The use of a multiple schedule to decrease toe walking in a child with autism

We evaluated a procedure in which a wristband worn by a young boy with autism signaled the availability of praise for appropriate walking and the delivery of reprimands for toe walking. In the absence of the wristband, no programmed consequences were delivered for appropriate walking or toe walking. Once toe walking decreased to criterion levels with the wristband on, we increased the number of steps during which the participant wore the wristband. Results suggest that the procedure was effective to decrease toe walking in both clinic and community settings. To assess generalization, we had the participant's mother implement the procedure; it remained effective when implemented by her.