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Education and Training in Developmental Disabilities - Division on ...

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this study to <str<strong>on</strong>g>in</str<strong>on</strong>g>crease <str<strong>on</strong>g>in</str<strong>on</strong>g>dependent work completi<strong>on</strong>.<br />

Prior to the study, it was reported by<br />

staff that Alex would not complete any work<br />

without a staff member’s c<strong>on</strong>t<str<strong>on</strong>g>in</str<strong>on</strong>g>ual prompt<str<strong>on</strong>g>in</str<strong>on</strong>g>g.<br />

The sec<strong>on</strong>d participant, Troy, was a 19-yearold<br />

Mexican-American who received special<br />

educati<strong>on</strong> eligibility under the categories of<br />

mental retardati<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> other health impairment,<br />

due to seizures. At 2 years, 10 m<strong>on</strong>ths, a<br />

school district comprehensive evaluati<strong>on</strong> attributed<br />

Troy’s disabilities to men<str<strong>on</strong>g>in</str<strong>on</strong>g>gitis <str<strong>on</strong>g>and</str<strong>on</strong>g> a<br />

stroke at 7 m<strong>on</strong>ths of age, result<str<strong>on</strong>g>in</str<strong>on</strong>g>g <str<strong>on</strong>g>in</str<strong>on</strong>g> significantly<br />

decreased use of his right side, lack of<br />

speech, aberrant behaviors, <str<strong>on</strong>g>and</str<strong>on</strong>g> short attenti<strong>on</strong><br />

span. At the time of the study, Troy was<br />

tak<str<strong>on</strong>g>in</str<strong>on</strong>g>g medicati<strong>on</strong>s for attenti<strong>on</strong>, mood disorder,<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> seizures; however, he was reportedly<br />

seizure-free at the time. No recent IQ tests had<br />

been adm<str<strong>on</strong>g>in</str<strong>on</strong>g>istered; however, six years earlier<br />

he was assessed as hav<str<strong>on</strong>g>in</str<strong>on</strong>g>g an IQ of 34. At the<br />

time of the study, Troy received an adaptive<br />

behavior age equivalent of 4 years, 1 m<strong>on</strong>th<br />

<strong>on</strong> the VABS (Sparrow et al., 1985). Relative<br />

strengths <strong>on</strong> the VABS <str<strong>on</strong>g>in</str<strong>on</strong>g>cluded motor skills<br />

(age equivalent, above 5-11) <str<strong>on</strong>g>and</str<strong>on</strong>g> daily liv<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

skills (age equivalent, 5-10) while relative<br />

weaknesses were <str<strong>on</strong>g>in</str<strong>on</strong>g> communicati<strong>on</strong> (age<br />

equivalent, 2-5) <str<strong>on</strong>g>and</str<strong>on</strong>g> socializati<strong>on</strong> (age equivalent,<br />

3-2). As reported by Troy’s classroom<br />

teacher <str<strong>on</strong>g>and</str<strong>on</strong>g> observed by the first author, he<br />

could speak, but <str<strong>on</strong>g>in</str<strong>on</strong>g>frequently did so sp<strong>on</strong>taneously.<br />

He also reportedly displayed aberrant<br />

behaviors <str<strong>on</strong>g>in</str<strong>on</strong>g>clud<str<strong>on</strong>g>in</str<strong>on</strong>g>g disrob<str<strong>on</strong>g>in</str<strong>on</strong>g>g, throw<str<strong>on</strong>g>in</str<strong>on</strong>g>g his<br />

shoes, bit<str<strong>on</strong>g>in</str<strong>on</strong>g>g others, <str<strong>on</strong>g>and</str<strong>on</strong>g> hid<str<strong>on</strong>g>in</str<strong>on</strong>g>g under his<br />

desk. Troy was <str<strong>on</strong>g>in</str<strong>on</strong>g>cluded <str<strong>on</strong>g>in</str<strong>on</strong>g> this study to <str<strong>on</strong>g>in</str<strong>on</strong>g>crease<br />

sp<strong>on</strong>taneous speech, specifically, ask<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

for help dur<str<strong>on</strong>g>in</str<strong>on</strong>g>g work sessi<strong>on</strong>s. Though he<br />

was capable of <str<strong>on</strong>g>in</str<strong>on</strong>g>telligible, sp<strong>on</strong>taneous<br />

speech, he rarely <str<strong>on</strong>g>in</str<strong>on</strong>g>itiated requests for items<br />

or acti<strong>on</strong>s or made comments.<br />

Sett<str<strong>on</strong>g>in</str<strong>on</strong>g>gs <str<strong>on</strong>g>and</str<strong>on</strong>g> Materials<br />

