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Sigafoos J, Roche L, O'Reilly MF, Lancioni GE, Marschik PB. Updated systematic-narrative review on communication intervention in Rett Syndrome: 2010-2022. Augment Altern Commun 2023; 39:241-255. [PMID: 37526342 DOI: 10.1080/07434618.2023.2215864] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 04/27/2023] [Accepted: 05/08/2023] [Indexed: 08/02/2023] Open
Abstract
Due to loss of spoken language and resulting complex communication needs, people with Rett syndrome are obvious candidates for communication intervention. To advance evidence-based practice and guide future research efforts, we identified and summarized 16 communication intervention studies published since a previous 2009 review on this topic. Studies were summarized in terms of (a) participants, (b) dependent variables related to communication, (c) intervention characteristics, (d) outcomes, and (e) certainty of evidence. Across the 16 studies, intervention was provided to a total of 100 participants from 3 to 47 years of age. Half of the studies used systematic instruction to teach aided AAC. Other interventions and associated technologies included music therapy, eye tracking technology, and transcranial stimulation. Positive outcomes (e.g., using AAC devices to make requests and/or initiate social-communication interactions) were reported in 13 of the studies. These 16 new studies provide additional guidance on how to enhance the communicative functioning of people with Rett syndrome. Future research directions are highlighted.
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Affiliation(s)
- Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
| | - Laura Roche
- School of Education, The University of Newcastle, Callaghan, Australia
| | - Mark F O'Reilly
- Department of Special Education, The University of Texas at Austin, Austin, TX, USA
| | - Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Peter B Marschik
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen and Leibniz Science Campus Primate Cognition, Gottingen, Germany
- Division of Phoniatrics, iDN - interdisciplinary Developmental Neuroscience, Medical University of Graz, Graz, Austria
- Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Chiariello V, Desideri L, Buono S. Low-Cost Technology-Aided Programs for Supporting People With Motor, Visual, and Intellectual Disabilities in Functional Forms of Occupation and Communication: Proof-of-Concept Study. JMIR Rehabil Assist Technol 2023; 10:e44239. [PMID: 36961483 PMCID: PMC10131918 DOI: 10.2196/44239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 01/16/2023] [Accepted: 02/28/2023] [Indexed: 03/06/2023] Open
Abstract
BACKGROUND People with motor, visual, and intellectual disabilities may have serious problems in independently accessing various forms of functional daily occupation and communication. OBJECTIVE The study was aimed at developing and assessing new, low-cost technology-aided programs to help people with motor or visual-motor and intellectual disabilities independently engage in functional forms of occupation and communication with distant partners. METHODS Two programs were set up using a smartphone interfaced with a 2-switch device and a tablet interfaced with 2 pressure sensors, respectively. Single-subject research designs were used to assess (1) the first program with 2 participants who were blind, had moderate hand control, and were interested in communicating with distant partners through voice messages; and (2) the second program with 2 participants who possessed functional vision, had no or poor hand control, and were interested in communicating with their partners through video calls. Both programs also supported 2 forms of occupational engagement, that is, choosing and accessing preferred leisure events consisting of songs and music videos, and listening to brief stories about relevant daily topics and answering questions related to those stories. RESULTS During the baseline phase (when only a conventional smartphone or tablet was available), 2 participants managed sporadic access to leisure or leisure and communication events. The other 2 participants did not show any independent leisure or communication engagement. During the intervention (when the technology-aided programs were used), all participants managed to independently engage in multiple leisure and communication events throughout the sessions and to listen to stories and answer story-related questions. CONCLUSIONS The findings, which need to be interpreted with caution given the nature of the study and the small number of participants, seem to suggest that the new programs may be viable tools for helping people with motor or visual-motor and intellectual disabilities independently access leisure, communication, and other forms of functional engagement.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Nirbhay N Singh
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, United States
| | - Mark F O'Reilly
- College of Education, University of Texas at Austin, Austin, TX, United States
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Chiariello V, Desideri L. A microswitch-aided program to enable people with extensive multiple disabilities to control environmental stimulation through different responses. Front Psychiatry 2022; 13:1073650. [PMID: 36569625 PMCID: PMC9780668 DOI: 10.3389/fpsyt.2022.1073650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 11/25/2022] [Indexed: 12/13/2022] Open
Abstract
Objectives This study assessed whether a simple technology-aided program (i.e., a program involving the use of microswitches linked to a smartphone) could be set up to enable people with motor, sensory and intellectual disabilities to control preferred environmental stimulation through two different response movements. Methods Ten participants were involved in the study. Each of them was exposed to an ABAB design, in which A represented baseline phases without the program and B intervention phases with the use of the program. The study assessed whether the participants (a) had significant increases of each of the two response movements available and/or showed response variability across sessions and over time and (b) had signs of satisfaction/happiness during the study sessions, in connection with their stimulation access and control. Results The program was effective in increasing the participants' responding and consequently their self-regulated stimulation input. Half of the participants showed a significant increase of both responses available from the first intervention phase. Other participants seemed to focus more on one of the two responses. Even so, they tended to have occasionally high performance frequencies also with regard to their non-dominant (not significantly increased) response. Finally, all participants showed clear signs of satisfaction/happiness during the intervention sessions. Conclusions The program represents a potentially useful approach for enabling people with extensive multiple disabilities to self-regulate their access to preferred environmental stimulation and improve their mood.
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Affiliation(s)
- Giulio E. Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Nirbhay N. Singh
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, United States
| | - Mark F. O'Reilly
- College of Education, University of Texas at Austin, Austin, TX, United States
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Desideri L. Behavioral intervention approaches for people with disorders of consciousness: a scoping review. Disabil Rehabil 2022; 44:7677-7692. [PMID: 34613851 DOI: 10.1080/09638288.2021.1985634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
PURPOSE This review was intended to provide an overall picture of work conducted during the last decade to assess the impact of behavioral intervention strategies on people with disorders of consciousness (i.e., comatose state, vegetative state/unresponsive wakefulness, or minimally conscious state). The intervention strategies considered were those not based on music or including music as a component of the intervention package. METHODS Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist, a scoping review was carried out to identify and provide a synthesis of eligible studies published in English during the 2010-2021 period. Three databases (i.e., PubMed, PsycINFO, and Web of Science) were employed for the literature search. RESULTS Forty studies met the inclusion criteria. Those studies were grouped into three categories based on whether they assessed the effects of: (i) verbal stories/messages, (ii) multiple stimulation, and (iii) response-contingent stimulation. Then, a narrative synthesis of the studies of each of the three categories was provided to specify the types of patients involved, the intervention and assessment conditions implemented, and the outcome attained. CONCLUSIONS The evidence reported in most of the studies might be considered encouraging and convincing. Even so, it might be very difficult to view the evidence of the various studies cumulatively and make general/conclusive statements due to a number of differences in the intervention conditions applied.Implications for rehabilitationAn informative picture of the studies using behavioral interventions with people with disorders of consciousness is essential to any professional working in the area.Such picture can be highly useful in providing a view of the intervention strategies used for those people, of the variations existing within and across strategies, and of the evidence available.An analysis of the strategies, their implementation and their effects may provide new insights for improving those strategies and eventually increasing their impact.The individuals charged with the implementation process (e.g., family members or nurses) may have a relevant influence on the overall impact of the strategy.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin, Austin, TX, USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Campodonico F, Chiariello V, Desideri L, Buono S. Everyday Technology to Help People with Intellectual and Other Disabilities Access Stimulation via Functional Motor Responses and Improved Body Posture. Dev Neurorehabil 2022; 25:59-67. [PMID: 34629013 DOI: 10.1080/17518423.2021.1989513] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
PURPOSE This study assessed everyday technology to help eight participants with intellectual and sensory-motor disabilities access stimulation via functional arm/hand responses and improved body posture. METHODS An ABABB1BB1 design was used for each participant, with A representing baseline phases, B intervention phases in which arm/hand responses led to a 12-s stimulation, and B1 intervention phases in which the stimulation for arm/hand responses was conditional on an improved/correct torso and head posture. The technology involved a Samsung Galaxy A10 smartphone fitted with Google Assistant and MacroDroid, a mini voice-recording device, and a portable mini voice amplifier. RESULTS All participants had a large increase in arm/hand responses from the baseline periods to the B and B1 phases. They also had a large increase in correct posture from the B phases to the B1 phases. CONCLUSION This technology-aided approach may be a helpful resource for people similar to the participants of this study.
