INCREASING SPONTANEOUS VERBAL RESPONDING IN AUTUSTIC CHILDREN USING A TIME DELAY PROCEDURE

One oft-cited problem with teaching speech skills to autistic children isthe failure of the speech to be spontaneous. That is, the children's speech often remains underthe control of the verbal behavior of others rather than underthe control of other nonverbal referents inthe environment. We investigatedthe effectiveness of a time delay procedure to increasethe spontaneous speech of seven autistic children. Initially, the experimenter presented a desired object (e.g., cookie) and immediately modeledthe appropriate response “I want (cookie).” Gradually, asthe child imitatedthe vocalization, the experimenter increasedthe time between presentation of the object andthe modeled vocalization in an attempt to transfer stimulus control of the child's vocalization fromthe experimenter's model tothe object. Results indicated that allthe children learned to request items spontaneously and generalized this behavior across settings, people, situations, and to objects which had not been taught. These results are discussed in relation tothe literature on spontaneous speech, prompting, and generalization.     

Teaching children with autism to request help with difficult tasks

We taught three children diagnosed with autism spectrum disorder to request help using an interrupted chain procedure during which we manipulated task materials such that the child was either incapable or capable of independently completing a link of a behavior chain. We initially observed undesirable generalization of requests for help during capable trials when teaching was introduced during incapable trials for two participants and to a lesser extent for the third participant. However, with repeated exposure to differential prompting and reinforcement across incapable and capable trials, differential responding was observed across EO‐present and EO‐absent trials for all three participants during both teaching sets and one generalization set that was never exposed to teaching procedures. These findings suggest that it is important to consider the antecedent conditions under which the response should occur when teaching children to request help.     

THE EVALUATION OF CHILDREN'S PLAY MATERIALS1

Although reliable data concerning toys' safety, durability, and appeal to children would be useful to parents, educators, and toy manufacturers, systematic procedures for evaluating toys and collecting such data have not been readily available. This paper describes a technology for carrying out such evaluations with children in free-play settings. Children entering the toy-evaluation area were each given a large tag, coded to indicate their names, age, and sex, to wear on the back of their shirt. Twenty-five toys were initially displayed on a table. Children were required by an adult to check out, and later return, any toy they selected for play. Every 5 min, an observer wrote down the tag number of any child playing with each of the 25 toys. The area was open for several hours daily, and at the end of each day a supervisor completed a toy-use questionnaire that identified problems associated with toy management, safety, and durability. Each interval in which a child was recorded as playing with a toy was considered five child-minutes of use for that toy. Data were summarized after each 5- to 10-day toy evaluation to indicate the total number of child-minutes of use attributed to each of the toys tested. The toys were then ranked from the most- to least-used. This measure of toys' overall use proved to be a reliable predictor of toys' appeal across many subjects and settings, and correlated well with our other analyses of toys' use. For example, toys used by individual children for long periods of time, and those toys most often chosen from the toy table were frequently the same toys that ranked high in overall child-minutes of use. Reliable differences in toys' appeal to boys and girls of different ages were observed. To test the generality of the toy-evaluation procedures, several experiments were conducted. To find out whether the popularity of certain toys depended on the number of children playing, a series of popular toys was made available first to only a single child at a time, then to any number of children. While certain toys required the presence of two or more children before they would be used, most toys were used by children both alone and in groups. The popularity of most toys, even the least-used toys, could be increased by having an adult play alone with the children. With some toys, an adult could maintain the play of several children at a time; with other toys, only one child at a time would be engaged. Another study showed a prolonged period of enforced sampling with little-used toys almost never increased their subsequent use once the enforced sampling procedures were discontinued. Finally, we found that having multiple copies of the same popular toys did not produce much more use of the toys than having single copies. The data produced by these evaluation procedures could be helpful to parents and educators in selecting desirable toys, and to manufacturers in improving the toys they develop and market. Future research might involve developing procedures that would encourage concerned adults to carry out toy evaluations in their own communities.     

Conditional Discriminations by Preverbal Children in an Identity Matching-to-Sample Task

This study sought to develop methodology for assessing whether children aged 16-21 months could learn to match stimuli on the basis of physical identity in conditional discrimination procedures of the type routinely used in stimulus equivalence research with older participants. The study was conducted in a private room at a daycare center for children and toddlers. The child and the research sat together on the floor facing an apparatus with two windows. Stimuli to be discriminated were toys especially designed to attract the child's attention and maintain continued interest. On simple discrimination and discrimination reversal trials that were programmed in initial training, S+ and S- toys were displayed within the two windows. When the child touched the window containing the toy defined as S+ on a given trial, s/he was allowed to manipulate/play with that toy. Selections of the S- toy ended the trial without a play opportunity. On subsequent identity matching-to-sample trials, the child was first allowed to manipulate a sample toy. Then, S+ (matching) and S- (nonmatching) comparison toys were displayed within the windows, and the selection consequences were the same as on simple discrimination trials. The study provides evidence that preverbal children can master simple and conditional discrimination performances via such procedures, perhaps setting the stage for subsequent studies aimed at establishing procedural control of the discrimination baselines needed to assess the stimulus equivalence potential of children in this age range.     

