Teaching self-help skills to autistic and mentally retarded children.
Whole-task BST with edible or social reinforcers reliably teaches dressing, toothbrushing, and similar routines to young children with autism.
01Research in Context
What this study did
Four children with autism and intellectual disability needed help with daily living skills.
The team used whole-task behavioral skills training. They showed the full skill, gave prompts, and delivered praise or snacks for correct steps.
Each child worked on three personal-care targets like toothbrushing or dressing. The researchers tracked progress across behaviors in a multiple-baseline design.
What they found
Every child mastered all targeted self-help routines. Skills reached independence after the BST package.
Edible and social reinforcers kept motivation high throughout training.
How this fits with other research
Matson et al. (1994) later replaced adult-led BST with picture cards the kids managed themselves. Both studies produced strong gains, showing you can swap adult control for child control once the learner has some verbal skills.
van Timmeren et al. (2016) and Wilson et al. (2020) moved the same idea into adolescence. They traded live modeling for iPhone or point-of-view videos and still saw quick mastery, proving the method scales with age and tech.
Kang et al. (2013) reminds us to watch reinforcer type. They found social praise works as well as tangibles while cutting stereotypy, so leaning on praise during BST keeps side effects low.
Why it matters
You can trust a simple BST loop—show, prompt, reinforce—to teach essential self-care to young autistic learners. Start with full-task demonstration, fade prompts fast, and lean on social praise. When the child can follow pictures or videos, graduate to self-management tools to save staff time and build independence.
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02At a glance
03Original abstract
Three autistic, mentally retarded children, ranging in age from 4 to 11 years, and a six-year-old mentally retarded girl, were taught various adaptive behaviors using a multiple baseline design. Skills taught were shoe typing, toothbrushing, hair combing, putting on pants, shirt, and socks, and eating and drinking. Training included modeling, verbal instructions, prompting, and edible and social reinforcement. Treatment procedures involved the whole-task method of teaching self-help skills and consisted of three phases: (a) the trainer modeled and verbally described the target behavior; (b) the trainer physically and verbally guided the child through the entire sequence of task-analyzed steps; and, (c) the child was instructed to perform the behavior independently. The results of this study and their implications for future research are discussed.
Research in developmental disabilities, 1990 · doi:10.1016/0891-4222(90)90023-2