Research Article

What Works for You? Using Teacher Feedback to Inform Adaptations of Pivotal Response Training for Classroom Use

Table 1

Summary of PRT components and focus group feedback.

PRT component/area of needDefinitionFocus group feedback

Gains attentionTeacher must have the student’s attention before presenting an opportunity.(i) Important, but easy to forget
(ii) Difficult to ensure all students are attending in a group
(iii) Can be difficult with ASD students in general

Clear opportunity/instructionThe question/opportunity must be clear and appropriate to the task.(i) Easy to implement consistently

Maintenance tasksTasks that are easy (maintenance) must be interspersed with more difficult tasks (acquisition).(i) Difficult to identify for each student
(ii) Minimizes frustration
(iii) Difficult to train paraprofessionals

Child choice (shared control)The teacher should follow the student’s choice of tasks, to a large extent, and/or provide choices within tasks.(i) Important for maintaining student motivation
(ii) Difficult to address some goals with student-chosen materials
(iii) Not appropriate in all classroom settings/activities

Turn taking (shared control)Teacher should model appropriate behavior in the context of a give-and-take interaction with the student. (i) Difficult to implement, especially in group settings
(ii) Difficult in nonplay-based activities
(iii) Sometimes not appropriate

Multiple cuesSome instructions should involve cues that include multiple components (two or more aspects of the environment, stimuli, or activity).(i) Challenging to consistently have multiple cue materials available
(ii) Description of multiple cues in the manual is confusing
(iii) May not be appropriate for children with minimal language

Contingent consequenceReinforcement must be contingent on the child’s behavior.(i) Part of general good teaching
(ii) Challenging when the behavior is correct but not at an appropriate time

Direct reinforcementReinforcement should be natural and directly related to the desired behavior.(i) Highly effective
(ii) Some children only work for edibles or tangible reinforcers
(iii) Can be difficult to find for every skill, especially academics

Reinforcement of attemptsGoal-directed attempts to respond must be reinforced.(i) Useful strategy for keeping motivation high

Training(i) Better training materials/manual needed
(ii) Prerequisite knowledge of ABA necessary
(iii) Breakdown of components for paraprofessionals needed
(iv) Specific techniques for working in groups needed

Resources(i) How to integrate PRT with other strategies
(ii) Individualizing for each student
(iii) How to use PRT with IEP goals/curriculums
(iv) Data collection system
(v) Information/handouts for parents