THE EFFECTS OF BEHAVIOR SKILLS TRAINING ON CORRECT TEACHER IMPLEMENTATION OF NATURAL LANGUAGE PARADIGM TEACHING SKILLS AND CHILD BEHAVIOR

Natural Language Paradigm (NLP) is a naturalistic teaching strategy for children with autism that increases immediate and delayed imitative utterances, spontaneous utterances and new words, and production of utterances. NLP includes increasing child choice, varying stimulus items, loose shaping contingencies for communicative attempts, and providing reinforcers with a direct relationship to the response. Only one previous study investigated the effects of behavioral skills training (BST) on staff acquisition and generalization of implementation of NLP and child behavior. A BST package of instructions, modeling rehearsal and feedback, was used to train teachers to implement NLP teaching procedures with three pre‐school children with autism spectrum disorder. Training increased correct teacher performance systematically across all three teachers during NLP teaching sessions and with children for whom teachers did not directly receive training. Correct teacher performance increased appropriate child vocalizations and decreased maladaptive behavior for four of six children. BST is effective in quickly training teachers in the generalized implementation of complex NLP teaching procedures across children. Copyright © 2012 John Wiley & Sons, Ltd.     

Teaching Children with Autism Spectrum Disorder to Mand “Where?”

A modified multiple-baseline design across participants was used to evaluate a procedure for teaching the mand “Where?” to 3 children with autism. The participants were 3 and 5?years old and were participating in an intensive applied behavior analysis program. The participants were able to mand for items they wanted when the items were not in sight but were unable to ask where an item was located. The procedure consisted of a preference assessment for play activities, contrived conditioned motivating operations (CMO’s), prompting the children to mand “Where,” and consequences for correct and incorrect responding. Each contrived CMO consisted of an opportunity for the child to mand “Where” while playing with a selected activity, prompting the child to mand, and reinforcing a correct response by answering the question “Where.” Two of the participants learned to mand “Where” after training with 1 CMO and the mand generalized to novel contrived situations, activities, and the natural environment and was maintained over time (up to 4-weeks), whereas one participant required training with a second CMO before generalization occurred.     

TRAINING AND GENERALIZATION OF REACH-GRASP BEHAVIOR IN BLIND,RETARDED YOUNG CHILDREN

The effects of a graduated prompting treatment procedure were analyzed in three phases of an experiment on the training and generalization of reaching-grasp responding in 2- to 4-year-old blind, severely or profoundly retarded children. In Phase 1, we used a multiple-baseline across-subjects design to investigate the effectiveness of the treatment on midline reach-grasp responding. In Phase 2, we used a reversal design to investigate the effects of repeated implementations and withdrawals of the treatment. In both phases, generalization to right and left positions was measured. In Phase 3, in a multiple-baseline across-responses design, the treatment was implemented in right and left positions. Also in Phase 3, shift of stimulus control from toy-sound to verbal instructions was measured. The results showed that (a) the graduated prompting procedure was effective in training reach-grasp responding in all three children; (b) for one child, the effects were durable over repeated applications of the treatment procedure, but were not maintained during withdrawals; (c) for another child, the treatment procedure was effective in teaching reach-grasp responding in all three positions; and (d) for the same child, training of reach-grasp responding generalized to toys presented without sound, given only the verbal instruction.     

USE OF CHAINING TO INCREASE COMPLEXITY OF ECHOICS IN CHILDREN WITH AUTISM

Echoics are a critical target of language intervention for children with autism, because a well‐established echoic repertoire on the part of the child allows the clinician to use vocal modeling as a flexible, low‐effort prompting procedure during teaching. In this study, we implemented a chaining procedure to increase the complexity of echoics in 2 children with autism and 1 child with developmental delay. The procedure was effective for all 3 participants, and gains were maintained after treatment was withdrawn in most cases.     

AN EXTENSION OF INCIDENTAL TEACHING PROCEDURES TO READING INSTRUCTION FOR AUTISTIC CHILDREN

In an extension of incidental teaching procedures to reading instruction, two autistic children acquired functional sight-word reading skills in the context of a play activity. Children gained access to preferred toys by selecting the label of the toy in tasks requiring increasingly complex visual discriminations. In addition to demonstrating rapid acquisition of 5-choice discriminations, they showed comprehension on probes requiring reading skills to locate toys stored in labeled boxes. Also examined was postteaching transfer across stimulus materials and response modalities. Implications are that extensions of incidental teaching to new response classes may produce the same benefits documented in communication training, in terms of producing generalization concurrent with skill acquisition in the course of child-preferred activities.     

