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Activity
Schedules.

Refusing to transition from one activity


to the next or between steps in a sin-
gle activity can impact a student's aca-
demic progress, socialization, and
independence. Problem behaviors dur-
ing transitions can impact the effec-
tiveness of teacher instruction and dis-
rupt other students' activities. As a
result, the child with the behavior
problem may be excluded from peer
social circles. Difficulty with transi-
tions can significantly limit a student's
ability to independently complete
activities across environments
throughout the school day (e.g.,
Forest, Homer, Lewis-Palmer, & Todd,
2004; Scheuermann & Webber, 2002;
Schreibman, Whalen, & Stahmer,
2000).
Autism spectrum disorder (ASD) is
characterized by a qualitative impair-
ment in at least two of the three fol-
Kate, a first-grade general education ed daily routines. These outbursts are lowing areas: social interaction; com-
teacher, has a new student with very disruptive to the rest of the class, munication; and restricted repetitive
Asperger's syndrome in her classroom. and some of the other students have and stereotyped patterns of behavior,
John has a very difficult time moving begun to avoid John during classroom interests, and activities. In addition,
from one activity to the next. Often he individuals diagnosed with autism
activities. John's parents report similar
will simply refuse to transition to the demonstrate delays or abnormal func-
difficulties at home during transitions
next activity by sitting down on the tioning with onset before age 3 in
floor and not moving. Other times he or changes in his schedule. Kate needs
social interaction, language used for
will scream and physically lash out at to find some research-based strategies social communication, and/or symbolic
his peers and the teacher. Kate noticed to help John more readily accept or imaginative play (American Psychi-
that the problem behaviors usually changes in his schedule and daily atric Association, APA, 2000). Students
occur during a change in his anticipat- activities. diagnosed with ASD often struggle

16 COUNCIL FOR EXCEPTIONAL CHILDREN


Helping Students With Autism
Spectrum Disorders in General
Education Classrooms Manage
TransitionIssues
Devender R. Banda I Eric Grimmett I Stephanie L. Hart

with transitions, which may lead to al., 2000). Further, many children with support systems. Visual supports, such
problem behaviors such as verbal and ASD have difficulties with communica- as picture cues and activity schedules,
physical aggression, tantrums, noncom- tion and socialization, which may con- may help reduce or eliminate the need
pliance, and self-injury (Schreibman et tribute to problem behaviors when fac- for students to rely on adults to pro-
al., 2000). ing both routine and unexpected vide assistance and clarification during
Transition problems can be especial- schedule changes (Jamieson, 2004). To scheduled and unscheduled changes.
ly evident when children with ASD are ease transitions, adults may opt to pro- Because children with ASD typically
taught in general education settings. vide support for every change within a respond to visual input as their pri-
The Centers for Disease Control and daily schedule. However, this may mary source of information (Quill,
Prevention (2007) report that the cause children with ASD to become 1995), the use of visual support sys-
prevalence of ASD was approximately overly dependent on adult caregivers to tems can supplement verbal directions
1 in 150 children and reflects an stay on task and on schedule through- when students have deficits in auditory
increase in diagnoses and special edu- out their daily activities (Heflin & processing. In addition, children with
cation servicing of children eligible Alaimo, 2007; Scheuermann & Webber, ASD may prefer photographs of people
to the people themselves; even when
directly interacting with people, these
Difficulty with transitions can significantly limit a children tend to focus on physical fea-
student's ability to independently complete activities tures rather than attending to the per-
son as an intact entity (Heflin &
across environments throughout the school day. Alaimo, 2007).
Activity schedules are a promising
educational strategy to support transi-
under "autism" designations over the 2002). The challenge to teachers is to tions for students with autism (Scheu-
past decade. Teachers can expect to provide students with the needed sup- ermann & Webber, 2002; Wetherby &
face transition problems in the general port during transitions while decreas- Prizant, 2000). An activity schedule is
education classroom with the inclusion ing dependence on adult instructions. a visual support system that combines
of students with ASD, as a general There are several strategies for photographs, images, or drawings in a
education environment can be over- reducing transition difficulties, such as sequential format to represent a target-
whelming to these children. The many choice making, incorporating preferred ed sequence of the student's day.
different activities scheduled in a typi- activities, using behavioral momentum Activity schedules provide predictabili-
cal school day are problematic for a or high-probability strategies, and rein- ty throughout the student's day and
child whose resistance to change is an forcing appropriate transition behav- allow a student to anticipate changes
inherent component of his or her iors. One promising area of interven- in the daily routine. Providing the stu-
autism (e.g., APA, 2000; Schreibman et tion for children with ASD is visual dent with increased time to process

