Autism & Developmental

Teaching self-help skills to autistic and mentally retarded children.

Matson et al. (1990) · Research in developmental disabilities 1990
★ The Verdict

Whole-task BST with edible or social reinforcers reliably teaches dressing, toothbrushing, and similar routines to young children with autism.

✓ Read this if BCBAs running early-intervention or school programs for autistic learners who need daily-living skills.
✗ Skip if Practitioners already using mature self-management or video-based protocols with older clients.

01Research in Context

01

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.

02

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.

03

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.

04

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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Pick one self-care task, record a 30-second full-task model, and run three BST cycles with praise-only reinforcement while tallying prompt levels.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across behaviors
Sample size
4
Population
autism spectrum disorder, intellectual disability
Finding
positive

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