Effective instructional procedures for teaching individuals with severe disabilities in motor skills

The purpose was to describe effective instructional procedures used to teach motor skills to individuals with severe disabilities. Five effective instructional procedures supported with experimental data in adapted physical education are identified through the review of literature: (a) response shaping, (b) increasing prompt hierarchy, (c) decreasing prompt hierarchy, (d) constant time delay, and (e) progressive time delay. The characteristics, documentations, guidelines, and recommendations for application of these procedures are described.     

Teaching autistic children to use extra-stimulus prompts

Autistic children often do not transfer from extra-stimulus prompts, and thus do not utilize a frequent learning aid. It has been hypothesized that this is due to stimulus overselectivity; a failure to respond to simultaneous multiple cues. This study was designed to determine if autistic children who initially respond only to single cues can be taught a set to respond to two cues and subsequently utilize an extra-stimulus (pointing) prompt. Four autistic children were pretested to determine if they could learn a complex visual discrimination by either trial and error or an extra-stimulus prompt fading procedure. Since they did not, the children were then taught to respond to two cues through a multiple-cue training procedure and subsequently tested to determine if they could now utilize a pointing prompt. Results indicated that while all four children initially did not transfer from an extra-stimulus (pointing) prompt, they did so subsequent to multiple-cue training. The results are discussed in terms of implications for treatment (remediating overselectivity) and in relation to normal child development.     

Communication comforting strategies and social bereavement: Verbal and nonverbal planning and appropriateness

Abstract

Based on Applegate's (1980) hierarchy of comforting strategies, this study assessed the effects of verbal planning (e.g., Berger & Bell, 1988; Infante, 1980) and nonverbal planning on the perceived appropriateness of comforting communication. Participants indicated their verbal and nonverbal communication strategies in response to a hypothetical bereavement scenario, and these strategies were coded into Apple-gate's (1980) hierarchy. Bereavement counselors also rated the appropriateness of each respondent's comforting message strategies. Results are discussed in terms of reflection-enhancing relational strategies and the bereavement counselors' perspectives of the effects on surviving family members.     

Exploring experiences of children in applying a school-based mindfulness programme to their lives

Evidence for the effectiveness of mindfulness-based interventions for children and young people’s well-being is growing, particularly within educational settings. To date, very few studies have explored how children experience and apply mindfulness. This qualitative study investigated how children who received long-term mindfulness training applied mindfulness to their everyday lives. Year 6 Children (average age 11) were interviewed in three focus groups with their peers, in a semi-structured format, and the data was analysed using an inductive thematic analysis. The findings indicated that the children described mindfulness as assisting with their emotion regulation. Four themes were identified: (1) processes of emotion regulation (2) dysregulation prompt to apply mindfulness (3) challenges and strategies and (4) the conditions that support or hinder mindfulness use. These findings are discussed in the context of theories and evidence on emotion regulation, attachment, and mechanisms of mindfulness. Implications of these findings for future research of meditation-based approaches in schools, for example, self-compassion and kindness practices, are considered.     

Evaluation of stimulus intensity fading on reduction of rapid eating in a child with autism

This study assessed the effects of a vibrating pager on reduction of rapid eating. The study also evaluated two strategies for fading the pager, by intensity and by frequency. The pager was successful in decreasing the pace of eating to an appropriate level and the pager prompt was successfully faded. Fading by frequency was ineffective in maintaining an appropriate pace of eating while intensity fading was successful.     

Attendance probabilities of participants in a human experiment

This study investigated how different prompting strategies affected the attendance probabilities of 60 undergraduate students participating in an experiment. Subjects were randomly assigned to one of three conditions: no prompt, phone-message prompt, or phone-voice prompt. Analysis showed that participants in the no-prompt condition attended the study at a rate of 50%. Participants who received a phone-message prompt attended at a rate of 55%, while participants who received a phone-voice prompt attended at a rate of 100%.     

Embedding an identity-matching task within a prompting hierarchy to facilitate acquisition of conditional discriminations in children with autism

Least-to-most prompting hierarchies (e.g., progressing from verbal to modeled to physical prompts until the target response occurs) may be ineffective when the prompts do not cue the individual to attend to the relevant stimulus dimensions. In such cases, emission of the target response persistently requires one or more of the higher level prompts, a condition called prompt dependence (Clark & Green, 2004). Reinforcement of differential observing responses (DORs) has sometimes been used to ensure that participants attend to the relevant stimulus dimensions in matching-to-sample (MTS) tasks (e.g., Dube & McIlvane, 1999). For 2 participants with autism, we embedded an identity-matching task within a prompting hierarchy as a DOR to increase the likelihood that the participants attended to and discriminated the relevant features of the comparison stimuli in an MTS task. This procedure was compared with a traditional least-to-most prompting hierarchy and a no-reinforcement control condition in a multielement design. Results for both participants indicated that mastery-level acquisition of spoken-word-to-picture relations occurred only under the identity-matching condition. Findings are discussed relative to the use of DORs to facilitate acquisition of conditional discriminations in persons with autism or other conditions who do not attend to the comparison stimuli.     

