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Effects of a Behavior Intervention Package on Augmented and Vocal Mands by Children with Developmental Disabilities

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Abstract

Various types of augmentative and alternative communication systems have been successfully used to enable functional communication in children with developmental disabilities. The effects of such systems on natural speech production have also been investigated, but few studies have explored the effects of specific procedures aim at inducing natural speech within interventions focused on teaching functional use of augmentative and alternative communication systems. The current study investigated the effectiveness of a behavior intervention package for teaching functional use (manding) of an augmentative and alternative communication device and production of vocal mands with three children with developmental disabilities. The findings indicated that combining augmented and the behavioral intervention package facilitated the acquisition of vocalization and augmented mands. Further, one child showed generalization of the two different communication modes across communicative partners. Limitations of the study and implications are discussed.

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References

  • Cagliani, R., Ayres, R., Whiteside, K., & Ringdahl, M. (2017). Picture exchange communication system and delay to reinforcement. Journal of Developmental and Physical Disabilities, 29, 925–939. https://doi.org/10.1007/s10882-017-9564-y.

    Article  Google Scholar 

  • Carbone, V. J., Sweeney-Kerwin, E. J., Attanasio, V., & Kasper, T. (2010). Increasing the vocal responses of children with autism and developmental disabilities using manual sign mand training and prompt delay. Journal of Applied Behavior Analysis, 43, 705–709. https://doi.org/10.1901/jaba.2010.43-705.

    Article  PubMed  PubMed Central  Google Scholar 

  • Charlop-Christy, M. H., Carpenter, M., Le, L., LeBlanc, L. A., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: Assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior. Journal of Applied Behavior Analysis, 35, 213–231. https://doi.org/10.1901/jaba.2002.35-213.

    Article  PubMed  PubMed Central  Google Scholar 

  • DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29, 519–533. https://doi.org/10.1901/jaba.1996.29-519.

    Article  PubMed  PubMed Central  Google Scholar 

  • Elliott, S. N., & Von Brock Trueting, M. (1991). The behavior intervention rating scale: Development and validation of a pretreatment acceptability and effectiveness measure. Journal of School Psychology, 29, 43–51. https://doi.org/10.1016/0022-4405(91)90014-I.

    Article  Google Scholar 

  • Esch, B. E. (2008). Early echoic skills assessment. In M. L. Sundberg (Ed.), Verbal behavior milestones assessment and placement program: The VB-MAPP (p. 24). Concord: AVB Press.

    Google Scholar 

  • Ganz, J. B., & Simpson, R. L. (2004). Effects on communicative requesting and speech development of the picture exchange communication system in children with characteristics of autism. Journal of Autism and Developmental Disorders, 34, 395–409.

    Article  PubMed  Google Scholar 

  • Ganz, J. B., Simpson, R. L., & Corbin-Newsome, J. (2008). The impact of the picture exchange communication system on requesting and speech development in preschoolers with autism spectrum disorders and similar characteristics. Research in Autism Spectrum Disorders, 2, 157–169. https://doi.org/10.1016/j.rasd.2007.04.005.

    Article  Google Scholar 

  • Ganz, J. B., Earles-Vollrath, T. L., Heath, A. K., Parker, R. I., Rispoli, M. J., & Duran, J. B. (2012). A meta-analysis of single case research studies on aided augmentative and alternative communication systems with individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(1), 60–74. https://doi.org/10.1007/s10803-011-1212-2.

    Article  PubMed  Google Scholar 

  • Ganz, J. B., Hong, E. R., & Goodwyn, F. D. (2013). Effectiveness of the PECS Phase III app and choice between the app and traditional PECS among preschoolers with ASD. Research in Autism Spectrum Disorders, 7, 973–983. https://doi.org/10.1016/j.rasd.2013.04.003.

    Article  Google Scholar 

  • Gast, D. L., & Spriggs, A. D. (2010). Visual analysis of graphic data. In D. L. Gast (Ed.), Single subject research methodology in behavioral sciences (pp. 199–233). New York: Sage Publications.

