Autism & Developmental

Teaching Young Adults with Intellectual Disability Grocery Shopping Skills in a Community Setting Using Least-to-Most Prompting

Gil et al. (2019) · Behavior Analysis in Practice 2019
★ The Verdict

Least-to-most prompting in a real grocery store successfully taught adults with ID to shop using an iPad list.

✓ Read this if BCBAs helping adults with intellectual disability in community or residential settings.
✗ Skip if Clinicians who only work with young children on basic table-top tasks.

01Research in Context

01

What this study did

Zukerman et al. (2019) worked with young adults who have intellectual disability. They wanted to see if least-to-most prompting could teach real grocery shopping in a real store.

Each learner got an iPad with a picture list. Staff started with no help. If the shopper got stuck, they gave slightly more help each time until the item was found.

02

What they found

All participants learned to find every item on the iPad list. One shopper later used the same skill with a brand-new list and a mixed-up order.

The skills stuck without extra teaching. Shoppers kept finding items correctly when staff faded all prompts.

03

How this fits with other research

Sarber et al. (1983) did something similar decades earlier. They used behavioral skills training to teach listing, navigating, and buying in under nine hours. Gil keeps the grocery theme but swaps in least-to-most prompting and an iPad.

Durand et al. (1990) and Buskist et al. (1988) both found constant time delay works faster than system-of-least-prompts for sight words and cooking. Gil chose the slower least-to-most route, yet still reached mastery. The difference: Gil’s shoppers needed to think on their feet in a busy store, where a fixed delay could block traffic or feel awkward.

Villante et al. (2021) also handed adults a mobile device. Their learners used iPod flowcharts to solve job problems. Both studies show a tablet or iPod can guide adults with ID through new tasks with little staff talk.

04

Why it matters

If you support adults with ID, you can hand them an iPad list and use least-to-most prompting during real grocery runs. Start silent, add hints only when needed, and pull back as soon as the item lands in the cart. The skill can spread to new lists and new stores without extra lessons, giving your clients a real shot at independent shopping.

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Take one learner to the store with an iPad list, stay quiet at first, and add prompts only when they stall.

02At a glance

Intervention
prompting and fading
Design
multiple baseline across participants
Population
intellectual disability
Finding
positive

03Original abstract

Using a multiple probe design, we examined the effects of least-to-most prompting to teach young adults with intellectual disability (ID) to locate and select items using a grocery list presented on an iPad. Sessions were conducted entirely in a community grocery store. The results indicated that participants learned to use an initial grocery list, with one participant demonstrating the ability to use a re-sequenced grocery list and a list with novel items. These results are discussed along with implications for practice.

Behavior Analysis in Practice, 2019 · doi:10.1007/s40617-019-00340-x