TEACHING EXCEPTIONAL CHILDREN I MAR/APR 2009 17


schedules with students with ASD in
inclusive settings. In this article, we
describe steps to build activity sched-
ules for use in general education class-
rooms and provide examples and
resources for general education teach-
ers (see box, "Online Resources for
Activity Schedules"). By following the
steps in this article and consulting with
special education professionals, general
education teachers will have the skills
to use activity schedules to decrease
transition issues in their classrooms.

Building and Implementing


Activity Schedules
Step 1: Identify and Define Target
Transition Behaviors
First, collaborate with parents and
other teachers involved with the stu-
dent to identify difficult transition
times during the day or specific situa-
tions. Students with ASD may have
problems terminating an ongoing activ-
ity or beginning a new activity. For
example, a student may cry or throw
materials when cleaning up the art
center to transition to lunch, because

upcoming changes enhances the


opportunity for increased participation Activity schedules provide predictability throughout the student's
in existing routines and transitions
(Jamieson, 2004). Best of all, activity day and allow a student to anticipate changes in the daily routine.
schedules are easy to construct and
can be applied to existing routines in Although activity schedules are fre- the student wants to continue the cur-
general education classrooms with
quently used by special education rent activity. Or, students may have
minimal effort.
teachers, general education teachers trouble beginning a new activity, like
Researchers in a number of studies
can also develop and use activity reading, if they were not able to com-
have consistently found activity sched-
ules to be an effective intervention for
children with ASD (Banda & Grimmett, Online Resources for Activity Schedules
2008; see box, "What Does the Litera- http://atto.tbtffalo.edLu/r-egisteredi/ATBasics/Populations/aac/scliedules.phip
ture Say About Activity Schedules?"). This Web site is part of the Assistive Technology TrYaining Online ProJect of
Using research-based strategies not the University of Buffalo and provides an overview of different visual sup-
only enhances teacher efficiency but port systems.
also complies with the No Child Left http://www.joeschedule.cotU/
Behind Act of 2001's directive to use For a juinimral fee, this Web site can help teachers plan, construct, and
evidence-based strategies. Researchers store their activity schedules very easily. A number of free schedules and
have found that activity schedule inter- e,xamiples are also provided.
ventions can successfully reduce prob-
lhttp)://autismi.hiealinigthiresliolds.comi/Itlerapy//visual-schedules
lem behaviors during transitions and This Web site provides more basic informnation about activity schedules, as
increase daily living skills, social well as a list of pertinent references.
behavior, and social initiation in stu-
WWW.m-aylýer-.johinsoni.com
dents with ASD (Banda & Grimmett;
Mayer-Johnson is the creator of Board na ker"11, a leading Picture commnunti-
Heflin & Alaimo, 2007; Scheuermann &
cation symnbol program.
Webber, 2002).

18 COUNCIL FOR EXCEPTIONAL CHILDREN


Figure 1. Example of Between-Activity Schedule

start homework spelling art reading seat work lunch recess

bathroom math math work gym snack pack up go home stop

4,2
--a
Note. Picture Communication Symbols © 1981-2008 by Mayer-Johnson LLC. All rights reserved worldwide. Used with permission.
Boardmaker® is a registered trademark of Mayer-Johnson LLC.