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Affiliation(s)
| | | | | | - Jeff Sigafoos
- Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Chiariello V, Campodonico F, Desideri L. Technology-Aided Spatial Cues, Instructions, and Preferred Stimulation for Supporting People With Intellectual and Visual Disabilities in Their Occupational Engagement and Mobility: Usability Study. JMIR Rehabil Assist Technol 2021; 8:e33481. [PMID: 34787588 PMCID: PMC8663578 DOI: 10.2196/33481] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 09/29/2021] [Accepted: 10/03/2021] [Indexed: 02/05/2023] Open
Abstract
Background Persons with severe or profound intellectual disability and visual impairment tend to be passive and sedentary, and technology-aided intervention may be required to improve their condition without excessive demands on staff time. Objective This study aims to extend the assessment of technology-aided interventions for supporting functional occupational engagement and mobility in 7 people with intellectual disability and visual impairment and to use a technology system that is simpler and less expensive than those previously used. Methods The technology system involved a Samsung Galaxy A10, 4 Philips Hue indoor motion sensors, and 4 mini speakers. Within each session, the participants were to collect 18 objects (ie, one at a time) from 3 different areas (stations) located within a large room, bring each of the objects to a central desk, and put away each of those objects there. For each object, the participants received verbal (spatial) cues for guiding them to the area where the object was to be collected, a verbal instruction (ie, request) to take an object, verbal (spatial) cues for guiding them to the central desk, a verbal instruction to put away the object collected, and praise and preferred stimulation. Results During baseline, the frequency of responses completed correctly (objects collected and put away independently) was 0 or near 0. During the intervention phase (ie, with the support of the technology setup), the frequency increased for all participants, reaching a mean of almost 18 (out of 18 response opportunities) for 6 participants and about 13 for the remaining participant. The mean session duration ranged from 12 to 30 minutes. Conclusions A program, such as the one used in this study, can be useful in promoting occupational engagement and mobility in persons with intellectual disability and visual impairment.
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Affiliation(s)
| | | | | | - Jeff Sigafoos
- Victoria University of Wellington, Wellington, New Zealand
| | | | | | | | - Lorenzo Desideri
- Lega F. D'Oro Research Center, Osimo, Italy.,University of Bologna, Bologna, Italy
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Lancioni GE, Desideri L, Singh NN, O'Reilly MF, Sigafoos J, De Caro MF, Taurisano P. Use of technology to sustain mobility in older people with cognitive impairment and dementia: a scoping review. Disabil Rehabil Assist Technol 2021:1-15. [PMID: 33751919 DOI: 10.1080/17483107.2021.1900935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE This paper provides a review of studies that evaluated technology devices to sustain various forms of mobility in older people with cognitive impairment or dementia and mobility problems (e.g., inability to ambulate or difficulties to orient with consequent failures to reach relevant destinations). METHODS A literature search was performed for English language articles indexed in PubMed, PsycINFO, and Web of Science. This search was then supplemented with an ancestral and forward search. The search covered the period ranging between January 2010 and October 2020. RESULTS Twenty-seven articles were included in the review. They were divided into four groups according to whether they aimed to promote (a) supported ambulation, (b) use of safe power wheelchair, (c) ambulation guided by orientation cues, and (d) ambulation with GPS-based assistance. The studies were coded in terms of the objective pursued, technology used, participants involved, strategies applied to assess the technology, and outcome reported. CONCLUSION A variety of technology devices are available to address the mobility problems of older people with cognitive impairment or dementia. The devices' accessibility and usability differ widely. Data on their impact are still largely preliminary and new systematic research is needed.IMPLICATIONS FOR REHABILITATIONA variety of mobility problems may afflict older people with cognitive impairment or dementia and curtail their opportunities to freely move indoor or outdoor.Technology devices have been developed to (a) promote forms of supported ambulation, (b) facilitate safe use of power wheelchairs, (c) deliver orientation/navigation cues, and (d) ensure tracking and possible assistance.The technology devices differ in terms of accessibility and affordability, with some of them readily available and others at a developmental stage.Data on the effectiveness of the various technology devices in reducing the impact of the mobility problems are still largely preliminary and new systematic research is needed.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | | | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin, Austin, TX, USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
| | - Maria F De Caro
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Paolo Taurisano
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Chiariello V, Desideri L. People with intellectual and visual disabilities access basic leisure and communication using a smartphone's Google Assistant and voice recording devices. Disabil Rehabil Assist Technol 2020; 17:957-964. [PMID: 33078974 DOI: 10.1080/17483107.2020.1836047] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE This study assessed a new technology system to help six participants with intellectual and visual disabilities manage leisure engagement and communication with distant partners in an independent manner. METHODS A nonconcurrent multiple baseline design across participants was used to assess the effects of the new technology system. This included a Samsung Galaxy J4 Plus smartphone with Android 9.0 operating system, mini voice recording devices, and a Bluetooth speaker. The smartphone was provided with a Google account and Internet connection. The participants could activate the smartphone's Google Assistant and thus access leisure events, start telephone calls or send messages by triggering mini voice recording devices. Each device, when triggered, uttered a specific verbal request (i.e., a request for a leisure option or for a communication partner to call or to reach by messages). Messages received from those partners were read automatically by the smartphone. RESULTS During baseline (when the voice recording devices were not available), the participants did not manage to activate the smartphone's Google Assistant and thus did not access leisure events and did not make telephone calls or send messages independently. During the post-intervention phase (when the voice recording devices were available), all participants accessed leisure events and made telephone calls or sent and received messages independently, remaining positively engaged throughout the 10-min sessions. Staff rated the new technology system positively. CONCLUSION The new technology system may be a useful resource to help people like the participants of this study access basic leisure and communication independently.Implications for rehabilitationA technology system relying on commercial devices may be practical and acceptable in daily programs for persons with intellectual and other disabilities.Such system may be used for supporting the persons' independent leisure engagement and communication with distant partners.A system may be accessible to persons with significant disabilities if the responses needed to operate it are simple.Simple hand-pressure responses may be sufficient to operate a system that relies on the input of mini voice recording devices.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin, Austin, TX, USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Chiariello V, Carrella L. Everyday Technology to Support Leisure and Daily Activities in People with Intellectual and Other Disabilities. Dev Neurorehabil 2020; 23:431-438. [PMID: 32118503 DOI: 10.1080/17518423.2020.1737590] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objective: The study evaluated a smartphone-aided program to support independent access to leisure events and performance of daily activities in seven participants with moderate intellectual disability, four of whom also had severe hearing loss. Method: The program relied on the use of a Samsung Galaxy J4 Plus smartphone with Android 9.0 operating system. The smartphone's functioning was automated via the MacroDroid application. The program was to allow the participants to alternate access to leisure events (delivered via the smartphone) with performance of vocational activities (guided through smartphone-delivered pictorial or pictorial and verbal instructions) over sessions of about 30 min. Results: During the baseline, the participants failed to access leisure events and perform scheduled activities independently. When the program was used, however, all participants succeeded in both accessing leisure events and performing activities independently. Conclusions: The smartphone-aided program can be a useful tool for people like the participants of this study.
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Affiliation(s)
| | | | | | - Jeff Sigafoos
- Victoria University of Wellington , Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Chiariello V, Buono S. Extended smartphone-aided program to sustain daily activities, communication and leisure in individuals with intellectual and sensory-motor disabilities. Res Dev Disabil 2020; 105:103722. [PMID: 32623249 DOI: 10.1016/j.ridd.2020.103722] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 06/08/2020] [Accepted: 06/24/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Smartphone-aided programs were recently developed to support leisure engagement and communication with distant partners in individuals with special needs. This study evaluated an extended smartphone-aided program that supported daily activities in addition to communication and leisure in individuals with intellectual and visual or visuo-motor disabilities. METHOD Six participants were involved who had been exposed to an earlier smartphone-aided program supporting communication and leisure. The extended program (a) relied on the use of a Samsung Galaxy J4 Plus smartphone, which was fitted with Android 9.0 operating system and MacroDroid, and (b) alternated periods in which the participants could engage in communication and leisure with periods in which they were provided with instructions for daily activities. RESULTS During the baseline (i.e., with the earlier smartphone-aided program), the participants engaged in communication and leisure, but did not start any activity. During the post-intervention phase (i.e., with the extended smartphone-aided program), the participants maintained successful communication and leisure engagement and started and carried out daily activities successfully. Staff rated the extended program largely preferable to the original program. CONCLUSIONS The extended program can be a useful tool for widening the functional occupation of individuals like the participants of this study.
