Independence training vs modeling procedures for teaching phone conversation skills to the mentally retarded

Forty-five mildly mentally retarded adults were assessed for deficits in telephone conversational skills. They were ranked on the basis of their pretest scores and matched into triplets on skill level. One member from each of these groups was then randomly assigned to either a no-treatment control group, a modeling condition or independence training—a treatment that incorporated social reinforcement, instructions, performance feedback, modeling, shaping by successive approximations and self-monitoring and evaluation. For the two latter conditions, treatment was provided three times weekly for 2 months in group sessions (N = 5) of 1 hr duration. The dependent variable, conversational skills of subjects was assessed at pretest, posttest and at a 3-month follow-up based on verbal responses that subjects made to nine questions asked by an experimenter and related social responses during a phone call. Independence training proved to be significantly more effective than the other two experimental conditions at posttest and follow-up. In addition, modeling proved to be significantly more effective than the no-treatment controls at both of these assessment points.     

A controlled group study of pedestrian-skill training for the mentally retarded

Pedestrian-skills training procedures were compared using 30 mentally retarded institutionalized adults. Ten subjects were randomly assigned to a no-treatment control group and ten subjects were assigned to each of two modes of pedestrian-skills training. The training methods included a form of individualized classroom training consisting of the practice of correct behavior using movable figures on a scale model of an intersection, vs independence training which emphasized self-evaluation of performance, social reinforcement, sign recognition and the utilization of a mock-up of an intersection on the hospital grounds. Data were taken on sign recognition, verbal and performance based responses to classroom training of pedestrian skills, performance of skills at an intersection on the hospital grounds, and performance of pedestrian skills in the community. Independence training proved to be significantly more effective than no treatment or classroom training. In addition, classroom training proved to be significantly more effective than no treatment at all.     

Independence training as a method of enhancing self-help skills acquisition of the mentally retarded

This study examined the effectiveness of independence training which involved using social reinforcement, information feedback, modeling and evaluation of self and others in teaching showering behavior to institutionalized mentally retarded adults. A treatment and a non-treatment group of 36 subjects each were used to assess training and maintenance of the target behavior. Analysis of results showed that treatment and no-treatment groups did not differ on baseline scores. However, residents in the treatment group performed significantly better than no-treatment subjects on post-test and three-month follow-up. Staff were of the opinion at post-test that treatment was perceived to be acceptable and nonpunitive.     

Mimicry versus imitative modeling: Facilitating sentence production in the speech of the retarded

Two methods of language instruction administered to mentally retarded subjects at the two-word stage of language development were investigated. Subjects of the mimicry training group imitated Agent-Action-Object (AAO) constructions immediately after presentation, while subjects of the imitative modeling group first heard the AAO presentation and later produced the AAO construction in response to a verb question. Imitative modeling subjects achieved as many correct AAO responses during training and more correct responses on a generalization task and in a free play setting. They also displayed more novel response behavior (selective imitations) and spontaneously corrected productions. The results support the use of modeling procedures for inducing language production in the retarded.     

TEACHING MENDING SKILLS TO MENTALLY RETARDED ADOLESCENTS

This experiment presents a model for analyzing community living skills and teaching them to mentally retarded adolescents. A task analysis of three mending skills was developed and validated, aided by consultation with persons having expertise in home economics and mental retardation. The task analysis was modified to compensate for the constraints imposed by the trainees' disabilities. Five moderately retarded youths received training on sewing hems, buttons, and seams. Sewing skills were acquired rapidly and maintained. The behavior generalized from trained to untrained tasks on their common components for all subjects. A multiple baseline across participants combined with a multiple baseline across responses demonstrated the combined effectiveness of an objectively validated, detailed task analysis; graduated sequence of prompts; and response consequences in training and maintaining community living skills with mentally retarded adolescents.     

