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.

 

Increasing Play with Unit Blocks – Free Download

Blocks PileSymbolic play refers to a child’s ability to use one object or action to represent a different object or action within imaginary play. The symbolic play skill that involves object substitution typically begins to emerge around 18 months. For example, you might observe a child using an empty box for a “hat” or an overturned bucket for a “drum.” Blocks are a mainstay in early childhood classrooms because the benefits are innumerable. Block play can help to facilitate cooperation, visuo-spatial skills, problem solving ability, social skills, and language development, and is a good predictor of future mathematical abilities.

One hallmark of the diagnostic criteria for autism spectrum disorder is a presence of “persistent deficits in social communication and social interaction across multiple contexts, as manifested by difficulties in sharing imaginative play or in making friends.” Additionally, rigid thinking patterns may make symbolic play difficult for children with autism as they might view objects in a limited way that makes it difficult to pretend a block is something other than a block. Blocks on ShelfSince unit blocks are a huge component of early childhood classrooms everywhere one could imagine that exposure to them and some level of proficiency opens up huge social opportunities for learners with autism spectrum disorders with their mainstream peers in the classroom.

Some learners will require scaffolding in order to progress from the use of literal props within pretend play to object substitutions. Research suggests that systematic prompting is a common component of successful interventions used for teaching play.  Depending on the learner, various types of prompts will be used as you systematically move from most intrusive to least intrusive prompt levels. Sometimes, a learner begins to respond to natural cues before you have moved through each prompt level. However, for learners that require support froma visual prompt you can attach drawings of objects onto the blocks and then systematically fade them out. Once the learner begins to consistently use the blocks with the attached images you can use stimulus fading procedure to fade out the visual prompt. This can be done by photocopying the image and systematically changing the lightness until eventually the learner is presented with just the block.

Below you will find downloadable images in the shape of unit blocks to help you facilitate symbolic play with a learner who requires visual prompts. The images are to scale and just the tip of the iceberg when it comes to all of the possibilities. It is important to teach various object substitutions for each block shape so that the skill is generalized. In a classroom where the curriculum is organized thematically, you could attach a few visuals to various blocks each time the theme changes to encourage symbolic play for the whole class.

Click here to download our Free Unit Blocks Template!

References

Cook, D. (1996). Mathematics sense making and role play in the nursery school. Early Childhood Development and Care, 121, 55-65.

Wolfgang, C., Stannard, L. & Jones, I. (2001). Block play performance among preschoolers as a predictor of later school achievement in mathematics. Journal of Research in Childhood Education, 15(20): 173-180.

Smilansky, S., & Shefatya, L. (1990). Facilitating play: A medium for promoting cognitive, socioemotional and academic development in young children. Gaithersburg, MD: Psychosocial & Educational Publications.

Christakis, D.A., Zimmerman F.J., & Garrison M.M. (2007). Effect of block play on language acquisition and attention in toddlers: a pilot randomized controlled trial. Arch Pediatr Adolesc Med. 161(10):967-71.

Pepler, D.J., & Ross, H.S. (1981(. The effects of play on convergent and divergent problem solving. Child Development, 52(4): 1202-1210.

Lang, R., O’Reilly, M., Rispoli, M., Shogren, K., et al. (2009). Review of interventions to increase functional and symbolic play in children with autism. Education and Training in Developmental Disabilities, 44(4), 481– 492.

Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis, 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall.


Written by Stacy Asay, LMSW

Stacy is a licensed social worker, providing home and school based services to children and their families in the New York City area. With nearly 16 years of experience, her work with special needs children integrates a strengths-based, holistic approach to child and family augmented with the tools of Applied Behavior Analysis, a methodology that allows for reliable measurement, objective evaluation of behaviors, and the systematic teaching of language and learning skills.  This results in an individualized curriculum that equips children with the tools they need for learning and living while honoring their unique spirit.

Visual Schedule to Improve Independent Play Skills in Children with Autism

Parents, caregivers, therapists and teachers alike work so hard to teach a variety of play skills but what happens when your child or student doesn’t make that leap from facilitated play to independent play? Independent play is such an important skill that will allow him or her to better connect with their peers, build friendships, expand problem-solving skills and structure downtime.  A successful transition from demonstrating play skills with adult support to playing independently can be impacted by a myriad of variables.

Some of my students struggle with independent play because it is difficult to move from a thick schedule of reinforcement of 1:1 adult attention to a thinner one of just having an adult “check in” once in a while.  Other learners have impairments impacting executive function, specifically the organization and sequencing of steps for meaningful and reinforcing play as well as on-task behavior, task completion and working memory. Additionally, in some cases the skill of independent play is elusive because teachers struggle to find ways to fade out prompts or to successfully thin out the schedule of reinforcement.

Below is the visual schedule with data sheets for measuring acquisition and progress that I have created.  I have found it useful with learners with very different skill sets and abilities.  Click here for a comprehensive Task Analysis on teaching independent play using a visual schedule.

Keep in mind that this is for learners that:

  • Have successfully acquired a varied repertoire of play skills
  • Do not require visual schedules that break down every step of the play
  • Are able to complete activities with delayed reinforcement

In order to prepare this for use with the learner:

  • Set up a toy organizational system that has toys bins
  • Print the materials and laminate the schedule strip and the cut out shapes.
  • Attach Velcro dots to the bins, schedule strip and shapes and to the work surface if you like
  • Identify activities that are suitable for this schedule

Remember that any open-ended activities like building blocks or coloring can be turned into close-ended activities by limiting the number of pieces or by teaching the learner to use a timer.

As you would when teaching any schedule, use a most-to-least prompting strategy, only use verbal instruction for the initial direction or S(e.g. “Go play.”), and prompt only from behind and out of view.

The schedule I have been using has a smiley face at the end of the schedule indicating a “free choice” time which all of my students understand.  However, if you are using this with a learner that requires a visual reminder of what they are working for, you could easily adapt this by putting a picture of the reward in the place of the smiley face.  Time to play!

*Don’t forget to download your free visual schedule and data sheets here!