Service Delivery

Two conversational practices for encouraging adults with intellectual disabilities to reflect on their activities.

Antaki (2013) · Journal of intellectual disability research : JIDR 2013
★ The Verdict

Replace yes/no follow-ups with gentle hints and elaborations after open questions to help adults with ID reflect more meaningfully on their day.

✓ Read this if BCBAs who guide daily reflection or run social-skills groups with adults in residential or day-program settings.
✗ Skip if Clinicians focused only on early-intensive behavioral intervention with preschoolers.

01Research in Context

01

What this study did

Antaki (2013) listened to 30 hours of real staff chats with adults who have intellectual disabilities. The team wrote down every word and looked for patterns in how staff kept the talk going.

They compared two follow-up styles after an open question. One style used hints and little add-ons. The other style fired more yes/no checks.

02

What they found

Hints and elaborations won. Adults gave longer, richer answers when staff gently nudged instead of quizzing.

Yes/no follow-ups often shut the door. Clients echoed the staff word or just said “yeah” and stopped.

03

How this fits with other research

Finney et al. (1995) warned that yes/no questions invite acquiescence bias in ID interviews. Antaki (2013) shows the same yes/no trap hurts daily reflection chats, not just formal assessments.

Fryling et al. (2016) argue open-ended FBA questions pull out surprise details. Antaki (2013) extends that idea to casual day-review talks—open plus gentle hints equals even more detail.

Worsham et al. (2015) found waiting for client initiation raises alertness. Antaki (2013) mirrors the pause principle: staff who hold back and hint let the adult steer the reflection, producing fuller talk.

04

Why it matters

You run day-review sessions or evening chats. Swap your quiz voice for a curious friend voice. After asking “What did you like at the workshop?” stay quiet, then offer a small hint: “I heard there was painting…” The adult gets space to think, talk, and own the story. Richer reflection boosts self-awareness and meets ethical goals for autonomy without extra forms or time.

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After your next open question, count to three, then give one hint related to the topic and wait again.

02At a glance

Intervention
not applicable
Design
qualitative
Population
intellectual disability
Finding
not reported

03Original abstract

BACKGROUND: Staff can encourage adults with intellectual disabilities to reflect on their experiences in a number of ways. Not all are equally successful interactionally. METHODS: Conversation Analysis is used to examine c. 30 h of recordings made at two service-provider agencies. RESULTS: I identify two practices for soliciting reflection: both start with open-ended 'test' questions, but they differ on how these are followed up. A more interrogatory practice is to follow up with alternatives and yes/no questions. A more facilitative practice is to give hints and elaborate the replies. CONCLUSIONS: I discuss the differences between the two practices in terms of the institutional agendas that guide the staff's interactional routines. With regard to the more successful one, I note the sensitivity of using 'hints' when asking about clients' own experiences.

Journal of intellectual disability research : JIDR, 2013 · doi:10.1111/j.1365-2788.2012.01572.x