WWC review of this study

Effects of the System of Least Prompts on Pretend Play Skills for Children with Autism Spectrum Disorder

Bateman, Katherine J.; Schwartz, Ilene S. (2022). Education and Training in Autism and Developmental Disabilities, v57 n4 p417-429. Retrieved from: https://eric.ed.gov/?id=EJ1357609

  •  examining 
    3
     Students
    , grade
    PK

Reviewed: March 2026

At least one finding shows promising evidence of effectiveness
Meets WWC standards with reservations

To view more detailed information about the study findings from this review, please download findings data here.



Evidence Tier rating based solely on this study. This intervention may achieve a higher tier when combined with the full body of evidence.

Characteristics of study sample as reported by study author.


  • Female: 33%
    Male: 67%
  • Race
    Asian
    33%
    Black
    33%
    White
    33%
  • Ethnicity
    Other or unknown    
    100%
  • Eligible for Free and Reduced Price Lunch
    Other or unknown    
    100%

Setting

This study took place in one preschool classroom that provided intensive instruction to children with autism spectrum disorder (ASD). The classroom was located in an inclusive preschool center that also served students without disabilities. The authors did not report the geographic location of the preschool center.

Study sample

Participants included three students from one preschool classroom, all of whom were diagnosed with ASD and received educational services through an individualized education program. Two of the students were 4-year-old males and one was a 5-year-old female. One student was White, one was Black, and one was Asian. The study did not report other demographic information.

Intervention Group

One board certified behavior analyst at the doctoral level (BCBA-D) used the system of least prompts (SLP) to teach pretend play skills to each student during one-on-one sessions outside of the classroom. Prior to the SLP sessions, the researchers and teachers developed individualized prompts for each student based on their learning history. These prompts included providing students with a choice of toys, modeling how to play with the toys, physically prompting them to play, and providing positive feedback. During the SLP sessions, the interventionist presented the student with toys. If the student did not engage with the toys within 15 seconds, the interventionist delivered the first prompt to help the student engage with the toys. After the student engaged in the target play behavior, the interventionist immediately copied the student's behaviors and provided behavior-specific praise. Students were then given another 15-seconds to engage independently with the toys before prompting again. Sessions lasted for approximately 5 to 7 minutes. The number of intervention sessions varied by student. Mayah had three sessions, Lee had six sessions, and Gabriel had eight sessions. Immediately following the SLP training, students returned to the play area of their classroom and participated in free choice play activities while intervention data were collected.

Comparison Group

There is no comparison group in single-case designs. In the baseline phase, each student was observed for 5 to 7 minutes during free choice play activities in the designated play area of their classroom. No additional interventions or supports were implemented. The number of baseline sessions varied by student. Mayah had 11 sessions, Lee had eight sessions, and Gabriel had three sessions.

Support for implementation

One board certified behavior analyst at the doctoral level (BCBA-D) delivered the SLP intervention. This interventionist was trained by another BCBA-D, using the evidence-based practice training protocol by Parsons et al. (2012).

 

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