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Download the Journal (PDF) - Division on Autism and ...

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toring of behavior. He received speech <str<strong>on</strong>g>the</str<strong>on</strong>g>rapy<br />

at school 2 times per week.<br />

J<strong>on</strong>ah, a 17-year-old male with a Kaufman<br />

Brief Intelligence Test (K-BIT) (Kaufman & Kaufman,<br />

1990) composite score of 40, was diagnosed<br />

with moderate mental retardati<strong>on</strong>, a<br />

moderate hearing impairment in <strong>on</strong>e ear, <strong>and</strong><br />

a severe visual impairment in <str<strong>on</strong>g>the</str<strong>on</strong>g> opposite eye.<br />

He attended general educati<strong>on</strong> classes in<br />

physical educati<strong>on</strong> <strong>and</strong> food services technology,<br />

<strong>and</strong> also was out of <str<strong>on</strong>g>the</str<strong>on</strong>g> building 1-2 times<br />

per week for community-based instructi<strong>on</strong> in<br />

safety <strong>and</strong> shopping skills. J<strong>on</strong>ah had a sight<br />

word vocabulary of 25-50 words. He read <strong>and</strong><br />

resp<strong>on</strong>ded appropriately to many envir<strong>on</strong>mental<br />

signs, product names, <strong>and</strong> names of<br />

family, teachers, <strong>and</strong> fellow students. His<br />

speech often was difficult to underst<strong>and</strong>, <strong>and</strong><br />

at <str<strong>on</strong>g>the</str<strong>on</strong>g> time of <str<strong>on</strong>g>the</str<strong>on</strong>g> study was in <str<strong>on</strong>g>the</str<strong>on</strong>g> process of<br />

obtaining a dynamic-screen, voice-output augmentative<br />

communicati<strong>on</strong> device to supplement<br />

his speech. J<strong>on</strong>ah followed verbal/<br />

model directi<strong>on</strong>s for making several simple<br />

snacks such as cold cereal <strong>and</strong> crackers with<br />

spreadables. He followed 1-2 step instructi<strong>on</strong>s<br />

without redirecti<strong>on</strong> if given adequate processing<br />

time. J<strong>on</strong>ah was unable to read simple<br />

written directi<strong>on</strong>s, <strong>and</strong> his IEP included objectives<br />

in <str<strong>on</strong>g>the</str<strong>on</strong>g> areas of following pictured<br />

directi<strong>on</strong>s, communicati<strong>on</strong>, <strong>and</strong> self-care.<br />

He received weekly speech <str<strong>on</strong>g>the</str<strong>on</strong>g>rapy <strong>and</strong> occupati<strong>on</strong>al<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g>rapy at school <strong>and</strong> services for<br />

visi<strong>on</strong> impairment <strong>on</strong> a c<strong>on</strong>sultative basis.<br />

Peer tutors. Eleven peer tutors, 2 males <strong>and</strong><br />

9 females, ranging in age from 16 to 18 years<br />

(high school juniors <strong>and</strong> seniors), <strong>and</strong> enrolled<br />

in a peer tutoring class for high school<br />

credit were tutors during <str<strong>on</strong>g>the</str<strong>on</strong>g> study. Five of <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

peer tutors were enrolled in advanced level<br />

classes <strong>and</strong> were <strong>on</strong> a pre-college curriculum.<br />

The o<str<strong>on</strong>g>the</str<strong>on</strong>g>r seven were enrolled in st<strong>and</strong>ard<br />

level classes <strong>and</strong> were <strong>on</strong> a vocati<strong>on</strong>al educati<strong>on</strong><br />

track for ei<str<strong>on</strong>g>the</str<strong>on</strong>g>r industry or business related<br />

fields. All tutors who participated met<br />

prerequisite skills including availability for after<br />

school training sessi<strong>on</strong>s, faculty performance<br />

ratings, <strong>and</strong> interest in <str<strong>on</strong>g>the</str<strong>on</strong>g> research<br />

