Comparison of two video prompting interventions to teach daily living skills to adolescents with autism

The present study used an adapted alternating treatment design to evaluate and compare the effects of video prompting (VP) and video prompting plus frequency building (VP + FB) to teach daily living skills to three adolescents with autism spectrum disorder. Results demonstrated all three students made substantial improvements over their baseline performance using VP and VP + FB. Furthermore, a strong intervention effect emerged for VP and VP + FB conditions when compared to the control task. However, in terms of one intervention proving superior to the other (e.g., VP to VP + FB), the data offer a mixed interpretation with VP + FB affecting changes better for two of the three students. The FB component in the VP + FB produced strong, consistent gains for all students in terms of retention.     

Young adults with intellectual and other developmental disabilities acquire vocational skills with video prompting

Students with intellectual and other developmental disabilities often require substantial support to acquire the skills needed to secure work experience and paid employment. Prior findings suggest that video prompting is likely to be an effective and feasible strategy for establishing such skills. To evaluate this possibility in a special education transition program, we examined the effectiveness of a video prompting procedure in teaching 8 young adults with developmental disabilities to perform job-related tasks (doing laundry, checking in to work, vacuuming, stripping bed). The intervention was effective with all participants. The skills maintained over 3 months, and the participants performed the tasks accurately in a new setting with different materials. Participants were reportedly satisfied with the intervention and deemed it easy to use.     

An evaluation of video-prompting procedures via telehealth to teach first aid skills to children with intellectual and developmental disabilities

Unintentional injuries are one of the leading causes of morbidity and mortality among children with intellectual and developmental disabilities (IDD). First aid training involves teaching critical first aid skills, some of which are designed to treat unintentional injuries. To date, no study has (a) evaluated the effects of a video-prompting procedure to teach first aid skills to children with IDD or (b) attempted to teach these skills to children by using a telehealth delivery format. We used a concurrent multiple-baseline-across-skills design to evaluate the efficacy of a video-prompting procedure via telehealth to teach five children with IDD to perform first aid on themselves for insect stings, minor cuts, and minor burns under simulated conditions. For all participants, our procedure produced large improvements that maintained for a minimum of 4 weeks. Furthermore, the effects of the training generalized to novel confederates for all participants, and these effects maintained for a minimum of 4 weeks.     

Comparison of extra- and within-stimulus prompting to teach prepositional discriminations to preschool children with developmental disabilities

This study compared extra-stimulus to within-stimulus prompts in teaching children with developmental disabilities to discriminate the prepositional concepts In and On. Five preschool-aged children who had difficulty discriminating verbal instructions participated. Extra-stimulus prompts involved modeling, gestures, positioning, and auditory cues which did not form part of the target discrimination. Within-stimulus prompts manipulated the volume and intonational pattern of the verbal stimuli. Four children did not learn the discrimination with extra-stimulus prompting. All four of these children, plus a fifth child who did not have prior experience with extra-stimulus prompting, reached criterion in the within-stimulus prompting condition. The success of the within-stimulus prompts may be related to their enhancing phonetic differences between the verbal stimuli.     

Comparison of simultaneous prompting and no-no prompting in two-choice discrimination learning with children with autism

This study compared no-no prompting procedures to simultaneous prompting procedures for 3 children with autism. Using a parallel treatments design, researchers taught rote math skills, receptive labels, or answers to "wh-" questions with both prompting systems. Results indicated that no-no prompting was effective in teaching all skills. By contrast, simultaneous prompting was effective in teaching only one pair of skills to 1 participant in the same amount of teaching time and trials. Researchers conducted a preference assessment to determine which of the two prompting procedures the 3 participants preferred. The participants showed mixed preferences for the two procedures.     

Using telehealth to teach valued skills to adults with intellectual and developmental disabilities

Telehealth uses electronic information and telecommunication technologies to deliver long-distance clinical services. It has successfully been used by clinical professionals to teach family and staff members to provide evidence-based assessment and treatment procedures. There is no research to date, however, evaluating the use of telehealth to directly teach individuals with intellectual and developmental disabilities (IDD). Thus, we evaluated the efficacy of a telehealth intervention using total task chaining with least-to-most prompting delivered via videoconference to 2 adults with IDD. Both participants demonstrated low independent responding during baseline with enhanced written instructions present. During intervention, which included vocal and model prompting, both participants met the mastery criterion for each skill in fewer than 15 sessions, which maintained after 2 weeks. Finally, both participants expressed satisfaction with the goals, procedures, and effects of the intervention. We discuss the broader scope of the intervention for individuals with disabilities when face-to-face services may not be feasible.     

