This study investigated the effectiveness of a sequenced choice making instructional
package in teaching individuals with multiple disabilities to increase their response
behaviors when choices were presented using photographs. The instructional package
contained several components: (a) choice making cuing system, (b) extended wait time,
and (c) immediate reinforcement with the chosen item. A multiple baseline design across
individuals was used with 7 children who had multiple disabilities ranging in age from 7
to 14 years. The results indicated that the instructional package did allow four
participants to increase their frequency of response when using photographs as choice
stimuli. Four students were able to maintain their response frequencies following the end
of the study. Only four students were able to generalize their skills to differing adults.