Abstract
We used an adapted alternating treatments design to compare the effects of traditional and embedded discrete trial teaching (DTT) with adults with autism. Traditional DTT consisted of the instructor presenting a discriminative stimulus to start each trial (“Point to___”), implementing a prompt (i.e., manual guidance), and providing reinforcement (i.e., praise and token) for correct responding. Embedded DTT consisted of presenting this same trial structure within an ongoing activity (e.g., playing bean bag toss). The percentage of correct responses improved with the introduction of both types of DTT; however, for both participants, embedded DTT showed faster acquisition (i.e., fewer trials to criterion) but longer session durations than traditional DTT. Participants showed more positive affect during embedded DTT and chose it more often relative to traditional DTT. These results replicated and extended the results of Geiger et al. (Behav Anal Pract 5(2):49–59, 2012. 10.1007/bf03391823) and have implications for considering participant assent and interest in ABA-based instruction.
This is a preview of subscription content, access via your institution.




References
Allen, M. B., Baker, J. C., Nuernberger, J. E., & Vargo, K. K. (2013). Precursor manic behavior in the assessment and treatment of episodic problem behavior for a woman with a dual diagnosis. Journal of Applied Behavior Analysis, 46(3), 685–688. https://doi.org/10.1002/jaba.57
Behavior Analyst Certification Board. (2020). Ethics code for behavior analysts. Littleton, Co.: Author.
Capriotti, M. R., Brandt, B. C., Ricketts, E. J., Espil, F. M., & Woods, D. W. (2012). Comparing the effects of differential reinforcement of other behavior and response-cost contingencies on tics in youth with Tourette syndrome. Journal of Applied Behavior Analysis, 45(2), 251–263. https://doi.org/10.1901/jaba.2012.45-251
de Korte, M. W. P., van Dongen-Boomsma, M., Oosterling, I. J., Buitelaar, J. K., & Staa, W. G. (2022). Pivotal Response Treatment (PRT) parent group training for young children with autism spectrum disorder: A pilot study. Scientific Reports, 12, 7691. https://doi.org/10.1038/s41598-022-10604-2
DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29, 519–532.
Dillenburger, K., & Coyle, C. (2019). Education for all: The good inclusion game. Behavioral Interventions, 34(3), 338–351. https://doi.org/10.1002/bin.1671
Downs, A., Downs, R. C., Johansen, M., & Fossum, M. (2007). Using discrete trial teaching within a public preschool program to facilitate skill development in students with developmental disabilities. Education and Treatment of Children, 30(3), 1–27. https://doi.org/10.1353/etc.2007.0015
Fenske, E. C., Krantz, P. J., & McClannahan, L. E. (2001). Incidental teaching: A not-discrete-trial teaching procedure. In C. Maurice, G. Green, R. M. Foxx, C. Maurice, G. Green, R. M. Foxx (Eds.) , Making a difference: Behavioral intervention for autism (pp. 75–82). Austin: PRO-ED.
Geiger, K. B., Carr, J. E., LeBlanc, L. A., Hanney, N. M., Polick, A. S., & Heinicke, M. R. (2012). Teaching receptive discriminations to children with autism: A comparison of traditional and embedded discrete trial teaching. Behavior Analysis in Practice, 5(2), 49–59. https://doi.org/10.1007/bf03391823
Green, G., Brennan, L. C., & Fein, D. (2002). Intensive behavioral treatment for a toddler at high risk for autism. Behavior Modification, 26(1), 69–102. https://doi.org/10.1177/0145445502026001005
Gunning, C., Holloway, J., & Healy, O. (2018). Evaluating the preschool life skills program to teach school readiness skills: An irish pilot study. European Journal of Behavior Analysis, 20(1), 48–68. https://doi.org/10.1080/15021149.2018.1531962
Gutierrez, A., Hale, M. N., O’Brien, H. A., Fischer, A. J., Durocher, J. S., & Alessandri, M. (2009). Evaluating the effectiveness of two commonly used discrete trial procedures for teaching receptive discrimination to young children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(3), 630–638. https://doi.org/10.1016/j.rasd.2008.12.005
Haq, S. S., & Aranki, J. (2019). Comparison of traditional and embedded DTT on problem behavior and responding to instructional targets. Behavior Analysis in Practice, 12(2), 396–400. https://doi.org/10.1007/s40617-018-00324-3
Heal, N. A., & Hanley, G. P. (2007). Evaluating preschool children’s preferences for motivational systems during instruction. Journal of Applied Behavior Analysis, 40(2), 249–261. https://doi.org/10.1901/jaba.2007.59-05
Herrera, G. C., & Kratochwill, T. R. (2005). Alternating treatments design. Encyclopedia of Statistics in Behavioral Science. https://doi.org/10.1002/0470013192.bsa017