Sentence contexts as facilitators of noun pair learning in children

Fifth graders were asked to learn noun pairs embedded in sentence contexts varied in terms of verb voice and grammatical relations. Also, their ability to reproduce sentence contexts for nouns was examined. Recall was prompted with both first- and final-position nouns. Results indicated that variations in deep structure grammatical relations but not surface structure complexity influenced noun pair retrieval. Subjects' incidental memory for the deep structure of sentences was substantial, suggesting that learners were noticing and making use of the meaningful relations aroused between nouns by the contexts. Various sentence generative strategies involving verb voice and noun prompt position were noted.     

Children's episodic and generic reports of alleged abuse

With the present data, we explored the relations between the language of interviewer questions, children's reports, and case and child characteristics in forensic interviews. Results clearly indicated that the type of questions posed by interviewers—either probing generic or episodic features of an event—was related to the specificity of information reported by children. Further, interviewers appeared to adjust their questioning strategies based on the frequency of the alleged abuse. Children alleging single instances of abuse were asked more episodic questions than those alleging multiple abuses. In contrast, children alleging multiple incidents of abuse were asked a greater proportion of generic questions. Given that investigators often seek forensically relevant episodic information, it is recommended that training for investigators focus on recognition of prompt selection tendencies and developing strategies for posing non‐suggestive, episodically focused questions. Copyright © 2010 John Wiley & Sons, Ltd.     

A COMPARISON OF TWO PHYSICAL GUIDANCE PROCEDURES IN THE TREATMENT OF PEDIATRIC FOOD REFUSAL

Physical guidance procedures can be effective in the treatment of severe pediatric food refusal. Researchers evaluating the use of physical guidance procedures often include a procedure referred to as a jaw prompt, but other variations of physical guidance may also be effective. An additional form of physical guidance, the finger prompt, might increase food acceptance. We evaluated nonremoval of the spoon and physical guidance (jaw prompt or finger prompt) in a reversal design. Results showed treatment packages including both procedures were effective in increasing food acceptance and decreasing inappropriate mealtime behavior. Copyright © 2013 John Wiley & Sons, Ltd.     

EFFECTS OF WITHIN-STIMULUS AND EXTRA-STIMULUS PROMPTING ON DISCRIMINATION LEARNING IN AUTISTIC CHILDREN1

Two different prompting procedures to teach visual and auditory discriminations to autistic children were compared. The first involved presenting an added cue as an extra-stimulus prompt. This required the child to respond to both prompt and training stimulus. The second involved the use of a within-stimulus prompt. This consisted of an exaggeration of the relevant component of the training stimulus and thus did not require that the child respond to multiple cues. The results indicated that (1) children usually failed to learn the discriminations without a prompt, (2) children always failed to learn when the extra-stimulus prompt was employed but usually did learn with the withinstimulus prompt, and (3) these findings were independent of which modality (auditory or visual) was required for the discrimination.     

Patient preferences for physician persuasion strategies

This study investigated patient preferences for various types of physician persuasion strategies. Four types of persuasion strategies were utilized which involved combination of high and low levels of affectivity and information. In addition, patient variables, receiver apprehension and health beliefs were introduced to predict preference choices by patients. Results indicated that patients are influenced in their decision-making (preferences) by the type of persuasive strategy employed. Further, patients with different characteristics and predispositions prefer different persuasive strategies. The results of this study suggest that the success of physician persuasiveness is dependent upon the type of strategy used and the type of patient being persuaded.     

Responses of Preschoolers in Two Frustrating Episodes: Emergence of Complex Strategies for Emotion Regulation

Although research on young children's abilities to organize emotional states has increased in recent years, little is known about the emergence of complex strategies for emotion regulation in preschoolers. In the present study, emotion-regulation strategies used by 52 normally developing 3- and 4-year-olds were examined. Children and their primary caregivers (50 mothers, 2 fathers) participated in 2 controlled frustration episodes that were videotaped. Four types of strategies were coded: comforting behaviors, instrumental behaviors, distraction behaviors, and cognitive reappraisals. Results indicated that 3-year-olds used proportionately more instrumental strategies than 4-year-olds, and parents of 3-year-olds showed the same pattern, whereas parents of 4-year-olds did not. Moreover, 3-year-olds used a variety of strategies when frustrated, including cognitive reappraisals. Significant positive correlations were found between the types of strategies used by the children and by the parents to help their children. It is suggested that children may be using strategies to organize their emotional states before they are able to accurately report on them.     

