PROVIDING A LESS RESTRICTIVE ENVIRONMENT FOR PROFOUNDLY RETARDED PERSONS BY TEACHING INDEPENDENT WALKING SKILLS

A basic right of all handicapped persons is to live in the least restrictive environment possible. In this investigation, procedures were evaluated for teaching four institutionalized males with profound retardation necessary skills to increase their individual freedom of movement. Following baseline, a travel training program with a backward chaining format was implemented to teach each person to walk independently from his living area to school. Travel training included instructions, practice, praise, feedback, verbal reprimands, prompts, and edible reinforcers. Each resident began walking the entire distance to school independently during training and also began walking back to the living area, although the latter set of skills was not specifically trained. Following termination of the formal investigation, follow-up measures of 1 to 8 weeks showed the residents continued going to school independently. A survey of residential facilities in 43 states provided social validation for the seriousness of the problems associated with transporting seriously retarded persons to school. Also, time efficiency measures indicated that training independent travel resulted in reductions of staff time required in school transportation. Results were discussed in light of the potential contributions of behavior analysis in providing less restrictive environments for seriously handicapped persons.     

GENERALIZATION OF NAMING RESPONSES TO OBJECTS IN THE NATURAL ENVIRONMENT AS A FUNCTION OF TRAINING STIMULUS MODALITY WITH RETARDED CHILDREN

Picture-cards, photographs, and real objects were compared as training stimuli in order to determine which best facilitated the generalization of naming responses learned in a special training room to real objects in the natural environments of four retarded children. The amount of transfer of naming behavior between the three stimulus modes and the average amount of training time required per stimulus mode were also assessed. Three of the four children displayed considerably more generalization to the real objects in the natural environment when they were trained with real objects. The fourth child displayed substantial generalization regardless of the training stimulus mode. No particular training stimulus mode clearly facilitated the transfer of naming responses to other modes or greatly reduced training time. The results of two supplementary procedures conducted with one child showed that: (1) training in several environments facilitated generalization to real objects in the natural environment when real objects were used as training stimuli but not when picture-cards were used, and (2) transfer from picture-cards to real objects was facilitated by training other picture-cards and the real objects portrayed by them at the same time.     

Physical and motor skill training for children with intellectual disabilities

This study investigated the effectiveness of using special training machines for children with intellectual disabilities to strengthen their body's inner muscles and improve their ability to maintain standing posture and improve walking movement. The participants were 23 high school age boys with intellectual disabilities who had difficulties expressing greetings, and needed to be led by the hand when walking. Four special training machines were used for walking movements, for standing and walking balance, for leg-hip extension, and for ipsilateral movement in a sitting position. Each participant underwent 30 min. of training once a week over a 3-mo. period during school time. Body control ability required to perform each training exercise was improved over the training period. A significant improvement was observed in the 50-m dash, mean 10-m walk time, and 10-m obstacle course walk. The hip joint split angle showed a significant increase. Legal guardians all reported their child had "improved and/or progressed" for each of the targeted movements.     

Behavioral engineering: two apparatuses for toilet training retarded children

Daytime incontinence is a major problem for retarded children. A training procedure for eliminating this problem should be facilitated by an apparatus that provided the trainer with an immediate signal when the child voided so that the trainer could react immediately. Two apparatuses were developed for this purpose: a toilet-chair apparatus to signal proper toileting and a portable pants-alarm apparatus to signal wetting of the pants. A reprimand was given when pants wetting occurred whereas positive reinforcement was given for proper toileting. Results with four profoundly retarded children indicated the reliability of the apparatuses in practice and the effectiveness of a toilet training program that used the two apparatuses.     

Strength Training Effects on Muscle Forces and Contributions to Whole-Body Movement in Cerebral Palsy

Strength training is often prescribed for children with cerebral palsy (CP); however, links between strength gains and mobility are unclear. Nine children (age 14?±?3?years; GMFCS I-III) with spastic CP completed a 6-week strength-training program. Musculoskeletal gait simulations were generated for four children to assess training effects on muscle forces and function. There were increases in isometric joint strength, but no statistical changes in fast-as-possible walking speed or endurance after training. The walking simulations revealed changes in muscle forces and contributions to body center of mass acceleration, with greater forces from the hip muscles during walking most commonly observed. A progressive strength-training program can result in isometric and dynamic strength gains in children with CP, associated with variable mobility outcomes.     

