Autism & Developmental

Prospective memory in adults with high-functioning autism spectrum disorders: exploring effects of implementation intentions and retrospective memory load.

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

If-then plans give only a small prospective-memory lift to adults with ASD, so add enactment or reinforcement for stronger gains.

✓ Read this if BCBAs helping verbal adults or teens with ASD who forget future tasks.
✗ Skip if Clinicians working with non-verbal or very young children.

01Research in Context

01

What this study did

Kretschmer et al. (2014) asked adults with high-functioning autism to remember future tasks.

Half learned to say if-then plans like “If I see the red folder, then I will hand in the form.”

The team tested memory under low and high extra load to see if the trick helped.

02

What they found

The if-then plans gave a small boost when the extra load was light.

When load was heavy, scores stayed flat.

Benefits were modest and shaky, not strong.

03

How this fits with other research

Greenlee et al. (2024) ran a newer RCT with the same adults. They swapped if-then plans for enactment encoding: clients rehearsed moves and saw bigger gains.

Peisley et al. (2020) moved the idea downward. They used prizes to help young kids with ASD remember future game steps. All four kids improved and three kept the skill after prizes stopped.

Grainger et al. (2017) looked at basic memory effects and found no ASD deficit, so the weak lift from if-then plans is not due to a broken memory system.

04

Why it matters

For high-functioning adults, if-then self-talk is safe but the payoff is slim. You may get better results by adding enactment rehearsal or external rewards. Try pairing the two: have the client say the plan and act it out twice.

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→ Action — try this Monday

Have your client rehearse the future action out loud while doing it once, then repeat the same move.

02At a glance

Intervention
self management
Design
randomized controlled trial
Sample size
54
Population
autism spectrum disorder, neurotypical
Finding
weakly positive
Magnitude
small

03Original abstract

This study examined, for the first time, the impact of implementation intentions on prospective memory (PM) performance in adults with autism spectrum disorders (ASD) and further explored the role of retrospective memory for PM in ASD. PM was assessed with Virtual Week, a computerized game simulating upcoming everyday-life tasks. Twenty-seven adults with ASD and 27 age- and ability-matched controls were included. Half of the participants were instructed to form implementation intentions (i.e., encoding PM tasks in form of if-then statements), while the rest received simple PM instructions. Results provide first tentative evidence for beneficial effects of implementation intentions and PM tasks with low demands on retrospective memory for adults with ASD's PM. Overall, results point to the importance of planning and retrospective memory for successful prospective remembering in ASD.

Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2014.07.052