Autherapies | Evidence-based therapies

Discrete Trial Training

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Discrete Trial Training (DTT) is a structured method within Applied Behavior Analysis (ABA) therapy that breaks down skills into small, manageable parts. Each "trial" consists of clear, simple instructions, a response from the child, and immediate feedback. DTT is effective in teaching foundational skills, including language, motor abilities, and social behaviors, through a step-by-step, highly structured approach. Children receive quick responses to correct or incorrect actions, helping reinforce the desired behavior or skill. This repetition solidifies learning and increases retention.

DTT collects data on each trial, allowing therapists to track progress and make data-driven adjustments, ensuring the child masters each skill before moving to the next. DTT may have some limitation. Skills learned in the structured DTT environment may not automatically transfer to real-life situations. Children may need additional training to apply these skills in unstructured or social settings.

The highly structured, repetitive nature of DTT might feel rigid, limiting creativity, spontaneity, or adaptability, which are essential in natural social interactions. While prompts are necessary early on, children can become reliant on them if they aren’t gradually faded. This can make independent skill use challenging outside therapy. DTT is most effective when guided by trained professionals who can set tailored goals, measure progress, and adjust as needed. Parents can work closely with therapists to understand goals and reinforcement strategies to maintain consistency. 

References

Toward Efficiency and Effectiveness: Comparing Equivalence-based Instruction to Progressive Discrete Trial Teaching

Link Source

https://pubmed.ncbi.nlm.nih.gov/36618116/


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