Autism & Developmental

The effect of choice-making opportunities during activity schedules on task engagement of adults with autism.

Watanabe et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

Let adults with autism write their own daily task order—simple choice embedded in activity schedules doubled engagement in a vocational program.

✓ Read this if BCBAs running adult day programs or vocational services.
✗ Skip if Clinicians working only with early-childhood or non-vocal clients.

01Research in Context

01

What this study did

Watanabe et al. (2003) worked with adults with autism in a vocational day program.

Staff usually told each adult the order of jobs for the day.

The team let the adults pick and write their own task order on a picture schedule instead.

They praised the adults when they finished each chosen task.

The researchers then measured how long each adult stayed on task.

02

What they found

When adults picked the order themselves, their work time nearly doubled.

They stayed with the job longer and needed fewer prompts.

The simple act of choosing turned a boring list into their own plan.

03

How this fits with other research

Keller et al. (2022) saw the same boost in adults with intellectual disability.

A posted daily schedule plus varied leisure choices raised participation in group homes.

The two studies together show that visible schedules plus choice help across settings.

Green et al. (2020) seems to disagree.

Their survey found that young autistic adults have low self-determination skills.

The gap is age and ability.

Mari studied adults without intellectual disability; C et al. included many with ID.

Choice still works for engagement, but younger or more impaired learners may need extra teaching first.

Lawer et al. (2009) add that once engagement is high, on-the-job support can turn it into real paid work.

04

Why it matters

You can add choice to any visual schedule in five minutes.

Let the client pick the order, cross it off, and give quick praise.

No extra staff, no cost, just higher engagement and less prompting.

Try it during vocational tasks, chores, or even leisure lists today.

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→ Action — try this Monday

Hand the client the dry-erase marker and let them number the task pictures in the order they want before work starts.

02At a glance

Intervention
other
Design
single case other
Sample size
3
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

Increasing choice and participation by adults with autism spectrum disorders is an important, but neglected, aspect of research and services. This study evaluated the effects of choice-making opportunities, embedded within activity schedules, and contingent praise on the engagement of three adults with autism in a community vocational setting. In the baseline condition, staff assigned the order of the tasks. In the Choice condition and Maintenance phases, the participants chose the order of tasks that supervisors assigned to them. They made their own activity schedules by writing down the order of their tasks for that morning. Social praise was provided contingent on the participant's task completion. The same tasks were used in baseline, intervention, and maintenance phases. During the Choice and Maintenance conditions, client engagement was substantially higher than baseline for all three participants. Increasing choice-making opportunities within activity schedules was an effective and socially acceptable way to increase choice and engagement in adults with autism.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1025835729718