    Google Scholar 

  • Genc-Tosun, D., & Kurt, O. (2017). Teaching multi-step requesting to children with autism spectrum disorder using systematic instruction and a speech generating device. Augmentative and Alternative Communication, 33, 213–223. https://doi.org/10.1080/07434618.2017.1378717.

    Article  PubMed  Google Scholar 

  • Gevarter, C., & Horan, K. (2018). A behavioral intervention package to increase vocalizations of individuals with autism during speech-generating device intervention. Journal of Behavioral Education, 28, 141–167. https://doi.org/10.1007/s10864-018-9300-4.

    Article  Google Scholar 

  • Gevarter, C., O'Reilly, M. F., Kuhn, M., Mills, K., Ferguson, R., Watkins, L., Sigafoos, J., Lang, R., Rojeski, L., & Lancioni, G. E. (2016). Increasing the vocalizations of individuals with autism during intervention with a speech-generating device. Journal of Applied Behavior Analysis, 49, 17–33. https://doi.org/10.1002/jaba.270.

    Article  PubMed  Google Scholar 

  • Greenberg, A. L., Tomaino, M. E., & Charlop, M. H. (2014). Adapting the picture exchange communication system to elicit vocalizations in children with autism. Journal of Developmental and Physical Disabilities, 26, 1–42. https://doi.org/10.1007/s10882-013-9344-2.

    Article  Google Scholar 

  • Horner, R. D., & Baer, D. M. (1978). Multiple-probe technique: A variation on the multiple baseline. Journal of Applied Behavior Analysis, 11, 189–196. https://doi.org/10.1901/jaba.1978.11-189.

    Article  PubMed  PubMed Central  Google Scholar 

  • Johnston, S., Reichle, J., & Evans, J. (2004). Supporting augmentative and alternative communication use by beginning communicators with severe disabilities. American Journal of Speech–Language Pathology, 13, 20–30. https://doi.org/10.1044/1058-0360(2004/004).

    Article  PubMed  Google Scholar 

  • Kasari, C., Kaiser, A., Goods, K., Nietfeld, J., Mathy, P., Landa, R., Murphy, S., & Almirall, D. (2014). Communication interventions for minimally verbal children with autism: A sequential multiple assignment randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53, 635–646. https://doi.org/10.1016/j.jaac.2014.01.019.

    Article  Google Scholar 

  • Kazdin, A. E. (1982). Single-case research designs. New York: Oxford.

    Google Scholar 

  • Layton, T. L., & Watson, L. R. (1995). Enhancing communication in nonverbal children with autism). In K. A. Quill (Ed.), Teaching children with autism: Strategies to enhance communication and socialization (pp. 73–103). New York: Delmar.

    Google Scholar 

  • Millar, D. C., Light, J. C., & Schlosser, R. W. (2006). The impact of augmentative and alternative communication intervention on the speech production of individuals with developmental disabilities: A research review. Journal of Speech, Language, and Hearing Research, 49, 248–264. https://doi.org/10.1044/1092-4388(2006/021).

    Article  PubMed  Google Scholar 

  • Mirenda, P. (2003). Toward functional augmentative and alternative communication for students with autism manual signs, graphic symbols, and voice output communication aids. Language, Speech, and Hearing Services in Schools, 34, 203–216. https://doi.org/10.1044/0161-1461(2003/017).

    Article  PubMed  Google Scholar 

  • Parker, R. I., & Vannest, K. (2009). An improved effect size for single-case research: Nonoverlap of all pairs. Behavior Therapy, 40, 357–367. https://doi.org/10.1016/j.beth.2008.10.006.

    Article  PubMed  Google Scholar 

  • Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42, 284–299. https://doi.org/10.1016/j.beth.2010.08.006.

    Article  PubMed  Google Scholar 

  • Roche, L., Sigafoos, J., Lancioni, G. E., O’Reilly, M. F., Schlosser, R. W., Stevens, M., . . . Marschik, P. B. (2014). An evaluation of speech production in two boys with neurodevelopmental disorders who received communication intervention with a speech-generating device. International Journal of Developmental Neuroscience, 38, 10–16. https://doi.org/10.1016/j.ijdevneu.2014.07.003.

