July 25, 2024

ABA Prompt Fading: Procedures, Examples and Best Practices

Author:
Thomas John, CEO of Artemis ABA
ABA Prompt Fading

ABA prompt fading progressively encourages students to perform tasks without help. This article explores the steps and strategies behind it. You can also see detailed examples of prompt fading and download a cheat sheet for quick reference.

Inside this article:

What is Prompt Fading in ABA?

ABA prompt fading is a method of gradually reducing assistance and cues until students can perform tasks independently. Instructors use prompt fading to teach people with developmental disabilities or autism. It enables students to learn skills in a way that works for them.

Common prompt fading approaches in Applied Behavior Analysis (ABA) include:

  • Physical: The therapist gradually lessens physical guidance while the student performs a task.
  • Time Delay: The therapist gives the prompts but increasingly delays having the student perform the task.
  • Proximity to Student: The therapist keeps moving further away while giving prompts.
  • Muting the Stimulus: The therapist keeps softening the stimulus itself. For example, they speak more and more softly, or they show a letter that starts bright red and big and gradually becomes black and smaller.

How to Start ABA Prompt Fading

The ABA prompt fading process starts with identifying the target behavior. Then, you assess the student’s baseline performance and plan appropriate prompts. When you begin the sessions, you reinforce or correct the student’s responses and gradually fade the prompts.

Here are the detailed steps for ABA prompt fading:

  1. Identify the Target Behavior or Skill
    Consider the potential impact on the student’s life to prioritize what skill or behavior to work on.

  2. Determine a Response Baseline
    Measure the student’s status to help determine a realistic goal and the time it might take to achieve it. You will measure the student’s progress against this baseline.

  3. Select Appropriate Prompts
    Choose the type of prompts most effective for eliciting the target behavior, such as physical, gestural, verbal, or visual.

    To determine the prompts, consider what the student favors and what typically works for the target behavior. For example, some students may not respond to physical prompts and may depend on spoken prompts, or vice versa.

    Regan Hatwig, M.A., BCBA, LBA

    Regan Hatwig, a BCBA at Artemis ABA, advises that if you haven’t worked with the student previously, talk with a BCBA who has. Tailor the prompts and fading to the individual student.

    "A 2020 study by the Journal of Developmental and Physical Disabilities also emphasizes the effectiveness of a tailored approach. The authors state that the optimal procedures for individuals with developmental disabilities should be implemented at an individual level.
  4. Select a Prompt Hierarchy
    Create a sequence of prompts from most to least intrusive. This hierarchy will guide the fading process.

    Hatwig says that when she works through the ABA prompt hierarchy, she doesn’t want to start at full physical if the learner needs only a gesture prompt at the beginning.

    Determine a Reinforcer

    Decide on a reinforcer for correct responses. Examples include smiles, praise, and food. Reinforcers decrease frustration and help the learner understand when they have responded appropriately to a prompt or completed a task correctly.

  5. Write the Treatment Plan
    Use the above research to create a treatment plan. This documentation may be important for insurance coverage and will inform other team members.

  6. Begin Treatment Sessions
    Start using the prompts and prompt fading hierarchy with the student. Use the reinforcer when they perform the desired task or behavior correctly. Use corrections when they get it wrong.

  7. Monitor and Track Results
    Track results in the and measure progress against the baseline. Keep detailed records of the prompts used and the level of independence achieved. This data helps in making informed decisions about the fading process. The ABA session notes should also reflect this data.

    Try these ABA prompt tracking templates for recording learners' responses.

  8. Evaluate and Maintain Independence
    Once the learner consistently performs the behavior independently, continue providing intermittent reinforcement and monitoring to ensure the behavior is maintained over time.

ABA prompt fading

ABA Prompt Fading Strategies

Two popular techniques for ABA prompt fading are most-to-least (MTL) and least-to-most (LTM). MTL starts with the most intrusive prompt, such as full physical guidance. LTM begins with the least intrusive, such as time delay. One variation of LTM is called graduated guidance.

Here’s a more detailed at these ABA prompt fading strategies:

  • Most-to-Least Prompt Fading
    MTL prompt fading moves from the most intrusive prompts to the least. This strategy allows students to learn a task gradually and systematically, resulting in fewer errors and less frustration. Hatwig says that the MTL strategy is best for teaching new skills to a young student, such as writing their name or phone number.

    A 2016 study by the Association for Behavioral Analysis International found that MTL prompting led to the quickest skill acquisition in preschool children.