plete a required math worksheet. A ble completing multiple steps in a task Figure 2. Example of
problem behavior may also occur analysis-for example, a student who Within-Activity Schedule
when a schedule is changed, even if writes her name on the paper but does
the new activity is as desirable as the not begin the assignment-may need a
missed activity, such as a student who within-activity schedule (see Figure 2).
becomes upset when it rains and A within-in activity schedule shows the
recess must be held inside. steps of a single activity in order.
Next, specifically describe the prob-
lem behavior. For example, "When Step 4: Choose a Mode of
Presentation
Susie is asked to line up for lunch, she
often screams 'No!' and hits the stu- Activity schedules can take a number
dent next to her." This clearly defines of forms, all of which can be construct-
the problem behavior so that any ed using items in the classroom. The
observer could identify how it relates most common mode of presentation is
to transition issues. a simple notebook with one picture
attached to each page (Bryan & Gast,
Step 2: Collect Baseline Data on 2000; Dettmer, Simpson, Myles, &
the Problem Behavior Ganz, 2000). Activity schedules can
Before introducing the activity sched- also be constructed on a sentence strip
ule intervention, collect data on the by attaching Velcro and sequencing
frequency or duration of problem pictures. For high-functioning students
behaviors (e.g., refusal to complete an in primary grades, a teacher might use
activity, whining, refusal to begin an multiple pictures on each page with
activity) for 2 to 3 days to establish word labels under each picture to facil-
baseline (preintervention) data. By col- itate reading skills; higher functioning
lecting baseline data, the teacher can students in later grades can generate
determine an average frequency or their own written schedules. If the
duration of behavior(s) before intro- notebook is small, the student can take
ducing the activity schedule interven- it from class to class to provide support
tion. For dangerous or harmful behav- throughout the day.
iors, the intervention can be imple- Step 5: Choose a Medium for
mented without collecting baseline
the Activity Schedule
data to avoid delaying treatment.
Activity-schedule pictures can be line
Step 3: Choose a Between-Activity drawings, photos, or even lightweight
or Within-Activity Schedule objects. Pictures should be fairly sim-
There are two types of activity sched- ple and straightforward (see Figures 1
ules: between-activity and within-activ- and 2), such as a photograph of art
Note. Picture Communication Symbols
ity. A between-activity schedule (see supplies to represent art class, and are
© 1981-2008 by Mayer-Johnson LLC.
Figure 1) shows each activity of the readily available from commercial soft- All rights reserved worldwide. Used with
day in order and may list the time for ware (e.g., Boardmaker®, Mayer permission. Boardmaker® is a trademark
each activity. Students who have trou- Johnson). Pictures should be selected of Mayer-Johnson LLC.

