Scales of Prompting by Communication Partner 2025

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The Prompting Hierarchy outlines a pyramid of assistance levels used to guide individuals towards correct responses in occupational therapy settings. This hierarchy includes various prompting techniques such as gestures, indirect (verbal or nonverbal) cues, direct verbal instructions, modeling, and physical assistance.
The prompting hierarchy is a structured, systematic method of assisting a person in learning new skills. It outlines the different ways we motivate our students to get the correct answer or achieve their goals. Prompt hierarchies provide many opportunities for communication.
Levels of prompts are maximal, moderate, minimal, and independent. (See Table 3 below.) The more assistance needed, the greater the level of prompting. Explicitly specify target symbol; tell person who uses AAC to Push (name of symbol) to teach specific target; or say, Its blue, like the color of the sky, etc.
Prompt hierarchy: Independent. Gesture. Indirect Verbal. Direct Verbal. Model. Partial Physical Assistance Full-Physical Assistance.
Gesture prompts are more intrusive than verbal prompts but less intrusive than model prompts. For example, the teacher points to the door as a gesture prompt, but she walks to the door when providing a model prompt. Physical prompts are the most intrusive.
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