The purpose of this study was to evaluate a staff training package on staff members' ability to present single-stimulus choice opportunities in daily routines for four adults with profound mental retardation and severe physical disabilities. A multiple baseline across staff member/adult dyads was used to evaluate the effects of a three-component training package involving a consultation meeting, in vivo training using modeling and practice sessions, and feedback on the behavior of staff members and adults. Results showed an increase in the number of choices provided by the staff members and the number of choices made by the adults with disabilities. The changes in staff member behavior and adult responses were maintained immediately following training and at 1- and 3-month follow ups. Generalization data showed increased choice opportunities during the lunch routine with the same adult and during the dressing and grooming routine with another adult. Advantages of structuring choice opportunities using single-stimulus presentations are discussed.
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