Beruflich Dokumente
Kultur Dokumente
Robert C. Pennington
University of Louisville Autism Center
John W. Schuster
University of Kentucky
Ann Sanders
Jefferson County Public Schools
Abstract: In the current study, the graduation, students are expected to write
researchers evaluated the effects of proficiently across purposes and for a variety
simultaneous prompting and computer- of audiences. In community contexts, the
assisted instruction on the story-writing utility of written communication extends to
responses of 3 males with autism, 7 to 10 almost every facet of daily life. Employers
years of age. Classroom teachers conducted all increasingly demand that applicants
probe and training sessions. The researchers demonstrate proficient writing skills upon
used a multiple baseline across participants entry to the workforce (National Commission
design to evaluate the efficacy of the on Writing, 2004). Social networks now
intervention. In addition, they used pre- require that members interact via electronic
posttest measures to assess the generalization written messages (e.g., e-mail, texts,
of acquired skills across untrained story topics Facebook©). Finally, people have come to rely
and different response topographies. The on a variety of text-based tools (e.g., PDA,
data indicated that simultaneous prompting smart phone apps, planners) to document and
and computer-assisted instruction were organize their lives.
effective in improving the story-writing skills
of all 3 participants. Two of the participants Addressing Written Expression in Students with
demonstrated maintenance and generalization Autism
of trained responses.
Unfortunately, researchers have suggested
Keywords: Autism, Written expression, that individuals with autism spectrum
Simultaneous prompting, Computer-assisted disorders (ASD) may have difficulty acquiring
instruction writing skills (Gabig, 2008; Myles, Huggins,
Rome-Lake, Barnhill, & Griswold, 2003). This
Introduction is especially problematic in light of data
indicating that many students with ASD
Written expression is a fundamental skill for acquire a limited range of vocal
individuals in educational and community communication skills (Miranda-Linne &
contexts. In schools, students use written Melin, 1997). Fortunately, researchers have
language to demonstrate their acquisition of demonstrated that written text can effectively
content (Mercer & Mercer, 2005). Upon replace or augment vocal communication. In
Assistive Technology Outcomes and Benefits
24 Focused Issue: Assistive Technology and Writing
Summer 2011, Volume 7, Number 1
an early study, LaVigna (1977) demonstrated Two investigations have addressed the
that students with autism could make requests development of basic expository writing
by exchanging cards depicting written texts responses. Basil and Reyes (2003) evaluated
for preferred items. Researchers also have the effects of a computerized software
reported an improved quality in the package (i.e., Delta Messages; Nelson &
conversation of individuals with ASD when Heimann, 1995) on the sentence construction
they are given the opportunity to type skills of 2 students with autism, ages 8 and 14
communicative responses (Forsey, Bird, & years. Both students acquired targeted
Bedrosian, 1996; Schairer & Nelson, 1996). responses, but one of the students
demonstrated additional gains in handwritten
Despite the importance of acquiring writing responses and on measures of phonological
skills for students with ASD, there has been awareness. Yamamoto and Miya (1999) also
limited research in the area of teaching writing used CAI to teach sentence construction tasks
to these students. The majority of research in to students with ASD. Three students, ranging
the area of written expression has focused on in age from 6 to 10 years, acquired computer-
spelling responses. Stromer, MacKay, Howell, based target responses, but also demonstrated
and McVay (1996) evaluated the effects of generalized gains across handwritten and
computer-assisted instruction (CAI) and vocal topographies.