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.     

Comparison of simultaneous prompting and constant time delay procedures in teaching sight words to elementary students with moderate mental retardation

Simultaneous prompting (a type of antecedent prompt and test procedure) and constant time delay were compared with four students with moderate mental retardation learning expressive sight words. A parallel treatments design across word sets and replicated across students was used. For acquisition, the simultaneous prompting procedures required fewer trials, sessions, and training time to criterion and resulted in fewer student errors during daily probe and training sessions. However, maintenance data indicated mixed results across the two procedures. Reliability data (both dependent and independent variables) revealed no differences between the two procedures in terms of the teacher's accuracy in recording student responses and implementing each procedure. Future research issues are discussed.     

Cognitive function in older adults according to current socioeconomic status

Cognitive function may be influenced by education, socioeconomic status, sex, and health status. Furthermore, aging interacts with these factors to influence cognition and dementia risk in late life. Factors that may increase or decrease successful cognitive aging are of critical importance, particularly if they are modifiable. The purpose of this study was to determine if economic status in late life is associated with cognition independent of socioeconomic status in early life. Cross-sectional demographic, socioeconomic, and cognitive function data were obtained in 2592 older adults (average age 71.6 years) from the Center for Disease Control’s National Health and Nutrition Examination Survey (NHANES) and analyzed with linear regression modeling. Cognitive function, as measured with a test of processing speed, was significantly associated with poverty index scores after adjusting for educational attainment as an estimate of childhood socioeconomic status, ethnic background, age, health status, and sex (P < 0.001). Our findings suggest that current economic status is independently associated with cognitive function in adults over age 60 years.     

Comparison of two TAGteach error-correction procedures to teach beginner yoga poses to adults

Teaching with acoustical guidance involves auditory feedback (e.g., a click sound when a desired behavior occurs) as part of a multicomponent intervention known as TAGteach. TAGteach has been found to improve performance in sport, dance, surgical technique, and walking. We compared the efficacy and efficiency of the standard TAGteach error-correction procedure and a modified TAGteach error-correction procedure to teach 4 novice adult yoga practitioners beginner yoga poses. Both error-correction procedures were effective for all participants; however, the relative efficiency of these error-correction procedures was unclear. Results are discussed in terms of limitations and considerations for future research.     

The influence of the visual surrounding environment in older adults and young adults’ cognitive performance: an alternative paradigm

ABSTRACT

This study investigated how the characteristics of the visual surrounding environment influence older- and young-adults’ cognitive performance. Sixty-four older adults and 64 young adults performed four visual cognitive tasks (attention and memory tasks) in two independent sessions while being exposed to a high-load and a low-load visual surrounding environment. We expected that the high-load environment would hurt the older-adults performance due to typical difficulties in ignoring irrelevant stimuli, whereas no such effect would likely occur for the young-adults whose cognitive abilities are at their best. Overall, our results were consistent with our prediction in three tasks (go/no-go, choice reaction time, and Corsi block-tapping). Additionally, the older adults performed worse than the young adults in all tasks, thus confirming expected age-related differences. Our results are consistent with those obtained when distractors and targets are presented in the same display, now using a paradigm which locates the distractors in the surrounding environment.     

Psychometric properties of the Wolpe-Lazarus assertiveness scale with community-dwelling older adults

The psychometric properties of the Wolpe-Lazarus Assertiveness Scale (WLAS) were examined with an older community-dwelling, nonclinical, adult population. Three hundred twenty-seven older adults (ages, 57–96; mean, 75.68) who were not psychiatrically impaired completed a demographic questionnaire and the WLAS. Fifty-seven of the 327 subjects also filled out the WLAS on a repeated basis after 3 or 4 weeks in order to determine the test-retest reliability. Results indicate that the WLAS has an adequate internal consistency (Cronbach's=.75) and test-retest reliability (r=.81). WLAS cutoff scores of 14 and under identify unassertiveness. Older adults who are (1) African-American or (2) of lower SES tend to be significantly less assertive. Also, five factors emerged from a principal-components analysis accounting for 34.7% of the total variance.This research is based on the senior author's doctoral dissertation in partial fulfillment of the Ph.D. under the direction of the second, third, and fourth authors.     