GENERALIZATION AND TRANSFER BETWEEN COMPREHENSION AND PRODUCTION: A COMPARISON OF RETARDED AND NONRETARDED PERSONS

The study compared the acquisition, generalization, transfer, and maintenance of language comprehension and production responses by persons at two IQ levels: mentally retarded (N = 10) and nonretarded (N = 10). The two levels of the IQ Level factor were combined factorially with two levels of a Training Condition factor: Comprehension-Production and Production Only. Participants in the former groups were trained sequentially to (a) comprehend coin labels by pointing, and then (b) produce verbally the correct coin label. Participants in the Production Only groups were trained on the latter response only. A three-factor mixed design with one repeated measure plus a multiple baseline across coin responses was employed. Results indicated that both mentally retarded and nonretarded subjects attained a high level of acquisition and maintained their performance on 1- and 4-week follow-up tests. No difference occurred between mentally retarded and nonretarded participants in magnitude of acquisition, but the mentally retarded groups took approximately three times as many trials to complete training. Data also suggested, contrary to past research, that generalization from comprehension to production was bidirectional, with no difference in magnitude between mentally retarded and nonretarded subjects. Transfer from comprehension to production occurred in both nonretarded and retarded subjects; comprehension training facilitated a savings of trials in production training. These results show that language differences between retarded and nonretarded persons are quantitative rather than qualitative as some past research may have suggested.     

APPLICATION OF A SOCIAL SKILLS TRAINING PROGRAM IN THE MODIFICATION OF INTERPERSONAL DEFICITS AMONG RETARDED ADULTS: A CLINICAL REPLICATION

Six mentally retarded adults, equally divided into two treatment groups, were provided with individualized social skills training programs. Treatment, evaluated via a multiple-baseline design strategy, was sequentially and cumulatively applied across target behaviors over a four-week intervention period. Behavioral observation probes and social validation measures served as the primary dependent variables. Results indicated that (a) treatment was effective for virtually all behaviors across all subjects, (b) improvements occurred for both training and generalization scenes, and (c) behavioral performance was maintained one month following the termination of treatment.     

Cues-pause-point language training: Structuring trainer statements to provide students with correct answers to questions

This study assessed the applicability of Cues-Pause-Point language training procedures in teaching students to obtain information from the statements of others. Two mentally retarded subjects, one of whom was echolalic, received training on one set of stimuli but not on another. During training the subjects were encouraged to remain quiet before, during, and briefly after the presentation of statements and then verbalize (i.e., answer a question) using the verbal cue(s) that had been presented in the statement. Correct responding reached 100% to the trained stimuli and both subjects' responding improved to the untrained stimuli. Posttests revealed that subjects used the trainer's statements to answer novel questions. The results suggest that Cues-Pause-Point procedures may be useful in teaching severely retarded individuals the functional use of observing and listening to others' verbal behavior.     

ASSESSMENT AND TREATMENT OF CLINICAL FEARS IN MENTALLY RETARDED CHILDREN

Three moderately mentally retarded females ranging from 8 to 10 years of age were treated for long-standing fears. These children had refused to talk with or be in the same general vicinity of adults other than their parents, a few close family members, and to a lesser degree, their teacher. To establish an accurate criterion for successful performance on dependent measures, participants were matched on age, sex, and level of mental retardation with children having “normal” amounts of fear. Dependent measures included approaching and talking to strange adults as well as child ratings of overall fear. Participant modeling was given by the mother who provided a sufficient amount of physical and verbal prompts to ensure that an acceptable greeting of adults specified by the mother were made. These prompts were gradually faded out as treatment progressed. Treatment, which was given in a multiple baseline format across subjects, proved effective and gains in the reduction of fears were maintained at the six month follow-up.     

THE EFFECTS OF SEQUENTIAL PICTORIAL CUES,SELF-RECORDING,AND PRAISE ON THE JOB TASK SEQUENCING OF RETARDED ADULTS

The present study investigated the effects of a self-recording procedure using sequentially organized picture cues on independent task changes of four mentally retarded adults. Independent task changes were identified as the beginning of new tasks without directives or instruction. In addition to investigating treatment effects, the long-term maintenance of the task-change behavior was measured. During self-recording and picture-cue training, the subjects completed an increased proportion of independent task changes, and this behavior was maintained for more than 10 wk following removal of the training procedures. Self-recording using picture cues was shown to be an effective procedure for teaching mentally retarded adults to function more independently in a job setting.     

