An Approach to Cleanliness Training to Support Bathroom Hygiene among Children with Autism Spectrum Disorder.

The current investigation extends the findings of previous studies on the effects of simulation and correspondence training for teaching hygiene skills. Two male participants between the ages of 5 and 6 with autism spectrum disorder (ASD) were taught hygiene skills in a clinic setting. Both participants acquired the hygiene routine. Following instruction, the participants' parents conducted probe sessions to assess generalization to the home environment. Generalization occurred for both participants. Moreover, a 6-month follow-up probe confirmed the maintenance of skills. This article provides utility to practitioners by providing a methodology for teaching hygiene after a bowel movement, demonstrating the generalization of skills from the clinic to the home, and providing a model for parent involvement.