Using Self-Directed Video Prompting to Teach Students with Intellectual Disabilities

This study examined the effects of self-directed video prompting presented via an iPod Touch on teaching four adolescents with moderate-to-severe intellectual and developmental disabilities two daily living tasks. Students were taught to wash a table using instructor-delivered video prompts. After reaching 80 % correct for at least three consecutive sessions, a system of most-to-least prompts was used to teach them to use the iPod Touch and a video prompting app (inPromptu) independently. In the final phase, students used inPromptu on the iPod Touch to teach themselves to vacuum with self-directed video prompts. Results of the study demonstrate that all four students learned to wash a table with instructor-directed video prompts, they all learned to use inPromptu on the iPod Touch independently, two students used inPromptu on the iPod Touch to teach themselves to vacuum, and a third student was learning to vacuum using inPromptu.     

Experiences of Support Staff with Expanding and Strengthening Social Networks of People with Mild Intellectual Disabilities

A supportive social network is crucial for facilitating social inclusion. The social networks of people with intellectual disabilities (ID) are often small and typically include very little contact with friends and acquaintances who do not have ID. Professionals can play an important role in strengthening and expanding the social networks of clients. In this study, experiences with interventions aimed at doing this were examined. Six group interviews were held with a total of 27 professionals. The results showed interventions to strengthen social networks (e.g. attention to the maintenance of contact with network members) and interventions to expand social networks (e.g. participation in leisure time activities and working with volunteers). However, a large number of impeding factors was mentioned, such as the limited size of the social networks, characteristics of the client, different perceptions and clients falling between the cracks when it comes to leisure time. The large number of impeding factors shows the strengthening and expansion of social networks to be complicated in actual practice. Recommendations are thus made to strengthen and expand the social networks of clients in an innovative manner which also takes these impeding factors into account. Copyright © 2013 John Wiley & Sons, Ltd.     

Mission and People with Disabilities

This article begins with a few thoughts and some historical and canonical encounters about how lay and ordained people with disabilities have been involved in Orthodox mission work in the past. It then presents two concrete contemporary situations in which people with disabilities are involved in Orthodox ordained ministry work despite the persisting tradition that disabled people not be ordained. The first example is taken from the Eritrean Orthodox Tewahedo Church, where the involvement of people with disabilities in both ordained and lay ministry provides significant support for a church that lives in a delicate situation. The second example is taken from the Romanian Orthodox Church and presents the case of Father Theophilus P?r?ian, one of the most prominent contemporary Romanian Orthodox monastic figures, who served as an ordained priest despite his disability. This article pleads for a deeper involvement of disabled people in both ordained and lay ministry in Orthodox churches.     

Stress in Mothers with Intellectual Disabilities

Both low parental IQ and stress have been shown to be associated with parenting difficulties and adverse child outcomes. We examined stress in parents with low IQ as a potential contributor to their documented parenting problems. Eighty-two mothers with intellectual disabilities (IQ < 80; labelled as having mental retardation) were given the Parenting Stress Index and they were found to be enduring very high levels of overall stress (95th percentile), stress related to child characteristics (95th percentile), and stress related to other life experiences (90th percentile) as compared to the normative test group. We divided the 82 mothers with intellectual disabilities into three groups depending on the age of their children. The mothers with school-age children reported significantly higher stress than parents of infant/toddler and preschool children. A hierarchical regression analysis revealed that child age and living in a crowded environment were significant predictors of parenting stress. The results confirm that mothers with intellectual disabilities experience extreme stress that, together with other factors, may hinder adequate parenting.     

Language About People with Disabilities

A decade of rehabilitation literature (a) calls attention to imprecise, stereotypical, and devaluing language that is often used to discuss people with disabilities and (b) offers more appropriate alternatives. Because professional counselors sometimes commit these language abuses, and counselors of all specialities can expect to see some clients who have disabilities, this article seeks to bring these issues to the attention of the counseling profession at large.     