TEACHING EXCEPTIONAL CHILDREN I MAR/APR 2009 19


based on the student's abilities; for a direct the child to the activity schedule. respond to a classwide request to begin
student with limited cognitive abilities, After the completion of each activity, the next activity, individually address
select miniature objects (e.g., small use verbal or physical prompts as nec- the student and announce the next
ball for play) or photographs of the essary to help the student remove the activity. This type of cue will help the
student performing different activities. picture of the completed activity, put child focus on the next activity rather
For higher functioning students, use the picture in the finished pocket/ than allowing his refusal to escalate
abstract representations, such as clip basket, and begin the next activity on into a tantrum. Gradually provide
art, line drawings, or words. The ulti- the schedule. Then give praise for com- fewer physical and verbal prompts
mate goal of the activity schedule is to pleting the activity and direct the stu- until the student is able to independ-
increase independent transitions with- dent towards the next activity or step ently complete an activity, check the
in and between activities and decrease of an activity on the schedule. (For stu- schedule, move the activity picture
problem behaviors during transition dents using portable notebooks, model from the schedule to "finished" box,
times (Bryan & Gast, 2000; Dettmer et how to cross each step or activity off and transition to the next activity. For
al., 2000; Dooley, Wilczenski, & the list after it is completed.) higher functioning students or those
Torem, 2001; Massey & Wheeler, using portable notebooks, independent
2000). Step 8: Collect Intervention Data use of an activity schedule should
Continue to collect data while using require minimal verbal or nonverbal
Step 6: Choose a Location for the activity schedule to determine if adult prompts, such as a gesture
the Schedule problem behaviors are decreasing from towards the notebook.
Attach the schedule someplace that is baseline levels. Monitor data regularly
familiar to the child and easy to see to determine the effectiveness of the Step 11: Fade the Prominence
(e.g., desk, wall, cabinet). Label the activity schedule strategy. The child of the Activity Schedule
activity schedule with the child's should begin to use the schedule more This step is intended to make the
name; have some type of container independently and display fewer prob- schedule both socially and age appro-
(e.g., envelope, basket, box) to hold lem behaviors during transitions. If the priate. Move the schedule from the
completed activity pictures. Label each strategy is not working, retrain the stu- wall into a binder and discontinue
using Velcro. Put all of the pictures intD
a one-page document and have the stu-
The ultimate goal of the activity schedule is to increase dent check or cross off each item as it
is completed. Shrink the size of the
independent transitions within and between activities and pictures and increase the size of the
decrease problem behaviors during transition times. words until the schedule uses words
only. When the student no longer
activity in words (e.g., lunch) to pro- dent using the procedure outlined in needs to physically check off each
mote literacy skills and reduce depend- Step 7. item, remove the binder. The schedule
ency on pictures. Tell the student that can be laminated and attached to the
the schedule will show him/her what Step 9: Add New Pictures student's desk.
to do next throughout the day. For stu- or Words Finally, shrink the size of the text,
dents with portable notebooks, talk When the student is able to transition print, and laminate the schedule so
with the student to plan where to keep within or between selected activities, that it can be folded to fit in a wallet cr
the notebook (e.g., desk or backpack) even with prompts, extend the use of purse. At this point, the schedule is
during each activity or class. Pages the activity schedule to cover a longer essentially a list of activities. "Pocket"
from written activity schedules can be period of time within the same setting schedules can be continued into the
placed into protective plastic sheets so or subject. For example, if a student teenage and adult years.
that the student can use an overhead uses an activity schedule to complete
or dry erase marker to cross off com- an independent writing activity, add Step 12: Promote Generalization
pleted steps each day. steps to guide the student to complete Across Activities and Settings
the subsequent small-group writing Apply activity schedules to transitions
Step 7: Train the Student to Use activity. This way, more pictures or in as many settings as possible. As the
the Activity Schedule words can be added as the student student learns to use the activity
Training the student to use the activity begins using the activity schedules schedule, steps for additional activities
schedule is an important step. The independently. may be added to increase the student'3
majority of successful interventions uti- level of independence. For example,
lizing activity schedules use some type Step 10: Fade Prompts being able to complete a sequence of
of training through modeling and/or As a student becomes more independ- "name on paper, color, cut, glue, and
prompting (Banda & Grimmett, 2008). ent in the use of the schedule, reduce turn in" to complete a vocabulary
During the training period, routinely prompting. If a student does not worksheet suggests the student may be