The gender-stereotyped nature of christmas toys received by 36-, 48-, and 60-month-old children: A comparison between nonrequested vs requested toys

This research provides normative information on the gender-stereotyped nature of Christmas toys that children received from their parents. A list of over 500 toys was obtained from the parents of 86 children between the ages of 31 and 65 months. The toys were rated and placed into gender-stereotyped groups, and were categorized into child requested or nonrequested groups. It was found that the children had considerable input into the types of toys they received from their parents for Christmas, requesting approximately one half of the toys. Toys the children requested were judged to be more gender stereotyped than nonrequested toys. Very few boys received either requested or nonrequested toys considered stereotyped for the opposite sex. In contrast, one third of the girls received at least one toy judged to be stereotyped for the opposite sex. Also, boys appeared to develop sex-typed interests in toys at an earlier age than girls, and they requested 72%, 76%, and 75% gender-stereotyped toys in the corresponding age groups of 36-, 48-, and 60-months. The girls' sex-typed interests in toys lagged behind the boys', with girls requesting 29%, 51%, and 73% gender-stereotyped toys for the same age groups. In the nonrequested condition, parents selected types of toys judged to be traditionally more sex role neutral and emphasized musical instruments, art supplies, and educational toys for their sons and educational toys for their daughters.     

Caregiver‐mediated joint attention intervention

Joint attention is a pivotal social communication skill often absent or impaired in young children with autism spectrum disorder. Joint attention is the shared and alternating attention of two individuals on an object or event, and has implications for later communication and social communication skills. This study used a concurrent multiple‐baseline design across 3 caregiver–child dyads to train caregivers to teach response to joint attention behaviors to their 3–6 years old children with moderate to severe autism spectrum disorder. Caregivers were trained on strategies including prompting, time delay, and elements of naturalistic teaching and implemented the intervention in brief 10‐min sessions 2–3 times per week. Results indicate parent mastery of intervention and substantial increase in child response to joint attention behaviors both prompted and independent. Implications for practice and areas for future research are discussed.     

A comparison of prompting methods to teach sight words to students with autism spectrum disorder

Time delay procedures are one of the most commonly used and effective strategies for teaching sight words to learners with disabilities. However, less is known about whether they are differentially effective and efficient with learners. This study compared the effectiveness and efficiency of progressive time delay and simultaneous prompting on sight word acquisition among three learners with autism spectrum disorder using an adapted alternating treatments design across word sets. For two participants, both procedures led to skill acquisition with no clear differences in efficiency. For the remaining participant, neither procedure was effective; therefore, the reading task was changed to a receptive one, and a stimulus fading intervention package was implemented.     

EFFECTS OF DIFFERENTIAL REINFORCEMENT ON THE GENERALIZATION OF A REPLACEMENT MAND IN THREE CHILDREN WITH SEVERE LANGUAGE DELAYS

We investigated variables that may influence the generalization of a replacement mand in 3 young children with severe language delays. A multiple baseline design consisting of one stimulus class of manding opportunities that we arbitrarily divided into three categories (i.e., food, toys, and events) was used for each child. During baseline probes, all children manded mainly by reaching, grabbing, or leading. We then taught each child a replacement mand using a single member of the stimulus class. Acquisition of the replacement mand occurred under highly restricted conditions in a setting that was completely isolated from the generalization settings. Postacquisition probes revealed almost exclusive use of old manding forms. Subsequently, extinction of the old forms and reinforcement of the replacement mand were introduced in a sequential fashion. Two children manifested a substantial increase, and 1 child displayed a moderate increase in the occurrence of the replacement mand (i.e., generalization occurred). These results suggest that a differential reinforcement procedure can alter the probability of the occurrence of response class members across a variety of stimulus conditions.     

TIME DELAY: A TECHNIQUE TO INCREASE LANGUAGE USE AND FACILITATE GENERALIZATION IN RETARDED CHILDREN

Institutional breakfast-serving procedures were manipulated to assess what effect changes in that aspect of the environment would have on requests for food. During baseline, six severely retarded children were required to pick up their food trays and return to their seats. The first manipulation, delaying the giving of the food tray for 15 seconds, served as a cue to evoke meal requests by three of the six children. Two of the remaining three required a model of an appropriate meal request (i.e., “Tray, please.”) at the end of the 15-second delay before they began requesting their meals. To evoke meal requests from the sixth child, an intensive training procedure, consisting of massed trials of delay and modeling, was required. Three different probes were administered to assess generalization across the people serving the meals, across mealtimes, and across both people and mealtimes. Typically, generalized responding in these new situations could be prompted by use of the 15-second delay procedure. Functional aspects of the delay procedure and its potential usefulness for evoking speech and facilitating generalization are discussed.     

