School & Classroom

Use of the timeout ribbon procedure during community-based instruction.

Alberto et al. (2002) · Behavior modification 2002
★ The Verdict

A cheap wristband serving as a timeout ribbon can erase community-trip disruption for students with ID.

✓ Read this if BCBAs running community-based instruction for students with intellectual disability.
✗ Skip if Practitioners who only work in residential or clinic settings without community outings.

01Research in Context

01

What this study did

Alberto et al. (2002) tested a timeout ribbon during community trips. Two middle-school students with intellectual disability wore a bright athletic wristband. If they shouted, ran off, or touched items, the teacher removed the band for two minutes. No one left the group.

The team used a multiple-baseline design across three community spots: grocery store, library, and fast-food counter.

02

What they found

Problem behavior dropped to zero in every setting. When the teacher later gave praise and small treats every five minutes, the low behavior held. Gains stayed firm two weeks later.

03

How this fits with other research

Lloyd et al. (1969) first paired brief timeout with praise in a crowded ward. Paul keeps the same timeout-plus-reinforcement logic but swaps the seclusion room for a wristband and a community aisle.

Otalvaro et al. (2020) later moved behavior work to adult day centers. They used differential reinforcement of low rates instead of a ribbon. Both studies show you can cut problem behavior outside the classroom; the ribbon gives an instant, portable cue while DRL spreads change across a whole day.

Foreman et al. (2020) warn that teachers often forget to use timeout. Their preschool study found that even spotty timeout still helped. Paul’s ribbon may dodge this risk: the band is always visible, so the reminder never fades.

04

Why it matters

You can pack a $1 wristband instead of a clipboard full of tokens. One removal buys two quiet minutes, keeping the group in line at the checkout. Try it next community trip: place the band, pre-teach the rule, and reinforce every five minutes on a thinning schedule. If behavior drops, you just saved the outing—and the dignity—of your students with ID.

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Put a bright athletic band on your student, review the two-minute removal rule, and hit the store.

02At a glance

Intervention
extinction
Design
multiple baseline across settings
Sample size
2
Population
intellectual disability
Finding
strongly positive
Magnitude
very large

03Original abstract

Involvement in community-based instruction can be adversely affected when students engage in behavior that interferes with participation in instruction. A multiple probe across settings design with an embedded reversal was used to investigate the effectiveness of the nonseclusionary timeout ribbon procedure for two middle-school students with moderate mental retardation in community and school settings. An athletic wristband served as the timeout ribbon, which functioned as the stimulus for the availability of reinforcement. When the student was wearing the wristband, he could earn reinforcers. On occurrence of inappropriate behavior, the wristband was removed and the student was placed in nonseclusionary timeout. Implementation of the timeout ribbon procedure resulted in target behaviors reduced to zero occurrences for both youths. This was maintained at a 2-week follow-up, even as the reinforcement schedule was thinned. The timeout ribbon procedure provided an efficient, effective, and socially valid means of supporting positive behavior across settings for these students.

Behavior modification, 2002 · doi:10.1177/0145445502026002008