A barrier to successful community involvement for individuals with moderate to severe disabilities is the dependence upon others for acceptable task completion. The need for on-going step by step instructions and prompting to accurately complete a task is a critical problem. This article reviews research designed to improve the performance of persons with moderate to severe disabilities through the use of auditory prompting systems. Areas reviewed are the effect of auditory prompting systems on self-management, fluency of work performance, generalization across settings and resultant independent performance of tasks. Auditory prompting systems are analyzed and reviewed for improvements on these performance skills for persons with moderate to severe disabilities.
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