    Most-to-Least Prompt Fading
  • Least-to-Most Prompt Fading
    Least-to-most (LTM) prompt fading starts with the least intrusive prompts (like time delay) and moves to the most intrusive (full physical). Starting with the least assistance allows the learner to show independence and initiate a response. It’s the most intuitive approach to teaching.

    Least-to-Most Prompt Fading

    “The LTM strategy is useful when the learner has observed or been in contact with the skill and needs help mastering it,” Hatwig says. An example is identifying common animals. BCBAs call this tacting, which means naming or labeling living things, objects, or events that we experience through our five senses.

  • Graduated Guidance Prompt Fading
    This is a variation of most-to-least prompting. Graduated guidance involves providing physical guidance only as needed and fading this assistance immediately as the learner starts to perform the task independently. This method allows for immediate correction of errors and ensures that the learner always receives the least amount of help necessary to complete the task.

  • Time Delay Prompt Fading
    Time delay involves introducing a delay between the instruction and the prompt. This delay allows the learner to respond independently before the prompt is provided. Initially, the delay is short, but it gradually increases as the learner becomes more proficient in performing the task without prompts.

    The two types of time delay are:

    1. Constant Time Delay: A fixed amount of time (e.g., 3 seconds) is consistently used between the SD and the prompt.
    2. Progressive Time Delay: The time interval is gradually increased (e.g., starting with 1 second, then 2 seconds, and so on).

Types of ABA Prompts

Two main types of ABA prompts include full and partial physical assistance, where the teacher guides the student through a task. Other prompt types include modeling, gestures, visual aids, and spoken instructions. The purpose of all types is to encourage independence.

Here is a more detailed list of the ABA prompt types:

  • Full Physical Prompt: Provide complete physical assistance to guide the learner through the activity or task.
  • Partial Physical Prompt: Provide less physical support while guiding the learner through the motions of the activity or task.
  • Modeling: Demonstrating a specific task or activity while the learner watches.
  • Gestural Prompt: Motioning, pointing, or nodding toward objects or activities involved in the task.
  • Visual Prompt: Showing the learner a video or picture demonstrating what the learner should say or do.
  • Verbal Prompt: Speaking directions to the learner. For example, “Draw a circle.”
  • Textual Prompt: Writing words, phrases, or sentences to guide the learner.

ABA Prompt Fading Examples

Hatwig shares these real-life examples to help explain the prompt fading techniques and types:

  • Example of Fading a Physical Prompt
    You are teaching a learner to clap their hands. First, put your hands over theirs and help them physically complete the action (hand over hand). After they master that skill with the physical prompt, fade the level of physical assistance by moving your hands to lightly touch their forearms to guide the learner to put their hands together and clap. Continue gradually fading the physical prompt (e.g., lightly touching elbows) until the learner is ready to fade to instruction without physical assistance.

  • Example of Fading a Verbal Prompt
    You are teaching your student “Cody” to say his name when asked, “What is your name?” Hatwig first uses a natural cue, asking, “What’s your name?” She then immediately provides a full verbal model by saying “Cody” for the learner to copy.

    “After he masters his name with the full verbal model, I will move to a partial verbal prompt by just starting the word without saying the entire name for him (e.g., “Co-“). If the learner masters saying their full name after just my partial verbal prompts, I can fade more to just the first syllable (e.g., “C-“) and then fade the prompt completely,” she explains.

  • Example of Fading a Visual Prompt
    “Visuals are a great tool for learners,” Hatwig says. “It’s also a great step for prompt fading so that the learners don’t become prompt-dependent on our vocal or physical assistance.”

    Hartwig says she likes to start by teaching the tact (labeling) or a skill that falls under LRFFC, which means “Listener Responding by Function, Feature, and Class.”

    “For example,” she says, “I use a picture of shoes as a prompt for the intraverbal ‘You tie your __.’ Once the learner responds consistently with the visual, we can fade the visual so the learner can complete “You tie your … shoes” without any prompts.”

  • Example of Fading Stimulus Prompts
    When teaching a learner to draw a circle, Hatwig says she starts by having them trace a fully outlined circle. After they consistently trace the circle accurately, she gradually fades the darkness of the shape until the circle is fully faded, and the learner can draw a circle independently without tracing anything.

    According to a 2017 study by the Journal of Developmental and Physical Disabilities, stimulus prompting was more effective and efficient than response-prompting procedures.

