Autism & Developmental

Comparison of two video prompting interventions to teach daily living skills to adolescents with autism

Wertalik et al. (2023) · Behavioral Interventions 2023
★ The Verdict

Speed drills added to video prompting can lock in daily living skills for many autistic teens, but some kids do fine with clips alone.

✓ Read this if BCBAs running life-skills groups in middle or high schools.
✗ Skip if Clinicians focused only on preschool play or on vocal language goals.

01Research in Context

01

What this study did

Wertalik and team compared two video-based ways to teach daily living skills to autistic teens. One group watched short clips that showed each step. The other group watched the same clips, then practiced the steps fast until they hit a speed goal.

The teens were in high school. The study used an alternating-treatments design. Each teen tried both video styles on different days.

02

What they found

Both video styles beat doing nothing. Teens learned the skills faster with either video than with no help.

Adding speed practice helped two of three teens keep the skill longer. The third teen did fine with clips alone. Results were mixed across kids.

03

How this fits with other research

Aljehany et al. (2020) ran a similar test. They also saw mixed results when they compared video prompting to hand-over-hand help. Both studies show the same lesson: check each teen, not just the group average.

McLucas et al. (2024) added feedback to video modeling for workplace social skills. Like Wertalik, they found big first gains but spotty carry-over. The pattern hints that an extra part (speed or feedback) boosts early learning, yet you still need plans for real-world use.

Bradford et al. (2018) moved video prompting into inclusive grade-school classes. Their academic task results were all positive, while Wertalik’s daily-living results were mixed. The gap is likely age and task, not the video itself.

04

Why it matters

If you teach life skills to autistic adolescents, start with simple video prompts. Then add timed practice if the teen enjoys speed goals. Watch retention probes each week. Drop the speed part for kids who stall or shut down. Track individual graphs, not just the class mean.

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Film a 30-second clip of the target skill, show it twice, then run a one-minute timed practice and record correct steps.

02At a glance

Intervention
video modeling
Design
alternating treatments
Sample size
3
Population
autism spectrum disorder
Finding
mixed
Magnitude
large

03Original abstract

AbstractThe present study used an adapted alternating treatment design to evaluate and compare the effects of video prompting (VP) and video prompting plus frequency building (VP + FB) to teach daily living skills to three adolescents with autism spectrum disorder. Results demonstrated all three students made substantial improvements over their baseline performance using VP and VP + FB. Furthermore, a strong intervention effect emerged for VP and VP + FB conditions when compared to the control task. However, in terms of one intervention proving superior to the other (e.g., VP to VP + FB), the data offer a mixed interpretation with VP + FB affecting changes better for two of the three students. The FB component in the VP + FB produced strong, consistent gains for all students in terms of retention.

Behavioral Interventions, 2023 · doi:10.1002/bin.1914