Prompt Fading For Parents

This week, Leanne Page M.Ed, BCBA, offers advice on how to avoid prompt dependence. 

This piece originally appeared on bsci21.org.


“Dear Behavior BFF, I am not a parent myself but am writing you about my nephew. My sister and brother in law are constantly telling him what to say. “Tell her thank you. Say good morning. Say I want to eat dinner now.” I rarely hear the kid saying anything other than the exact words he is told to say. Is this normal? It seems like a terrible idea to me.”

The principles of behavior analysis can be helpful to anyone, not just parents.  What you are describing here is a high level of prompting that is likely leading to prompt dependence. The boy’s parents are giving so many prompts that he is not responding independently.

Is this normal? With parents – who knows?! We each do our own thing. We almost always start something with the purest of intentions as I’m sure your sister and brother in law have here. They want to help their son to speak, help him to participate in social interactions, and help him to learn to be respectful. But maybe they are helping too much.

It’s likely time for some prompt fading. When teaching new skills, it is common to start with high levels of prompting to help the learner practice success and receive positive reinforcement. But we can’t stay there forever. We have to fade out those prompts.

Other situations where parents are likely to over-prompt and be ready for some prompt fading strategies: toileting schedules and your child never initiates, always giving choices and never letting your child come up with a request independently, doing things hand over hand, doing daily living activities for your child, etc.

Step back one step on your prompts. Still provide a prompt, but scale it back a bit. Find where you are on this list and go down one.

  1. Full physical – hand over hand. Doing things FOR your child.
  2. Partial physical – still doing some parts hand over hand, but letting the child do some independently.
  3. Full verbal – telling them what to say as given in the original question above.
  4. Partial verbal – give part of the response, not the whole thing.
  5. Gestural – give a gesture or a cue

*This is not an exhaustive prompt hierarchy. There is more detail within behavior analysis but will stop here as parents are the intended audience and may not need that level of technicality.

Some ideas to fade out the full verbal prompt are to give an indirect or partial verbal prompt. From the examples you gave, instead, you could say:

“What do you say?”

“Do you need something?”

“Good ……”

Prompting your child can be a good thing, a great thing, even a research based thing. But when all you do all day is prompt- maybe it’s time to take a step back. Don’t drop the prompts all together. We still want to be sure the child is successful in each situation so they can gain reinforcement and see an increase of the desired behaviors in these situations.

Step back one prompting level at a time. When your child is successful at that level, step back again. Fade out the prompts until he is able to respond independently and the constant telling him what to say is a distant memory!

We barely scratched the surface on prompts and prompt fading. Here are some good places to start learning more about it!

Alberto, P. A., & Troutman, A. C. (2012). Applied behavior analysis for teachers. Pearson Higher Ed.

Cooper, J. (2009). 0., Heron, TE, & Heward, WL (2007). Applied behavior analysis.

MacDuff, G. S., Krantz, P. J., & McClannahan, L. E. (2001). Prompts and prompt-fading strategies for people with autism. Making a difference: Behavioral intervention for autism, 37-50.


About The Author

Leanne Page, MEd, BCBA, is the author of Parenting with Science: Behavior Analysis Saves Mom’s Sanity. As a Behavior Analyst and a mom of two little girls, she wanted to share behavior analysis with a population who could really use it- parents!

Leanne’s writing can be found in Parenting with Science and Parenting with ABA as well as a few other sites. She is a monthly contributor to bSci21.com , guest host for the Dr. Kim Live show, and has contributed to other websites as well.

Leanne has worked with children with disabilities for over 10 years. She earned both her Bachelor’s and Master’s degrees from Texas A&M University.  She also completed ABA coursework through the University of North Texas before earning her BCBA certification in 2011. Leanne has worked as a special educator of both elementary and high school self-contained, inclusion, general education, and resource settings.

Leanne also has managed a center providing ABA services to children in 1:1 and small group settings. She has  extensive experience in school and teacher training, therapist training, parent training, and providing direct services to children and families in a center-based or in-home therapy setting.

Leanne is now located in Dallas, Texas and is available for: distance BCBA and BCaBA supervision, parent training, speaking opportunities, and consultation. She can be reached via Facebook or at Lpagebcba@gmail.com.

 

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Tip of the Week: Teaching Language—Focus on the Stage, Not the Age

CHILD IN SPEECH THERAPYTeaching language skills is one of the most frequent needs for children with autism, but also one of the most misunderstood skillsets amongst both parents and practitioners. The desire to hear your learner speak in full sentences can be overwhelming, making it especially difficult to take a step back and consider what it means to communicate and how communication skills develop in neurotypical children. Many times we get hung up on what a child should be capable of communicating at a certain age, rather than focusing on what they are capable of communicating at this stage of development.

Many practitioners and curricula utilize Brown’s Stages of Language Development.* Brown described the first five stages of language development in terms of the child’s “mean length of utterance” (or MLU) as well as the structure of their utterances.

Brown_Grammatical_Structures_ChartFrom aacinstitute.org

 

Sometimes it is necessary to compare a child to his or her same-age peers in order to receive services or measure progress, but it can be detrimental to focus on what a child should be doing at a specific age instead of supporting them and reinforcing them for progress within their current stage.

