Autism & Developmental

Improving Clothing and Grooming Appearance of Students With Neurodevelopmental Disabilities: Evaluation of a Measurement Checklist and Care Provider Intervention

Buckley et al. (2025) · Behavioral Interventions 2025
★ The Verdict

A one-page caregiver checklist quickly and lastingly improves clothing and grooming appearance in young adults with developmental delays.

✓ Read this if BCBAs working on daily living or vocational readiness with teens or adults in home, college, or day-program settings.
✗ Skip if Clinicians focused only on early childhood or severe problem behavior.

01Research in Context

01

What this study did

Buckley et al. (2025) worked with four college students who have developmental delays. The students wanted to look neat for class and work.

The researchers gave each student’s caregiver a short checklist. The list showed what tidy clothes and grooming look like. Caregivers used the list each morning and gave praise when the student met each point.

02

What they found

All four students looked cleaner and more put-together right away. The gains stayed for the whole study.

Parents said the checklist was easy and took under five minutes.

03

How this fits with other research

Cruz-Torres et al. (2020) also had parents teach daily-living skills, but they used iPad videos instead of a paper list. Both studies show moms and dads can be the teachers.

Folgia et al. (2023) used video prompts to teach leg shaving to women with disabilities. Buckley’s checklist gives another low-tech way to reach the same goal of better grooming.

Buckley et al. (2020) taught two teens to sit through haircuts. The new study widens the lens to full outfit and grooming appearance for young adults.

04

Why it matters

You don’t need cameras or software to help clients look job-ready. Hand the caregiver a five-item checklist, teach them to praise each met step, and watch the student leave the house looking neat. Try it Monday morning with one client who struggles with stained shirts or messy hair.

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→ Action — try this Monday

Pick one client, write five check-boxes for tidy clothes, clean face, brushed hair, matching socks, and neat shoes, and have the parent tick and praise each box before departure.

02At a glance

Intervention
other
Design
multiple baseline across participants
Sample size
4
Population
developmental delay
Finding
positive
Magnitude
large

03Original abstract

ABSTRACTThere is limited research concerned with the physical appearance of persons who have intellectual and developmental disabilities. This study evaluated a clothing and grooming measurement checklist and care provider intervention to improve the physical appearance of four students (18‐ to 21‐years‐old) with neurodevelopmental disabilities. The measurement checklist was easy to administer, time‐efficient, and associated with good interobserver agreement (IOA). Implemented in a multiple baseline design, the care provider intervention had an immediate and sustained positive effect with all students. We discuss measurement and intervention considerations, outcome objectives, and research directed at physical appearance among dependent populations.

Behavioral Interventions, 2025 · doi:10.1002/bin.70004