Autism & Developmental

Effects of extending the one-more-than technique with the support of a mobile purchasing assistance system.

Hsu et al. (2014) · Research in developmental disabilities 2014
★ The Verdict

A free phone app that shows "item picture plus one dot" lets students with ID buy things priced above their counting level—skills lasted eight weeks and transferred to new stores.

✓ Read this if BCBAs teaching money or community skills to middle- or high-schoolers with ID or ASD.
✗ Skip if Practitioners working with adults who already handle exact money or debit cards.

01Research in Context

01

What this study did

Hsu et al. (2014) asked three high-school students with intellectual disability to buy snacks priced higher than they could count. The team loaded a free app on each teen's own phone. The app showed a picture of the item plus one extra dot. Students learned to hand the cashier "one more" dollar than the dots shown.

The researchers used a multiple-baseline design. They started the app training in a school store, then moved to two real community shops. They tracked if the teens could still buy items eight weeks later without the phone.

02

What they found

All three students could buy items that cost more than they could count. They kept the skill for eight weeks. They also used the trick in new stores they had never visited.

No adult prompts were needed after the first three shopping trips. The teens simply looked at the phone, counted the dots, and handed over "one more" bill.

03

How this fits with other research

Dong et al. (2025) took the same phone idea but swapped the task. Their teens with autism used a picture schedule to run the self-checkout instead of paying a cashier. Both studies show that a personal phone can replace bulky cards or binders in real stores.

Charlop et al. (1990) did the job with paper. Adults with mild ID mastered checkbooks through a self-paced booklet. Guo-Liang moves that self-paced idea onto a screen teens already carry.

Lancioni et al. (2000) used a clunky portable computer to give picture prompts. The 2014 study trims the hardware down to a phone and adds the clever "one-more" rule so students don't need to count exact prices.

04

Why it matters

If a client can count to five but wants to buy a four-dollar smoothie, you no longer need to pre-teach every price. Load the free one-more-than app, snap one photo of the item, and send them into line. The skill lasts two months and works in any store. That single tool can open grocery, pharmacy, and food-court aisles that were previously off-limits because of tricky price tags.

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→ Action — try this Monday

Download a counter app, take one photo of a preferred snack, add a single extra dot, and practice the one-more-than rule in the school vending area.

02At a glance

Intervention
other
Design
multiple baseline across participants
Sample size
3
Population
intellectual disability
Finding
positive
Magnitude
large

03Original abstract

The one-more-than technique is an effective strategy for individuals with intellectual disabilities (ID) to use when making purchases. However, the heavy cognitive demands of money counting skills potentially limit how individuals with ID shop. This study employed a multiple-probe design across participants and settings, via the assistance of a mobile purchasing assistance system (MPAS), to assess the effectiveness of the one-more-than technique on independent purchases for items with prices beyond the participants' money counting skills. Results indicated that the techniques with the MPAS could effectively convert participants' initial money counting problems into useful advantages for successfully promoting the independent purchasing skills of three secondary school students with ID. Also noteworthy is the fact that mobile technologies could be a permanent prompt for those with ID to make purchases in their daily lives. The treatment effects could be maintained for eight weeks and generalized across three community settings. Implications for practice and future studies are provided.

Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2014.04.004