TRANSFER BETWEEN RECEPTIVE AND PRODUCTIVE LANGUAGE IN DEVELOPMENT ALLY DISABLED CHILDREN

The purpose of this study was to examine the relationship between receptive and productive language acquisition in developmentally disabled children. A single-subject operant methodology was employed to evaluate the effect of training in one mode on performance in the other mode. Noun labels for pictured objects were used as the unit of analysis. Six children with severe language deficits participated in the experiment. Each subject learning to identify a different set of five pictures in each of four successively administered training conditions. In the first condition, a set of pictures was trained in the productive mode. In the second condition, a different set was trained in the receptive mode. These training conditions were then repeated using two additional sets of pictures. Training was done using reinforcement for correct responses and prompting for incorrect responses. Nonreinforced probes were conducted throughout training to assess performance in the untrained mode. The pictures in each set were trained successively so that transfer across the language modes could be studied separately for each response trained. All subjects successfully met the criteria for learning each picture set in both the receptive and productive training conditions. The probe data showed that opposite-modality performance improved as a function of both types of training, although performance levels differed. After productive training, five of six subjects' performance was highly accurate on receptive probes. By contrast, receptive training resulted in limited correct productive performance. Transfer from receptive training was negatively related to subjects' use of extra-experimental labels on productive probe trials. In addition to these competing response errors, subjects frequently made articulation errors. The findings suggest that for retarded children similar to those studied here, productive training will be sufficient to establish accurate receptive performance on vocabulary tasks. However, receptive training does not appear to be either a necessary or a sufficient condition for productive performance. The results do not support the reception-then-production training sequence based on normal language development.     

TRAINING MENTALLY RETARDED ADOLESCENTS TO BRUSH THEIR TEETH1

The need for self-care by retarded individuals in behaviors such as brushing teeth led to the development and evaluation of a comprehensive toothbrushing program that included a task analysis and training procedure specific to each component of the task analysis. Eight mentally retarded adolescents, in two groups, individually received acquisition training that included scheduled opportunities for independent performances, verbal instruction, modelling, demonstration, and physical assistance. The first group of four subjects received token plus social reinforcement; the second received only social reinforcement. All eight subjects showed improved toothbrushing behaviors when compared to baseline. Six of the eight subjects correctly performed all toothbrushing steps in two of three consecutive sessions. The study emphasizes the need for systematic program development and evaluation.     

The role of crawling and walking experience in infant spatial memory

This research explored infants' use of place learning and cue learning in a locomotor task across the transition from crawling to walking. Novice and expert crawling and walking infants were observed in a novel locomotor task-finding a hidden goal location in a large space. In Experiment 1, infants were tested with distal landmarks. Infants with fewer than 6 weeks of experience, either crawling or walking, could not find the goal location. All infants with more locomotor experience were more successful. Learning did not transfer across the transition to walking. In Experiment 2, novice and expert crawlers and walkers were tested with a direct landmark. Again, novice crawlers and walkers with fewer than 6 weeks of experience could not find the goal, whereas those with more experience could. Taken together, these findings suggest that infants' spatial learning is inextricably linked to mode of locomotion.     

Learning to walk changes infants’ social interactions

The onset of crawling marks a motor, cognitive and social milestone. The present study investigated whether independent walking marks a second milestone for social behaviors. In Experiment 1, the social and exploratory behaviors of crawling infants were observed while crawling and in a baby-walker, resulting in no differences based on posture. In Experiment 2, the social behaviors of independently walking infants were compared to age-matched crawling infants in a baby-walker. Independently walking infants spent significantly more time interacting with the toys and with their mothers, and also made more vocalizations and more directed gestures compared to infants in the walker. Experiment 3 tracked infants’ social behaviors longitudinally across the transition from crawling and walking. Even when controlled for age, the transition to independent walking marked increased interaction time with mothers, as well as more sophisticated interactions, including directing mothers’ attention to particular objects. The results suggest a developmental progression linking social interactions with milestones in locomotor development.     

Developmental trajectory of dynamic resource utilization during walking: toddlers with and without Down syndrome