delayed word construction procedures on the
spelling performance of a 21-year-old male Five teams of researchers have evaluated
with ASD. They demonstrated that the complex writing responses. Rousseau, Krantz,
intervention was effective and that the Poulson, Kitson, and McClannahan (1994)
participant generalized spelling skills to used a sentence-combining technique to
handwritten responses. Sugasawara and increase the use of adjectives for 3 males with
Yamamoto (2007) used CAI to teach the ASD, ages 11 to 13 years. Bedrosian, Lasker,
construction of Japanese characters to a 4- Speidel, and Politsch (2003) used a multi-
year-old male with pervasive developmental component intervention package to increase
disorder. The student acquired the target the number of words used, peer interactions,
responses and also demonstrated gains in and revisions made during the joint writing
vocal reading of the characters. Kinney, activities of a 14-year-old male with ASD and
Vedora, and Stromer (2003) reported that the a peer without disabilities. The package, which
computer presentation of video clips consisted of the use of an assistive
depicting an adult modeling correct spelling augmentative communication device, story
responses was effective in teaching an 8-year- maps, storyboards, and adult modeling, was
old female with autism to spell trained and effective in improving the participant’s
untrained words. Finally, two research teams narrative writings skills. Delano (2007a,
evaluated the effects of using a copy-and- 2007b) conducted two studies investigating
cover method (Cuvo, Ashley, Marso, Zhang, the use of self-regulated strategy development
& Fry, 1995) and a voice output procedures (SRSD; Graham, Harris,
communication aid to 5 children with autism, McArthur, & Schwartz, 1991) to improve the
ages 9 to 12 years. In addition, both teams narrative writings skills of students with
compared feedback conditions (i.e., print, Asperger’s syndrome (AS). In the first
speech, print + speech) and found differential investigation, Delano used video self-
effects on measures of efficiency across the modeling of the SRSD strategies to increase
participants (Schlosser & Blischak, 2004; the number of words and functional elements
Schlosser, Blischak, Belfiore, Bartley, & used by 3 males with AS, ages 13 to 17 years,
Barnett, 1998). in persuasive writing compositions. The
The classroom teachers conducted all sessions The classroom teacher conducted all sessions
in a 1:1 format within a self-contained on an IBM personal computer. The computer
classroom for children with ASD. The was equipped with a touch screen and Clicker
classroom staff consisted of 1 teacher and 2 5TM (Crick Software, Inc., 2005) software. The
teacher assistants. Six students, ranging in age researcher used Clicker 5TM to create three
from 6 to 11 years, attended the classroom. story templates to use during instruction and
Sessions occurred daily with the exception of one template that remained as an untrained
student or teacher absences. Sessions lasted stimulus to test generalization. The templates
approximately 5 to 10 min. The classroom consisted of cells containing one word. Cells
teacher placed a laptop computer in the back containing non-subject nouns also contained
corner of the classroom on a 55 x120 cm pictures (i.e., color line drawings).
rectangular table. The teacher and the student
sat next to each other, facing the laptop, with The researcher arranged the cells into four
their backs to the rest of the class. A felt vertical columns by subjects, articles, verbs,
screen blocked other students from and objects. An example of a template is in
approaching the instructional area. During all Figure 1. The researcher used an Olympus
sessions, paraprofessionals delivered WS-300M voice recorder to record vocal
instruction to the remaining five students. generalization probes. One student, Caleb,
used a word processor to type his responses
during the writing generalization probe. His
teacher reported that he typically used a word
processor during writing activities due to fine area (approximately 1.5 cm2) on a computer
motor skill deficits. screen.
The researchers assessed the generalization of researcher sat behind the teacher and student
skills to untrained stimuli using pre -posttest while recording responses on a data sheet.
procedures. Prior to instruction, the The researcher calculated inter-observer
classroom teacher presented a fourth story agreement (IOA) by dividing the number of
template to each student using procedures agreements by the sum of agreements and
identical to those used during daily probe disagreements and then multiplying by 100
sessions. This story template remained (Gast, 2010). Inter-observer agreement data
untrained throughout instructional conditions. collection occurred at least once per baseline,
Following the meeting of criterion by each training, maintenance, and generalization
student, the researcher presented the conditions for two of the participants. Since
untrained story template as it was presented Jason did not reach criterion, IOA was
prior to instruction. The researcher then collected at least once per baseline and
compared the number of words and sentences training conditions. For Paul, the researcher
generated in pretest and posttest measures. collected IOA data on 33% of baseline
probes, 11% of probes during training
The researchers assessed the generalization of conditions, 100% of generalization probes,
skills across response topographies using pre- and 50% of maintenance probes. For Caleb,
posttest procedures. Prior to instruction, the the researcher collected data on 33% of
researcher asked each of the students to first baseline probes, 22% of daily probes during
tell and then write a story. The researcher training conditions, 50% of generalization
recorded the number of words and sentences probes, and 50% of maintenance probes. For
generated during the pretest. Following Jason, interobserver agreement data collection
training, the researcher conducted a posttest occurred during 25% of baseline probes and
using identical procedures. The researcher 16% of daily probes during training
compared the number of words and sentences conditions. Overall, agreements for Paul,
generated in pretest to posttest responses. Caleb, and Jason were 100%, 100%, and
100%, respectively.
Experimental Design
The researcher also collected independent
The researcher used a multiple probe (MP) variable reliability data for each participant at
design across participants to evaluate the least twice per condition. For Jason, data were
effects of SP and CAI on generative story collected during training and baseline sessions.
writing. The researcher selected the MP Procedural reliability was calculated by
design for its ability to limit threats to internal dividing the number of observed teacher
validity that may be present in instructional behaviors by the number of planned teacher
settings. The delayed introduction of an behaviors and the multiplying by 100 (Gast,
intervention across three tiers reduced history 2010). The researcher assessed the
threats related to general intervention in performance of 14 teacher behaviors (e.g.,
special education classroom settings and delivery of attention prompt, points to each
maturation threats involving the typical word and waits 5 s for student to respond,
development of young children (Gast, 2010). praises correct responses). For Paul and
Caleb, independent reliability data indicated
Reliability levels of accuracy to be 100% and 92%,
respectively. For Jason, accuracy was
The researcher collected reliability data on calculated to be 95%.
both dependent and independent variables.
