Autism & Developmental

Teaching adolescents with severe disabilities to use the public telephone.

Test et al. (1990) · Behavior modification 1990
★ The Verdict

Total-task BST with four-level prompting teaches real-world chains like phone calls and the skills stick in new places.

✓ Read this if BCBAs teaching daily living or community skills to teens or adults with developmental disabilities.
✗ Skip if Those only running clinic-based DTT or telehealth-only cases.

01Research in Context

01

What this study did

Two teens with severe disabilities needed to call home from the mall.

The team used total-task BST: they showed the whole phone call, then guided each step.

Four prompt levels moved from a gentle hint to full hand-over-hand help.

Sessions happened at a real payphone in the community, not in a clinic.

02

What they found

Both teens learned to dial, insert coins, and talk on the phone.

They kept the skill after training stopped.

They even used new phones at a movie theater and a corner store without extra teaching.

03

How this fits with other research

Price et al. (2018) later used the same total-task idea to teach bus riding with Google Maps.

Olcay et al. (2024) copied the format for earthquake drills in a classroom.

Varley et al. (1980) did the same for job interviews, showing the method works across ages and goals.

Slane et al. (2021) reviewed 20 studies and found BST keeps working when teachers, not just researchers, run it.

04

Why it matters

You can teach any chained community skill the same way: show the whole task, give leveled prompts, then test in new places. Try it next time a learner needs to use an ATM, order food, or check out a library book.

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Pick one chained skill your learner needs, script the whole task, and practice it start-to-finish in the real setting with least-to-most prompts.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across participants
Sample size
2
Population
developmental delay
Finding
positive

03Original abstract

Two adolescents with severe disabilities served as participants in a study conducted to train in the use of the public telephone to call home. Participants were trained to complete a 17-step task analysis using a training package which consisted of total task presentation in conjunction with a four-level prompting procedure (i.e., independent, verbal, verbal + gesture, verbal + guidance). All instruction took place in a public setting (e.g., a shopping mall) with generalization probes taken in two alternative settings (e.g., a movie theater and a convenience store). A multiple probe across individuals design demonstrated the training package was successful in teaching participants to use the telephone to call home. In addition, newly acquired skills generalized to the two untrained settings. Implications for community-based training are discussed.

Behavior modification, 1990 · doi:10.1177/01454455900142003