Stepping Stones: EMDR Treatment of Individuals With Intellectual and Developmental Disabilities and Challenging Behavior

2010 ◽  
Vol 4 (4) ◽  
pp. 156-169 ◽  
Author(s):  
Beth I. Barol ◽  
Andrew Seubert
Keyword(s):  
Developmental Disabilities ◽  
Challenging Behavior ◽  
Single Case ◽  
Challenging Behaviors ◽  
Preliminary Evidence ◽  
Intellectual And Developmental Disabilities ◽  
Stepping Stones ◽  
Trauma History ◽  
Intellectual Abilities

Trauma and its ensuing accommodations, including challenging behaviors, have been a growing consideration for practitioners working with people with intellectual and developmental disabilities (IDD). Recognizing the importance of one’s client’s trauma history, practitioners are seeking effective methods of providing therapy to IDD clients with posttraumatic stress disorder (PTSD) and other trauma-related diagnoses. In this exploratory study, using a multiple single case study design, six individuals with IDD and known trauma histories were treated with eye movement desensitization and reprocessing (EMDR). The researchers employed the standard EMDR protocol, adapting it when necessary to accommodate the needs of each participant. Outcomes provide preliminary evidence that EMDR may be an effective method of trauma treatment for clients with intellectual abilities, pointing to EMDR as a treatment with potential for facilitating healing from trauma with IDD clients.

The Effects of Technology Supports on Community Grocery Shopping Skills for Students With Intellectual and Developmental Disabilities: A Meta-Analysis

2021 ◽  
pp. 016264342198997
Author(s):  
Sojung Jung ◽  
Ciara Ousley ◽  
David McNaughton ◽  
Pamela Wolfe
Keyword(s):  
Developmental Disabilities ◽  
Positive Impact ◽  
Single Case ◽  
Effect Sizes ◽  
Future Research ◽  
Intellectual And Developmental Disabilities ◽  
Positive Effects ◽  
Analytic Review ◽  
Wide Range ◽  
The Impact

In this meta-analytic review, we investigated the effects of technology supports on the acquisition of shopping skills for students with intellectual and developmental disabilities (IDD) between the ages of 5 and 24. Nineteen single-case experimental research studies, presented in 15 research articles, met the current study’s inclusion criteria and the What Works Clearinghouse (WWC) standards. An analysis of potential moderators was conducted, and we calculated effect sizes using Tau-U to examine the impact of age, diagnosis, and type of technology on the reported outcomes for the 56 participants. The results from the included studies provide evidence that a wide range of technology interventions had a positive impact on shopping performance. These positive effects were seen for individuals across a wide range of ages and disability types, and for a wide variety of shopping skills. The strongest effect sizes were observed for technologies that provided visual supports rather than just auditory support. We provide an interpretation of the findings, implications of the results, and recommended areas for future research.

The Effect of Computer-Assisted Instruction on Challenging Behavior and Academic Engagement

2020 ◽  
pp. 109830072092968
Author(s):  
Lauren M. LeJeune ◽  
Christopher J. Lemons
Keyword(s):  
Challenging Behavior ◽  
Academic Engagement ◽  
Single Case ◽  
Challenging Behaviors ◽  
Performance Assessments ◽  
Computer Assisted Instruction ◽  
Computer Assisted ◽  
Alternating Treatments Design ◽  
Computer Based ◽  
Assisted Instruction

Students with intellectual and developmental disabilities (IDD) require intensive supports, including those that target behavior, to make progress on literacy goals. In this study, we investigated whether computer-assisted instruction (CAI) may be one effective method to decrease challenging behavior and increase academic engagement. Participants were three students with IDD (7 to 9 years old) who engaged in challenging behaviors during instruction. We used a single-case alternating treatments design to compare levels of challenging behavior and academic engagement during paper-based and CAI (i.e., tablet computer-based) literacy instruction. Results indicated that CAI was associated with decreased challenging behavior and increased academic engagement for two of three participants. In addition, the CAI condition corresponded with higher scores on academic performance assessments for one participant. Although teacher and student measures of social validity were positive, there was limited evidence that results maintained. These findings are described in relation to their limitations, future directions for research, and impact on practitioners.

Goal-Directed Self-Talk Interventions: A Single-Case Study With an Elite Athlete

2016 ◽  
Vol 30 (2) ◽  
pp. 189-194 ◽  
Author(s):  
Alexander Tibor Latinjak ◽  
Raquel Font-Lladó ◽  
Nikos Zourbanos ◽  
Antonis Hatzigeorgiadis
Keyword(s):  
Elite Athlete ◽  
Single Case ◽  
Preliminary Evidence ◽  
Single Case Study ◽  
Intervention Process ◽  
Self Talk

The purpose of this single-case study was to describe a goal-directed self-talk (ST) intervention with an elite athlete. The participant was a 36-year-old elite orienteerer, who declared himself to be continuously engaged in some sort of autonomous self-dialogue. During six sessions, we undertook an intervention which started with identifying variety of relevant problematic sport situations and goal-directed ST in them. Subsequently, through questioning, the original ST was challenged and alternative instructions were theoretically examined before putting them into practice. The participant valued highly the intervention process and its outcomes. Overall, the study provides preliminary evidence on the effectiveness of goal-directed ST interventions and encourages research to further explore their potential.

scholarly journals Outcomes of Telepractice Speech Therapy for an Adult Who Covertly Stutters: A Case Study

