Service Delivery

Teaching Small Talk: Increasing On-Topic Conversational Exchanges in College Students with Intellectual and Developmental Disabilities Using Remote Audio Coaching.

Joseph et al. (2021) · Behavior modification 2021
★ The Verdict

A coach whispering through an earbud can turn quiet college students with IDD into small-talk partners, and the skill lasts after the earbud comes out.

✓ Read this if BCBAs running remote social-skills groups for adults with IDD
✗ Skip if Clinicians who only see clients in person and never use telehealth

01Research in Context

01

What this study did

Joseph et al. (2021) tested remote audio coaching for college students with intellectual and developmental disabilities. The coach whispered small-talk hints through an earbud while the student chatted with a peer on Zoom.

They used a multiple-baseline design across participants. Each student got the earbud only after their baseline chat scores stayed flat.

02

What they found

All students started with almost zero on-topic exchanges. When the earbud coaching began, their small-talk turns jumped up immediately.

Two students kept near-mastery levels two weeks after the earbud was removed. Everyone stayed above their original baseline.

03

How this fits with other research

Prigge et al. (2013) did the same thing a decade earlier, but in person. They slipped an earbud into high-schoolers with autism while they learned to use the office copier. Both studies show the earbud trick works for very different skills.

Strömbergsson et al. (2026) tried a self-guided speech app with no live coach. Kids got earbuds too, but the sounds came from a robot. No one improved. Brianna’s live human whispers matter.

Liu et al. (2025) also coached remotely, but trained parents to sing imitation games with toddlers. Their parents hit fidelity; child gains were shaky. Brianna shows direct coaching of the learner still gives the cleanest skill jump.

04

Why it matters

You can teach small talk without being in the room. Slip a student an earbud, whisper prompts from your couch, and watch their conversation grow. The skill sticks even after you stop talking. Try it during virtual social groups or job-club rehearsals next week.

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Pair your student with a peer on Zoom, give the student a discreet earbud, and feed one small-talk prompt each minute.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across participants
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

Adults with intellectual and developmental disabilities (IDD) often have deficits in interpersonal skills due to limited social-communication opportunities. Knowing how to engage in "small talk" or simple social conversational exchanges can be beneficial in postsecondary schooling, employment sites, community environments, and social gatherings. Recently, covert audio coaching (CAC) showed a positive impact on increasing conversational exchanges. As the COVID-19 pandemic increased the need for remote delivery tools, we explored the effectiveness of remote audio coaching (RAC) to teach this skill to college students with IDD. We used a multiple baseline design across participants to examine whether RAC might increase on-topic, small talk conversational exchanges. Results demonstrated that RAC effectively increased small talk skills between participants and a confederate. Upon removal of RAC, all participants still performed above their baselines, with two participants maintaining near mastery levels 2 weeks after the intervention was removed. Limitations and future research are discussed.

Behavior modification, 2021 · doi:10.1177/0145445520975174