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Naturalistic Intervention (NI)

A collection of techniques and strategies that are embedded in typical activities and/or routines in which the learner participates to naturally promote, support, and encourage target skills/behaviors

Evidence Based
Ages: Skip to Evidence

Steps for Implementation

Step 1. Identifying a Target Behavior

  1. Select a specific target behavior to be the focus of intervention. It should focus on:
    1. prelinguistic or linguistic communication and/or
    2. social skills
  2. Confirm that the target behaviors are in the learner’s Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP).

Step 2. Collecting Baseline Data

  1. Prior to intervention, determine the learner’s current use of the target skill.
  2. Collect data on the target skills a minimum of three times in more than one environment.

Step 3. Identifying the Contexts for Intervention

  1. Determine the learner’s daily schedule.
  2. Determine what motivates the learner.
  3. Identify the contexts in which naturalistic intervention will be embedded, including:
    1. learner-directed activities,
    2. routine activities, and/or
    3. planned activities.

Step 4. Providing Training to Team Members

  1. Determine who will teach the skill.
  2. Provide adequate training to team members before initiating naturalistic intervention.

Step 5. Arranging the Environment to Elicit the Target Behavior

  1. Choose motivating materials/activities to engage learners and promote the use of target skills.
  2. Manage and distribute teaching materials in a way that encourages learners to communicate.
  3. Arrange the intervention context and environment to:
    1. encourage the use of the target act/skill and
    2. maintain learners’ interest.

Step 6A. Engaging the Learner in an Interaction

Engage the learner in language-rich, learner-directed, and reciprocal interactions that involve the following techniques:

  • Following the learner’s lead
  • Being at the learner’s level
  • Responding to the learner’s verbal and nonverbal initiations
  • Providing meaningful verbal feedback
  • Expanding the learner’s utterances

Step 6B. Using Strategies Based on Applied Behavior Analysis (ABA) to Elicit Target Behaviors

  1. Select a behavioral intervention (modeling, mand-modeling, modified time delay, or incidental teaching) to elicit the target act.
  2. Implement modeling by:
    1. Establishing shared attention
    2. Presenting a verbal model
    3. Expanding the response and providing the requested material (if the learner responds to the model correctly)
    4. Providing another model (if the learner does not respond or does not repeat the model exactly)
    5. Expanding the response and providing requested material (if the learner responds to the model correctly)
    6. Providing the material and stating the corrected response (if the learner does not respond or does not repeat the model exactly)
  3. Implement mand-modeling by:
    1. Establishing shared attention
    2. Providing a verbal direction (mand) or question
    3. Expanding the response and providing the requested material (if the learner responds correctly)
    4. Providing another direction or a model (depending on learner’s needs for support) if the learner does not respond or does not respond with the target behavior
    5. Expanding the response and providing the requested material (if the learner gives the target response)
    6. Providing the material and stating the target response (if the learner still does not give the target response or repeat the model exactly)
  4. Implement modified time delay by:
    1. Establishing shared attention
    2. Waiting 3–5 seconds for the learner to make requests/comments
    3. Expanding on the request/comment and providing the requested material/activity (if the learners initiates at the target level)
    4. Providing a mand or model, depending on the learner’s needs for support (if the learner does not initiate at the target level)
    5. Expanding the request and providing the material (if the learner responds correctly)
    6. Providing the material and stating the target response (if the learner still does not give the target response or repeat the model exactly)
  5. Implement incidental teaching by:
    1. Setting up the environment to encourage the learner to request assistance or materials
    2. Waiting for learner to initiate the request
    3. Responding with a request for elaboration (if learner does not initiate with the target response)
    4. Continuing to prompt for the elaboration until learner responds appropriately
    5. Using model, mand-model, or modified time delay procedures, depending on the needs of learner (if learner does not initiate a request with the target act)

Step 7: Using Data Collection to Monitor Learner Progress and Determine Next Steps

Collect data to evaluate the success of the intervention and guide future decision making.

Research and Outcomes

Research Summary

Age Range: 0-22

Skills: Communication, social, joint attention, play, cognitive, school readiness, academic/pre-academic, adaptive/self-help, challenging/interfering behavior, motor, mental health

Settings: Home, school, community, clinic

Evidence Rating: Evidence Based

The information found in the Research Summary table is updated following a literature review of new research and these ages, skills, and settings reflects information from this review.

Outcomes Matrix

The Outcomes Matrix shows outcome areas by age for which this evidence based practice is effective
Age: 0-5 6-14 15-22
Academic/Pre-academic Yes
Challenging/Interfering Behavior Yes Yes Yes
Cognitive Yes Yes
Communication Yes Yes
Joint Attention Yes Yes
Mental Health Yes Yes
Motor Yes Yes
Play Yes Yes Yes
School Readiness Yes Yes
Self-determination
Social Yes Yes Yes
Vocational
More about Intervention Outcomes

Naturalistic Intervention (NI) is a collection of practices including environmental arrangement and interaction techniques implemented during everyday routines and activities in the learner’s classroom or home environment. These practices are designed to encourage specific target behaviors based on learners’ interests by building more complex skills that are naturally reinforcing and appropriate to the interaction. NIs are embedded in typical activities and/or routines in which the learner participates. The NI practices emerge from behavioral (e.g., applied behavior analysis) and/or developmental approaches to learning, and encompass interventions that have been noted as naturalistic developmental behavioral interventions (NDBIs; Schreibman et al., 2015) in recent literature (Steinbrenner, et al., 2020).

• Manualized Interventions Meeting Criteria: Joint Attention Symbolic Play and Emotion Regulation (JASPER), Milieu Teaching (also includes Enhanced Milieu Teaching, Prelinguistic Milieu Teaching), and Pivotal Response Treatment (PRT).

*Though Pivotal Response Training (PRT; Koegel & Koegel, 2006; Stahmer et al., 2011) has quite an expansive literature base and was categorized as its own EBP in previous literature reviews, it is often described as a Naturalistic Intervention. To provide more conceptual consistency, it has been merged into the category of Naturalistic Intervention in the 2020 literature review completed by the National Clearinghouse on Autism Evidence and Practice (Steinbrenner, et al.,). Despite this change, the TARGET still has a separate article on PRT that includes its own Steps for Implementation.