Abstract
Technological aids such as microswitches may be critical to foster learning and development in children with multiple disabilities. In study I, a child with minimal motor behavior was provided with a microswitch for chin movements to assess whether he could learn to use these movements to activate environmental stimuli. In study II, a child with dystonic (difficult-to-control) behavior was provided with microswitches for two motor responses and two vocal utterances. We wanted to assess whether he could use both types of responses effectively (varying within each pair, consistent with choice performance). The results were highly encouraging with both children. In study I, there was a significant increase in the child’s responding, suggesting learning and contingency awareness. In study II, there was a significant increase in responding as well as response variation that suggested choice behavior. The importance of microswitch devices in promoting new learning/developmental objectives and improving quality of life is discussed.
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Brotherson MJ, Cook CC, Parette HP (1996) A home-centered approach to assistive technology provision for young children with disabilities. Focus Autism Other Dev Disabil 11:86–95
Crawford MR, Schuster JW (1993) Using microswitches to teach toy use. J Dev Phys Disabil 5:349–368
Daniels LE, Sparling JW, Reilly M, Humphry R (1995) Use of assistive technology with young children with severe and profound disabilities. Infant Toddler Interv 5:91–112
Holburn S, Nguyen D, Vietze PM (2004) Computer-assisted learning for adults with profound multiple disabilities. Behav Interv 19:25–37
Jones MA, McEwen IR, Hansen L (2003) Use of power mobility for a young child with spinal muscular atrophy. Phys Ther 83:253–262
Lancioni GE, O’Reilly MF, Oliva D, Coppa MM (2001a) A microswitch for vocalization responses to foster environmental control in children with multiple disabilities. J Intell Disabil 45:271–275
Lancioni GE, O’Reilly MF, Oliva D, Coppa MM (2001b) Using multiple microswitches to promote different responses in children with multiple disabilities. Res Dev Disabil 22:309–318
Lancioni GE, O’Reilly MF, Singh NN, Oliva D, Piazzolla G, Pirani P, Groeneweg J (2002) Evaluating the use of multiple microswitches and responses for children with multiple disabilities. J Intell Disabil Res 46:346–351
Lancioni GE, Abels J, Wilms EH, Singh NN, O’Reilly MF, Groeneweg J (2003) Microswitch responding and awareness of contingency in persons with profound multiple disabilities. Percept Mot Skills 96:835–838
Lancioni GE, Singh NN, O’Reilly MF, Oliva D, Montironi G (2004a) A computer system serving as a microswitch for vocal utterances of persons with multiple disabilities: two case evaluations. J Visual Impairment Blind 98:116–120
Lancioni GE, Singh NN, O’Reilly MF, Oliva D, Montironi G, Chierchie S (2004b) Assessing a new response-microswitch combination with a boy with minimal motor behavior. Percept Mot Skills 98:459–462
Lancioni GE, Singh NN, O’Reilly MF, Oliva D, Montironi G, Piazza F, Ciavattini E, Bettarelli F (2004c) Using computer systems as microswitches for vocal utterances of persons with multiple disabilities. Res Dev Disabil 25:183–192
Lane SS, Mistrett SG (1996) Play and assistive technology issues for infants and young children with disabilities: a preliminary examination. Focus Autism Other Dev Disabil 11:96–104
Langley MB (1990) A developmental approach to the use of toys for facilitation of environmental control. Phys Occup Ther Pediatr 10:69–91
O’Brien Y, Glenn S, Cunningham C (1994) Contingency awareness in infants and children with severe and profound learning disabilities. Int J Disabil, Dev Educ 41:231–243
Piaget J (1952) The origin of intelligence in children. International University Press, New York
Reid DH, DiCarlo CF, Schepis MM, Hawkins J, Stricklin SB (2003) Observational assessment of toy preferences among young children with disabilities in inclusive settings: efficiency analysis and comparison with staff opinion. Behav Modif 27:233–250
Richards SB, Taylor RL, Ramasamy R, Richards RY (1999) Single subject research: applications in educational and clinical settings. Wadsworth, London
Saunders MD, Timler GR, Cullinan TB, Pilkey S, Questad KA, Saunders RR (2003) Evidence of contingency awareness in people with profound multiple impairments: response duration versus response rate indicators. Res Dev Disabil 24:231–245
Schalock R, Brown I, Brown R, Cummins RA, Felce D, Matikka L, Keith KD, Parmenter T (2002) Conceptualization, measurement, and application of quality of life for persons with intellectual disabilities: reports of an international panel of experts. Ment Retard 40:457–470
Siegel S, Castellan NJ (1988) Nonparametric statistics, 2nd edn. McGraw-Hill, New York
Singh NN, Lancioni GE, O’Reilly MF, Molina EJ, Adkins AD, Oliva D (2003) Self-determination during mealtimes through microswitch choice-making by an individual with complex multiple disabilities and profound mental retardation. J Positive Behav Interv 4:209–215
Stafford AM, Alberto PM, Fredrick LD, Heflin LJ, Heller KW (2002) Preference variability and the instruction of choice making with students with severe intellectual disabilities. Educ Train 37:70–88
Sullivan MW, Lewis M (1993) Contingency, means-end skills, and the use of technology in infant intervention. Infants Young Child 5:58–77
Sullivan MW, Laverick DH, Lewis M (1995) Fostering environmental control in a young child with Rett syndrome: a case study. J Autism Dev Disord 25:215–221
Waldron-Soler KM, Martella RC, Marchand-Martella NE, Ebey TL (2000) Effects of choice of stimuli as reinforcement for task responding in preschoolers with and without developmental disabilities. J Appl Behav Anal 33:93–96
Watson JS, Hayes LA, Vietze P (1982) Response-contingent stimulation as a treatment for developmental failure in infancy. J Appl Dev Psychol 3:191–203
Wiart L, Darrah J (2002) Changing philosophical perspectives on the management of children with physical disabilities: their effect on the use of power mobility. Disabil Rehabil 24:492–498
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Lancioni, G.E., O’Reilly, M.F., Singh, N.N. et al. Technological aids to promote basic developmental achievements by children with multiple disabilities: evaluation of two cases. Cogn Process 5, 232–238 (2004). https://doi.org/10.1007/s10339-004-0030-2
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DOI: https://doi.org/10.1007/s10339-004-0030-2