Data collecti<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> self-m<strong>on</strong>itor<str<strong>on</strong>g>in</str<strong>on</strong>g>g tra<str<strong>on</strong>g>in</str<strong>on</strong>g><str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

took place <str<strong>on</strong>g>in</str<strong>on</strong>g> the participants’ classroom <str<strong>on</strong>g>in</str<strong>on</strong>g> a<br />

self-c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g>ed vocati<strong>on</strong>al public school for students<br />

with disabilities. Both Alex <str<strong>on</strong>g>and</str<strong>on</strong>g> Troy<br />

were <str<strong>on</strong>g>in</str<strong>on</strong>g> a class for young adults that focused<br />

<strong>on</strong> transiti<strong>on</strong>al skills (e.g., functi<strong>on</strong>al communicati<strong>on</strong>,<br />

self-help, work skills). Data collecti<strong>on</strong><br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> tra<str<strong>on</strong>g>in</str<strong>on</strong>g><str<strong>on</strong>g>in</str<strong>on</strong>g>g were adm<str<strong>on</strong>g>in</str<strong>on</strong>g>istered dur<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

vocati<strong>on</strong>al tasks. For example, Alex completed<br />

tasks <str<strong>on</strong>g>in</str<strong>on</strong>g>volv<str<strong>on</strong>g>in</str<strong>on</strong>g>g plac<str<strong>on</strong>g>in</str<strong>on</strong>g>g small objects (e.g.,<br />

co<str<strong>on</strong>g>in</str<strong>on</strong>g>s) <str<strong>on</strong>g>in</str<strong>on</strong>g>to c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g>ers <str<strong>on</strong>g>and</str<strong>on</strong>g> sort<str<strong>on</strong>g>in</str<strong>on</strong>g>g two objects<br />

by color. Troy completed tasks <str<strong>on</strong>g>in</str<strong>on</strong>g>clud<str<strong>on</strong>g>in</str<strong>on</strong>g>g sort<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

up to six items by color <str<strong>on</strong>g>and</str<strong>on</strong>g> shape, <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

sort<str<strong>on</strong>g>in</str<strong>on</strong>g>g brochures <str<strong>on</strong>g>and</str<strong>on</strong>g> fill<str<strong>on</strong>g>in</str<strong>on</strong>g>g envelopes.<br />

Self-m<strong>on</strong>itor<str<strong>on</strong>g>in</str<strong>on</strong>g>g materials were <str<strong>on</strong>g>in</str<strong>on</strong>g>dividualized.<br />

Alex’s materials <str<strong>on</strong>g>in</str<strong>on</strong>g>cluded 3 cm square<br />

tokens, a small plastic c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g>er c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g><str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

the number of tokens he was to earn before<br />

he received his reward, <str<strong>on</strong>g>and</str<strong>on</strong>g> a lam<str<strong>on</strong>g>in</str<strong>on</strong>g>ated sheet<br />

of paper (approximately 20 13 cm) that<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>cluded l<str<strong>on</strong>g>in</str<strong>on</strong>g>e draw<str<strong>on</strong>g>in</str<strong>on</strong>g>gs (approximately 3 cm<br />

square) <str<strong>on</strong>g>in</str<strong>on</strong>g>dicat<str<strong>on</strong>g>in</str<strong>on</strong>g>g “do work” <str<strong>on</strong>g>and</str<strong>on</strong>g> the reward<br />

he was to earn (see Figure 1 for an example).<br />

Rewards that Alex earned for completi<strong>on</strong> of<br />

work <str<strong>on</strong>g>in</str<strong>on</strong>g>cluded time <strong>on</strong> the computer, a sp<str<strong>on</strong>g>in</str<strong>on</strong>g>n<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

toy that lit up, <str<strong>on</strong>g>and</str<strong>on</strong>g> a sp<str<strong>on</strong>g>in</str<strong>on</strong>g>n<str<strong>on</strong>g>in</str<strong>on</strong>g>g toy that<br />

played music. When he completed the set<br />

amount of work, he was allowed to choose<br />

which of these activity rewards he wanted <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

was allowed to engage <str<strong>on</strong>g>in</str<strong>on</strong>g> that activity for five<br />

m<str<strong>on</strong>g>in</str<strong>on</strong>g>utes. Troy also had a small c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g>er that<br />

c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g>ed 3 cm blocks that snapped together.<br />