    Article  PubMed  Google Scholar 

  • Romski, M., Sevcik, R. A., Adamson, L. B., Cheslock, M., Smith, A., Barker, R. M., & Bakeman, R. (2010). Randomized comparison of augmented and nonaugmented language interventions for toddlers with developmental delays and their parents. Journal of Speech Language, and Hearing Research, 53, 350–364. https://doi.org/10.1044/1092-4388(2009/08-0156.

    Article  Google Scholar 

  • Schepis, M. M., Reid, D. H., Behrmann, M. M., & Sutton, K. A. (1998). Increasing communicative interactions of young children with autism using a voice output communication aid and naturalistic teaching. Journal of Applied Behavior Analysis, 31, 561–578. https://doi.org/10.1901/jaba.1998.31-561.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schlosser, R. W., & Wendt, O. (2008). Effects of augmentative and alternative communication intervention on speech production in children with autism: A systematic review. American Journal of Speech-Language Pathology, 17, 212–230. https://doi.org/10.1044/1058-0360(2008/021).

    Article  PubMed  Google Scholar 

  • Schlosser, R. W., Belfiore, P. J., Nigam, R., Blischak, D., & Hetzroni, O. (1995). The effects of speech output technology in the learning of graphic symbols. Journal of Applied Behavior Analysis, 28, 537–549.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schlosser, R. W., Sigafoos, J., Luiselli, J. K., Angermeier, K., Harasymowyz, U., Schooley, K., & Belfiore, P. J. (2007). Effects of synthetic speech output on requesting and natural speech production in children with autism: A preliminary study. Research in Autism Spectrum Disorders, 1, 139–163. https://doi.org/10.1016/j.rasd.2006.10.001.

    Article  Google Scholar 

  • Sigafoos, J., Wermink, H., Didden, R., Green, V. A., Schlosser, R. W., O’Reilly, M. F., & Lancioni, G. E. (2011). Effects of varying lengths of synthetic speech output on augmented requesting and natural speech production in an adolescent with Klinefelter syndrome. Augmentative and Alternative Communication, 27, 163–171. https://doi.org/10.3109/07434618.2011.610355.

    Article  PubMed  Google Scholar 

  • Skinner, B. F. (1957). Verbal Behavior. New York: appleton Century-Crofts.

    Book  Google Scholar 

  • Sundberg, M. (2008). Verbal behavior milestones assessment and placement program. Concord: AVB Press.

    Google Scholar 

  • The Attainment Company (2017). Go talk now (Version 4.11.14). [Mobile application software]. Retrieved January 14 from https://www.attainmentcompany.com/gotalk-now.

  • Tincani, M. (2004). Comparing the picture exchange communication system and sign language training for children with autism. Focus on Autism and Other Developmental Disabilities, 19, 152–163.

    Article  Google Scholar 

  • Tincani, M., Crozier, S., & Alazetta, L. (2006). The picture exchange communication system: Effects on manding and speech development for school-aged children with autism. Education and Training in Developmental Disabilities, 41, 177–184.

    Google Scholar 

  • Torelli, J. N., Lambert, J. M., Da Fonte, M. A., Denham, K. N., Jedrzynski, T. M., & Houchins-Juarez, N. J. (2016). Assessing acquisition of and preference for Mand topographies during functional communication training. Behavior Analysis in Practice, 9, 165–168. https://doi.org/10.1007/s40617-015-0083-y.

    Article  PubMed  Google Scholar 

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Acknowledgements

Appreciation is extended to Dr. Jeff Sigafoos for helpful comments on a previous version of this manuscript.

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Correspondence to Nouf M. Alzrayer.

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The study was approved by a university institutional review board and a parental consent form was obtained for each participant.

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Alzrayer, N.M., Muharib, R. & Wood, C. Effects of a Behavior Intervention Package on Augmented and Vocal Mands by Children with Developmental Disabilities. J Dev Phys Disabil 32, 57–74 (2020). https://doi.org/10.1007/s10882-019-09681-5

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