Responses of preschoolers in two frustrating episodes: emergence of complex strategies for emotion regulation

Although research on young children's abilities to organize emotional states has increased in recent years, little is known about the emergence of complex strategies for emotion regulation in preschoolers. In the present study, emotion-regulation strategies used by 52 normally developing 3- and 4-year-olds were examined. Children and their primary caregivers (50 mothers, 2 fathers) participated in 2 controlled frustration episodes that were videotaped. Four types of strategies were coded: comforting behaviors, instrumental behaviors, distraction behaviors, and cognitive reappraisals. Results indicated that 3-year-olds used proportionately more instrumental strategies than 4-year-olds, and parents of 3-year-olds showed the same pattern, whereas parents of 4-year-olds did not. Moreover, 3-year-olds used a variety of strategies when frustrated, including cognitive reappraisals. Significant positive correlations were found between the types of strategies used by the children and by the parents to help their children. It is suggested that children may be using strategies to organize their emotional states before they are able to accurately report on them.     

A TRANSACTIONAL ANALYSIS OF COMPLIANCE-GAINING BEHAVIOR

This study investigated how persuasive agents modify their compliance-gaining message strategy selection when they are confronted with noncompliant male and female persuasive targets in a variety of relational contexts. Based on instrumental learning theory, it was hypothesized that persuasive agents in noninterpersonal contexts would respond to noncompliant persuasive targets by increasing their preference for punishment-oriented message strategies and decreasing their preference for reward-oriented message strategies, whereas persuasive agents in interpersonal contexts would increase their preference for reward and punishment-oriented message strategies. Results confirmed the hypothesis. Moreover, males were expected to respond to noncompliant persuasive targets with more punishment-oriented strategies than females, and females were expected to use more rewarding strategies to secure compliance from noncompliant persuasive targets. However, results indicated that females responded to noncompliant persuasive targets with more punishment and reward-oriented strategies than males. Results also showed that the effects of persuasive agents' gender on message selection is mediated by the gender of persuasive targets and the duration of the relational consequences.     

A PROGRAM FOR INCREASING MANUAL SIGNING BY AUTISTIC AND PROFOUNDLY RETARDED YOUTH WITHIN THE DAILY ENVIRONMENT

A program was implemented to increase the manual signing of five profoundly retarded and four autistic youth within their daily environment. Each participant was nonvocal or minimally vocal. The program was based on modified incidental teaching strategies and was implemented by direct care personnel under supervision in an institutional setting. Specific components included rearranging the physical environment to prompt signing, altering routine staff-resident interactions to prompt, manually guide and/or reinforce signing; and conducting mini-training sessions. Additionally, staff modeled signs intermittently throughout the day. The program was sequentially implemented during two staff work shifts on each of two resident living modules. Observations conducted at four separate time periods during the day indicated that significant increases in signing occurred for all participating youth and that the increases generally maintained during follow-up checks at 5 and 17 weeks. Differential effects of the increased signing on frequency of vocalizations were noted across residents. A staff acceptability survey indicated favorable staff reports on the usefulness of signing to communicate with the youth. Results are discussed regarding the significance of manual signing for seriously developmentally disabled persons and the importance of ensuring that signing skills are used in the daily environment and not exclusively in formal training sessions. Also, areas for continued research are noted in terms of more refined analyses of client skills and subsequent progress in manual communication programs.     

Increasing social initiations in children with autism: effects of a tactile prompt

An ABAB design was used to assess the effects of a tactile prompting device (i.e., a vibrating pager) as a prompt for the social initiations of 3 children with autism during free-play activities with typically developing peers. Results indicated that the tactile prompt was effective in increasing verbal initiations for all 3 children, and responses to peers' initiations were higher for 2 participants when the tactile prompt was used. Efforts to reduce the frequency of prompts while still maintaining rates of initiations were partially successful for 1 participant.     

Components of "authority" as determinants of compliance.

This study investigated factors affecting compliance, to orders from a formal authority. The design created a two-level status hierarchy in which subjects occupied identical low-status positions and responded to demands from a simulated high-status leader. Four components of authority-normativity,coervice power, collective justification, and success-failure-were manipulated as independent variables. Another component, the endorsement accorded the leader, was included in the design as a measured variable. Results indicated that compliance increased significantly when coervice power was high (rather than low), when justification was collective (rather than partisan), and when demands were normative (rather than counternormative). Contary ti the theoretical expectation, endorsement did not affect compliance by low-status members. The findings show that the normative aspect of legitimacy serves as a compliance-gaining base even when stripped of enforcing sanctions and under-lying goals and that the distinction between normativity and endorsement is valid for research on social power.     

Further analysis of modifications to the three-step guided compliance procedure to enhance compliance among children with autism

Three-step guided compliance (vocal prompt, vocal plus model prompt, vocal prompt plus physical guidance) is a commonly used procedure to increase compliance among children with intellectual disabilities. Previous research has suggested that under some conditions, slight modifications to the three-step procedure may enhance its effectiveness. These modifications include omitting the model prompt and decreasing the interprompt interval. In the current study, we evaluated another modification to the procedure: the delivery of a high-preference item contingent upon compliance with the first vocal prompt (i.e., differential reinforcement). For 2 participants with autism, compliance remained low when we implemented differential reinforcement and the guided compliance procedure in isolation. However, compliance improved when we combined differential reinforcement and the three-step guided procedure, suggesting that for at least some children, the combination of contingent access to a high-preference item and the guided compliance procedure is more effective than either intervention alone.