Trajectories of change in dimensions of forgiveness among older adults and their association with religious commitment

Forgiveness is a complex construct with an important role in religious traditions worldwide, and is associated with mental and physical health outcomes. This seven-year longitudinal study examined changes within individuals during, and differences based on birth cohort, in forgiveness during late life. Growth curve analysis was used to analyse the general pattern of change across the course of older adulthood in eight dimensions related to forgiveness. Increases over time were observed in forgiveness of others, conditionality of forgiveness of others, forgiveness of self, feelings of being forgiven by God, and feelings of being forgiven by others. Decreases over time were observed in difficulty forgiving oneself, and perceptions of conditionality in God's forgiveness. Religious commitment was related to reporting more a more forgiving attitude on seven of these dimensions, but also to more perceived conditionality in God's forgiveness. Finally, differences in mean levels of forgiveness emerged between birth cohorts.     

Using equivalence‐based instruction to teach piano skills to college students

The purpose of the current study was to evaluate the effects of equivalence‐based instruction (EBI) on the emergence of basic music reading and piano playing skills. Six female college students learned to identify three musical chord notations given their respective dictated names. Participants also learned to play chords on the piano following the dictated name of the chord, and to play the chords to a song on a keyboard. Results are consistent with past research, in that stimuli became substitutable for each other and acquired a common behavioral function. Data suggest that EBI was an effective and efficient procedure to teach adults to read musical notation, as well as play chords and a song on a piano keyboard.     

Aggression among older adults: The relationship of interaction networks and gender role to direct and indirect responses

This study examined interpersonally aggressive strategies among older adults and the social and personal context in which these strategies are likely to be employed. Specifically we assessed the relationship of social interaction networks and gender roles to the use of direct and indirect aggression. We predicted that older adults would be more likely to employ indirect than direct strategies and that the use of such strategies would be associated with network structure (i.e., size, density, and knowingness) and gender roles. One hundred ten older adults (mean age, 71 years; range, 55–89 years) completed questionnaires and interviews designed to measure aggressive strategies; gender roles; and network size, density, and knowingness. Respondents reported using more indirect than direct strategies. Those who reported using indirect aggression also reported being relatively masculine and having larger but less connected interaction networks. Use of direct aggression was associated with lower femininity scores but was not related to network structure. Aggr. Behav. 26:145–154, 2000. © 2000 Wiley‐Liss, Inc.     

The association of anxiety,depression, and worry symptoms on cognitive performance in older adults

Emerging research suggests that a relationship exists between the cognitive aspects of anxiety (e.g. worry) and cognitive decline in older adults. The current study examined the association between anxiety, depressive, and worry symptoms on cognitive performance. Participants were 156 older adults enrolled in the Nathan Kline Institute-Rockland Sample Study (NKI-RS). Hierarchical linear regression analysis was used to determine the unique associations of anxiety, depressive, and worry symptoms on cognitive performance as measured by the Penn Computerized Neurocognitive Battery (Penn CNB), the Delis-Kaplan Executive Function System (D-KEFS), and the Rey Auditory Verbal Learning Test (RAVLT). Worry symptoms were a significant predictor of Penn CNB social cognition, complex cognition, executive function, and episodic memory performance as well as RAVLT immediate and short-delay recall, but not of D-KEFS performance or RAVLT long-delay recall. In contrast, anxiety and depressive symptoms had few unique associations with cognitive performance. Given that worry symptoms have a negative impact on many aspects of neurocognitive performance, they may have utility in predicting and preventing cognitive decline in older adults.     

An investigation into the impact of acute stress on encoding in older adults

Acute psychological stress commonly occurs in young and older adults’ lives. Though several studies have examined the influence of stress on how young adults learn new information, the present study is the first to directly examine these effects in older adults. Fifty older adults (M age = 71.9) were subjected to either stress induction or a control task before learning two types of information: a short video and a series of pictures. Twenty-four hours later, they were exposed to misleading information about the video and then completed memory tests for the video and pictures. Heart rate and cortisol measures suggest that a physiological stress response was successfully induced. Though pre-encoding stress had little impact on memory accuracy, stress did influence errors of omission on the cued recall test for the video. Findings are discussed in the context of previous research examining the effects of stress on memory in older adults.     

The effect of social skills training procedures on the acquisition of appropriate interpersonal skills for mentally retarded adults

A pretest/posttest control group design was utilized to examine the effect of social skills training on social interactions with peers, conversational interactions with a novel partner, and ratings of overall social functioning. The results failed to support the hypothesis that social skills training could increase the generalization of overall conversational responding of mentally retarded adults. The results showed that social skills training augmented with self-monitored videotape feedback could not optimize the effects of social skills training alone. The subjects did demonstrate acquisition of the targeted behaviors during training by meeting preestablished criteria for all of the training sessions. However, the subjects failed to generalize those behaviors across settings to in vivosocial situations.