20 COUNCIL FOR EXCEPTIONAL CHILDREN


The strength of activity schedules is the ease in which with autism to use photographic activity
schedules: Maintenance and generaliza-
they can be planned, constructed, and incorporated into tion of complex response chains. Journal
of Applied BehaviorAnalysis, 26, 89-97.
existing activities across a number of settings. Massey, N. G., & Wheeler, J. J. (2000).
Acquisition and generalization of activity
ready to use an activity schedule to fol- Autism and Developmental Disorders, 30, schedules and their effects on task man-
553-567. agement in a young child with autism in
low steps in a math activity. The
Centers for Disease Control and Prevention an inclusive pre-school classroom. Educa-
strength of activity schedules is the tion and RTaining in Mental Retardation
(2007, February 9). CDC releases new
ease in which they can be planned, data on autism spectrum disorders (ASD) and Developmental Disabilities,35,
constructed, and incorporated into from multiple communities in the United 326-335.
existing activities across a number of States [Press release]. Retrieved February Morrison, R. S., Sainato, D. M., Bencha-
22, 2007, from http://www.cdc.gov/od/ aban, D., & Endo, S. (2002). Increasing
settings, Following initial training, chil-
oc/media/pressrel/2007/rOt7O208.htm play skills of children with autism using
dren with ASD can use activity sched- Dauphin, M., Kinney, E. M., & Stromer, R. activity schedules and correspondence
ules to independently complete com- (2004). Using video-enhanced activity training. Journal of Early Intervention,
plex tasks and remain engaged in a schedules and matrix training to teach 25, 58-72.
variety of settings and situations sociodramatic play to a child with Pierce, K. L., & Schreibman, L. (1994).
autism. Journal of Positive Behavior Teaching daily living skills to children
(MacDuff, Krantz, & McClannahan, Interventions, 6, 238-250. with autism in unsupervised settings
1993). Home-based activity schedules Dettmer, S., Simpson, R. L., Myles, B. S., & through pictorial self-management.
may be implemented to increase partic- Ganz, J. B. (2000). The use of visual sup- Journal of Applied Behavior Analysis, 27,
ipation in leisure activities, social inter- ports to facilitate transitions of students
471-481.
with autism. Focus on Autism and Other
action, self-care, and housekeeping Quill, K. A. (1995). Visually cued instruc-
Developmental Disabilities,15, 163-169.
tasks (Krantz, MacDuff, & McClan- tion for children with autism and perva-
Dooley, P., Wilczenski, F. L., & Totem, C.
sive developmental disorders. Focus on
nahan, 1993). (2001). Using an activity schedule to
smooth school transitions. Journal of Autistic Behavior, 10, 10-20.
Final Thoughts Positive Behavior Interventions, 3, 57-61. Scheuermann, B., & Webber, J. (2002).
Forest, E. J., Homer, R. H., Lewis-Palmer, T., Autism: Teaching DOES make a differ-
Activity schedules have been shown to ence. Belmont, CA: Wadsworth-Thomson
& Todd, A. W. (2004). Transitions for
be effective interventions for students young children with autism from pre- Learning.
with ASD, and can be considered an school to kindergarten. Journalof Schreibman, L., Whalen, C., & Stahmer, A.
evidence-based teaching strategy that Positive Behavior Interactions, 6, 103-112. (2000). The use of video priming to
Hall, L. J., McClannahan, L. E., & Krantz, P. reduce disruptive transition behavior in
may help students transition more easi-
J. (1995). Promoting independence in children with autism. Journal of Positive
ly between scheduled routines and integrated classrooms by teaching aides Behavior Interventions, 2, 3-11.
activities. Activity schedules also have to use activity schedules and decreased Watanabe, M., & Sturmey, P. (2003). The
shown promise in teaching on-task prompts. Education and TRaining in effect of choice-making opportunities
behaviors and can serve as a valuable Mental Retardation and Developmental during activity schedules on task engage-
Disabilities,30, 208-217. ment of adults with autism. Journal of
support in helping students with ASD Heflin, L. J., & Alaimo, D. F. (2007). Autism and Developmental Disorders, 33,
manage the multiple tasks typically Students with autism spectrum disorders: 535-538.
found in inclusive settings. By follow- Effective instructionalpractices. Upper Wetherby, A. M., & Prizant, B. M. (2000).
ing the steps presented in this article, Saddle River, NJ: Pearson Education. Autism spectrum disorders: A transaction-
Jamieson, S. (2004). Creating an education- al developmental perspective. Baltimore:
general education teachers can plan
al program for young children who are Paul H. Brookes.
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meet the needs of individual students 165-177.
Devender R. Banda (CEC TX Federation),
with ASD. Krantz, P. J., MacDuff, M. T., & McClan-
Assistant Professor of Special Education;
nahan, L. E. (1993). Programming partic-
Eric Grimmett (CEC TX Federation),
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with autism: Parents' use of photographic Doctoral Student in Special Education;
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Enhancing social and transition behav- dure. Journalof Applied Behavior Address correspondence to Devender R.
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activity schedules: A review. Education Krantz, P. J., & McClannahan, L. E. (1998). University, Box 41071, Lubbock, TX 79409-
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Bryan, L. C., & Gast, D. L. (2000). Teaching beginning readers. Journal of Applied TEACHING Exceptional Children, Vol. 41,
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TEACHING EXCEPTIONAL CHILDREN I MAR/APR 2009 21


COPYRIGHT INFORMATION

TITLE: Activity Schedules: Helping Students with Autuism


Spectrum Disorders in General Education Classes Manage
Transition Issues
SOURCE: Teach Except Child 41 no4 Mr/Ap 2009

The magazine publisher is the copyright holder of this article and it


is reproduced with permission. Further reproduction of this article in
violation of the copyright is prohibited. To contact the publisher:
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