Lane, S. D., & Critchfield, T. S. (1998). Classification of vowels and consonants by individuals with moderate mental retardation: Development of arbitrary relations via match-to-sample training with compound stimuli. Journal of Applied Behavior Analysis, 31(1), 21–41. https://doi.org/10.1901/jaba.1998.31-21
LeBlanc, L. A., Esch, J., Sidener, T. M., & Firth, A. M. (2006). Behavioral language interventions for children with autism: Comparing applied verbal behavior and naturalistic teaching approaches. The Analysis of Verbal Behavior, 22(1), 49–60. https://doi.org/10.1007/BF03393026
Lerman, D. C., Valentino, A. L., & LeBlanc, L. A. (2016). Discrete trial teaching. In R. Lang, T. Hancock, & N. Singh (Eds.), Early intervention for young children with Autism spectrum disorder. Evidence-based practices in behavioral health. Cham: Springer. https://doi.org/10.1007/978-3-319-30925-5_3
Maki, K. E., Zaslofksy, A. F., Knight, S., Ebbesmeyer, A. M., & Chelmo-Boatman, A. (2020). Intervening with multiplication fact difficulties: Examining the utility of the instructional hierarchy to target interventions. Journal of Behavioral Education, 30(4), 534–558. https://doi.org/10.1007/s10864-020-09388-0
Markham, V., Giles, A., & May, R. (2020). Evaluating efficacy and preference for prompt type during discrete-trial teaching. Behavior Modification, 44(1), 49–69. https://doi.org/10.1177/0145445518792245
McGee, G. G. (2022). Incidental teaching research: early beginnings through recent innovations. In J. B. Leaf, J. H. Cihon, J. L. Ferguson, & M. J. Weiss (Eds.), Handbook of applied behavior analysis interventions for Autism. Autism and child psychopathology series. Cham: Springer. https://doi.org/10.1007/978-3-030-96478-8_11
Morris, C., Detrick, J. J., & Peterson, S. M. (2021). Participant assent in behavior analytic research: Considerations for participants with autism and developmental disabilities. Journal of Applied Behavior Analysis, 54(4), 1300–1316. https://doi.org/10.1002/jaba.859
Newman, B., Needelman, M., Reinecke, D. R., & Robek, A. (2002). The effect of providing choices on skill acquisition and competing behavior of children with autism during discrete trial instruction. Behavioral Interventions, 17(1), 31–41. https://doi.org/10.1002/bin.99
Parsons, M. B., Reid, D. H., Bentley, E., Inman, A., & Lattimore, L. P. (2012). Identifying indices of happiness and unhappiness among adults with autism: Potential targets for Behavioral Assessment and Intervention. Behavior Analysis in Practice, 5(1), 15–25. https://doi.org/10.1007/bf03391814
Reed, D. D., & Kaplan, B. A. (2011). The matching law: A tutorial for practitioners. Behavior Analysis in Practice, 4, 15–24. https://doi.org/10.1007/BF03391780
Reid, D. H., Parsons, M. B., Towery, D., Lattimore, L. P., Green, C. W., & Brackett, L. (2007). Identifying work preferences among supported workers with severe disabilities: Efficiency and accuracy of a preference-assessment protocol. Behavioral Interventions, 22(4), 279–296. https://doi.org/10.1002/bin.245
Sigafoos, J., O’Reilly, M., Hui, C., Edrisinha, C., Cannella, H., & Lancioni, G. E. (2006). Effects of embedded instruction versus discrete-trial training on self-injury, correct responding, and mood in a child with autism. Journal of Intellectual and Developmental Disability, 31(4), 196–203. https://doi.org/10.1080/13668250600999160
Smith, T. (2001). Discrete trial teaching in the treatment of autism. Focus on Autism and Other Developmental Disabilities, 16(2), 86–92. https://doi.org/10.1177/108835760101600204
Tarbox, R. S., & Najdowski, A. C. (2008). Discrete trial teaching as a teaching paradigm. Effective Practices for Children with Autism. https://doi.org/10.1093/med:psych/9780195317046.003.0009
Van Camp, C. M., & Berth, D. (2018). Further evaluation of observational and mechanical measures of physical activity. Behavioral Interventions, 33(3), 284–296. https://doi.org/10.1002/bin.1518
Walsh, E., Lydon, H., & Holloway, J. (2019). An evaluation of assistive technology in determining job-specific preference for adults with autism and intellectual disabilities. Behavior Analysis in Practice, 13(2), 434–444. https://doi.org/10.1007/s40617-019-00380-3
Acknowledgements
We would like to thank the teachers, students, and families of the Alpine Learning Group who participated in this study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflicts of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
DeBiase, C., DeQuinzio, J.A., Brewer, E. et al. Comparison of Traditional and Embedded Discrete Trial Teaching on the Acquisition of Receptive Identification Skills: A Systematic Replication in Adults with Autism. J Behav Educ (2022). https://doi.org/10.1007/s10864-022-09501-5
Accepted:
Published:
DOI: https://doi.org/10.1007/s10864-022-09501-5
Keywords
- Discrete trial teaching
- Traditional discrete trial teaching
- Embedded discrete trial teaching
- Concurrent chains preference assessment
- Autism
- Assent