study. Faculty performance rating forms were<br />

distributed to faculty members <strong>and</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g>y rated<br />

students’ pers<strong>on</strong>al characteristics <strong>and</strong> work<br />

ethic <strong>on</strong> a scale of 1 to 5 (5 was <str<strong>on</strong>g>the</str<strong>on</strong>g> highest<br />

rating). Students must have received an over-<br />

all 3.5 from at least five faculty members in<br />

order to be eligible for participati<strong>on</strong>.<br />

Setting<br />

All experimental sessi<strong>on</strong>s occurred in a kitchen/living<br />

area adjacent to <str<strong>on</strong>g>the</str<strong>on</strong>g> students’ selfc<strong>on</strong>tained<br />

classroom. Because <str<strong>on</strong>g>the</str<strong>on</strong>g> kitchen<br />

area was a separate room with a door that<br />

could be closed <strong>and</strong> because <strong>on</strong>ly <strong>on</strong>e student<br />

at a time was permitted to be in <str<strong>on</strong>g>the</str<strong>on</strong>g> kitchen to<br />

prepare a snack, additi<strong>on</strong>al c<strong>on</strong>trol for distracti<strong>on</strong>s<br />

did not occur.<br />

Materials/Equipment<br />

The teacher <strong>and</strong>/or peer tutors used <str<strong>on</strong>g>the</str<strong>on</strong>g> following<br />

materials: (a) digital camera for creating<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> pictorial recipes, (b) dishes <strong>and</strong> utensils,<br />

(c) food stored in cabinets, a refrigerator<br />

or freezer, (d) pictorial recipe cards with written<br />

directi<strong>on</strong>s beneath each photo with photos<br />

in sequence according to <str<strong>on</strong>g>the</str<strong>on</strong>g> task analysis<br />

<strong>and</strong> held in order by a large metal ring, (e)<br />

data sheets, <strong>and</strong> (f) reliability forms for <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

dependent <strong>and</strong> independent measures.<br />

Skill Selecti<strong>on</strong><br />

114 / Educati<strong>on</strong> <strong>and</strong> Training in Developmental Disabilities-March 2008<br />

All participating students had food preparati<strong>on</strong><br />

or <str<strong>on</strong>g>the</str<strong>on</strong>g> following of pictorial directi<strong>on</strong>s as<br />

objectives included <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g>ir IEP. In additi<strong>on</strong>,<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> teacher interviewed <str<strong>on</strong>g>the</str<strong>on</strong>g> students’ parents,<br />

former teachers, <strong>and</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> students about <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

foods <str<strong>on</strong>g>the</str<strong>on</strong>g>y would prefer to cook. After determining<br />

that <str<strong>on</strong>g>the</str<strong>on</strong>g> students had no prior experience<br />

in preparing <str<strong>on</strong>g>the</str<strong>on</strong>g> target recipes, <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

teacher screened <str<strong>on</strong>g>the</str<strong>on</strong>g> students for <str<strong>on</strong>g>the</str<strong>on</strong>g>ir ability<br />

to follow a verbal/model prompt <strong>and</strong> to motorically<br />

imitate specific skills required to prepare<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> target recipes. Target recipes for Jake<br />

<strong>and</strong> Louis included making a milkshake in <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

blender (27 critical steps) <strong>and</strong> making a<br />

grilled cheese s<strong>and</strong>wich (32 critical steps).<br />

Target skills for Charlie <strong>and</strong> J<strong>on</strong>ah included<br />

making a waffle in <str<strong>on</strong>g>the</str<strong>on</strong>g> toaster (27 critical<br />

steps) <strong>and</strong> making juice from a frozen c<strong>on</strong>centrate<br />

(25 critical steps). In additi<strong>on</strong>, each task<br />

analysis included a “turning <str<strong>on</strong>g>the</str<strong>on</strong>g> page” step in<br />

between each critical step for students to turn<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> pages of <str<strong>on</strong>g>the</str<strong>on</strong>g> picture recipe in order to see<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> next step.

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