Urine-detecting alarms are prevalent in toilet training intervention research and clinical practice for individuals with intellectual and developmental disabilities, but the effects of urine alarms remain unclear. Urine alarms may function as punishing or reinforcing contingencies, or may merely alert trainers to accidents and improve treatment…

Over 50 years of research suggests that toilet training based on behavioral principles is effective for most individuals with intellectual and developmental disabilities (IDD). However, many adults with IDD are never effectively toilet trained. Lack of independent toileting is associated with detrimental physical, mental, and social experiences.…

Noncompliance with adult instruction is a common problem exhibited by individuals diagnosed with intellectual and developmental disabilities. The high-probability (high-p) request sequence was designed to increase compliance with low-probability (low-p) instructions by rapidly presenting high-p instructions immediately prior to the targeted low-p…