used BST with adults with NDD, but taught Zoom skills in group video calls. Skills went up, just like in the Italian study. Together, the three papers show BST works for different social goals, in person or online.

Kirkpatrick et al. (2021) paired BST with a token economy too, but they trained college students to run the tokens, not to learn social skills. The shared piece is the token add-on: when you reinforce practice, learning speeds up.

04

Why it matters

If you coach adults with autism or other NDD for community jobs, this gives you a ready-made plan. Run brief BST cycles, add a simple token board, then probe performance on the actual worksite. You do not need fancy equipment or long programs. The token piece is cheap—stickers, snacks, or extra break minutes work fine. Start with one social skill, collect data, and expand once you see the trend.

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

Pick one job social skill, script it, model it, have the client rehearse, and hand a token for each correct step; schedule a quick generalization check at the workplace this week.

02At a glance

Intervention
behavioral skills training
Design
single case other
Sample size
3
Population
developmental delay
Finding
positive

03Original abstract

Social challenges in the work place can serve as an obstacle to regular employment for many individuals with neurodevelopmental disabilities (NDD). Nonetheless, few studies have focused on interventions to improve job-related social skills or included residents of countries outside of the United States. This study replicated and extended prior research by evaluating the acquisition of job-related social skills with three individuals with NDD residing in Italy. Results suggested that a package consisting of behavioral skills training and token reinforcement was effective for teaching the skills in the clinic and in extension to real work contexts. Furthermore, social validity surveys indicated that the participants, professionals, and caregivers of individuals with NDD considered the skills and interventions to be acceptable. These findings have implications for improving employment outcomes for individuals with NDD across the globe.

Behavior Analysis in Practice, 2024 · doi:10.1007/s40617-023-00873-2