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, D'Amico F, Buonocunto F, Lanzilotti C, Alberti G, Navarro J. Mainstream technology to support basic communication and leisure in people with neurological disorders, motor impairment and lack of speech. Brain Inj 2020; 34:921-927. [PMID: 32442386 DOI: 10.1080/02699052.2020.1763462] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To assess a simple technology solution to support basic communication and leisure in people with neurological disorders, extensive motor impairment, and absence of speech. DESIGN The design was a non-concurrent multiple baseline across participants. METHODS The study included eight participants and assessed a technology setup including a Samsung Galaxy Tab S2 LTE tablet and a Samsung Galaxy A3 smartphone. The smartphone, automated via MacroDroid, presented the participant with leisure, messages, and caregiver options. Choosing leisure or messages (by activating the smartphone's proximity sensor) led the smartphone to present the alternatives available for that option and eventually verbalize the alternative selected. This verbalization triggered the tablet's Google Assistant and led the tablet to present a leisure event or start a message exchange. Choosing the caregiver led the smartphone to invite the caregiver to interact with the participant. RESULTS During baseline (i.e., when a standard smartphone was available), the participants did not activate any of the options. During intervention and post-intervention (i.e., with the technology described above), participants activated all options and spent most of the session time positively engaged with them. CONCLUSIONS The aforementioned technology seems to be a useful tool for individuals like those involved in this study.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari , Italy
| | | | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin , USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington , New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, D'Amico F, De Vanna F, Laporta D, De Caro MF, Pinto K. Smartphone technology for fostering goal-directed ambulation and object use in people with moderate Alzheimer's disease. Disabil Rehabil Assist Technol 2019; 15:754-761. [PMID: 31726892 DOI: 10.1080/17483107.2019.1686075] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Purpose: This study was aimed at assessing a smartphone-based intervention to help 11 individuals with moderate Alzheimer's disease and ambulation problems to manage goal-directed, walker-assisted ambulation and object use (i.e., to reach specific destinations and put away objects at those destinations independently).Method: The study was carried out according to a non-concurrent multiple baseline design across participants. Two measures were recorded, that is, the number of target responses performed correctly (with each target response consisting of reaching a destination and putting away an object), and the number of observation intervals with indices of enjoyment/appreciation (e.g., smiles and positive comments). During baseline, the participants were provided with a walker and three objects that were to be transported to and put away at specific destinations. During the intervention, the participants also had the smartphone-based technology that provided them with instructions about the destinations and objects, praise, and preferred stimulation.Results: During baseline, the mean frequency of correct target responses was virtually zero. The mean frequency of intervals with indices of enjoyment/appreciation ranged from zero to close to one. During the intervention, the mean frequencies for the two measures were slightly below three and just over three, respectively. The maximum frequencies possible were three and four, respectively.Conclusions: A smartphone-based intervention may be suitable to foster goal-directed, walker-assisted ambulation and object use as well as enjoyment/appreciation in participants like those involved in this study.IMPLICATIONS FOR REHABILITATIONA smartphone-based intervention may be used to promote goal-directed, walker-assisted ambulation and object use as well as indices of enjoyment/appreciation in persons with moderate Alzheimer disease.The technology for such intervention might involve (a) a smartphone with Android operating system, light sensor, Bluetooth v4.0, and MacroDroid, (b) Bluetooth headphones or earpieces, and (c) battery-powered light sources.The technology may provide the participants with instructions about the destinations to reach and the objects to put away at those destinations, and with praise and brief periods of preferred stimulation at the target destinations.The technology may be considered easy to access, friendly for the participants, and suitable for use by staff within daily contexts.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin, Austin, TX, USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
| | | | | | | | - Maria F De Caro
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
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Zhang D, Bedogni F, Boterberg S, Camfield C, Camfield P, Charman T, Curfs L, Einspieler C, Esposito G, De Filippis B, Goin-Kochel RP, Höglinger GU, Holzinger D, Iosif AM, Lancioni GE, Landsberger N, Laviola G, Marco EM, Müller M, Neul JL, Nielsen-Saines K, Nordahl-Hansen A, O'Reilly MF, Ozonoff S, Poustka L, Roeyers H, Rankovic M, Sigafoos J, Tammimies K, Townend GS, Zwaigenbaum L, Zweckstetter M, Bölte S, Marschik PB. Towards a consensus on developmental regression. Neurosci Biobehav Rev 2019; 107:3-5. [PMID: 31442516 DOI: 10.1016/j.neubiorev.2019.08.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 08/16/2019] [Accepted: 08/19/2019] [Indexed: 11/16/2022]
Affiliation(s)
- Dajie Zhang
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Goettingen, Goettingen, Germany; iDN - interdisciplinary Developmental Neuroscience, Division of Phoniatrics, Medical University of Graz, Graz, Austria; Leibniz ScienceCampus Primate Cognition, Goettingen, Germany
| | - Francesco Bedogni
- Neuroscience Division, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Sofie Boterberg
- Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium
| | - Carol Camfield
- Department of Pediatrics, Dalhousie University and the IWK Health Centre, Canada
| | - Peter Camfield
- Department of Pediatrics, Dalhousie University and the IWK Health Centre, Canada
| | - Tony Charman
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK; South London and Maudsley NHS Foundation Trust, London, UK
| | - Leopold Curfs
- Rett Expertise Centre-GKC, Maastricht University Medical Centre, Maastricht, the Netherlands
| | - Christa Einspieler
- iDN - interdisciplinary Developmental Neuroscience, Division of Phoniatrics, Medical University of Graz, Graz, Austria
| | - Gianluca Esposito
- Social & Affiliative Neuroscience Lab, Psychology Program, Nanyang Technological University, Singapore; Affiliative Behaviour & Physiology Lab, Department of Psychology and Cognitive Sciences, University of Trento, Trento, Italy
| | - Bianca De Filippis
- Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Robin P Goin-Kochel
- Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA; Autism Center, Texas Children's Hospital, Houston, TX, USA
| | - Günter U Höglinger
- German Center for Neurodegenerative Diseases (DZNE), Munich, Germany; Department of Neurology, Klinikum rechts der Isar, Technical University of Munich, Germany; Department of Neurology, Hannover Medical School, Hannover, Germany
| | - Daniel Holzinger
- Hospital of St. John of God, Institute for Neurology of Senses and Language, Linz, Austria; Research Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, Austria
| | - Ana-Maria Iosif
- Department of Public Health Sciences, University of California, Davis, Davis CA, USA
| | - Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | | | - Giovanni Laviola
- Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Eva M Marco
- Department of Genetics, Physiology and Microbiology, Faculty of Biological Sciences, Universidad Complutense de Madrid, Madrid, Spain
| | - Michael Müller
- Institute of Neuro- and Sensory Physiology, University Medical Center Goettingen, Georg-August-University Goettingen, Germany
| | | | - Karin Nielsen-Saines
- Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
| | | | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin, Austin TX, USA
| | - Sally Ozonoff
- Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California, Davis, Sacramento CA, USA
| | - Luise Poustka
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Goettingen, Goettingen, Germany; Leibniz ScienceCampus Primate Cognition, Goettingen, Germany
| | - Herbert Roeyers
- Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium
| | - Marija Rankovic
- Department for NMR-based Structural Biology, Max Planck Institute for Biophysical Chemistry, Goettingen, Germany
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
| | - Kristiina Tammimies
- Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
| | - Gillian S Townend
- Rett Expertise Centre-GKC, Maastricht University Medical Centre, Maastricht, the Netherlands
| | | | - Markus Zweckstetter
- Department for NMR-based Structural Biology, Max Planck Institute for Biophysical Chemistry, Goettingen, Germany; German Center for Neurodegenerative Diseases (DZNE), Goettingen, Germany
| | - Sven Bölte
- Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Curtin Autism Research Group, School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Western Australia, Australia
| | - Peter B Marschik
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Goettingen, Goettingen, Germany; iDN - interdisciplinary Developmental Neuroscience, Division of Phoniatrics, Medical University of Graz, Graz, Austria; Leibniz ScienceCampus Primate Cognition, Goettingen, Germany; Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
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14
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Lancioni GE, Olivetti Belardinelli M, Singh NN, O'Reilly MF, Sigafoos J, Alberti G. Recent Technology-Aided Programs to Support Adaptive Responses, Functional Activities, and Leisure and Communication in People With Significant Disabilities. Front Neurol 2019; 10:643. [PMID: 31312169 PMCID: PMC6614206 DOI: 10.3389/fneur.2019.00643] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Accepted: 05/31/2019] [Indexed: 12/17/2022] Open
Abstract
This paper presents an overview of recent technology-aided programs (i. e., technology-aided support tools) designed to help people with significant disabilities (a) engage in adaptive responses, functional activities, and leisure and communication, and thus (b) interact with their physical and social environment and improve their performance/achievement. In order to illustrate the support tools, the paper provides an overview of recent studies aimed at developing and assessing those tools. The paper also examines the tools' accessibility and usability, and comments on possible ways of modifying and advancing them to improve their impact. The tools taken into consideration concern, among others, (a) microswitches linked to computer systems, and aimed at promoting (i.e., through positive stimulation) minimal responses or functional body movements in individuals with intellectual disabilities and motor impairments; (b) computer systems, tablets, or smartphones aimed at supporting functional activity engagement of individuals with intellectual disabilities or Alzheimer's disease; and (c) microswitches with computer-aided systems, elaborate communication devices, and specifically arranged smartphones or tablets, directed at promoting leisure, communication, or both.