During reliability data collection, the
sentences at 2 weeks. At 4 weeks, Paul was criterion within 9 sessions. The researchers
able to construct four related sentences (i.e., conducted maintenance probe sessions 2 and
‘There was alien,’ ‘He lived in space,’ ‘He ate 4 weeks following training. Caleb constructed
popsicles,’ ‘He visited earth’), but only 25% of 100% of a story during both sessions. During
the steps were scored as correct due to article the generalization pretest on a novel story
omissions and sentence order errors. As template, Caleb generated 0 sentences and
depicted in Table 1, Paul generated no words words. Following training on the
or sentences during the generalization pretest generalization posttest, Caleb constructed
on a novel story template. Following training four sentences consisting of 16 words (i.e.,
on the generalization posttest, Paul ‘There was an alien,’ ‘He lived in a rocket,’ ‘He
constructed two sentences and three lived in space,’ ‘He built high’). During the
additional words (i.e., ‘There was a robot,’ ‘He writing pretest, Caleb wrote no words.
flew in a space rocket, a rocket, high’). During Following instruction, he generated four
the writing pretest, Paul constructed two words (i.e., ‘king,’ ‘castle,’ ‘princess,’
unrelated sentences consisting of a total of ‘married’).
seven words. Following training, he wrote
four related sentences consisting of 16 words. During the vocalization pretest, Caleb spoke
one word in response to the teacher directive,
During the vocalization pretest, Paul spoke “Tell me a story” (i.e., “there”). Following
seven words in response to the teacher training, Caleb spoke 41 words:
directive, “Tell me a story” (i.e., “fable,
seventeen, My name is a Fat”). Following I’ll show you a story, I read a story
training, Paul spoke 16 words (i.e., “There was about a king, This story is about an
a king, He lived in a castle, He saved a alien, This story is about when a king
princess, He got married”). tried to live in a castle, The king saved
a princess, So he got married.
Caleb. During baseline, Caleb constructed 0%
of a story using Clicker 5TM software. During Jason. During baseline, Jason constructed 0%
the instructional phase, Caleb also reached the of a story using Clicker 5TM software. During
Table 1
Number of Words and Sentences in Pretest and Posttest Responses
the instructional phase, Caleb constructed writing skills (Rousseau et al., 1994). The
75% of a story using the computer-based participants in the current study generated T-
templates. Instruction occurred across 31 units prior to the accurate construction of
sessions but was terminated at the end of the targeted sentences. For example, Jason
school year. consistently generated thought units related to
the target stimulus after 7 dys of training (i.e.,
Outcomes and Benefits “There was castle”). Additionally, Paul
generated four T-units related to the target
In general, the researchers demonstrated that stimulus 4 wks following training, though his
the use of SP was effective in teaching data indicated that he only constructed one
participants to construct simple stories. correct sentence.
Following training, all of the participants
demonstrated gains in computer-based story Finally, the use of CAI and SP required
construction responses. Two of the minimal instructional time. Training sessions
participants performed to criterion levels and lasted approximately 5 min. This is critical in
one participant reached 75% of criterion prior that many young children with ASD may not
to the termination of the study at the end of have the prerequisite skills to engage in
the school year. In addition, two of the instructional activities for long periods of
participants demonstrated varying degrees of time. Simultaneous prompting is a valuable
generalization and maintenance across novel tool for educators working with students that
story templates and response topographies use assistive technology. Since it involves the
application of a prompt that ensures that the
Several findings warrant further discussion. student will respond correctly upon first
First, both Paul and Casey demonstrated application, instructors may instruct students
generalization from computer-based on the technical aspects of how to use the
construction tasks to vocal responses. technology (i.e., operational competence)
Impairment in vocal communication is a while simultaneously teaching a target skill. In
cardinal feature of autism, thus any the current analysis, instruction towards
intervention that increases vocal behavior is operational competence was embedded within
compelling. It also is important to note that the steps of the task analysis. For example,
vocal communication was not targeted for step 1 required the student to select a cell in
instruction during the intervention. This the correct order and to do so within 5 s.
suggests that the intervention was efficient in Therefore, the motor and fluency aspects of
that it may have resulted in the acquisition of the response were taught at the same time as
non-targeted behaviors. Further analysis of the cognitive aspects of the writing task
these preliminary findings is warranted. (Light, Beukelman, & Riechle, 2003).
Additionally, SP is simplistic in that it does
Second, it should be noted that the not require instructors to consider a hierarchy
participants might have demonstrated of prompts or to adjust prompt delay intervals
performance that was not captured by the during instructional conditions. This reduced
data. The researcher used stringent response complexity may be especially useful to
criteria that were not sensitive to the instructors when introducing instruction in
generation of thought units (Hunt, 1965). A the context of new technologies.
thought unit (T-unit) is a word or set of words
that express an independent idea or concept.
Educators have used the number of T-units to
evaluate the development of their students’
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