WWC review of this study

Establishing a Mand Repertoire Using an Interrupted Chain Procedure with SGD in Children with Autism Spectrum Disorder

Elizabeth R. Lorah; Brenna Griffen (2023). Journal of Developmental and Physical Disabilities, v35 n1 p97-110. Retrieved from: https://eric.ed.gov/?id=EJ1431388

  •  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: 67%
    Male: 33%
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    Arkansas
  • Race
    Other or unknown
    100%
  • Ethnicity
    Other or unknown    
    100%
  • Eligible for Free and Reduced Price Lunch
    Other or unknown    
    100%

Setting

The study was conducted in one university-based preschool classroom in the “task completion” center, which included play activities such as puzzles, shape sorters, ring stackers, and peg boards.

Study sample

The participants included three preschool-aged children, all of whom had a diagnosis of Autism Spectrum Disorder (ASD) and limited vocal output capabilities. Participants included two female students and one male student. The study did not report other demographic information.

Intervention Group

The study examined the use of an interrupted chain procedure to teach students how to spontaneously mand (or request) a missing item needed to complete a play activity by using an iPad-based speech-generating device (SGD). Students were taught how to request these missing items, even if they were not visible in the play area. Before beginning the intervention, researchers determined each student's preferred toys and preloaded pictures of target items associated with these toys, as well as three additional pictures of non-preferred toys, onto the SGD. During each session, researchers presented each student with a toy or play activity with at least one missing item, such as a puzzle with missing pieces that were out of sight. After the student finished the play activity and indicated the missing piece—by looking or turning toward the SGD, pointing to the empty space, or reaching for help—the researcher initiated a five-second time delay. After five seconds, if the student did not request the missing item or made an error (such as requesting an incorrect item), the researcher used a full physical prompt to elicit a correct mand. The participant was still provided access to the item and an incorrect response was recorded on the data sheet. The trial was considered concluded after the prompted response. Each session included 10 trials continued in this manner, rotating the top three play activities identified by the student. Intervention sessions lasted until each student met the mastery criterion of three consecutive sessions at or above 80% accurate and independent responding.

Comparison Group

There is no comparison group in single-case designs. During baseline sessions, researchers presented each student with a toy or play activity with at least one missing item, such as a puzzle with missing pieces that were out of sight. The SGD, which was positioned within 5 inches of the student, contained pictures of the missing target item(s) and three picture-symbols of other toy pieces. After the student completed the play activity and initiated for the missing piece—by orienting toward the SGD, pointing to the empty space, or reaching for assistance—the researcher implemented a five-second time delay. After five seconds, the trial was considered complete if the student did not mand for the missing item. If the participant manded for an incorrect item using the SGD, they were given access to that item and the session was considered complete. If the participant independently and accurately manded for the correct missing item, they were given access to the correct item and the trial was considered complete. Each session consisted of 10 trials that rotated the top three play activities identified from each student's preference assessment.

Support for implementation

Four different interventionists were involved in the study. The primary and secondary experimenters were Board Certified Behavior Analysts and the remaining interventionists were completing the coursework for a master’s degree in special education. The primary experimenter trained the other experimenters on the procedures of the study, to a mastery criterion of 100% fidelity.

 

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