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Affiliation(s)
- Giulio E. Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Marta Olivetti Belardinelli
- Interuniversity Center for Research on Cognitive Processing in Natural and Artificial Systems (ECONA), Sapienza University of Rome, Rome, Italy
| | - Nirbhay N. Singh
- Medical College of Georgia, Augusta University, Augusta, GA, United States
| | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Austin, TX, United States
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
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15
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Lancioni GE, Singh NN, O'Reilly MF, Oliva D, Campodonico F, Groeneweg J. Impact of Favorite Stimuli on the Behavior of Persons with Multiple Disabilities While Using a Treadmill. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0409800505] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | | | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail code D5300, Austin, TX 78712
| | - Doretta Oliva
- Lega F. D'Oro Research Center, 60027 Osimo (AN) Italy
| | | | - Jop Groeneweg
- Department of Psychology, University of Leiden, Wassenaarseweg 52, 2333 AK Leiden, The Netherlands
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16
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Lancioni GE, O'Reilly MF, Oliva D. Engagement in Cooperative and Individual Tasks: Assessing the Performance and Preferences of Persons with Multiple Disabilities. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0209600106] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Leiden, Wassenaarseweg 52, 2333 AK Leiden, the Netherlands
| | - Mark F. O'Reilly
- Intellectual Disability Training Research Unit, Department of Psychology, University College, Dublin, Belfield, Dublin 4, Ireland
| | - Doretta Oliva
- Lega F. F'Oro Research Center, 60027 Osimo (AN), Italy
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17
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Lancioni GE, Gigante A, O'Reilly MF, Oliva D. Evaluating Mild Physical Exercise with Two Persons with Profound Multiple Disabilities. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0009400707] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Leiden, Wassenaarseweg 52, 2333 AK Leiden, the Netherlands
| | - Antonio Gigante
- Orthopedic surgeon and research associate, Department of Orthopedics, University of Ancona, Largo Cappelli 1, 60100 Ancona, Italy
| | - Mark F. O'Reilly
- Intellectual Disability Training Research Unit, Department of Psychology, University College Dublin, Belfield, Dublin 4, Ireland
| | - Doretta Oliva
- Lega F. D'oro Research Center, 60027 Osimo (AN), Italy
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18
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Lancioni GE, O'Reilly MF, Oliva D, Bracalente S. Guiding a Person with Blindness and Intellectual Disability in Indoor Travel with Fewer Auditory Cues. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x9809200904] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study assessed the possibility of guiding a person with blindness and intellectual disability during indoor travel with fewer auditory cues. To improve the chances of success, the orientation system used to present the cues was set to monitor the person's travel and to provide extra cues in case of errors. The results indicated that infrequent presentations of the cues and the provision of extra cues in case of errors maintained high levels of independent moves, albeit of increased duration.
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Affiliation(s)
- Giulio E. Lancioni
- Behavior Analysis Unit, Department of Psychology, University of Leiden, Wassenaarseweg 52, 2333 AK Leiden, The Netherlands
| | - Mark F. O'Reilly
- Intellectual Disability Training Research Unit, Department of Psychology, University College Dublin, Belfield, Dublin 4, Ireland
| | - Doretta Oliva
- Lega F. D'Oro Research Center, 60027 Osimo (AN), Italy
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19
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Lancioni GE, Singh NN, O'Reilly MF, Campodonico F, Oliva D, Vigo CM. Promoting Walker-Assisted Step Responses by an Adolescent with Multiple Disabilities through Automatically Delivered Stimulation. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0509900205] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | | | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail Code D5300, Austin, TX 78712
| | | | - Doretta Oliva
- Lega F. D'Oro Research Center, 60026 Osimo (AN), Italy
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20
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Lancioni GE, Singh NN, O'Reilly MF, Oliva D, Groeneweg J. Enabling a Girl with Multiple Disabilities to Control Her Favorite Stimuli through Vocalization and a Dual-Microphone Microswitch. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0509900306] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100, Bari, Italy
| | | | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail Code D5300, Austin, TX 78712
| | - Doretta Oliva
- Lega F. D'Oro Research Center, 60027 Osimo (AN), Italy
| | - Jop Groeneweg
- Department of Psychology, University of Leiden, P. O. Box 9555, 2300 RB, Leiden, the Netherlands
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Lancioni GE, Singh NN, O'Reilly MF, Oliva D. Evaluating Optic Microswitches with Students with Profound Multiple Disabilities. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0309700805] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | | | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail Code D5300, Austin, TX 78712
| | - Doretta Oliva
- Lega F. D'Oro Research Center, 60027 Osimo (AN), Italy
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22
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Lancioni GE, Singh NN, O'Reilly MF, Oliva D, Montironi G. A Computer System Serving as a Microswitch for Vocal Utterances of Persons with Multiple Disabilities: Two Case Evaluations. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0409800211] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | | | - Mark F. O'Reilly
- Department of Special Education, University of Texas, Mail Code D5300, Austin, TX 78712
| | - Doretta Oliva
- Lega F. D'Oro Research Center, 60027 Osimo (AN), Italy
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23
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Lancioni GE, O'Reilly MF, Singh NN, Pidala S, Piazzolla G, Oliva D, Groeneweg J. Research Reports: A Social Validation Assessment of Cooperative versus Individual Task Engagement of Persons with Multiple Disabilities. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0610000306] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100, Bari, Italy
| | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail Code D5300, Austin, TX 78712
| | | | - Sara Pidala
- Lega F. D'Oro Research Center, 60027 Osimo (AN), Italy
| | | | - Doretta Oliva
- Lega F. D'Oro Research Center, 60027 Osimo (AN), Italy
| | - Jop Groeneweg
- Department of Psychology, University of Leiden, P.O. Box 9555, 2300 RB, Leiden, the Netherlands
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Lancioni GE, O'Reilly MF, Singh NN, Sigafoos J, Didden R, Oliva D, Severini L. A Microswitch-based Program to Enable Students with Multiple Disabilities to Choose among Environmental Stimuli. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0610000807] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail Code D 5300, Austin, TX 78712
| | | | - Jeff Sigafoos
- School of Education, University of Tasmania, Hobart, Tasmania 7001, Australia
| | - Robert Didden
- Department of Special Education, Radboud University Nijmegen, 6500 HE Nijmegen, The Netherlands
| | - Doretta Oliva
- Lega F. D'Oro Research Center, 60027 Osimo (AN), Italy
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25
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Lancioni GE, O'Reilly MF, Singh NN, Sigafoos J, Oliva D, Campodonico F, Groeneweg J. Helping Three Persons with Multiple Disabilities Acquire Independent Dressing through Assistive Technology. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0710101207] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail Code D 5300, Austin, TX 78712
| | | | - Jeff Sigafoos
- University of Tasmania, Hobart, Tasmania 7001, Australia
| | - Doretta Oliva
- Lega F. D'Oro Research Center, Via Montecerno 1, 60027 Osimo, Italy
| | | | - Jop Groeneweg
- Department of Psychology, University of Leiden, P.O. Box 9555, 2300 RB, Leiden, the Netherlands
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26
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Lancioni GE, O'Reilly MF, Singh NN, Sigafoos J, Didden R, Oliva D, Campodonico F. Two Children with Multiple Disabilities Increase Adaptive Object Manipulation and Reduce Inappropriate Behavior via a Technology-assisted Program. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x1010401107] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | - Mark F. O'Reilly
- Mollie Villeret Davis Professor of learning disabilities and professor of special education, Meadows Center for Preventing Educational Risk, Department of Special Education, University of Texas at Austin, 1 University Station, D5300, Austin, TX 78712
| | | | - Jeff Sigafoos
- School of Educational Psychology, Victoria University of Wellington, Box 17-310, Karori, Wellington, 6147NZ, New Zealand
| | - Robert Didden
- Department of Special Education, Radboud University, Mohtessorilaan 3, 6525 HD Nijmegen, the Netherlands
| | - Doretta Oliva
- Lega F. D'Oro Research Center, Via Montecerno 1, 60027 Osimo, Italy
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Oliva D, Severini L, Smaldone A, Tamma M. Microswitch Technology to Promote Adaptive Responses and Reduce Mouthing in Two Children with Multiple Disabilities. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0710101009] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study assessed the viability of using microswitch clusters (combinations of microswitches) plus contingent stimulation to promote adaptive responding and to reduce aberrant behavior in two children with multiple disabilities. The results revealed that both children increased their adaptive responses, learned to perform these responses free from aberrant behavior, and maintained this level of performance three months later.
