Microswitch programs for persons with multiple disabilities: an overview of the responses adopted for microswitch activation

Background: To introduce a person with multiple disabilities to a microswitch-aided program, one has to select a plausible response(s), that is, a response(s) that can be performed reliably and without excessive effort by the person and can successfully activate the microswitch(es) available (producing preferred stimuli). This paper provides an overview of the responses adopted for microswitch activation in research studies during the last 20 years. Method: Computerized and manual searches were carried out to identify the studies published between 1986 and 2005. Forty-eight research studies were identified. They concerned the use of (1) a single (typical) response, (2) a single (non-typical) response, (3) multiple (typical and non-typical) responses, and (4) multiple (vocal) responses. Results and discussion: The results showed that 151 of the 190 participants involved in the studies had a positive outcome (i.e., clear increases in their responding, which suggested that they had learned the association between responding and consequent preferred stimuli). Failures were largely concentrated in the first group of studies. The discussion focused on (a) the importance of selecting plausible responses for increasing the chances of success, (b) the need of non-typical responses for persons with minimal motor behavior, (c) implications of programs with multiple responses on engagement and choice, and (d) relevance of using vocal utterances. Some suggestions for future research concerning these points were also examined.     

Influence of aesthetic perception on visual event-related potentials

The aim of the study was to assess the effects of visual aesthetic perception on event-related potentials (ERPs). Eight subjects assigned an aesthetic judgment (beautiful, neutral, or ugly) and a 10-step beauty estimation to the target stimuli, consisting of famous artistic pictures and geometric shapes. In a further task, the subjects performed a motor response to the previously judged pictures and geometric shapes. ERPs were recorded through 54 scalp electrodes during both tasks. The P3b amplitude was increased during the categorization of the geometric shapes compared to the artistic figures and during the vision of the beautiful targets preceding the motor response. The categorization of the aesthetic qualities of geometrical shapes seems to induce a higher level of attention, while a higher arousal variation was elicited by the recognition of beauty, in any form that was presented.     

Technology-based intervention to help persons with minimally conscious state and pervasive motor disabilities perform environmentally relevant adaptive behavior

Persons with a diagnosis of minimally conscious state and pervasive motor disabilities tend to be passive and isolated. A way to help them improve their adaptive behavior (relate to their environment) involves the use of intervention packages combining assistive technology with motivational strategies. The types of assistive technology included in those packages may consist of (a) microswitches allowing direct access to environmental stimuli, (b) combinations of microswitches and voice output communication devices (VOCAs) allowing stimulus access and calls for caregivers' attention, respectively, and (c) computer presentations of stimulus options and microswitches allowing choice among those options and access to them.     

Access to environmental stimulation via eyelid responses for persons with acquired brain injury and multiple disabilities: a new microswitch arrangement

This study assessed a new microswitch arrangement for eyelid responses using an optic sensor placed above the cheekbone and a small sticker on the person's eyelid. This new arrangement, which was designed to avoid interference of the microswitch with the person's visual functioning, was tested on three adults with acquired brain injury and multiple (consciousness, communication, and motor) disabilities. The study was carried out according to a non-concurrent multiple baseline design across participants. Data showed the new microswitch arrangement was suitable for all three participants, who increased their responding during the intervention phase of the study when their responses allowed them to access preferred stimulation. Practical implications of the findings are discussed.     

The Interplay Between Trust Among Peers and Interpersonal Characteristics in Homophobic Bullying Among Italian Adolescents

This study is based on exploring the trust between peers and the individual characteristics related to homophobic bullying in adolescence. Participants were 334 adolescents (141 boys and 193 girls) aged from 15 to 20 years. Participants completed the homophobic bullying scale, to investigate bullying actions towards sexual minorities, the personal attributes questionnaire, for personal characteristics, and the inventory of parent and peer attachment, to the trust between peers. The results demonstrated how female participants manifested a higher level of interpersonal traits and trust among peers than boys. Results showed how a lack of trust between peers predicts homophobic bullying. Nevertheless, we found that the lack of interpersonal characteristics represents a variable that likely mediates the relationship between lack of trust in peers and homophobic bullying. Theoretical and practical implications are discussed.     

Frequent Versus Non-frequent Prompts and Task Performance in Persons with Severe Intellectual Disability

Abstract

This study extended the evaluation of frequent vs non-frequent prompts to support task performance with people with severe intellectual disability. Three participants were involved in the study. The data indicated that the frequent prompts strategy promoted higher levels of on-task behaviour and correct responding for 2 participants and on-task behaviour for 1 participant. The relation of these data with previous findings and their implications for daily occupation programmes for persons with severe developmental disabilities are discussed     

A computer-based system providing pictorial instructions and prompts to promote task performance in persons with severe developmental disabilities

This study was aimed at assessing a new computer-based system to promote task performance in three adults with severe developmental disabilities. The new system, which was small and battery powered, could provide auditory and vibratory prompts in addition to pictorial instructions concerning the task steps. To control for the effects of the computer-based system, the subjects were also exposed to a card system. The results showed that the subjects had a significantly higher level of correct performance on the tasks presented with the computer-based system than on the tasks presented with the card system. Two of the subjects, moreover, seemed to prefer the computer-based system to the card system. © 1998 John Wiley & Sons, Ltd.     

A systematic examination of different parameters of presession exposure to tangible stimuli that maintain problem behavior

We examined the effects of three different presession conditions on tangibly maintained problem behavior for 2 students with autism, using individual-participant multielement designs. First, an analogue functional analysis demonstrated that problem behavior was maintained by access to tangible items. Next, topographies of item rejection were identified. Finally, students were exposed to (a) brief access, (b) no access, and (c) satiation to the tangible items prior to tangible sessions. The results demonstrated high levels of problem behavior following the brief-access and no-access presession conditions and low levels of problem behavior following the satiation condition. The findings are discussed in the context of how satiation might best be defined for these sorts of evaluations.     

An iterative procedure for extracting skill maps from data

The methodologies for the construction of a knowledge structure mainly refer to the query to experts, the skill maps, and the data-driven approaches. This last method is of growing interest in recent literature. In this paper, an iterative procedure for building a skill map from a set of data is introduced. This procedure is based on the minimization of the distance between the knowledge structure delineated by a given skill map and the data. The accuracy of the proposed method is tested through a number of simulation studies where the amount of noise in the data is manipulated as well as the kind of structure to be reconstructed. Results show that the procedure is accurate and that its performance tends to be sufficiently stable even with high error rates. The procedure is compared to two already-existing methodologies to derive knowledge structures from a set of data. The use of the corrected Akaike Information Criterion (AICc) as a stopping criterion of the iterative reconstruction procedure is tested against the app criterion introduced by Schrepp. Moreover, two empirical applications on clinical data are reported, and their results show the applicability of the procedure.     

Identifying Criteria for the Evaluation of the Implications of Brain Reading for Mental Privacy

Science and Engineering Ethics - Contemporary brain reading technologies promise to provide the possibility to decode and interpret mental states and processes. Brain reading could have numerous...