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Figure 3. Score of h<strong>and</strong>-washing tasks during baseline (A), permanent visual step poster (A’), Social Story<br />

without perspective sentences (B), permanent visual step poster (A’), Social Story with perspective<br />

sentences (C), <strong>and</strong> permanent visual step poster (A’) for Tatsunori.<br />

Baseline Dash. This c<strong>on</strong>diti<strong>on</strong> was identical<br />

to baseline with <str<strong>on</strong>g>the</str<strong>on</strong>g> excepti<strong>on</strong> that a permanent<br />

visual step poster was added. In Sessi<strong>on</strong><br />

15, <str<strong>on</strong>g>the</str<strong>on</strong>g> main teacher voluntarily developed a<br />

permanent visual support poster <strong>and</strong> posted it<br />

<strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> wall over <str<strong>on</strong>g>the</str<strong>on</strong>g> sink. The poster delineated<br />

each step of h<strong>and</strong>-washing, accompanied<br />

by words <strong>and</strong> illustrati<strong>on</strong>s. We classified<br />

this phase as Baseline Dash because adding<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> visual cue was not in our original plan. In<br />

additi<strong>on</strong>, <str<strong>on</strong>g>the</str<strong>on</strong>g> main teacher thought that using<br />

a visual cue would be a natural <strong>and</strong> universal<br />

support <strong>and</strong> planned to use <str<strong>on</strong>g>the</str<strong>on</strong>g> poster c<strong>on</strong>tinuously<br />

regardless of <str<strong>on</strong>g>the</str<strong>on</strong>g> Social Story interventi<strong>on</strong>s.<br />

Interventi<strong>on</strong> 1. This c<strong>on</strong>diti<strong>on</strong> was identical<br />

to Baseline Dash with <str<strong>on</strong>g>the</str<strong>on</strong>g> excepti<strong>on</strong> that a<br />

Social Story was read. In this c<strong>on</strong>diti<strong>on</strong>, <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

main teacher was asked to introduce an SS<br />

without PS. In <str<strong>on</strong>g>the</str<strong>on</strong>g> first sessi<strong>on</strong>, <str<strong>on</strong>g>the</str<strong>on</strong>g> main<br />

teacher provided Tatsunori with an SS without<br />

PS <strong>and</strong> asked him to read <str<strong>on</strong>g>the</str<strong>on</strong>g> story. The main<br />

teacher found that Tatsunori independently<br />

read <str<strong>on</strong>g>the</str<strong>on</strong>g> story. When <str<strong>on</strong>g>the</str<strong>on</strong>g> teacher asked him if<br />

he understood <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>tent of <str<strong>on</strong>g>the</str<strong>on</strong>g> story, he<br />

said, “I have no questi<strong>on</strong>.” Therefore, from<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> sec<strong>on</strong>d sessi<strong>on</strong> <strong>on</strong>, <str<strong>on</strong>g>the</str<strong>on</strong>g> main teacher sat a<br />

little behind <str<strong>on</strong>g>the</str<strong>on</strong>g> student’s shoulder <strong>and</strong> had<br />

no interacti<strong>on</strong> with him, except for saying “it<br />

is time to read” at <str<strong>on</strong>g>the</str<strong>on</strong>g> beginning of <str<strong>on</strong>g>the</str<strong>on</strong>g> sessi<strong>on</strong>.<br />

Although <strong>on</strong>e Social Story sessi<strong>on</strong> was<br />

scheduled daily, <str<strong>on</strong>g>the</str<strong>on</strong>g> story book was placed <strong>on</strong><br />

a shelf that allowed Tatsunori to use it at any<br />

time.<br />

Baseline Dash 2. In this phase, <str<strong>on</strong>g>the</str<strong>on</strong>g> main<br />

teacher stopped providing Tatsunori with sessi<strong>on</strong>s<br />

to read SS without PS. The teacher also<br />

eliminated <str<strong>on</strong>g>the</str<strong>on</strong>g> Social Story book from <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

shelf to prevent him from accessing <str<strong>on</strong>g>the</str<strong>on</strong>g> book<br />

at any time.<br />

Interventi<strong>on</strong> 2. This c<strong>on</strong>diti<strong>on</strong> was identical<br />

to Interventi<strong>on</strong> 1, except that <str<strong>on</strong>g>the</str<strong>on</strong>g> teachers<br />

read a Social Story from Interventi<strong>on</strong> 1 to<br />

which a perspective sentence had been added.<br />

Baseline Dash 3. After c<strong>on</strong>firming <str<strong>on</strong>g>the</str<strong>on</strong>g> positive<br />

effect of SS with PS <strong>on</strong> Tatsunori’s target<br />

behavior, <str<strong>on</strong>g>the</str<strong>on</strong>g> main teacher withdrew <str<strong>on</strong>g>the</str<strong>on</strong>g> Social<br />

Story interventi<strong>on</strong>, returning to <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>diti<strong>on</strong><br />

identical to Baseline Dash 1 <strong>and</strong> 2.<br />

Experimental Design<br />

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

A reversal design (AA’BA’CA’) was employed,<br />

with a baseline in <str<strong>on</strong>g>the</str<strong>on</strong>g> A C<strong>on</strong>diti<strong>on</strong>, a permanent<br />

visual step poster in <str<strong>on</strong>g>the</str<strong>on</strong>g> A’ C<strong>on</strong>diti<strong>on</strong>, an<br />

SS without PS a permanent visual step<br />

poster in <str<strong>on</strong>g>the</str<strong>on</strong>g> B C<strong>on</strong>diti<strong>on</strong>, <strong>and</strong> an SS with<br />

PS a permanent visual step poster in <str<strong>on</strong>g>the</str<strong>on</strong>g> C<br />

C<strong>on</strong>diti<strong>on</strong>, to examine <str<strong>on</strong>g>the</str<strong>on</strong>g> influence of a perspective<br />

sentence <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> occurrence of <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

target behavior.

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