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Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | - Nirbhay N. Singh
- Senior scientist, ONE Research Institute, P.O. Box 4657, Midlothian, VA 23112
| | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, Mail Code D5300, Austin, TX 78712
| | - Jeff Sigafoos
- Faculty of Education, University of Tasmania, Hytten Hall 502, Hobart 7001, Australia
| | - Doretta Oliva
- Lega F. D'Oro Research Center, via Montecomo 1, 60027 Osimo, Ancona, Italy
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28
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Lancioni GE, O'Reilly MF, Singh NN, Sigafoos J, Campodonico F, Oliva D. A Wheelchair User with Visual and Intellectual Disabilities Managing Simple Orientation Technology for Indoor Travel. Journal of Visual Impairment & Blindness 2019. [DOI: 10.1177/0145482x0910300509] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy
| | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, 1 University Station, D 5300, Austin, TX 78712
| | | | - Jeff Sigafoos
- School of Educational Psychology and Pedagogy, Victoria University of Wellington, Box 17-310, Karori, Wellington, 6147, New Zealand
| | | | - Doretta Oliva
- Lega F. D'Oro Research Center, Via Montecerno 1, 60027 Osimo, Italy
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Lim N, O'Reilly MF, Sigafoos J, Ledbetter-Cho K, Lancioni GE. Should Heritage Languages be Incorporated into Interventions for Bilingual Individuals with Neurodevelopmental Disorders? A Systematic Review. J Autism Dev Disord 2018; 49:887-912. [PMID: 30368629 DOI: 10.1007/s10803-018-3790-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Special education policies recognize the need for developing and preserving the heritage languages of individuals with disabilities. Yet there seems to be a disconnect between policy and practice. Should the heritage languages of bilingual individuals with neurodevelopmental disorders be incorporated into interventions? This review evaluated 18 studies that examined the effects of heritage language instruction on treatment outcomes for individuals with neurodevelopmental disorders. Overall, results suggest a small effect favoring interventions delivered in the heritage language versus interventions delivered solely in the majority language. In general, studies were also found to be of high-quality according to What Works Clearinghouse Standards. Findings are discussed in terms of recommendations for future research and practice.
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Affiliation(s)
- Nataly Lim
- The University of Texas at Austin, Austin, TX,, USA.
| | | | - Jeff Sigafoos
- Victoria University of Wellington, Wellington, New Zealand
| | - Katherine Ledbetter-Cho
- The University of Texas at Austin, Austin, TX,, USA
- Texas State University, San Marcos, TX, USA
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30
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Perilli V, Chiariello V, Buono S. An Upgraded Smartphone-Based Program for Leisure and Communication of People With Intellectual and Other Disabilities. Front Public Health 2018; 6:234. [PMID: 30211146 PMCID: PMC6122188 DOI: 10.3389/fpubh.2018.00234] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2018] [Accepted: 08/07/2018] [Indexed: 11/13/2022] Open
Abstract
Background: People with intellectual disability and sensory or sensory-motor impairments may display serious problems in managing functional daily activities as well as leisure activities and communication with distant partners. Aim: The study assessed an upgraded smartphone-based program to foster independent leisure and communication activity of eight participants with mild to moderate intellectual disability, sensory or sensory-motor impairments, and limited speech skills. Method: The upgraded program was based on the use of (a) a Samsung Galaxy A3 smartphone with Android 6.0 Operating System, near-field communication, music and video player functions, and Macrodroid application, and (b) special radio frequency-code labels. Participants requested leisure and communication activities by placing mini objects or pictures representing those activities and containing frequency-code labels on the smartphone. The smartphone, via the Macrodroid application, read the labels (i.e., discriminated the participants' requests) and provided the participants with the activities requested. Results: During the baseline (i.e., in the absence of the program), the participants failed to request/access leisure and communication activities independently. During the post-intervention phase of the study (i.e., using the program), they succeeded in requesting/accessing those activities independently and spent about 70-90% of their session time busy with those activities. Conclusion: The upgraded smartphone-based program may be highly functional for people like the participants of this study.
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Affiliation(s)
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, United States
| | | | - Jeff Sigafoos
- Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Perilli V, Zimbaro C, Boccasini A, Mazzola C, Russo R. Promoting physical activity in people with intellectual and multiple disabilities through a basic technology-aided program. J Intellect Disabil 2018; 22:113-124. [PMID: 29804524 DOI: 10.1177/1744629516684986] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study assessed a technology-aided program (monitoring responding, and ensuring preferred stimulation and encouragements) for promoting physical activity with 11 participants with severe/profound intellectual and multiple disabilities. Each participant was provided with an exercise device (e.g. a static bicycle and a stepper) and exposed to the program according to an ABAB design, in which A and B represented baseline and intervention phases, respectively. Data recording concerned (a) the participants' responses with the exercise device (e.g. pedaling) during baseline and intervention phases and (b) their heart rates during the last intervention phase. The results showed that all participants had significant increases in responding with the exercise devices during the intervention phases. Heart-rate values during the intervention sessions indicated that the participants' responding during those sessions mostly amounted to moderate-intensity physical activity, with potential benefits for their overall physical condition. Implications of the findings and questions for future research in the area were discussed.