After years of walking practice 8-10-year-old children with typical development (TD) and those with Down syndrome (DS) show uniquely different but efficient use of dynamic resources to walk overground and on a treadmill [Ulrich, B.D., Haehl, V., Buzzi, U., Kubo, M., & Holt, K.G. (2004). Modeling dynamic resource utilization in populations with unique constraints: Preadolescents with and without Down syndrome. Human Movement Science, 23, 133-156]. Here we examined the use of global stiffness and angular impulse when walking emerged and across the ensuing months of practice in eight toddlers with TD and eight with DS. Participants visited our lab when first able to walk four to six steps, and at one, three, four, and six months of walking experience. For all visits, toddlers walked overground at their preferred speeds and for the last two visits on a treadmill. Toddlers with TD and DS demonstrated clear and similar developmental trajectories over this period with more similarities than differences between groups. At six months stiffness and impulse values were higher than previously observed for 8-10-year-old children. Stiffness values increased significantly throughout this period, though rate of change slowed for the TD group by three months of experience. Impulse values rose sharply initially and slowed to plateau during the latter months. Treadmill data illustrated toddlers' capacity to adapt dynamic resource use to imposed changes in speed, particularly well after six months of practice. Consistent with our studies of preadolescents and older adults, toddlers with DS produced significantly wider normalized step width than their TD peers. We propose that the challenge of upright bipedal locomotion constrains toddlers with TD and DS to generate similar, necessary and sufficient stiffness and impulse values to walk as they gain control and adapt to playful and self-imposed perturbations of gait over the first six months. The plateau in impulse and slow-down of stiffness increases over the latter months may be the first signs of a downward trend to the lower values produced by older children with several years of walking experience.     

Dry bed: A rapid method of eliminating bedwetting (enuresis) of the retarded

Bedwetting has been a major and unsolved problem for the severely retarded. To solve this problem, an intensive training program was designed similar to a recently developed program for daytime toilet training of the retarded. Some distinctive features of the new procedure were frequent positive reinforcement for correct toileting, a negative reinforcer for accidents, positive practice in night time toileting, increased level of urination by forcing drinking, immediate detection of correct and incorrect toileting, and Positive Practice for accidents. Of twelve retarded adult bedwetters, the average bedwetter required only one night of intensive training. Several days of apparatus monitoring were used following the training but proved unnecessary for two-thirds of the trainees. Accidents were reduced by about 85 % during the first week after training, and almost entirely (95%) during the fifth week with no relapse during a 3 month follow-up. No reduction of accidents resulted when the same bedwetters were given a control procedure that provided no positive or negative reactions other than the sounding of an alarm upon bedwetting. The Dry-Bed procedure appears to be a very rapid solution to the problem of enuresis among the retarded and may be applicable to other difficult populations and also to normals.     

A new twist on old ideas: how sitting reorients crawlers

Traditionally, crawling and sitting are considered distinct motor behaviors with different postures and functions. Ten‐ to 12‐month‐old infants were observed in the laboratory or in their homes while being coaxed to crawl continuously over long, straight walkways (Study 1; N = 20) and during spontaneous crawling during free play (Study 2; N = 20). In every context, infants stopped crawling to sit 3–6 times per minute. Transitions from crawling to sitting frequently turned infants' bodies away from the direction of heading; subsequent transitions back to crawling were offset by as much as 180° from the original direction of heading. Apparently, body reorientations result from the biomechanics of transitioning between crawling and sitting. Findings indicate that sustained, linear crawling is likely an epiphenomenon of how gait is studied in standard paradigms. Postural transitions between crawling and sitting are ubiquitous and can represent a functional unit of action. These transitions and the accompanying body reorientations likely have cascading effects for infants' exploration, visual perception, and spatial cognition.     

Barriers to children’s walking to school in Iranian and Chinese samples

Factors that contribute to children’s walking to school have been investigated in previous research, which primarily focussed on socio-economic variables in high income countries. There is a general lack of studies which have examined mode choice differences on school trips in low and middle income countries. Focusing on parental social cognitive variables in addition to household socio-economic characteristics, the present study is among the first to compare barriers to children’s walking in daily commuting to schools across samples from two middle income countries: Iran and China. A self-administered questionnaire was devised and distributed among primary school pupils (7–9 years old) in Mashhad, Iran and Nanjing, China. The children were asked to take the questionnaires to their parents to complete and return the filled forms. A total of 671 (response rate of 90 percent) and 224 (response rate of 82 percent) completely filled questionnaires were returned in Mashhad and Nanjing, respectively. Multivariate analysis of covariance (MANCOVA) showed that parents in Mashhad perceived higher risk and reported more worry of children being involved in road crashes when walking to school. Analyses revealed more safety favourable parental attitudes in the Chinese sample, compared to the Iranian sample. Parental attitudes towards transport safety were safer in the sample from Nanjing as compared to Mashhad. Hierarchical binary logistic regression showed that walking time from home to school and parental worry about road crashes were negatively associated with children’s walking to school in both samples. In the Iranian sample, results suggested that while household car ownership and higher family income were associated with a decreased probability that a child walk to school, the total number of children in the household increased the probability of walking to school.     

Multiple effects of a procedure to increase sitting in a hyperactive, retarded boy

A prompting and differential reinforcement procedure was used to increase sitting in a hyperactive, retarded boy in a remedial preschool. This procedure not only increased sitting, but had the additional effects of decreasing posturing while leaving normal walking unaffected, and increasing the use of toys and proximity to children. All of these changes can be considered socially desirable effects of the sitting program. The results suggest that preschool programs can be designed that will treat several behaviors simultaneously in order to maximize a teacher's effectiveness.     