Research has suggested that teaching beyond the child’s current stage results in errors, lack of comprehension, and difficulty with retention. Here are some common errors you may have witnessed:

  • The child learns the phrase “I want _____ please.” This phrase is fine for “I want juice, please” or “I want Brobee, please,” but it loses meaning when overgeneralized to “I want jump, please” or “I want play, please.” It’s better to allow your learner to acquire hundreds of 1-2 word mands (or requests) before expecting them to speak in simple noun+verb mands.
  • The child learns to imitate only when the word “say” is used. Then the child makes statements such as “say how are you today,” as a greeting or “say I’m sorry,” when they bump into someone accidentally. Here, the child clearly has some understanding of when the phrases should be used without understanding the meanings of the individual words within each phrase.
  • The child learns easily overgeneralized words such as “more.” This is useful at times, but the child can start using it for everything. Instead of saying “cookie” he’ll say “more.” Instead of saying “train,” he’ll say “more.” And he may say “more” when the desired item is not present, leaving the caregiver frustrated as he/she tries to guess what the child is requesting. Moreover, as language begins to develop, he may misuse it by saying things such as “more up, please.”
  • The child learns to say “Hello, how are you today?” upon seeing a person entering a room. A child comes into the classroom and the learner looks up, says “Hello, how are you today?” The child responds, “Great! Look at the cool sticker I got!” Your learner then doesn’t respond at all, or may say “fine,” as he has practiced conversations of greeting.

These are only a few of the common language errors you may see. While you may want your learner to speak in longer sentences, your goal should be to have them communicate effectively. With this goal in mind, it becomes essential to support them at their current stage, which means it’s essential to assess them and understand how to help them make progress.

This is why I always use the VB-MAPP to assess each child and make decisions about language instruction. I need to have a full understanding of how the learner is using language, and then move them through each stage in a clear progression. I may want the child to say “Hello, how are you today?” But when I teach them that, do they understand those individual words? Do they comprehend what today means as opposed to yesterday or tomorrow? Do they generalize the use of “how” to other questions?

As you make treatment decisions for your learner, think about their current stage and talk about how to support your child with both a Speech Language Pathologist and an ABA therapist.

*Brown, R. (1973). A first language: The early stages. London: George Allen & Unwin Ltd.

WRITTEN BY SAM BLANCO, MSED, BCBA
Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently a PhD candidate in Applied Behavior Analysis at Endicott College. She is also a lecturer in the ABA program at The Sage Colleges.

 

 

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Help your students practice answering who, what, where, when, and why questions with our favorite selection of  Wh-Question Flashcards! Each deck features vivid imagery and guided activity instructions.
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Teaching Social Skills to Teens on the Spectrum

This week, we’re pleased to share a piece from Kirt Manecke, author of one of our newest additions Smile & Succeed for Teenswho offers his advice and take on how to teach teens and tweens very important social skills such as handshaking and saying “please,” “thank you,” and “you’re welcome.”

Please, Thank You, and You’re Welcome:
Teaching Social Skills to Teens on the Spectrum

by Kirt Manecke

Saying “please”, “thank you”, and “you’re welcome” are extremely important for social and job interactions. Why then is it so rare to hear these words spoken by teens and tweens? I recently had breakfast with my friend and his two kids, who are 12 and 16, at a restaurant. Both kids frequently failed to say please, thank you or you’re welcome to the waitress. I found myself saying thank you to the waitress for them! Their father did not seem to notice their lack of manners.

Research from Harvard University (Deming, 2015) says social skills are the top factor for getting a job. In my former life, when hiring teens for my specialty retail business, I looked for friendly teens with good social skills. Teens who smiled and said “please” and “thank you” were often the ones I hired. I knew they could engage customers and keep them happy and coming back. Often, we are drawn to making friends with people who have these same good social skills.

Teaching Social Skills to Teens on the Spectrum

Social skills are especially difficult for teens on the autism spectrum, but many of these skills can be learned, and with practice, can become habit. Social skills are critical to make friends, get a job, and to live a fulfilling life.

Recently I helped some teens and tweens with autism prepare to sell products at a local farmers’ market. I acted as the customer in the initial role playing scenarios and found that the kids did not say “please”, “thank you” or “you’re welcome”. I then used information from my book Smile & Succeed for Teens: Must-Know People Skills for Today’s Wired World to teach them these skills. We took turns being the customer and the employee while role-playing how to say “please”, “thank you” and “you’re welcome”. Using their new social skills, the kids were able to sell chips and salsa at the local farmers’ market the next day.

You can do the same type of role playing with your kids. To improve their social skills, role play the skill with them. For example, have your teen or tween read the section, “Shake Hands Firmly.” Then, practice shaking hands with them, being sure to show them how “Too Tight”, “Too Loose” and “Just Right” feels.

I spent nine months meeting with teens to get their input for the book, and that’s a big reason teens and tweens find it appealing and are reading it. The font is large enough to make reading easy, plus there are fun, informative illustrations with educational captions every few pages.