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Campodonico F, Perilli V, Chiariello V, Zimbaro C. A Technology-Aided Program to Support Basic Occupational Engagement and Mobility in Persons with Multiple Disabilities. Front Public Health 2017; 5:338. [PMID: 29322040 PMCID: PMC5732144 DOI: 10.3389/fpubh.2017.00338] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Accepted: 11/28/2017] [Indexed: 12/21/2022] Open
Abstract
Background Persons with severe/profound intellectual and multiple disabilities tend to be passive and sedentary. Promoting their occupational engagement and mobility (i.e., indoor walking) can help to modify their condition and improve their environmental input, health, and social image. Aim This study assessed whether a technology-aided program was suitable to (a) support independent occupation and mobility in eight participants with intellectual and sensory disabilities and (b) eventually increase the participants’ heart rates to levels considered beneficial for them. Method The program, which involved a computer system regulating the presentation of auditory or visual cues and the delivery of preferred stimulation, was introduced according to a non-concurrent multiple baseline design across participants. The auditory or visual cues guided the participants to collect objects from different desks and to transport them to a final destination (i.e., depositing them into a carton). Preferred stimulation was available to the participants for collecting and for depositing the objects. Results During the program, all participants had an increase in their independent responses of collecting objects and transporting them to the final destination. Their heart rates also increased to levels reflecting moderate-intensity physical exercise, potentially beneficial for their health. Conclusion A program, such as that used in this study, can promote occupational engagement and mobility in persons with multiple disabilities.
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Affiliation(s)
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, United States
| | | | - Jeff Sigafoos
- Victoria University of Wellington, Wellington, New Zealand
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van der Meer L, Matthews T, Ogilvie E, Berry A, Waddington H, Balandin S, O'Reilly MF, Lancioni G, Sigafoos J. Training Direct-Care Staff to Provide Communication Intervention to Adults With Intellectual Disability: A Systematic Review. Am J Speech Lang Pathol 2017; 26:1279-1295. [PMID: 29084306 DOI: 10.1044/2017_ajslp-16-0125] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Accepted: 06/16/2017] [Indexed: 06/07/2023]
Abstract
PURPOSE The aim of this review was to summarize and evaluate studies on training direct-care staff to provide communication intervention to adults with intellectual disability. METHOD Systematic searches identified 22 studies. These were summarized and evaluated in terms of (a) participants; (b) settings; (c) training aims and procedures; (d) research designs; (e) reliability, integrity, and social validity; (f) outcomes; (g) generalization and follow-up; and (h) certainty of evidence. RESULTS A total of 437 staff and 254+ adults with intellectual disability participated. Staff training most frequently involved combinations of verbal instruction, role play, modeling, practice, and feedback. Reliability was assessed in 18 studies with acceptable standards for most of these studies. Treatment integrity and social validity were assessed in 1 and 3 studies, respectively, with positive outcomes. Generalization and maintenance were assessed in 5 and 8 studies, respectively, with predominantly positive outcomes. Most studies reported positive outcomes for staff and positive or mixed outcomes for the adults with intellectual disability. Certainty of evidence was rated as conclusive in 1 study, suggestive in 14 studies, and inconclusive in 7 studies. CONCLUSIONS There is sufficient evidence to conclude that direct-care staff can be taught to provide effective communication intervention to adults with intellectual disability. Professionals involved in providing training and support to direct-care staff could expect positive outcomes from multicomponent training programs that include opportunities for practice and feedback.
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Affiliation(s)
| | - Tamyra Matthews
- School of Education, Victoria University of Wellington, New Zealand
| | - Emily Ogilvie
- School of Education, Victoria University of Wellington, New Zealand
| | - Alice Berry
- School of Education, Victoria University of Wellington, New Zealand
| | | | - Susan Balandin
- School of Health and Social Development, Deakin University, Geelong, Victoria, Australia
| | - Mark F O'Reilly
- Department of Special Education, The University of Texas at Austin
| | - Giulio Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Italy
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Zimbaro C, Chiariello V. Using Smartphones to Help People with Intellectual and Sensory Disabilities Perform Daily Activities. Front Public Health 2017; 5:282. [PMID: 29114539 PMCID: PMC5660726 DOI: 10.3389/fpubh.2017.00282] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2017] [Accepted: 10/09/2017] [Indexed: 11/13/2022] Open
Abstract
Background People with mild-to-moderate intellectual disability and sensory impairments often fail to take initiative in starting and carrying out daily activities, with negative consequences for their occupational condition and social status. Their failure seems due to their inability to determine the right time for the activities and to remember all the activity steps. Aim This study assessed a smartphone intervention, which was designed to help eight participants (four presenting with intellectual disability and blindness and four presenting with intellectual disability and hearing impairment) to independently start and carry out daily activities at appropriate times. Method The intervention was introduced according to a non-concurrent multiple baseline design across participants. During the intervention, each participant was provided with a smartphone, which was fitted with the time schedule of his or her activities and the verbal or pictorial instructions for the single steps of those activities. When the time for an activity was reached, the participant was automatically reminded to start that activity and, thereafter, he or she was presented with the instructions for it. Results The use of the smartphone intervention promoted great improvement over the baseline for all participants. That is, the participants managed to (a) independently start the activities at the scheduled times and (b) carry out those activities with high levels of accuracy. Conclusion A smartphone intervention, such as that used in this study, may help people with mild-to-moderate intellectual disability and sensory impairments to successfully engage in daily activities.
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Affiliation(s)
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, United States
| | | | - Jeff Sigafoos
- Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Alberti G, Perilli V, Campodonico F. Promoting Functional Activity Engagement in People with Multiple Disabilities through the Use of Microswitch-Aided Programs. Front Public Health 2017; 5:205. [PMID: 28848730 PMCID: PMC5554124 DOI: 10.3389/fpubh.2017.00205] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Accepted: 07/26/2017] [Indexed: 11/30/2022] Open
Abstract
Background People with severe/profound multiple (e.g., intellectual, motor, or sensory–motor) disabilities are frequently restricted to a situation of inactivity and dependence, which may be modified by promoting functional activity engagement through assistive technology. Methods This study assessed the possibility of promoting functional activity engagement via microswitch-aided programs with nine participants with multiple disabilities between 10 and 29 years of age. Functional activity consisted of constructive interaction with the immediate environment (e.g., reaching/touching or putting away objects) through the use of response schemes considered practical and beneficial for the participants’ physical exercise and general condition. Microswitch-aided programs were used to monitor the participants’ responses and to automatically provide stimulation opportunities contingent on those responses. Results All participants had a large/significant increase in their activity engagement (i.e., response frequencies) during the microswitch-aided programs, when compared to the baseline periods. These data, which are in line with previous findings in the area, indicate that the programs targeted activity and responses suitable for the participants and ensured contingent stimulation effective to motivate them. Conclusion People with severe/profound multiple disabilities can engage in functional activity with the help of microswitch-aided programs.
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Affiliation(s)
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, United States
| | | | - Jeff Sigafoos
- Victoria University of Wellington, Wellington, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Campodonico F, Alberti G. Use of a Smartphone for Leisure and Communication by People with Blindness and Motor Disabilities. Journal of Visual Impairment & Blindness 2017. [DOI: 10.1177/0145482x1711100211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Giulio E. Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Corso Italia 23, 70121 Bari, Italy
| | - Nirbhay N. Singh
- Medical College of Georgia, Augusta University, 1120 15th Street, Augusta, GA 30912
| | - Mark F. O'Reilly
- Department of Special Education, University of Texas at Austin, 1 University Station, D5300, Austin, TX 78712
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Murphy Building, Kelburn Parade, Kelburn Wellington 6140, New Zealand
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Lancioni GE, Singh NN, O'Reilly MF, Oliva D, Severini L. Assessing a Microswitch-Based Stimulation Procedure for Eye-Blinking Responses in a Young Woman with Profound Multiple Disabilities. Percept Mot Skills 2016; 101:212-6. [PMID: 16350626 DOI: 10.2466/pms.101.1.212-216] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We applied a new microswitch-based stimulation procedure for eye-blinking responses with a young woman with profound multiple disabilities, and compared effects of this procedure on the eye-blinking responses and smiling with the effects of a caregiver-based stimulation condition. Analysis showed that the microswitch-based stimulation procedure, with stimulation occurring contingent on eye-blinking responses, increased the frequencies of these responses significantly above the levels recorded in baseline and caregiver-based stimulation conditions. No changes in smiling frequencies occurred. Implications of the findings in terms of alertness, learning, and quality of life are discussed.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268. 70100 Bari, Italy.
