Community-based instruction with profoundly mentally retarded persons: client and public responsiveness.
Least-to-most prompting in real stores taught adults with profound ID to receptively identify items and the skill carried to new settings.
01Research in Context
What this study did
Five adults with profound intellectual disability went to real stores. Staff used least-to-most prompts to teach them to touch the right item when asked. If they got it right, they got a small snack or toy right away.
Sessions happened during normal shopping trips. Prompts started with a gentle point and moved to hand-over-hand if needed. The team tracked correct touches across different stores and staff.
What they found
All five clients learned to pick the correct object when asked. They kept doing it in new stores and with new workers. No one started naming the items out loud.
Shoppers and store staff liked the program. They smiled, made room, and sometimes clapped.
How this fits with other research
Bonvillian et al. (1981) and Skrtic et al. (1982) also taught profoundly retarded clients new skills through staff in everyday places. Those studies aimed at expressive signing; this one aimed at receptive labels. Together they show staff can teach both understanding and expression outside the classroom.
Abdi et al. (2023) got big receptive gains in minimally verbal preschoolers with a 16-session package. Their kids also had autism and were much younger. The 1988 study shows even adults with profound ID can grow receptive language when teaching happens in the store itself.
Lord et al. (1986) used the same prompt-and-fade method for recess play and got strong maintenance. The matching pattern hints that prompting plus fading works across very different skills.
Why it matters
You can teach receptive labels without a classroom. Take clients to the real place, prompt from least to most, and deliver reinforcers on the spot. Expect generalization across stores and staff, but plan extra steps if you want spoken words. Community members will likely support you, so ask managers for permission and dive in.
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02At a glance
03Original abstract
Three experiments were conducted to evaluate the effects of a training program implemented in a community setting for teaching receptive language skills to profoundly mentally retarded persons. In Experiment 1, the program was implemented in a local department store and consisted of a least-to-most intrusive prompting paradigm and contingent consequences. The community-based training strategy was effective in teaching receptive identification of three objects to a profoundly mentally retarded adolescent. Additionally, generalized improvements occurred in other store locations, although cross-modal generalization in terms of changes in expressive skills did not occur. These results were replicated in Experiment 2 with two other clients in the same store, and in Experiment 3 with another client in an outdoor recreational area. Also, a questionnaire survey indicated that store employees in the first two experiments had very favorable reactions to the program. Results are discussed in regard to continued research with community-based training as a means of expanding educational opportunities for individuals who are profoundly mentally retarded.
Research in developmental disabilities, 1988 · doi:10.1016/0891-4222(88)90016-9