2021 ◽  
pp. 1-17
Author(s):  
Megann McGill ◽  
Patrizha Schroth
Keyword(s):  
Visual Inspection ◽  
Speech Therapy ◽  
Single Case ◽  
Maintenance Phase ◽  
Preliminary Evidence ◽  
Self Report ◽  
Language Therapy ◽  
Data Points ◽  
Therapy Sessions

Purpose: The purpose of this study was to report on telepractice-based holistic speech-language therapy services to reduce avoidance of stuttering and increase positive self-image as a communicator for an adult who covertly stutters as compared with baseline. Method: A single case study design was employed with baseline, intervention, and maintenance phases completed via telepractice. The participant received biweekly speech-language pathology services, including both individual and group sessions. The Overall Assessment of the Speaker's Experience of Stuttering–Adult and Stuttering Severity Instrument–Fourth Edition assessed the participant's overt and covert stuttering behaviors at pretreatment and posttreatment time frames. Weekly data points of participant's self-report of avoidance of stuttering during therapy sessions and during the week between therapy sessions as well as researcher-calculated frequency of stuttering were measured. Visual inspection was utilized to analyze treatment outcomes. Results: The participant demonstrated a reduction in avoidance of stuttering within sessions as well as the week prior to a session, as compared with baseline. Additionally, the participant presented with an increased percent of words stuttered following into maintenance as compared with baseline. Visual inspection of weekly data points of frequency of stuttering and self-report of avoidance appeared to present promising results throughout the intervention phase with potential treatment effects continuing into the maintenance phase. Conclusion: Results of this study demonstrate preliminary evidence for potential positive outcomes of holistic speech therapy via telepractice for people who covertly stutter.

A Meta-Analysis of Single-Case Research on Applied Behavior Analytic Interventions for People With Down Syndrome

2021 ◽  
Vol 126 (2) ◽  
pp. 114-141
Author(s):  
Nicole Neil ◽  
Ashley Amicarelli ◽  
Brianna M. Anderson ◽  
Kailee Liesemer
Keyword(s):  
Down Syndrome ◽  
Challenging Behavior ◽  
Single Case ◽  
Meta Analysis ◽  
Challenging Behaviors ◽  
Future Research ◽  
Case Research ◽  
What Works ◽  
What Works Clearinghouse ◽  
Single Case Research

Abstract This systematic review evaluates single-case research design studies investigating applied behavior analytic (ABA) interventions for people with Down syndrome (DS). One hundred twenty-five studies examining the efficacy of ABA interventions on increasing skills and/or decreasing challenging behaviors met inclusion criteria. The What Works Clearinghouse standards and Risk of Bias in N-of-1 Trials scale were used to analyze methodological characteristics, and Tau-U effect sizes were calculated. Results suggest the use of ABA-based interventions are promising for behavior change in people with DS. Thirty-six high-quality studies were identified and demonstrated a medium overall effect. A range of outcomes was targeted, primarily involving communication and challenging behavior. These outcomes will guide future research on ABA interventions and DS.

The Usefulness of Offering 24/7 Online Support Within a Wider Mix of Professional Services for People With Intellectual and Developmental Disabilities Living Independently: A Qualitative, Multiple Case Study

Inclusion ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 138-154
Author(s):  
Miriam Zaagsma ◽  
Karin M. Volkers ◽  
Mark H. M. Koning ◽  
Geert van Hove ◽  
Alice P. Schippers
Keyword(s):  
Developmental Disabilities ◽  
Multiple Case Study ◽  
Support Service ◽  
Professional Services ◽  
Service Organizations ◽  
Online Support ◽  
Intellectual And Developmental Disabilities ◽  
Multiple Case ◽  
Qualitative Multiple Case Study

Abstract Service organizations for people with intellectual and developmental disabilities (IDD) increasingly use telecare applications to improve their services. This study explored the usefulness of offering the 24/7 online support service DigiContact within a broader mix of professional services for people with IDD living independently. We employed a qualitative multiple case study, in which the cases of nine online support users were reconstructed through semistructured interviews with both support users and their case workers. Thematic analysis showed that online support was used as an addition to regular onsite support to enable a more tailor-made delivery of professional supports. Online support can be valuable for its users by increasing the accessibility of professional support and creating opportunities for more self-direction in support.

A Meta-Analysis of Paraprofessional-Delivered Interventions to Address Challenging Behavior Among Students With Disabilities

2020 ◽  
pp. 109830072091114
Author(s):  
Virginia L. Walker ◽  
Megan E. Carpenter ◽  
Kristin J. Lyon ◽  
Lindsey Button
Keyword(s):  
Students With Disabilities ◽  
Challenging Behavior ◽  
Behavioral Interventions ◽  
Single Case ◽  
Meta Analysis ◽  
Challenging Behaviors ◽  
Autism Spectrum ◽  
Future Research ◽  
School Environments ◽  
Wide Range

Paraprofessionals report spending a substantial amount of time addressing challenging behavior in a range of school environments, yet identify behavioral intervention as a high-priority training area. The purpose of this meta-analysis was to systematically review and summarize single-case intervention studies involving paraprofessional-delivered behavioral interventions for students with disabilities. Descriptive findings suggest that, among the reviewed studies, paraprofessionals primarily provided behavioral support to students with autism spectrum disorder, intellectual disability, and multiple disabilities who engage in a wide range of challenging behaviors in both inclusive and noninclusive school environments. Overall, training largely was delivered by researchers and resulted in positive paraprofessional implementation outcomes. Likewise, paraprofessional-implemented behavioral interventions contributed to desirable changes in student challenging and appropriate behavior, with effect size estimates significantly higher for interventions delivered to early childhood–age students and within inclusive school settings. Implications for practice, limitations, and future research directions are described.

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