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Lancioni GE, Smaldone A, O'Reilly MF, Singh NN, Oliva D. Automatic Prompting to Reduce Persistent Tongue Protrusion in a Woman with Severe to Profound Mental Retardation. Percept Mot Skills 2016; 101:515-8. [PMID: 16383088 DOI: 10.2466/pms.101.2.515-518] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study assessed whether an intervention approach relying on auditory prompting delivered automatically through a portable device was effective to reduce tongue protrusion in a woman with severe to profound mental retardation. The device involved (a) an optic sensor, i.e., a miniphotocell kept under the lower lip with medical tape, (b) a small signal transmission box, and (c) a Walkman for presenting the prompts. Initially, the automatic prompting condition was combined with occasional praise from a research assistant for having the tongue in the mouth. Analysis showed that the occurrence of tongue protrusion dropped from about 65% of the observation time during the initial baseline to less than 5% through the intervention. The study lasted 4.5 mo.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy.
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Antonucci M, Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Oliva D, Bosco A. A Writing Program with Word Prediction for a Young Man with Multiple Disabilities: A Preliminary Assessment. Percept Mot Skills 2016; 103:223-8. [PMID: 17037664 DOI: 10.2466/pms.103.1.223-228] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study assessed a writing program with word prediction, which completed the writing of a word and spoke it out only when there was certainty that such a word was the correct one. The assessment was carried out with a young man with multiple disabilities, who typically used a word-processing program without word prediction. The two programs were compared on the time required by the participant for writing general sentences, through a social validation assessment, and eventually a check on the participant's preference. Analysis showed the program with word prediction was significantly more effective in terms of the writing time, which was halved, and was deemed preferable by 40 raters (psychology students) involved in the social validation assessment and by the participant himself. Implications of the findings are discussed.
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Lancioni GE, O'Reilly MF, Singh NN, Sigafoos J, Oliva D, Severini L. Enabling Persons with Multiple Disabilities to Choose among Environmental Stimuli and Request Stimulus Repetitions through Microswitch and Computer Technology. Percept Mot Skills 2016; 103:354-62. [PMID: 17165398 DOI: 10.2466/pms.103.2.354-362] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study assessed microswitch and computer technology to enable two participants with multiple disabilities, 32 and 19 years of age, to choose among environmental stimuli and request their repetition whenever they so desired. Within each session, 18 stimuli (12 preferred and 6 nonpreferred) were available. For each stimulus, a computer system provided a sample of 3 sec. duration. During the intervention, participants' vocal responding in relation to a stimulus sample activated a microswitch and a computer system turned on that stimulus for 15–30 sec. When participants did not vocally respond, the computer system paused briefly and then presented the next scheduled stimulus sample. When participants vocally responded at the end of a stimulus presentation, the stimulus was repeated. Intervention data showed that the participants learned to choose preferred stimuli and bypass nonpreferred ones as well as to request repetitions of the preferred stimuli. This performance was maintained at a 1-mo. postintervention check and transferred to sets of stimuli not used in the intervention. The implications of these results were discussed.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy.
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Antonucci M, Lancioni GE, O'Reilly MF, Singh NN, Sigafoos J, Oliva D. Enabling a Man with Multiple Disabilities and Limited Motor Behavior to Perform a Functional Task with Help of Microswitch Technology. Percept Mot Skills 2016; 103:83-8. [PMID: 17037647 DOI: 10.2466/pms.103.1.83-88] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study evaluated the extent to which two microswitches used as interfaces would enable a man with multiple disabilities and limited motor behavior to operate an electric door opener at the entrance of the day center that he attended. Analysis showed the man (a) learned to use the two microswitches, (b) preferred the microswitch placed at his wheelchair's footrest (which also allowed more effective responding) over the microswitch placed at his wheelchair's armrest, and (c) maintained his positive performance at the 1- and 2-mo. postintervention checks. The results were discussed from a technical and practical standpoint and in terms of implications for the quality of life of persons with disabilities.
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Affiliation(s)
- M Antonucci
- Department of Psychology, University of Bari, Italy
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Lancioni GE, O'Reilly MF, Singh NN, Oliva D, Scalini L, Vigo CM, Groeneweg J. Further Evaluation of Microswitch Clusters to Enhance Hand Response and Head Control in Persons with Multiple Disabilities. Percept Mot Skills 2016; 100:689-94. [PMID: 16060428 DOI: 10.2466/pms.100.3.689-694] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
This study was a further evaluation of microswitch clusters (combinations of two microswitches) to improve adaptive responding together with correct head position in two persons with multiple disabilities. The two participants were 19.7 and 6.6 yr. old and had profound intellectual disabilities, spastic tetraparesis, and visual impairment. They were initially taught an adaptive hand response that activated a pressure microswitch and produced favorite stimulation. Thereafter, their performance of the hand response produced favorite stimulation only when it was combined with a correct head position (detected through a mercury microswitch). Analysis showed that both participants increased the frequency of the hand response and, subsequently, the percentage of times they emitted this response in combination with correct (upright) head position. In essence, they were able to coordinate constructive occupation with exercise of appropriate posture. Performance was maintained at a 2-mo. postintervention check.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, Italy.
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Oliva D, Baccani S. Teaching ‘Yes’ and ‘No’ Responses to Children with Multiple Disabilities through a Program Including Microswitches Linked to a Vocal Output Device. Percept Mot Skills 2016; 102:51-61. [PMID: 16671596 DOI: 10.2466/pms.102.1.51-61] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The present study introduced two children (a boy and a girl of 9.2 and 12.3 yr. of age, respectively, with multiple disabilities) to an intervention program for establishing Yes and No responses in relation to preferred and nonpreferred stimuli and assessed the acquisition and generalization of those responses. The program involved the use of microswitches, which monitored the nonverbal Yes and No responses performed by the children and ensured that these responses produced the matching verbal utterances via a vocal output device. Analysis showed children acquired Yes and No responses in relation to the stimuli used for the intervention and, to a comparable degree, to the stimuli used for generalization checks as well. An interview of 30 educational staff of a center for persons with multiple disabilities indicated that they considered the presence of Yes and No verbal utterances preferable to the absence of such utterances, and thought that the utterances could be helpful for the children's response acquisition and would be useful and pleasing for staff and parents. General implications of the findings were discussed.
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Affiliation(s)
- Giulio E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy.
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Lancioni GE, O'Reilly MF, Singh NN, Sigafoos J, Didden R, Oliva D, Montironi G, La Martire ML. Small Hand-Closure Movements Used as a Response through Microswitch Technology by Persons with Multiple Disabilities and Minimal Motor Behavior. Percept Mot Skills 2016; 104:1027-34. [PMID: 17688160 DOI: 10.2466/pms.104.3.1027-1034] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study assessed small hand-closure movements as a potential response for microswitch activation with two participants with profound multiple disabilities of 5.2 and 20.6 yr. of age. The microswitch consisted of a two-membrane thin pad fixed to the palm of the hand and a control system. The outer membrane (the one facing the fingers) was a touch-sensitive layer; the inner membrane was activated if the participant applied a pressure of over 20 gm. The activation of either membrane triggered an electronic control system, which in turn activated one or more preferred stimuli for 6 sec. except in baseline phases. Each participant received an ABAB sequence, in which A represented baseline and B intervention phases, and a 1-mo. postintervention check. Analysis showed both participants increased their responding during the intervention phases and maintained that responding at the postintervention check. Implications of the findings are discussed.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy.
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Schäfer MCM, Sutherland D, McLay L, Achmadi D, van der Meer L, Sigafoos J, Lancioni GE, O'Reilly MF, Schlosser RW, Marschik PB. Research note: attitudes of teachers and undergraduate students regarding three augmentative and alternative communication modalities. Augment Altern Commun 2016; 32:312-319. [PMID: 27776421 DOI: 10.1080/07434618.2016.1244561] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
The social validity of different communication modalities is a potentially important variable to consider when designing augmentative and alternative communication (AAC) interventions. To assess the social validity of three AAC modes (i.e., manual signing, picture exchange, and an iPad®-based speech-generating device), we asked 59 undergraduate students (pre-service teachers) and 43 teachers to watch a video explaining each mode. They were then asked to nominate the mode they perceived to be easiest to learn as well as the most intelligible, effective, and preferred. Participants were also asked to list the main reasons for their nominations and report on their experience with each modality. Most participants (68-86%) nominated the iPad-based speech-generating device (SGD) as easiest to learn, as well as the most intelligible, effective, and preferred. This device was perceived to be easy to understand and use and to have familiar and socially acceptable technology. Results suggest that iPad-based SGDs were perceived as more socially valid among this sample of teachers and undergraduate students. Information of this type may have some relevance to designing AAC supports for people who use AAC and their current and future potential communication partners.