    Learn more about fading ABA stimulus prompts.

  • Example of Fading Proximity Prompts
    An example of proximity prompts that Hatwig uses is gradually increasing the distance between herself and the learner. This works for teaching independent table tasks as well as independent leisure tasks. Hatwig starts by sitting next to the learner as they play a game independently, then fades to standing 3 feet away, and then 6 feet away until the learner can independently complete the task despite where the instructor is standing.

Best Practices for ABA Prompt Fading

ABA prompt fading best practices involve systematically reducing assistance to encourage independent behavior while remaining consistent, patient, and flexible.

The following best practices will help you effectively apply prompt fading techniques to support the learner in achieving independence.

  • Be Consistent: Consistency creates a routine and leads to improvement and the desired result. It will also provide more accurate data for tracking the learner’s progress.

  • Be Flexible: You should not be afraid to step back, add a more intrusive prompt if needed, or return to the last prompt level . This promotes errorless learning.

    “We want to make sure the learner still gets to access reinforcement and doesn’t get stuck in a cycle of repeating errors,” Hartwig says. “You can and should return to working on the same skill later in the session. If the learner starts to pick up on a skill, don’t be afraid to follow their lead. You won’t always end with an independent response every time. Return to the skill later with a new goal, using a slightly less intrusive prompt, working your way down the prompt hierarchy.”

  • Be Gradual: Gradual progression ensures the learner completes one prompt correctly before moving to the next. You can divide the prompt fading process into small tasks within each prompt hierarchy step.

    “Sometimes, you cannot simply fade from full physical to partial physical to gesture,” Hatwig explains. “It's helpful for some learners to break down a partial physical step into various parts (e.g., lightly tap hand, guide forearm, tap elbow) before you can stop the partial physical prompt. Hatwig advises you to be patient with your learner and celebrate progress.

  • Monitor Closely: Monitoring helps track progress so you know whether to adjust your prompts schedule/frequency. Use session notes to document each session and the learner’s progress toward the goal.

  • Reward Regularly: Rewards encourage the learner and increase the desired behavior.

  • Use High-Powered Reinforcers:Hatwig recommends running preference assessments throughout your session to determine potential reinforcers. “Utilize differential reinforcement and save the most powerful reinforcers for independent responses,” she says.

Suppose a learner displays problem behaviors such as hitting orbiting. In that case, the teacher should use a behavior intervention plan (BIP) to teach the learner to replace the problem behaviors with positive ones.

Hatwig shares an example of a child who screams in the grocery store because they want cookies. “I’ll give the child a heads up or explain they’ll be in the store for a specific length of time,” she says. “Then I’ll tell the child that if they can help shop without screaming, they can have the cookies.”

The BIP outlines what happens if the child meets the contingency and if they don’t.

How to Track ABA Prompt Fading

Track ABA prompt fading and stay on schedule by collecting data on the following metrics: criteria for changing prompts, number of days or sessions, level of prompt, and time delay. This data aids in assessing whether prompts are fading at an appropriate pace.

Fading too quickly may result in incomplete task execution, whereas fading too slowly may foster dependence on prompts. Hatwig emphasizes the importance of updating the clinical team with the learner’s changes or patterns so they can make the necessary clinical changes.

Some practices continue to track with pen and paper, which can be cumbersome and different to share.

Electronic tracking through ABA software provides greater accuracy and efficiency and makes analysis, recording, and sharing easier.

“ABA software greatly simplifies and streamlines client management and tracking,” says Jim Vrtis, CTO of Artemis ABA. “Without it, ABA practices are making things harder for themselves.”

Using Artemis ABA Software to Track Prompt Fading

ABA practices need an efficient way to collect data to track prompt fading. The most effective way is electronic collection using Artemis ABA practice management software.

This software gathers and analyzes data from various sources, such as therapy sessions, assessments, and client progress reports. It is easily shareable, more efficient, and allows for easier access, searching, and tracking.

With the Artemis ABA platform, therapists can spend more time teaching than doing paperwork.

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Thomas John, CEO of Artemis ABA

Global leader of AI-Driven RCM and ABA Practice Management

Thomas John has 30+ years of experience in healthcare RCM and IT. He is the founder and CEO of Artemis ABA, one of the biggest healthcare RCM companies in the US. Thomas has comprehensive knowledge of AI-driven practice management and billing software. He believes in providing an end-to-end solution for revenue cycle and ABA practice management.