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Washing Hands

Hygiene Ages 2-3

Executive function strategies

3 strategies
1

Predictable Cue + Visual Steps

Use the same verbal phrase every time: "Wash hands time." Post a 5-icon picture strip at the sink: (1) turn on water, (2) wet hands, (3) soap, (4) scrub 10 sec, (5) rinse and dry. Predictability reduces initiation difficulty.

2

Sensory Prep

Test water temperature before your child approaches. Some children with sensory sensitivities are highly sensitive to water temperature or the feeling of soap. Allow him to use a pump soap vs. bar soap based on preference. A rough or scratchy towel can derail a successful hand wash - keep a soft, preferred towel accessible.

3

Errorless Learning with Backward Chaining

Do all the steps for him except the very last one (drying hands). Let him do only that step with praise. Once mastered, add the second-to-last step. Build the chain backward until he does the full sequence. This guarantees success at every session.


Activity game

Game idea

Bubble Countdown

Pump soap and count bubbles together as you rub hands. Count to 10 out loud (or with fingers) before rinsing. You can make counting silly - different voices, animal sounds for each number. The counting acts as a built-in timer and keeps hands scrubbing long enough to be effective.


ABA

Catch him doing it right - every time

Continuous Reinforcement

While your child is learning to wash his hands, reward every single correct attempt - not just some of them. This is called a continuous reinforcement schedule, and it builds new skills faster than rewarding only sometimes. Once the skill is solid and happens consistently, you can start rewarding every other time, then every few times. But during learning, every success needs a reaction from you.

ABA

Change what happens before, not just after

Antecedent Modification

In ABA, we look at what happens right before a behavior (the antecedent) and ask: can we change that to make the right behavior more likely? For hand washing, that means: put the soap and towel where your child can reach them, make sure the water temperature is already set, have a visual schedule on the wall. Set the environment up for success before you ever give the instruction. Most resistance is really a setup problem, not a behavior problem.

Remember: For , consistency is more powerful than perfection. Repeat the same strategies in the same way each day - it may take 10-20 repetitions before a routine becomes internalized.

Press the button when your little one is done!

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