Using Direct Skills Teaching to Improve Job Skills for Persons With Disabilities

This study evaluated whether a direct skills training (DST) approach for persons with disabilities can better prepare participants for job interviews. Twenty graduate students in a master's program in rehabilitation counseling at various agency internship sites were trained in a 4‐session Presenting Qualifications curriculum based on DST administered to 126 participants in 20 group settings. Participants reported greater confidence and preparedness in the interview process, in answering difficult questions, and in highlighting past accomplishments after the group. Results support the feasibility of training entry‐level rehabilitation counselors in the DST approach to teach job interview skills to individuals with disabilities.     

Generalization of Supermarket Shopping Skills for Individuals with Mild Intellectual Disabilities Using Stimulus Equivalence Training

The Psychological Record - We developed an intervention to promote generalization in an applied community setting. The intervention was derived primarily from experimental research examining...     

Extending Psychotherapeutic Strategies to People With Disabilities

In the last decade mind-body strategies have evolved to extend possible counseling approaches to persons with disabilities. Using Beatrice A. Wright's principles of attention to individual needs, respect for situational complexities, and flexibility, the authors reflect on the work of Milton H. Erickson, from which modern mind-body counseling interventions can be traced. Included are strategies to develop rapport, the therapeutic use of imagery, reframing and other paradoxical techniques, and the use of metaphor in counseling with people with disabilities.     

Quality of Life and Sense of Coherence in People with Arthritis

This study investigated the physical and psychological impact of arthritis on people's quality of life. A range of variables were examined in a sample of 375 participants who comprised three groups: people with arthritis receiving a support-based service from the Arthritis Foundation of Victoria, people with arthritis receiving standard treatment, and a group of people from the general population. The results revealed that the two arthritis groups reported a significantly higher level of functional impairment, pain, and negative affectivity, and lowered mood, positive affect, and Sense of Coherence, compared to the general population group. They also reported normal levels of importance, but lower levels of satisfaction on various life domains. After statistically controlling for pain however, group differences were eliminated on all variables except for functional impairment and for all satisfaction domains except health. These data are interpreted as evidence that the combination of low domain satisfaction coupled with high domain importance yields a negative psychological state. This, then suggests the possibility of a therapy based on reducing the perceived importance of health.     

Mentoring and Peer-led Interventions to Improve Quality of Life Outcomes among Adolescents with Chronic Illnesses

Advancing adolescent medicine has resulted in increased survival rates for life-limiting health conditions that are now considered chronic conditions. Due to the increased rates of chronic illnesses, the broad outcomes of community-based programs for adolescents with these illnesses need to be examined. Therefore, the present study seeks to examine community-based, mentoring and peer-led programs that have a social support component to increase quality of life outcomes for adolescents with chronic illnesses. A comprehensive literature review was conducted to identify articles that included a social support component to increase quality of life outcomes for adolescents with chronic illnesses. Six articles were included in the narrative analysis. Programs were divided into two types of interventions: mentoring/coaching (n?=?3) and peer-led interventions (n?=?3). A summary of each study was developed and main themes from each intervention were identified by the research team. This review found six community-based peer-led and mentoring interventions that incorporated a social support component to improve the quality of life of adolescents with chronic illnesses. Critical components for a peer-led or mentoring intervention should include social support components such as health coaching and mentoring by peers or adults. Since the nature of chronic illnesses is lengthy in duration, social support research translated into practice may offer adolescents who have any of these illnesses a means to improve their psychosocial outcomes. The interventions outlined in this present review have yielded promising results. Recommendations for future studies are included.     

Teacher Perspectives on Grief Among Children with Intellectual Disabilities

The death of a parent can have a profound impact on a child. However, little is known about how children with intellectual disabilities demonstrate grief or how teachers respond to student grief. Constructivist grounded theory methods were used to analyze data collected from five special education teachers of elementary students with intellectual disabilities. Categories related to grieving, loss, support, coping, and emotion were found. Teachers reported a range of grieving behaviors displayed by children with intellectual disabilities in the classroom and used various strategies to provide support. Grief in surviving caregivers and assistance from other school personnel were also described. The need for additional training of teachers and counselors about grief in children with intellectual disabilities is highlighted.     