Since, the book has received praise from teachers and school administrators, as well as Temple Grandin, author of Thinking in Pictures, and The Autistic Brain, who called me one evening after reading Smile & Succeed for Teens. She urged me to use her testimonial, “Smile & Succeed for Teens is a fantastic resource to help teens be successful at work”, to get the book out to all teens and tweens.

A firm grasp on social skills is key to maneuvering through all stages of life. Mastering these skills boosts teens’ confidence and gives them the skills they need to succeed in school, work and relationships. Please share the following book excerpt with your teen or tween to give them a head start in mastering these important social skills.

REFERENCES

Deming, D.J. (2015). The growing importance of social skills in the labor market (Working Paper No. 21473). Retrieved from National Bureau of Economic Research website: http://www.nber.org/papers/w21473.

ABOUT THE AUTHOR

Kirt Manecke is a an award-winning author and sales, marketing, fundraising, and business development specialist with over 30 years of experience surprising and delighting customers. Kirt’s books have won 11 awards. Quick-easy social skills for teens! He spent nine months meeting with teens for his award-winning book on social skills for teens. Kirt is currently at work on two children’s books. For more information, contact Kirt at Kirtm@SmiletheBook.com.

Pick of the Week: NEW! Super Duper Flashcards & Fun Decks — Teach parts of speech, vocab & more

We’ve added a bunch of new Super Duper® flashcards and fun decks to our collection! This week, you can save 15% on any of these select card decks that teach parts of speech and vocabulary — everything from nouns and irregular verbs to prepositions and synonyms! Use our promo code SUPERJUNE to redeem your savings at check-out.

With the Webber BIG Vocabulary Nouns Photo Cards, students will learn how to name, describe, identify attributes, compare and contrast, and formulate sentences in conversation with 600 vivid photo cards. This enormous set contains 5″ x 7″ photo cards that cover 14 different categories: Alphabet (26 cards); Animals (68 cards); Around the Home (80 cards); Clothing and Accessories (55 cards); Colors (12 cards); Food (83 cards); Numbers (11 cards); Occupations (46 cards); Places (70 cards); Plants (20 cards); School (38 cards); Shapes (7 cards); Toys (36 cards); Transportation (34 cards).

 

 

Synonyms Photo Fun Deck contains 28 pairs of photo cards to teach synonyms. Each pair of photo cards helps illustrate one sentence using two synonyms. This set also comes with game ideas for extra practice!

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Irregular Verbs Fun Deck is a wonderful resource for teaching past and present tense for 26 irregular verbs pairs. Students will learn the ins and outs of “eat/ate,” “buy/bought,” “spend/spent,” and so much more. This illustrated fun deck will make teaching these difficult verbs fun and accessible for learners of all ages!

 

 

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Celebrate Better Speech & Hearing Month with Us – 15% OFF Workbooks!

We’re celebrating Better Speech & Hearing Month with a special focus on auditory processing and expressive language skills. Today through the end of May, use our promo code SPCHLANG when you check out to take 15%* off some of our favorite speech and language workbooks!

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Pick of the Week: Teaching Language & Conversation Workbooks

Teach language and conversation skills to students with autism with these great books! This week, take 15% off any or all 3 of these great teacher guides and student workbooks. Use promo code LANGUAGE at check-out to redeem your savings.

DRB_380_Teaching_Kids_of_All_Ages_to_Ask_QuestionsTeaching Kids of All Ages to Ask Questions is a great source for teaching students at different levels how to ask and answer questions. The book also covers:

  • Simple past, present and future tense
  • Regular and irregular verbs
  • Progressive present, past, and future tense verbs
  • Perfect present, past, and future tense verbs
  • Perfect progressive present, past and future tense verbs
  • Negative questions
  • Conditional statements

This workbook is great for a comprehensive coverage of Wh-Questions within various contexts.

DRB_385_Teaching_Conversation_to_Children_with_AutismTeaching Conversation to Children with Autism Scripts and Script Fading provides step-by-step instructions to parents and teachers on how to teach conversation skills. Because many individuals with autism have difficulty initiating and maintaining conversation, this book describes how scripts and script fading can provide a predictable and meaningful structure for these individuals to engage in conversation. The goal is for these scripts to then progress to spontaneous language. This book covers: scripts for readers and non-readers; conversation activities; activity schedules; prompts and rewards; and observing, evaluating and measuring results.

 

DRB_045_Teach_Me_LanguageTeach Me Language is a social language manual for children with autism, Asperger’s syndrome, and related developmental disorders. Based on professional speech pathology methods, this book targets social language, general knowledge, grammar and syntax, functional knowledge, written expression and language-based academic concepts. Teach Me Language is designed to take the child from one and two word utterances to more complex sentences that lay the foundation for social conversation.

Don’t forget to use our promotional code LANGUAGE at check-out this week to save 15%* on any or all of these books for teaching language & conversation!

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Pick of the Week: Save 15% on ALL of our Emotions Flashcards!

Emotions language cards are great tools for teaching language and facial expressions in a variety of contexts to young learners. Promote discussion about a range of emotions, why people may feel a certain way, and possible responses to these feelings with our collection of emotions flash cards.

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