100% Mastery, Zero Independence
Leo, 4, is learning a 9-step handwashing chain. The plan specifies most-to-least prompting, 5 trials per day, and mastery at 100% independent across 3 consecutive days. For four weeks the RBT has delivered a verbal prompt before every step ('now turn on the water,' 'now get soap') and has scored '+' for any step Leo completes after a prompt. Her note reads: 'Leo 100% for 12 days - mastery met.' During a classroom observation the BCBA sees that Leo will not approach the sink without an adult saying 'wash your hands,' and the RBT admits she has been skipping the last two steps (drying, throwing away the towel) when the group is running late.
1. Why is '100%' misleading, and what should the data sheet have captured?
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Because '+' is doing two jobs at once. It records that the step happened and hides what made it happen. A step completed after a verbal prompt is a prompted response; only a step completed with no prompt is independent. Under this plan, mastery means independent, so the honest count is not 9/9.
What the sheet needs:
- Prompt-level codes per step - independent (I), verbal (V), gesture (G), model (M), physical (P) - so the data show the prompt that was required.
- A trial-level rule: independence is scored only on the first attempt, before any prompt.
- All 9 steps recorded, every trial.
Re-scored this way, Leo's four weeks are roughly 0/9 independent with a verbal prompt on every step - the opposite conclusion from 'mastery met.'
There is also a denominator problem: on the days she skipped drying and towel disposal, she was scoring 7 steps, so a '100%' on those days is not comparable to a 9-step day. The graph mixes two different chains.
2. Is a verbal prompt before every step consistent with most-to-least prompting? What is the risk?
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No. Most-to-least is a fading procedure: you start with the most intrusive prompt the learner needs (often physical), then move down a written hierarchy as performance improves, with a criterion for each shift. Delivering the same verbal prompt before every step forever is a fixed prompt, not a hierarchy, and there is no fading built into what she is doing.
Risks:
- Prompt dependency. The adult's voice becomes the discriminative stimulus for washing hands; Leo washes when told and not otherwise - exactly what the classroom observation found.
- Verbal prompts are hard to fade. They are invisible, can't be gradually reduced in physical intensity, and are easily delivered at full strength by every adult in the building.
- Prompting before the response removes the chance for Leo to respond independently, so the RBT never learns which steps he actually has.
- Contrived and mis-sequenced: the prompt also arrives regardless of Leo's behavior, so it cannot function as a consequence-shaped cue.
If the plan says most-to-least, the RBT runs the hierarchy as written. If the written plan doesn't specify the steps of the hierarchy or a fading criterion, that's a question for the BCBA, not something to improvise for four weeks.
3. Leo's team meets Friday. What should the RBT say and do about the past four weeks of data?
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She should disclose, correct forward, and not rewrite history.
- Disclose plainly: 'I prompted every step and scored + for prompted responses. The 100% reflects prompted performance; independent steps were near zero. I also ran 7 steps instead of 9 on some days.'
- Do not alter prior sheets or notes. Retroactively converting '+' to 'V' without documentation is falsification, even if the intent is accuracy. Add a dated correction note explaining what the codes meant, and mark a phase line where scoring changed.
- Restart measurement correctly: full 9-step chain, prompt codes, independence scored on first attempt, 5 trials a day as written.
- Ask for what was missing: a written prompt hierarchy with fading criteria, and a decision on whether the chain should be taught forward, backward, or total task given Leo's current skills.
- Document the integrity problem so the BCBA can decide whether to retrain or reassign the program; four weeks of instructional time were lost, and that is a clinical decision, not the RBT's to bury.