Abstract
Part of the Down syndrome behavioral phenotype is significant impairment in expressive communication. This begins early with impairments in verbal imitation and requesting observed in infants with Down syndrome. In contrast, social interaction is a relative strength. We replicated intervention procedures using social reinforcement and prompting (Feeley et al. 2011) to teach infants with Down syndrome to imitate sounds and engage in increasingly sophisticated forms of social and instrumental requests and examined generalization and collateral changes in intelligibility and problem solving. Infants learned to imitate verbalizations and make requests. They showed generalization by imitating novel sounds and requesting with different toys and on a semi structured assessment. Infants also showed verbal imitation that was intelligible to a naïve listener and improvements in problem solving, suggesting this intervention may have broader effects than just requesting and verbal imitation.
Similar content being viewed by others
References
Bauer, S. M., & Jones, E. A. (2014). A behavior analytic approach to exploratory motor behavior: how can caregivers teach EM behavior to infants with Down syndrome? Infants and Young Children, 27, 162–173.
Bauer, S. M., Jones, E. A., & Feeley, K. M. (2014). Teaching responses to questions to young children with Down syndrome. Behavior Interventions, 29, 36–49.
Bijou, S. W. (1995). Behavior analysis of child development. Reno: Context.
Buckley, S. (2008). The power of behavioural approaches: we need a revival. Down Syndrome Research and Practice, 12, 103–104. doi:10.3014/updates.2038.
Chapman, R. (2006). Language learning in Down syndrome: the speech and language profile compared to adolescents with cognitive impairment of unknown origin. Down Syndrome Research and Practice, 10(2), 61–66. doi:10.3104/reports.306.
Dodd, B., McCormack, P., & Woodyatt, G. (1994). Evaluation of an intervention program: relation between children’s phonology and parents' communicative behavior. American Journal on Mental Retardation, 98, 632–645.
Drash, P. W., Raver, S. A., Murrin, M. R., & Tudor, R. M. (1989). Three procedures for increasing vocal response to therapist prompt in toddlers and children with Down syndrome. American Journal on Mental Retardation, 94, 64–73.
Feeley, K. M., & Jones, E. A. (2006). Addressing challenging behaviour in children with Down syndrome: the use of applied behaviour analysis for assessment and intervention. Down Syndrome Research and Practice, 11, 64–77.
Feeley, K. M., & Jones, E. A. (2008). Teaching spontaneous responses to a young child with Down syndrome. Down Syndrome Research and Practice, 12, 148–152. doi:10.3104/case-studies.2007.
Feeley, K. M., Jones, E. A., Blackburn, C., & Bauer, S. M. (2011). Advancing imitation and requesting skills in toddlers with Down syndrome. Research in Developmental Disabilities, 32, 2415–2430.
Fey, M. E., Warren, S. F., Brady, N., Finestock, L. H., Bredin-Oja, S. L., Fairchild, M., & Yoder, P. J. (2006). Early effects of responsivity education/prelinguistic milieu teaching for children with developmental delays and their parents. Journal of Speech, Language, and Hearing Research, 49, 526–547.
Fey, M. E., Yoder, P. J., Warren, S. F., & Bredin-Oja, S. L. (2013). Is more better? Milieu communication teaching in toddlers with intellectual disabilities. Journal of Speech, Language, and Hearing Research, 56, 679–693.
Fidler, D. J. (2005). The emerging Down syndrome behavioral phenotype in early childhood: implications for practice. Infants and Young Children, 18, 86–103.
Fidler, D. J., & Nadel, L. (2007). Education and children with Down syndrome: neuroscience, development, and intervention. Mental Retardation and Developmental Disabilities Research Reviews, 13, 262–271.
Fidler, D. J., Philofsky, A., Hepburn, S. L., & Rogers, S. J. (2005). Nonverbal requesting and problem-solving by toddlers with Down syndrome. American Journal on Mental Retardation, 110, 312–322.
Goldman, R. (2000). Goldman Fristoe 2: Test of Articulation. Circle Pines: American Guidance Service.
Gordon-Brannan, M., & Hodson, B. W. (2000). Intelligibility/severity measurements of prekindergarten children’s speech. American Journal of Speech Language Pathology, 9, 141–150.
Hemmeter, M. L., Ault, M. J., Collins, B. C., & Meyer, S. (1996). The effects of teacher-implemented language instruction within free time activities. Education and Training in Mental Retardation and Developmental Disabilities, 31, 203–212.
Hodapp, R. M., & Fidler, D. J. (1999). Special education and genetics: connections for the 21st century. The Journal of Special Education, 33, 130–137.
Jones, E. A., & Feeley, K. M. (2011). Extending ABA intervention to developmental disabilities other than autism spectrum disorders: what are we waiting for? The APBA Reporter, 27.
Jones, E. A., Feeley, K. M., & Blackburn, C. (2010). A preliminary study of intervention addressing early developing requesting behaviours in young infants with Down syndrome. Down Syndrome Research and Practice, 12, 98–102. doi:10.3104/reports.2059.