Maintenance and generalization of a semantic rehearsal strategy in educable mentally retarded children

Two groups of 11- to 12-year-old educable mentally retarded children, equated on the basis of a free recall pretest, were given a series of lists for free recall. Approximately half the subjects were trained in the use of a strategy designed to induce deeper level semantic encoding and the discovery of categorical relationships and half constituted a “no-training” control group with standard free recall instructions. The subjects received either related or unrelated lists during the training phase and related or unrelated lists during two post-tests, immediately following and 1 week after training. There was evidence not only that the semantic strategy was maintained over the 1-week delay, but that it also generalized to word lists unlike those used during training. The degree of generalization was greater for those subjects receiving related lists during training.     

Measurement of range of motion in individuals with mental retardation and with or without Down syndrome

The purpose of this study was to assess differences in variability of three joints' range of motion in the lower extremity among individuals with Down syndrome, mentally retarded individuals without Down syndrome, and sedentary subjects without mental retardation (ns = 13, 25, and 30, respectively). Range of motion for hip and knee flexion was obtained using a Myrin goniometer. For hip abduction the range of motion was obtained using a double protractor goniometer (Brodin type). Three test repetitions were carried out, and the greatest value was recorded. As no significant differences were found between left and right sides for each motion, the average was used to represent the range of motion. The Down syndrome group had significantly higher mean range of motion in hip flexion than the mentally retarded group. No significant differences in mean range of motion were found between Down syndrome and sedentary groups, but a significant difference was observed between the control and mentally retarded groups. In hip abduction, the Down syndrome group showed significantly higher mean range of motion than the control and mentally retarded groups. The control group had significantly a higher mean range of motion than the mentally retarded group. No significant differences were found in knee flexion between the two mentally disabled groups, but significant differences in mean range of motion were found between each of the two groups of mentally retarded individuals and the control group. Because differences exist in mean range of motion between the two mentally disabled groups, individualized and differentiated training programs to improve flexibility must be designed based on the type of handicap.     

Mentally retarded persons as parents: Prevalence and the situation of their children

This paper describes a research program on mentally retarded parents and their children. For this nation-wide study, two structured questionnaires were sent to all municipalities in Norway. Both questionnaires were sent to public health nurses and were followed-up by a structured telephone interview based on the questionnaires. The primary aim of the study was to survey the number of children born to mentally retarded parents. In addition, the children's needs and functional abilities were to be assessed. Twenty-three mentally retarded persons had given birth in the course of the past twelve months. A total of 126 children with mentally retarded parents were identified, with an incidence of 27 children per year, and a prevalence of approximately 430 children under 16 years of age in a population of 4 mill. People with a mean of 1.05 child per family. About 43% of the children of mentally retarded parents appeared to have learning difficulties. Forty percent of the children suffered from failures of care. Between 25% and 68% of the children with learning problems had poorly developed motor or language abilities, sense modalities or psycho-social status.     

EFFECTS OF PICTURE PROMPTS ON THE ACQUISITION OF COMPLEX VOCATIONAL TASKS BY MENTALLY RETARDED ADOLESCENTS

The effects of using picture prompts on the acquisition, generalization, and maintenance of complex vocational tasks were evaluated within a multiple baseline design across subjects and tasks. Five moderately and severely mentally retarded adolescents were first trained to use picture prompts to guide their performance on one or more complex tasks. Following training, posttesting with and without the picture prompts was conducted to evaluate the effects of training and to determine maintenance effects over a 2- to 4-week interval. Generalization of performance across tasks was assessed with three of the students who were provided novel tasks (with and without picture prompts) without training. Results indicated that picture prompts can be successfully used to promote both acquisition and generalization of performance, and that subsequent training time on a novel task was reduced when the use of picture prompts had been previously trained.     