Establishing a normal peer as a behavioral model for developmentally delayed toddlers.

The present investigation demonstrated a systematic teaching procedure for establishing a normal toddler as a peer-model for three children showing delayed development, each one under 27 mo. of age. For each delayed subject, training consisted of adult-directed prompting and social reinforcement contingent upon the delayed children's imitations of material use and motor responses emitted by a normal peer. Within-subjects multiple-baseline designs across responses were used to demonstrate intrasubject control over imitative responding. Indices of stimulus and response generalization were assessed through having the peer-model present the trained responses along with untrained responses in a situation free of adult prompting and social reinforcement for imitative responding. Results indicated that the training in peer-imitation was successful for establishing the peer-model's behavior in a stimulus control relationship with the imitative responding of the delayed children. Moreover, the findings generally demonstrated transfer of training across stimulus situations and responses. Implications for educational programming with developmentally delayed children are discussed.     

DEVELOPMENT OF SPONTANEOUS MANDING IN LANGUAGE DEFICIENT CHILDREN

Six institutionalized children, aged 7–11, with little or no spontaneous vocal manding, were trained to request food items under appropriate natural conditions when snacks were presented. “I want a” was appropriate when an adult presented food in the playroom. “Out” was appropriate when the items were displayed in the hallway, across a half-door barrier from the child. A sequence of steps was trained, through increasingly naturalistic setting and cuing conditions. The two mands were trained in sequence, not concurrently. To encourage “spontaneous” productions, no vocal cuing was provided by the adult. After criterion performance in each step, several probe sessions were conducted for various cuing conditions, adults, and settings. Probes after imitation training showed no spontaneous manding. Thus, failure of manding was not due to production difficulties. In probes after training for “approximately” natural cues, most children showed little transfer to the natural cues. This implies that training for the specific appropriate cues may often be required. However, good transfer generally occurred across persons, and from training room to playroom. Probes also showed that most children did not use one of the trained mands in the stimulus conditions that were appropriate for the other mand. Thus, adding a second mand did not generally disrupt use of the first. However, significant disruption occurred for two children. Finally, at the end of training, extinction training was given for one mand in one setting. Performance of the other mand was litle affected. In sum, the appropriate form of a mand depends on specific stimulus and setting characteristics, and these characteristics must be considered in training.     

Teaching children with autism to ask questions about hidden objects

We taught 2 4‐year‐old children with autism to ask questions of an adult who held a closed box with a toy inside. The treatment package (modeling, prompting, and reinforcement) was evaluated with a multiple baseline design across the three question forms during training, generalization, and follow‐up evaluations. The first question form (“What's that?”) produced the name of the hidden item. The second form (“Can I see it?”) produced sight of it, and the third form (“Can I have it?”) produced the item itself. Both children learned to ask questions about hidden objects.     

Noticing and commenting on what’s new: differences and similarities among 22‐month‐old typically developing children,children with Down syndrome and children with autism

Twenty 22‐month‐old typically developing children (TD), 11 children with Down syndrome (DS) and 10 children with autism (A), all functioning at a one‐ or two‐word linguistic level, were given eight series of four toys to explore. In each series, the first three toys (i.e. Trials 1–3) were identical, but the fourth toy (i.e. Trial 4) differed on a property or in identity. The children sat beside their mother and the experimenter while exploring the toys. Of interest was whether (1) the TD children would show more exploratory and communicative behavior related to the toys on Trials 1 and 4 than 2 and 3, and (2) how the response patterns of nontypically developing children would compare. The DS group showed a pattern of responding similar to that of the TD group with respect to their attention and interest in the toys, although a much lower rate of communicating with their mother. In contrast, the A group differed significantly from both other groups with respect to both the toys they found of interest and the timing of their topic initiations. Implications for observing declarative communication among children with Down syndrome and children with autism are discussed.     

Caregivers can implement play-based instruction without disrupting child preference

Young children diagnosed with autism spectrum disorder often require systematic teaching to learn new skills, and caregivers can teach their children by embedding learning opportunities in a play-based context. However, researchers have not evaluated procedures to train caregivers how to implement a combination of strategies designed to establish rapport and early language skills while maintaining play as a preferred context. Caregiver–child dyads composed of 2 mothers and their sons were recruited to participate. A multiple-probe design across strategies was used to demonstrate the efficacy of behavioral skills training on the mothers' integration of parallel play, child-directed interaction, teaching requests (mands), and teaching labels (tacts). Both children acquired the target requests and labels as a function of their mothers' teaching. By assessing the children's preferences, we confirmed the teaching strategies did not decrease toy engagement or the value of playing with their mother. We obtained stimulus generalization of the mothers' implementation of the strategies from a clinic to their home and maintenance of mother and child performance across a month.