L<str<strong>on</strong>g>in</str<strong>on</strong>g>e draw<str<strong>on</strong>g>in</str<strong>on</strong>g>gs attached to the c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g>er <str<strong>on</strong>g>in</str<strong>on</strong>g>dicated<br />

that he should ask for “help” <str<strong>on</strong>g>and</str<strong>on</strong>g> the<br />

reward he was to earn (see Figure 2 for an<br />

example of Troy’s self-m<strong>on</strong>itor<str<strong>on</strong>g>in</str<strong>on</strong>g>g system).<br />

Troy’s rewards <str<strong>on</strong>g>in</str<strong>on</strong>g>cluded listen<str<strong>on</strong>g>in</str<strong>on</strong>g>g to a cassette<br />

tape with headph<strong>on</strong>es, a tube that sounded<br />

like thunder when shook, <str<strong>on</strong>g>and</str<strong>on</strong>g> a pencil with a<br />

fake spider <strong>on</strong> the end. When he completed<br />

the set amount of work, he was allowed to<br />

choose which of these activity rewards he<br />

wanted <str<strong>on</strong>g>and</str<strong>on</strong>g> was allowed to engage <str<strong>on</strong>g>in</str<strong>on</strong>g> that<br />

activity for five m<str<strong>on</strong>g>in</str<strong>on</strong>g>utes.<br />

Resp<strong>on</strong>se Def<str<strong>on</strong>g>in</str<strong>on</strong>g>iti<strong>on</strong>s<br />

26 / <str<strong>on</strong>g>Educati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>Tra<str<strong>on</strong>g>in</str<strong>on</strong>g><str<strong>on</strong>g>in</str<strong>on</strong>g>g</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>Developmental</str<strong>on</strong>g> <str<strong>on</strong>g>Disabilities</str<strong>on</strong>g>-March 2005<br />

Target behaviors were def<str<strong>on</strong>g>in</str<strong>on</strong>g>ed <str<strong>on</strong>g>in</str<strong>on</strong>g>dividually for<br />

each participant <str<strong>on</strong>g>in</str<strong>on</strong>g> c<strong>on</strong>sultati<strong>on</strong> with the classroom<br />

teacher. Alex’s target behavior was to<br />

complete a task with<str<strong>on</strong>g>in</str<strong>on</strong>g> five m<str<strong>on</strong>g>in</str<strong>on</strong>g>utes. He was<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>itially required to complete <strong>on</strong>e task with<str<strong>on</strong>g>in</str<strong>on</strong>g><br />

the time limit, but this was gradually <str<strong>on</strong>g>in</str<strong>on</strong>g>creased<br />

to four by the completi<strong>on</strong> of the study. Each<br />

task c<strong>on</strong>sisted of sort<str<strong>on</strong>g>in</str<strong>on</strong>g>g 10 to 20 items or<br />

plac<str<strong>on</strong>g>in</str<strong>on</strong>g>g 10 to 20 items <str<strong>on</strong>g>in</str<strong>on</strong>g> a c<strong>on</strong>ta<str<strong>on</strong>g>in</str<strong>on</strong>g>er. Troy’s<br />

target behavior was to verbally request help<br />

(e.g., “help,” stat<str<strong>on</strong>g>in</str<strong>on</strong>g>g the name of a specific<br />

item needed) when tasks were sabotaged by<br />

necessary items be<str<strong>on</strong>g>in</str<strong>on</strong>g>g removed (e.g., sets of<br />

items to be sorted). Troy was orig<str<strong>on</strong>g>in</str<strong>on</strong>g>ally required<br />

to make two requests for help with<str<strong>on</strong>g>in</str<strong>on</strong>g>

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