What is prompt dependence?
So let’s clarify – not all prompts are bad. We need prompting. Everyone needs prompting to learn new skills – even us! You should have seen the amount of prompting I needed last week at a new workout class involving huge elastic bands hanging form the ceiling (it wasn’t pretty…). Prompting helps us teach our students new skills. However the problem becomes that our students have mastered the skill but are still needing that prompt from us. That is what we call prompt dependency.

How can we prevent and reduce prompt dependency?
Always Make a Plan for Fading
Use Least to Most Prompts When Needed
Least to most prompts will go in this order:
- Natural Cue/Independence {there is always something that will show your student it is time to engage in his new skill; if you student does the skill to the natural cue in the environment without any help from you he is now independent; so for our kid that we taught to say hi when new people walk in the room; the natural cue is the person walking in the room}
- Visual {this includes pictures and text prompts; these are great because the student doesn’t need us around for these to work}
- Gestural {pointing, motioning, eye contact, etc.}
- Indirect Verbal {hinting; saying something like, “What do you need next?”}
- Direct Verbal {directly telling the student what to do; saying something like “Go check your schedule.”}
- Model {showing the student exactly what to do by doing it yourself}
- Partial Physical {touching the student or physically moving his body to engage in part of the response; for partial physical prompting you may just get the motion started like move the child’s hand to the door knob but let him twist it open}
- Full Physical {touching the student or physically moving his body to engage in the complete response; you help him finish the entire task}
Start with the least restrictive type of prompts and see if your student will be successful. Move down the list until the student can engage in the activity. Sometimes our students surprise us and need way less prompting then we think. If we started with less intrusive prompts – we are already closer to not needing them!
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23 Responses
Thank you Shasha for bringing this up. 2/3 of the IEP’s I have attended this year have brought up and over dependence on prompting. My firstt question has been, “what proactive plan or strategy is have you come up with to diminish the need for prompting?” Answer, blank stare.
[…] Posted on March 17, 2016 by mhcbcba How to Reduce Prompt Dependence […]
Ha don’t you love that. It’s the new buzz phrase but nobody knows what to do about it. Keep on asking that question!
Great post – thanks!
Thanks for reading 🙂
Thanks for posting this. I have meeting with my classroom associates and this is a great topic:)
I visit autism teachers all over the State of Texas. One true problem I see is this: “OH…they don’t need the visual schedule anymore. They have it DOWN!”. And yet, every other word out of the teacher’s mouth is a VERBAL prompt, which is the MOST intrusive of all prompts.
YIKES!
Your site is phenomenal!
Thank you!
Love your site! What’s your advice/ thoughts on dependency with one on one therapists. What I mean is, in school or home setting, any worker that assists a child in educational or behavioral goals and in doing so over time finds that the child is now dependent on that specific worker? I am a one on one coach and have had this happen many times. Are there any markers to be aware of? How do you go backwards in a sense so that the child may continue learning but not be so dependent on you?
Does there need to be a discontinuation of services ? Or other means to fix this problem? Any wisdom is greatly appreciated!
Hi Kate! I’d recommend consistently switching between assistants or therapist, work on generalization amongst people (so with different adults, parents, etc.). Also – look at teaching independent activities (where you aren’t helping at all). Hope this helps!
Any thoughts on a fifth grader with high intelligence and fluent language who is completely prompt dependent and literally doesn’t initiate any tasks? We’ve tried posting lists, tried both intermittent and consistent reinforcement, just about everything. Prompts are as faded as much as possible, but nothing happens without them. At home, the child doesn’t exit their room in the morning without a prompt. Even a text of “what should you do after you’ve turned your alarm off?” (or “hey it’s 11:00” on a weekend) will work, but without a text, the child will stay in their room all day staring at the ceiling. Same with every other task; you can set the child up with a mastered task, tell them to call to you or come get you when the task is done, and they won’t do it even with a timer that goes off. The child also doesn’t stop doing tasks that are done; the child once mopped the floor for three hours before an adult came to check in, but can accurately assess whether the floor seems clean enough. This child also doesn’t speak unless asked a question or asked specifically to speak on a topic, though has completely fluent language. They’ve had therapy since toddlerhood about how to add something on a topic, ask for clarification, etc. You can say something to them that they don’t understand, like where it’s obvious they need to ask a wh- question to figure out what’s being said, and they will just stare and nod unless you prompt them “did you understand what was being said?” and then they ask the correct wh- questions. The child also doesn’t ever pick up and start preferred activities or books, or things on a daily schedule to complete (chores, instrument practice, etc.) without a prompt. I’ve never met anyone this prompt dependent, none of the usual strategies work, and I’m completely baffled!
Sasha, any suggestions when a student becomes prompt dependent on more than 15 skills they have mastered from one day to the next? Literally overnight.
Look at reinforcement!
Thank you! I had not heard of prompt dependency before today, but now see why my autistic daughter never uses the mouthwash after brushing her teeth, even though she knows that is the next step – because she is waiting for me to tell her to, because that is what I have always done. She is so afraid to get things wrong.
We have a note up in the bathroom that says mouthwash on it, so I guess I am moving in the right direction, but as with all life, understanding why, is everything!
I’m so glad that this post was helpful! Thank you for sharing!
I’d never heard of Prompt dependent. I’m Prompt dependent and didn’t even know there was such a thing. How do you know this stuff? Amazing. Fascinating. Somehow I would have to fix myself first before being able to fix the student.
I am curious if this child ever made progress without prompts and if so, what worked? Their is a similar child at my clinic and I would love some tips since we have also tried everything you stated in your comment. Thanks in advance
Ok…so if teacher gives a parent an academic/ household chores schedule for their autictic 10 child to follow, does the parent tell the child whatt comes next OR does does the parent make the child read the schedule for themsleves to see what comes next?
The ultimate goal is independence so ideally, the child would consult the schedule independently; however, there are often a number of supported/scaffolded steps that have to be taught first. If the child is not ready for that level of independence yet, the adult should prompt the child to use the schedule. If they still need more support, the adult should model use of the schedule.
I also work with a 17 year old very similar to the one described above. He is totally prompt dependent. He can speak, but will only do so when spoken to. He will stand facing the wall until directed away from facing the wall. Any response or action taken by him always have to be brought about by a prompt – subtle prompts are enough, but nothing will happen without that prompt. I’d be very interested to hear what Sasha has to say about these extreme cases.
Really work on reinforcement! This is hard but can be a game-changer!
Can you be more specific because my student doesn’t even start a prefered activity without a prompt?
Sher will not open lunch box without a prompt. Yes, there is prefered food in the lunchbox. does not drink anything without a prompt. Doesn’t even start her reinforcer once earned without a prompt. Yes, it is a highly motivating reinforcer. She is just so conditioned to an adult telling her what to do that she just waits until that direction comes.
I would give the prompt to start and then try to fade prompts after that!