RESPONSE INTERRUPTION AND DRL FOR THE REDUCTION OF RAPID EATING

We assessed the efficacy of several procedures for reducing the rate of eating responses during mealtime by three institutionalized mentally retarded clients. A time-based (15 s) response interruption procedure was implemented which resulted in little change in eating responses for 2 of 3 subjects. A spaced-responding DRL 15-s procedure resulted in decreases in eating responses to target levels only after a prompting procedure was added. Procedures were evaluated using a multiple baseline across subjects design with assessment of generalization to nontreated meals. A change in eating behavior during breakfast occurred only after direct training in the breakfast setting. Maintenance data were collected at 1- and 5-month follow-up periods.     

Automatic and conscious processing in retarded and nonretarded adolescents

Educable mentally retarded and nonretarded adolescents participated in incidental learning tasks that emphasized the utilization of processes that were consciously controlled but not deliberately aimed at memory (Experiment 1). Retarded individuals' performance on a standard recognition test was equivalent to that of nonretarded subjects following phonetic encoding and nonstrategic encoding, but was deficient following semantic encoding. Retarded subjects also demonstrated a lower level of performance on a rhyme recognition task. In Experiment 2, retarded subjects provided a pattern of responding identical to that of nonretarded subjects on a picture-word interference task designed to assess automatic processing. The two groups produced equivalent levels of semantic activation. It was argued that the results of the two experiments indicate deficient semantic processing on the part of retarded individuals relative to that of nonretarded individuals that cannot be accommodated by a structural-deficiency model, a developmental-lag model, or a hypothesis that predicts intelligence-related differences only when the task involves the use of deliberate mnemonic strategies.     

INCREASING VERBAL INTERACTION AMONG ELDERLY SOCIALLY ISOLATED MENTALLY RETARDED ADULTS: A GROUP LANGUAGE TRAINING PROCEDURE

The present study examined the effectiveness of a group language training procedure for directly increasing and generalizing the rate of verbal interaction among four elderly, socially isolated, moderately mentally retarded men. A withdrawal of treatment design was used to examine the effect of the procedure that used verbal prompts, behavioral rehearsal, and contingent social praise. Changes in behavior were examined in two generalization settings, one similiar to the training environment (Generalization I) and the other arranged as part of the subjects' daily routine (Generalization II). Baseline data indicated no verbal interaction among the subjects. During treatment the training procedure increased the rate of subjects' verbal interactions not only in the training situation, but also in the two generalization settings. An analysis of the data obtained during the Generalization II situation indicated that subjects' verbal interaction increased not only among themselves, but with nonsubject peers present in this setting. Follow-up data showed that increases in rates of verbal interaction were maintained four months after the cessation of training. The implications of the results for program generalization and work with the language deficient individual is discussed.     

AN ANALYSIS OF SOCIAL SKILLS GENERALIZATION IN TWO NATURAL SETTINGS

The interactional behavior of two groups of elderly mentally retarded residents of a community facility was measured in two generalization situations before, during, and after one group received social skills training. The training group received social skills training within a game format, whereas the contrast group simply played a game with no emphasis on interactional behavior. Results suggested that generalization to natural interactional situations may be delayed following training and that it is more likely in some situations (i.e., with trained peers) than others (i.e., in the presence of untrained peers).     

弱智儿童视觉-动作控制的实验研究

该研究探讨了弱智儿童视觉-动作控制能力。弱智儿童被试30人,平均年龄13.5岁,平均智商53.9。实验结果与正常人的结果作了比较。结果显示,弱智儿童的视觉-动作控制能力只相当五六岁正常儿童的水平,远落后于正常中青年及老年的水平。这表明,智力缺陷与发展水平对人的视觉-动作控制能力有明显影响。     

Arranging a residential environment for the developmentally disabled to generate and maintain verbal behavior

A specialized residential unit was assembled at a state residential facility for mentally retarded residents in order to provide services for individuals who lacked functional speech but who were capable of learning manual signs. Program development focused on four areas. First, a routine was designed to engage residents in functional training activities throughout the day. Second, opportunities to teach signed verbal behavior within all components of the routine were identified. Third, structured training sessions were developed to augment training within normal daily living activities. Fourth, multiple staff training strategies were initiated. Initial outcome data indicate that signing skills of both staff and residents improved.