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Affiliation(s)
- Martina Christina Marion Schäfer
- a New Zealand Institute of Language, Brain and Behaviour and School of Health Sciences, University of Canterbury , Christchurch , New Zealand
| | - Dean Sutherland
- a New Zealand Institute of Language, Brain and Behaviour and School of Health Sciences, University of Canterbury , Christchurch , New Zealand
| | - Laurie McLay
- a New Zealand Institute of Language, Brain and Behaviour and School of Health Sciences, University of Canterbury , Christchurch , New Zealand
| | - Donna Achmadi
- b School of Education, Victoria University of Wellington , Wellington , New Zealand
| | - Larah van der Meer
- b School of Education, Victoria University of Wellington , Wellington , New Zealand
| | - Jeff Sigafoos
- b School of Education, Victoria University of Wellington , Wellington , New Zealand
| | - Giulio E Lancioni
- c Department of Neuroscience and Sense Organs , University of Bari , Bari , Italy
| | - Mark F O'Reilly
- d Meadows Center for Preventing Educational Risk, The University of Texas at Austin , Austin , TX , USA
| | - Ralf W Schlosser
- e Department of Speech-Language Pathology and Audiology , Northeastern University and Boston Children's Hospital , Boston , MA , USA
| | - Peter B Marschik
- f Institute of Physiology, Research Unit iDN-interdisciplinary Developmental Neuroscience, Center for Physiological Medicine, Medical University of Graz, Graz, Austria and Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Karolinska Institutet , Stockholm , Sweden
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O'Reilly MF, Renzaglia A, Hutchins M, Koterba-Buss L, Clayton M, Halle JW, Izen C. Teaching Systematic Instruction Competencies to Special Education Student Teachers: An Applied Behavioral Supervision Model. ACTA ACUST UNITED AC 2016. [DOI: 10.1177/154079699201700205] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study compared the effectiveness of immediate and delayed feedback supervision procedures on the acquisition of systematic instruction skills by three pre-service teachers who were receiving practicum experience in classrooms for students with severe disabilities. Behaviors targeted for intervention were: (a) the appropriate use of positive consequences, and (b) the appropriate use of systems of instructional prompts. All supervision procedures were administered by university supervisors. Results indicated that immediate feedback was more effective with two student teachers and delayed feedback was more effective for the third participant. Unobtrusive observations of two participants in the practicum sites following the intervention indicated that the teaching skills maintained in the absence of the university supervisors.
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, D'Amico F, Buonocunto F, Navarro J, Lanzilotti C, Fiore P, Megna M, Damiani S, Marvulli R. Helping people in a minimally conscious state develop responding and stimulation control through a microswitch-aided program. Eur J Phys Rehabil Med 2016; 53:433-440. [PMID: 27585057 DOI: 10.23736/s1973-9087.16.04324-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Postcoma persons in a minimally conscious state (MCS) and with extensive motor impairment cannot independently access and control environmental stimulation. AIM Assessing the effects of a microswitch-aided program aimed at helping MCS persons develop responding and stimulation control and conducting a social validation/evaluation of the program. DESIGN A single-subject ABAB design was used for each participant to determine the impact of the program on his or her responding. Staff interviews were used for the social validation/evaluation of the program. SETTING Rehabilitation and care facilities that the participants attended. POPULATION Eleven MCS persons with extensive motor impairment and lack of speech or any other functional communication. METHODS For each participant, baseline (A) phases were alternated with intervention (B) phases during which the program was used. The program relied on microswitches to monitor participants' specific responses (e.g., prolonged eyelid closures) and on a computer system to enable those responses to control stimulation. In practice, the participants could use a simple response such as prolonged eyelid closure to generate a new stimulation input. Sixty-six staff people took part in the social validation of the program. They were to compare the program to basic and elaborate forms of externally controlled stimulation, scoring each of them on a six-item questionnaire. RESULTS All participants showed increased response frequencies (and thus higher levels of independent stimulation input/control) during the B phases of the study. Their frequencies for each intervention phase more than doubled their frequencies for the preceding baseline phase with the difference between the two being clearly significant (P<0.01). Staff involved in the social validation procedure provided significantly higher scoring (P<0.01) for the program on five of the six questionnaire items. CONCLUSIONS A microswitch-aided program can be an effective and socially acceptable tool in the work with MCS persons. CLINICAL REHABILITATION IMPACT The participants and staff's data can be taken as an encouragement for the use of a microswitch-aided program within care and rehabilitation settings for MCS persons.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy -
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas, Austin, TX, USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
| | - Fiora D'Amico
- Lega F. D'Oro Research Center, Osimo, Ancona, Italy.,S. Raffaele Care Center, Alberobello, Bari, Italy
| | | | - Jorge Navarro
- S. Raffaele Rehabilitation Center, Ceglie, Brindisi, Italy
| | | | - Pietro Fiore
- Department of Physical and Rehabilitation Medicine, Polyclinic of Bari, Bari, Italy
| | - Marisa Megna
- Department of Physical and Rehabilitation Medicine, Polyclinic of Bari, Bari, Italy
| | - Sabino Damiani
- Department of Physical and Rehabilitation Medicine, Polyclinic of Bari, Bari, Italy
| | - Riccardo Marvulli
- Department of Physical and Rehabilitation Medicine, Polyclinic of Bari, Bari, Italy
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Lancioni GE, O'Reilly MF, Singh NN, Stasolla F, Manfredi F, Oliva D. Adapting a Grid into a Microswitch to Suit Simple Hand Movements of a Child with Profound Multiple Disabilities. Percept Mot Skills 2016; 99:724-8. [PMID: 15560365 DOI: 10.2466/pms.99.2.724-728] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We adapted a grid into a microswitch for the hand movements of a girl with profound multiple disabilities who lay on her back. The grid, suspended above the girl's face, was equipped with two mercury devices, i.e., small sealed ampoules containing a mercury drop and ending with conductive leads. A lateral or forward movement of the grid would make the mercury drop of at least one device slide to the conductive leads and activate the device. During the intervention, activations of the devices, i.e., microswitch activations, produced the occurrence of favorite stimuli. Analysis showed that the girl increased the frequency of hand movements and microswitch activations during the intervention phases compared to the baseline phases (when the favorite stimuli were not available). The increase was retained at a 1-mo. postintervention check.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, Italy.
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Lancioni GE, Singh NN, O'Reilly MF, Campodonico F, Oliva D, Groeneweg J. Effects of Automatically Delivered Stimulation on Persons with Multiple Disabilities during Their Use of a Stationary Bicycle. Percept Mot Skills 2016; 98:1363-7. [PMID: 15291228 DOI: 10.2466/pms.98.3c.1363-1367] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We assessed the effects of automatically delivered favorite stimulation on engagement and indices of happiness of two adults with multiple disabilities during their use of a stationary bicycle. The participants typically received four 5-min. sessions per day over a period of about 3.5 mo. Analysis showed that one participant had a significant increase in both those measures while the other participant had a significant increase in engagement during the intervention phases of the study (when the stimulation was present) as opposed to the baseline periods (when the stimulation did not occur). Implications of the findings are discussed.
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Lancioni GE, Singh NN, O'Reilly MF, Oliva D, Montironi G, Chierchie S. Assessing a New Response-Microswitch Combination with a Boy with Minimal Motor Behavior. Percept Mot Skills 2016; 98:459-62. [PMID: 15141910 DOI: 10.2466/pms.98.2.459-462] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study assessed whether a boy with profound multiple disabilities and minimal motor behavior could learn to use a new response-microswitch combination to control environmental stimulation. The response selected was a chin movement; a mechanical microswitch was set up for this response. The boy learned to use the microswitch, increasing the frequency of the chin response and the level of pleasant stimulation following such response. The performance was retained at a 2-mo. postintervention check.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy.
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