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proach, features are built into <str<strong>on</strong>g>the</str<strong>on</strong>g> product<br />

(e.g., various display opti<strong>on</strong>s-visual, auditory;<br />

alternatives to reading text-ic<strong>on</strong>s, pictures),<br />

which makes a product more accessible to<br />

individuals with disabilities. This is much less<br />

expensive than adapting a product after producti<strong>on</strong><br />

in order to meet <str<strong>on</strong>g>the</str<strong>on</strong>g> needs of an<br />

individual with a disability.<br />

If commercially available devices cannot<br />

meet an individual’s needs, it may be modified.<br />

However, when modificati<strong>on</strong> or commercial<br />

devices are not appropriate, it is necessary<br />

to design <strong>on</strong>e specifically for <str<strong>on</strong>g>the</str<strong>on</strong>g> task-at-h<strong>and</strong>.<br />

This approach results in a custom device.<br />

Since custom products are not mass-produced,<br />

a custom device costs are much higher<br />

because it is a special product or a “<strong>on</strong>e of a<br />

kind” <strong>and</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> costs of development must be<br />

recovered from <str<strong>on</strong>g>the</str<strong>on</strong>g> smaller producti<strong>on</strong>.<br />

Using a custom-made h<strong>and</strong>held device <strong>and</strong><br />

software, Davis et al. (2002a, 2002b, 2004)<br />

reported that participants with intellectual disabilities<br />

were more independent, required<br />

fewer external prompts, were more productive,<br />

<strong>and</strong> made fewer errors. Custom-made<br />

h<strong>and</strong>held computers <strong>and</strong> software have been<br />

used successfully across various disability characteristics<br />

including, developmental delay, autism,<br />

<strong>and</strong> Prader Willi Syndrome (Riffel et al.,<br />

2005). Moreover, custom-made devices have<br />

supported individuals with special needs in<br />

career <strong>and</strong> leisure activities (Furniss et al.,<br />

2001). Furniss et al. c<strong>on</strong>cluded that <str<strong>on</strong>g>the</str<strong>on</strong>g> use of<br />

a custom-h<strong>and</strong>held prompting system was<br />

more effective than static picture prompts in a<br />

booklet, it was easily used in real work settings,<br />

<strong>and</strong> that students with severe disabilities preferred<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> h<strong>and</strong>held device to <str<strong>on</strong>g>the</str<strong>on</strong>g> picture<br />

booklet.<br />

Using a commercially produced h<strong>and</strong>held<br />

device <strong>and</strong> software, Fergus<strong>on</strong> et al. (2005)<br />

successfully decreased adult reliance to complete<br />

tasks at home <strong>and</strong> school for <strong>on</strong>e adolescent<br />

with Asperger’s Syndrome. Cihak et al.<br />

(in press) also used a commercially produced<br />

h<strong>and</strong>held device to successfully teach students<br />

with moderate intellectual disabilities to operate<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> use of <str<strong>on</strong>g>the</str<strong>on</strong>g> h<strong>and</strong>held prompting system<br />

<strong>and</strong> to generalize skills across increasing complex<br />

vocati<strong>on</strong>al tasks in <str<strong>on</strong>g>the</str<strong>on</strong>g> work setting without<br />

additi<strong>on</strong>al training. Although <str<strong>on</strong>g>the</str<strong>on</strong>g> literature<br />

has noted that h<strong>and</strong>held computers<br />

efficacy for task acquisiti<strong>on</strong>, generalizati<strong>on</strong>,<br />

<strong>and</strong> maintenance, Davies et al. (2004) noted<br />

that fur<str<strong>on</strong>g>the</str<strong>on</strong>g>r research was needed to assess <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

effectiveness of h<strong>and</strong>held computers as a<br />

prompting system across a variety of tasks,<br />

domains, <strong>and</strong> ecologically valid work <strong>and</strong> employment<br />

settings.<br />

The purpose of this study was to determine<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> effectiveness of a commercially-produced<br />

h<strong>and</strong>held computer, as a prompting system to<br />

facilitate <str<strong>on</strong>g>the</str<strong>on</strong>g> independent transiti<strong>on</strong>s from<br />

task to task in a community-based vocati<strong>on</strong>al<br />

instructi<strong>on</strong>al site for students with moderate<br />

<strong>and</strong> severe intellectual disabilities.<br />

Method<br />

Participants<br />

Four students, Aar<strong>on</strong>, Bill, Cate, <strong>and</strong> Doug<br />

were selected to participate based <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> following:<br />

(a) willingness to participate, (b) level<br />

of cognitive functi<strong>on</strong>ing within <str<strong>on</strong>g>the</str<strong>on</strong>g> moderate<br />

to severe intellectual disability range, (c) current<br />

participati<strong>on</strong> in a high school program<br />

with regularly scheduled community-based instructi<strong>on</strong>,<br />

(d) no sensory deficits, (e) parental<br />

permissi<strong>on</strong>, <strong>and</strong> (f) <str<strong>on</strong>g>the</str<strong>on</strong>g> student’s verbal agreement<br />

to participate. Aar<strong>on</strong> <strong>and</strong> Doug were 16<br />

years olds with a full-scale IQ of 36 <strong>and</strong> 40,<br />

respectfully. Bill <strong>and</strong> Cate were 17 years old<br />

with a full-scale IQ of 48 <strong>and</strong> 50, respectfully.<br />

IQ’s were assessed using <str<strong>on</strong>g>the</str<strong>on</strong>g> Wechsler Intelligence<br />

for Children (Wechsler, 1991) for<br />

Aar<strong>on</strong>, Bill, <strong>and</strong> Doug. The St<strong>and</strong>ford Binet<br />

(Thorndike, Hagen, & Sattler, 1986) was used<br />

to assess Cate. Students were able to independently<br />

complete individual tasks; however,<br />

each was dependent <strong>on</strong> an external source for<br />

task transiti<strong>on</strong>s. According to teacher reports,<br />

after <str<strong>on</strong>g>the</str<strong>on</strong>g> completi<strong>on</strong> of individual task, if students<br />

were not prompted immediately to begin<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> next task, each student would usually<br />

engage in some form of off-task behavior.<br />

Settings<br />

Pretraining instructi<strong>on</strong> using <str<strong>on</strong>g>the</str<strong>on</strong>g> h<strong>and</strong>held<br />

computer occurred in each student’s school<br />

resource classroom. Baseline, h<strong>and</strong>held<br />

prompting, <strong>and</strong> maintenance phases occurred<br />

during community-based instructi<strong>on</strong> (CBI) in<br />

three community settings; grocery store, department<br />

store <strong>and</strong> restaurant. Stores <strong>and</strong> res-<br />

H<strong>and</strong>held Prompting System / 103

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