Preparing staff to enhance active participation of adults with severe disabilities by offering choice and prompting performance during a community purchasing activity

The purpose of this study was to evaluate the effects of a multicomponent staff training package on the number of choice responses and performance responses made by adults with disabilities in a community purchasing activity. The multicomponent training package included an inservice (written manuals, a verbal explanation of the information, role play activities, and video examples) performance feedback sessions in the community context, and self-monitoring instruction. Primary data were collected on how each staff offered choices and prompted performance with an individual with severe disabilities in three different fast food restaurants per week. Secondary data were collected on the number of choices individuals with disabilities made and the level of their performance during a purchase in a fast food restaurant. The findings showed that all four of the staff did not give opportunities for choices and used intrusive prompting or performed the skill for the person in baseline, but mastered these skills the first probe after the training sessions. In addition, the staff generalized offering choices and prompting performance across settings and adults with disabilities and maintained the skills. Also, the adults with disabilities increased the number of choice responses they made as well as their level of performance (compared to baseline) after the staff received the intervention. (C) 2001 Elsevier Science Ltd. All rights reserved.