Enhancing Multiplication Performance in Students with Moderate Intellectual Disabilities Using Pegword Mnemonics Paired with a Picture Fading Technique

The present study examined the effectiveness of an instructional package that included an adapted version of pegword mnemonics paired with a picture fading technique in teaching two students with moderate intellectual disabilities to recall 28 single-digit multiplication facts between 2 and 9. The instructional package was assessed using a multiple baseline design across students. Results indicated that instruction produced substantial and immediate effects in that both students increased their accuracy at recalling basic multiplication facts, maintained the newly acquired skill, and were able to generalize it across material, format, and another trainer. These results have implications for teaching students with intellectual disabilities basic math facts that are considered important for gaining access to the general curriculum.     

Promoting Functional Ambulation with People with Blindness and Multiple Disabilities

An intervention package comprising auditory cues, physical prompts preceded by vibratory (anticipatory) stimuli, and reinforcement was used to promote ambulation to target places with 2 men with total blindness, profound intellectual disability, and behavioural problems. Data showed that both men acquired successful ambulation to the target places, becoming almost totally independent of the physical prompts. Implications of the findings are discussed.     

Using an Embedding Strategy to Teach Preschoolers with Significant Disabilities

The purpose of this study was two-fold. First, this study analyzed the effects of using response prompting procedures within an embedded skill approach on skill acquisition by 4 preschoolers with significant disabilities. Two target skills were identified from each student's IEP and taught during three preschool activities. A multiple probe across subjects design assessed the effects of the intervention. All students made progress above baseline performance. More importantly, there was consistency in performance of the target skills across at least two of the three activities for all children. Second, the reliability with which paraprofessionals in the preschool setting implemented response prompting procedures was evaluated. Data indicated that the paraprofessionals implemented the procedures with a high degree of accuracy. The impact of embedded skill instruction is addressed, as well as the impact of using non-degreed personnel to teach students with significant disabilities within inclusive preschool programs.     

The Mission of the Church to People with Disabilities in Southern and Central Africa

Disability has, in recent years, become a focal point of discussion in many parts of the world with the increasing awareness that people with disabilities (PWDs) are disadvantaged because of their condition. Throughout history, PWDs have been relegated to the status of second‐class citizens and in some instances treated inhumanly. In many cultures, particularly in Africa, issues of disability are surrounded by fear because of the strong belief that they are caused by sin, witchcraft, or evil spirits. People with mental challenges are demonized. This has led to a negative attitude toward PWDs in the world generally and in Southern and Central Africa in particular. This paper discusses the mission of the church in this context. It argues that the church must act as a catalyst for change by generating a positive attitude toward PWDs so that they can enjoy fullness of life. This can be achieved by mainstreaming issues of disability in the social, economic, political, and spiritual life of society as a whole.     

The Effectiveness of Audiovisual Self-Instructional Materials in Teaching Child-Care Skills to Parents with Intellectual Disabilities

Children of parents with intellectual disabilities are at risk for neglectful care due to parenting skill deficiencies. Previous studies have shown that parents with intellectual disabilities can improve child-care skills with intensive behavioral training, but self-instruction has not been explored. We evaluated the efficacy of self-instructional pictorial child-care manuals with and without accompanying audiotaped instruction using a multielement design with 13 parents with intellectual disabilities. The self-instructional materials were effective in teaching 22 of 26 skills to levels seen in parents without intellectual disabilities. Eighty-one percent of the skills maintained over a 1-15 month follow-up period and self-learning effects were replicated when the parents received self-instructional materials for the original no-training control skill. Despite the low literacy skills of the parents, for most of them no advantage was found in adding the audiotape to the illustrations. Three parents only reached criterion after an audiotape was added to the manual alone skill. Consumer satisfaction ratings were uniformly high and those parents who stated a preference, preferred the pictorial manuals without, as opposed to with, the audiotape. These findings suggest that a majority of parents with intellectual disabilities may improve their parenting skills with low cost, low tech, self-instructional materials.     

Procedures for Increasing Sustained Attention in Adults with Mild Intellectual Disabilities

The Psychological Record - This research compared the effects of several factors on sustained attention in four participants with mild or mild-to-moderate intellectual disabilities. In each...