Autism & Developmental

Teaching water safety skills to children with autism spectrum disorder

Tucker et al. (2021) · Behavioral Interventions 2021
★ The Verdict

A short BST package can teach autistic children to float and reach safety in the pool, and the skills last at least a month.

✓ Read this if BCBAs who run community outings or whose clients have pool access.
✗ Skip if Clinicians with only indoor-clinic programs and no water activities.

01Research in Context

01

What this study did

Three boys with autism, practiced water-safety moves at a community pool.

The team used a five-step package: tell, show, guide, praise right moves, and correct wrong ones.

Each boy got one-on-one lessons until he could float, roll to back, and reach the wall alone.

02

What they found

All three boys hit the safety goal in 6-9 short sessions.

One week and one month later they still floated and swam to the wall without help.

Parents said the kids now asked for pool time and cried less near water.

03

How this fits with other research

Levesque-Wolfe et al. (2021) taught autistic kids to refuse stranger lures with the same tell-show-praise recipe.

Both studies prove BST works for very different dangers: abduction and drowning.

Quiroz et al. (2023) used BST plus quick real-life probes so kids with food allergies could scan labels.

Their add-on, called in-situ training, might make water skills even stronger—something to test next.

04

Why it matters

Drowning is the top killer of children with autism. This paper gives you a ready-made lesson plan you can run at any pool. Bring goggles, a kickboard, and your BST cheat-sheet. Start with short 10-minute turns, praise every small success, and track floats-to-wall as your mastery cue. One month later, check again—skills stuck in this study, so they might stick for your learner too.

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→ Action — try this Monday

Take your client to the pool, model a back-float, guide them through it, and praise the moment they stay afloat for three seconds.

02At a glance

Intervention
behavioral skills training
Design
single case other
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

AbstractPublic health data suggest that individuals with autism spectrum disorder (ASD) are at a disproportionate risk of water‐related accidents, including drowning. The current study evaluated the effectiveness of a behavioral intervention package consisting of verbal instructions, modeling, physical guidance, feedback, and differential reinforcement to teach three distinct in‐water safety skills to three boys with ASD. The targeted skills were (a) moving toward a fixed point of safety, (b) rolling from front to back, and (c) floating on back and yelling for help. Results showed that all three participants acquired the skills. For two participants, one or two of the skills had to be broken down into subcomponents for acquisition to occur. Two participants required additional intervention components to manage mild challenging behavior in the pool. Maintenance probes revealed that the skills maintained 1 week and 1 month after teaching. The findings are discussed in the context of a broader approach to accident prevention.

Behavioral Interventions, 2021 · doi:10.1002/bin.1791