PALME

Background

Single mothers and their children are exposed to increased psychosocial burdens and risks. Nevertheless, in Germany offers of help especially designed for the needs of this group are lacking.

Method

An emotion-oriented parental training program (PALME, http://www.palme-elterntraining.de) based on the attachment theory was developed particularly for single mothers with preschool children. The training is guided by trained kindergarten nurses. The effectiveness of the parental training program on the measure of maternal psychological impairment, emotional competence and child problem behavior was investigated within a randomized, controlled study with 61 single mothers suffering from medium grade psychosocial impairment.

Results

Analyses of variance revealed significant group×time interaction effects in favor of the intervention group compared to controls. After the training the mothers showed improvement in their psychological impairment, depression and emotional competence. In addition, evidence suggests that behavioral problems of the children were reduced.

Conclusion

In view of the benefits of this parental training and its low costs it should be recommended as a regular offer of support for single mothers within community settings.     

A SELF-INSTRUCTIONAL PACKAGE FOR INCREASING ATTENDING BEHAVIOR IN EDUCABLE MENTALLY RETARDED CHILDREN

The purpose of this study was to develop a self-instructional package that would aid highly distractible retarded children in increasing their attending behavior in a training and two generalization (a one-to-one and a classroom) situations. Three untrained subjects were monitored for general comparison and social validation purposes. One of these control subjects was distractible and the other two (criterion comparison) were evaluated as not having attentional problems. A multiple baseline design was employed in which training was sequentially introduced across subjects. During training, the experimental subjects were taught through self-instruction to focus their attention and to cope with two tasks, math and printing. After learning the self-instructions the subjects were systematically and sequentially exposed to photo-slides of distracting situations, to audio-distractors composed of noisy lunchroom verbal peer interactions, and to in vivo distractors provided by kindergarten children playing with wooden blocks in the training setting. The entire training procedure was handled in a game-like context to maintain subject interest and to facilitate generalization. The results suggested that the training package produced direct and generalized changes in self-instructional behavior. In addition, a decrease in off-task behavior occurred during math, printing, and also during a phonics program in the one-to-one and classroom situations. However, reliable changes in academic task performance were not observed. Finally, no systematic changes on any of the dependent measures occurred for the three untrained subjects.     

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.     

Mode-relations in language learning by language-deficient retarded subjects

The relationship between language comprehension and production was examined with two severely language-deficient retarded subjects who were taught the plural form /z/. Comprehension and production were trained concurrently with different words in each mode until correct plural use occurred in the untrained mode for each word. Subsequent training of reversed plural use in comprehension for one subject and production for the other failed to result in reversed plural use in the untrained modes for those words. This mode-independence contrasted with interdependence displayed by normal children in earlier study using similar procedures. The results are discussed in relation to the normal developmental process and the possible deviation from it.     

Mentally walking through doorways causes forgetting: The location updating effect and imagination

Researchers have documented an intriguing phenomenon whereby simply walking through a doorway causes forgetting (the location updating effect). The Event Horizon Model is the most commonly cited theory to explain these data. Importantly, this model explains the effect without invoking the importance or reliance upon perceptual information (i.e., seeing oneself pass through the doorway). This generates the intriguing hypothesis that the effect may be demonstrated in participants who simply imagine walking through a doorway. Across two experiments, we explicitly test this hypothesis. Participants familiarised themselves with both real (Experiment 1) and virtual (Experiment 2) environments which served as the setting for their mental walk. They were then provided with an image to remember and were instructed to imagine themselves walking through the previously presented space. In both experiments, when the mental walk required participants to pass through a doorway, more forgetting occurred, consistent with the predictions laid out in the Event Horizon Model.     

TEACHING IDIOM COMPREHENSION TO CHILDREN WITH MENTAL RETARDATION

This study examined the effectiveness of a training program designed to teach children with mild mental retardation the meaning of 12 idiomatic phrases, such as “to hit the sack.” Four 9-year-old children participated in the training. A multiple baseline design across subjects and across three sets of idioms was implemented. Training consisted of presenting both literal and idiomatic contexts in the form of story narratives, and asking the children to explain the outcome of the story and to select one picture from an array of four that represented the outcome. All children demonstrated learning, although 1 child required review procedures to facilitate maintenance. Children were able to generalize their receptive learning to an expressive task with varying levels of success. All children demonstrated an ability to understand the learned idioms when presented in unfamiliar contexts.