Practitioner Development

Effectiveness of delayed feedback on the accuracy of teaching communicative gestures to individuals with severe mental retardation.

Duker et al. (1995) · Research in developmental disabilities 1995
★ The Verdict

Post-session feedback still boosts trainer accuracy for teaching gestures to adults with severe ID, though newer studies show pre-session feedback works even faster with other populations.

✓ Read this if BCBAs supervising day-hab or residential staff who teach communication gestures to adults with severe intellectual disability.
✗ Skip if Clinicians who already give real-time or pre-session feedback and have no staffing delays.

01Research in Context

01

What this study did

Lerman et al. (1995) watched four trainers teach adults with severe intellectual disability how to make simple gestures.

The trainers got no feedback during the lesson. After the session ended the researchers told them what they did right or wrong.

A multiple-baseline design showed whether this delayed feedback changed the way trainers taught the next day.

02

What they found

Delayed feedback worked. Trainer accuracy went up after each post-session review.

The adults with disability received clearer teaching and learned gestures faster once their trainers improved.

03

How this fits with other research

Guinness et al. (2024) and Aljadeff-Abergel et al. (2017) now say wait-time is old news. Their data show feedback given right before the next session beats feedback given after the last one.

The newer papers used college students and neurotypical adults, not clients with severe ID. The 1995 study proves that even late feedback still helps when staff work with very vulnerable learners.

Sorrell et al. (2025) and Snapp et al. (2024) keep the post-session idea alive by adding video. They show delayed video feedback lifts both teacher FA skills and cheerleader tumbling, so the delay itself is not dead—medium matters.

04

Why it matters

If you cannot give feedback until the end of the day, do it anyway. A quick five-minute review of today’s gesture trials will still sharpen tomorrow’s teaching. When you can, slide the feedback closer to the next session; the newer literature says that is faster. Either way, never stay silent—your staff and your learners with severe ID both win when you speak up, even if the bell already rang.

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→ Action — try this Monday

Pick one trainer, video today’s gesture trials, and hold a five-minute delayed feedback huddle before they leave—note if tomorrow’s prompt delivery improves.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across participants
Sample size
4
Population
intellectual disability
Finding
positive

03Original abstract

Trainer behavior has been neglected as an area of applied research. Feedback has been demonstrated as potentially effective to increase the accuracy of behavior of teachers, parents, ward-staff members, and other service providers in the area of mental retardation. In this study, we assessed the effect of delayed feedback on the accuracy of training given by four trainers during one-to-one sessions. Trainees were four individuals with severe mental retardation, who were taught communicative gestures. The results, gathered within a multiple baseline design across dyads of trainers and trainees, showed that delayed feedback resulted in an increased accuracy of training.

Research in developmental disabilities, 1995 · doi:10.1016/0891-4222(95)00031-3