Mahoney, G., Glover, A., & Finger, I. (1981). Relationship between language and sensorimotor development of Down syndrome and nonretarded children. American Journal of Mental Deficiency, 86, 21–27.
McDonnell, A. P. (1996). The acquisition, transfer, and generalization of requests by young children with severe disabilities. Education and Training in Mental Retardation and Developmental Disabilities, 31, 213–234.
Mullen, E. (1995). Mullen Scales of Early Learning. Circle Pines: American Guidance Service.
Mundy, P., Sigman, M., Kasari, C., & Yirmiya, N. (1988). Nonverbal communication skills in Down syndrome children. Child Development, 59, 235–249.
Mundy, P., Kasari, C., Sigman, M., & Ruskin, E. (1995). Nonverbal communication and early language acquisition in children with Down syndrome and in normally developing children. Journal of Speech and Hearing Research, 38, 157–167.
Mundy, P., Delgado, C., Block, J., Venezia, M., Hogan, A., & Seibert, J. (2003). A manual for the abridged Early Social Communication Scales (ESCS). Retrieved January 5, 2006, from University of Miami Web site: http://www.miami.edu/faculty/pmundy/ESCS.pdf
Pierce, W. D., & Cheney, C. D. (2013). Behavior analysis and learning. Psychology Press.
Pitcairn, T. K., & Wishart, J. G. (1994). Reactions of young children with Down’s syndrome to an impossible task. British Journal of Developmental Psychology, 12, 485–489.
Poulson, C. L., & Kymissis, E. (1996). The operant language-acquisition paradigm and its empirical support. In S. W. Bijou & E. Ribes (Eds.), New Directions in Behavior Development (pp. 73–90). Reno: Context Press.
Rasilo, H., Räsänen, O., & Laine, U. K. (2013). Feedback and imitation by a caregiver guides a virtual infant to learn native phonemes and the skill of speech inversion. Speech Communication, 55, 909–931.
Risley, T. R., & Reynolds, N. J. (1970). Emphasis as a prompt for verbal imitation. Journal of Applied Behavior Analysis, 3, 185–190.
Roberts, J. E., Price, J., & Malkin, C. (2007). Language and communication development in Down syndrome. Mental Retardation and Developmental Disabilities Research Reviews, 13, 26–35.
Roberts, J. E., Chapman, R. S., Martin, G. E., & Moskowitz, L. (2008). Language of preschool and school-age children with Down syndrome and fragile X syndrome. Speech and language development and intervention in Down syndrome and fragile X syndrome, 77–115.
Rondal, J. A. (1980). Father’s and mothers’ speech in early language development. Journal of Child Language, 7, 353–359.
Rondal, J. A., Lambert, J. L., & Sohier, C. (1981). Elicited verbal and nonverbal imitation in Down’s syndrome and other mentally retarded children: A replication and extension of Berry. Language and Speech, 24, 245–254.
Stoel-Gammon, C. (2001). Down syndrome phonology: developmental patterns and intervention strategies. Down Syndrome Research and Practice, 7, 93–100.
Willatts, P. (1999). Development of means–end behavior in young infants: pulling a support to retrieve a distant object. Developmental Psychology, 35, 651.
Wishart, J. G., & Duffy, L. (1990). Instability of performance on cognitive tests in infants and young children with Down’s syndrome. British Journal of Educational Psychology, 60, 10–22.
Yoder, P. J., & Warren, S. F. (1998). Maternal responsivity predicts the prelinguistic communication intervention that facilitates generalized intentional communication. Journal of Speech, Language, and Hearing Research, 41, 1207–1219.
Yoder, P. J., & Warren, S. F. (2002). Effects of prelinguistic milieu teaching and parent responsivity education on dyads involving children with intellectual disabilities. Journal of Speech, Language, and Hearing Research, 45, 1158–1174.
Yoder, P., Woynaroski, T., Fey, M., & Warren, S. (2014). Effects of dose frequency of early communication intervention in young children with and without Down syndrome. American Journal on Intellectual and Developmental Disabilities, 119, 17–32.
Yorkston, K. M., Strand, E. A., & Kennedy, M. R. T. (1996). Comprehensibility of dysarthric speech: implications for assessment and treatment planning. American Journal of Speech-Language Pathology, 5, 55–66.
Acknowledgments
We would like to thank the families who participated in the study and Nila Chourhury, Yishai Kadry, Ariella Altabe, Raquel Cerrato, Yoseph Jacobs, and Kristen Masciana for assisting with various aspects of this project. Support for this project was provided by a Professional Staff Congress-City University of New York Award, jointly funded by The Professional Staff Congress and The City University of New York.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bauer, S.M., Jones, E.A. Requesting and Verbal Imitation Intervention for Infants with Down syndrome: Generalization, Intelligibility, and Problem Solving. J Dev Phys Disabil 27, 37–66 (2015). https://doi.org/10.1007/s10882-014-9400-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10882-014-9400-6