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The candidate chosen for this project was a twelve-year old Caucasian boy named John
School of Bright Promise in Steubenville, Ohio. John is in a class with 5 other students, one
licensed special education teacher, and three teacher aids. All the students receive special
services as designated by their Individual Educational Plan (IEP). The staff/student ratio is kept
low to help meet the physical, medical, and educational needs of each student.
John’s home environment is relatively stable. He lives with both his mom and his dad,
and it is unknown whether he has other siblings. In terms of parental involvement, the licensed
teacher did communicate that John’s parents rarely make it to conferences to discuss John’s
progress in the classroom. John’s diagnosed disability is Autism and he is also severely diabetic.
One of the teacher aides is responsible for checking his blood sugar levels around 11:00pm every
day and a nurse comes in to give him his insulin shot around lunch time. He is nonverbal but
uses his PE cards to communicate his wants and needs. He understands and follows verbal
commands. He does most of his academic work by matching and handing staff the card with the
correct answer. He follows a visual schedule, checking off when he completes a task. He can
print his first name with prompts at 80% accuracy. He can eat his lunch independently with
100% accuracy but at times must be fed as he doesn’t want to eat his necessary foods for his
diabetic diet. John’s overall academic abilities are below average. Compared to his typical peers,
John is showing a deficit in self-help skills. In terms of his present levels of functional
performance, John can eat independently. He can also change his pull-up and only needs
assistance when he has a bowel movement. He can put on and take off his shoes, coat, and
The targeted task that will be focused on for this project will be teaching John how to
brush his teeth properly without any assistance. As John is getting older, it is important for him to
learn personal hygiene skills such as brushing his hair, washing his face, and putting on
deodorant. Like all children, children with autism spectrum disorder (ASD) need to take extra
care with personal hygiene, especially when they reach puberty. John has not had too much
difficulty in learning new hygiene skills. When prompted, he can put on his deodorant and brush
his hair with a comb. The targeted task of brushing teeth was chosen for this task analysis and
chaining project because it is a task that John’s teacher believes is an important step on his path
him to understand the importance of having clean teeth and having a neat appearance. The
challenge for John is knowing when to brush his teeth and how to execute the steps properly in
sequence. John has some familiarity with brushing his teeth in the classroom. This task has been
introduced to John by his special education teacher in the past and will be taught to mastery
Task Analysis
complex tasks into subtasks that are easily understandable and manageable. The resulting
subtasks, which when carried out in sequence, lead to the desired goal. Task analysis has been
used widely in special education to help students master activities independently (2013). The
task analysis was constructed after observing how other students performed the targeted task and
how the task is performed personally. The assessor broke the task down into fifteen steps that are
Running head: TASK ANALYSIS AND CHAINING PROJECT 4
all required in order for the task to be completed. The task analysis used for this chaining
Session------------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
-------
1. pick up I I I I I I I I I I I I I I I
toothbrush
I = Independent B = Baseline
V = Verbal Prompt
When preparing to write up a task analysis, it is important to use the learner’s present
level of performance on their IEP/IFSP goals and their teachers/practitioners should identify the
prerequisite skills that are necessary for the learner to have in order to perform the target skill.
Often this is done by collecting baseline data on performance of the target skill (Szidon &
Franzone, 2009). There are a few prerequisite skills required for John to successively complete
the task analysis for brushing his teeth. First, John needs to know where the sink and paper towel
Running head: TASK ANALYSIS AND CHAINING PROJECT 5
dispenser is located within the classroom. Next, John needs to know where his toothbrush and
toothpaste are located and how to look for the label on them indicating that they are his. John
must have the hand strength to squeeze out a pea-size amount of toothpaste onto his toothbrush.
He must also know what a pea looks like in order to understand how much is needed. Finally,
John must have the strength to pull down on the paper towel dispenser in order to use the paper
Chaining Procedure
The chaining process itself involves prompting to evoke a behavior. A transfer of stimulus
control is then used to eliminate the prompts in order to get the behavior to occur in the presence
of the relevant discriminative stimulus. For this project, the process of forward chaining was
used to teach John how to brush his teeth. With forward chaining, you present the first stimulus,
prompt the correct response, and provide a reinforcer after the response (Miltenberger, 2014).
The assessor will then fade the prompts until the person is engaging in the first response without
any prompts before moving on to the second response. The use of chaining techniques to teach
functional skills to students with mild to moderate disabilities has shown to be successful.
Research published in the Journal of Occupational Therapy, Schools, and Early Intervention by
Cindy Lee Supawadee showed a study that investigated the effects of forward and backward
chaining techniques on dressing skills in school-aged children with moderate mental retardation.
Six children between the ages of 6 and 10 were randomly assigned to either a forward or
backwards chaining group. The findings of this study revealed that all the participants in both
groups showed significant improvement in the skill for dressing ( Supawadee, 2009).
In another study, forward chaining was combined with stimulus fading to address the
high-risk physical aggression and property destruction behavior of an adult male with an Autism
Running head: TASK ANALYSIS AND CHAINING PROJECT 6
Spectrum Disorder. A task analysis was also put together to allow the individual to participate in
van rides when prompted with no displays of aggressive behavior. The results of this study
showed that the combination of task analysis/chaining and prompt fading were effective in
teaching a new behavior. The individual was extremely aggressive during his initial refusal to get
in the van during the baseline phase. Once the fading began and they progressed further into the
forward chaining procedure, his displays of refusal and aggression decreased (Guercio &
Cormier, 2015).
Results
Brushing Teeth
16
Number of Steps Completed Independently
14
12
10
0
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Session
Running head: TASK ANALYSIS AND CHAINING PROJECT 7
Verbal Prompts
Ses si on 15
0
Ses si on 14
0
Ses si on 13
0
Ses si on 12 1
Ses si on 11
0
Ses si on 10 2
Ses si on 9 3
Ses si on 8 4
Ses si on 7 5
Ses si on 6 5
Ses si on 5 4
Ses si on 4 3
Ses si on 3 8
Ses si on 2 8
Ses si on 1 8
technique for John. His baseline data showed that he already knew how to do quite a few steps
independently without any prompting. After the first 3 sessions, he needed fewer verbal prompts
and was able to complete more of the steps independently. By the time John got to the
intervention phase, he was able to do more steps independently than expected. The forward
chaining technique continued to be employed as John continued to require fewer verbal prompts.
By session 11, John was able to successively brush his teeth and complete all fifteen steps
Future Recommendations
One aspect of this study that I did not think about before starting was the amount of
interval time I would have to account for between sessions. Unlike other tasks such as washing
hands or zipping up a coat, it would be unethical of me to have John brush his teeth more than
twice within one hour. Taking this into account, I had to make sure that I was allowing enough
time in between session so as not to push John to a place where he would uncomfortable. All in
Running head: TASK ANALYSIS AND CHAINING PROJECT 8
all, John did very well with this task. I have confidence that John can now successfully brush his
teeth on his own. Moving forward, John’s teacher would like to see him be able to wash his face
on his own. I think this is an attainable goal that John would be able to reach through a chaining
process. This is also another skill that John will need for the rest of his life and is important to
personal hygiene.
Bibliography
Guercio, J. M., & Cormier, R. J. (2015). Blending Stimulus Fading Procedures with Forward
Cengage Learning
Srinivasan, B., & Parthasarathi, R. (2013). An intelligent task analysis approach for special
Szidon, K., & Franzone, E. (2009). Task Analysis. Madison, WI: National Professional
Wisconsin.