scholarly journals Comparing Tangible Symbols, Picture Exchange and a Direct Selection Response when Teaching Requesting to Two Children with Autism Spectrum Disorder

2021 ◽  
Author(s):  
◽  
Laura Kathleen Roche
Keyword(s):  
Autism Spectrum Disorder ◽  
Augmentative And Alternative Communication ◽  
Selection Response ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Direct Selection ◽  
Access Methods ◽  
Picture Exchange ◽  
Acquisition Rates

<p>Children diagnosed with Autism Spectrum Disorder (ASD) who fail to develop functional speech are candidates for augmentative and alternative communication (AAC) systems. One of the primary intentions of AAC is to provide an alternative method of communicating in the absence of speech (Mirenda, 2003). In order to select the most beneficial AAC system for a user, in regards to the ease of acquisition and successfully communicating with AAC systems, it is considered important to undertake research comparing various AAC systems and to assess users’ preferences for using one system over another. Empirical evidence from previous studies comparing AAC indicates that users often learn to use AAC systems with varying degrees of proficiency and at various acquisition rates. Additionally, assessing users’ preferences for different AAC systems has been shown to influence acquisition rates and long term maintenance of AAC systems and is suggested to be an important component when carrying out AAC intervention.  In the present study a tangible symbol (TS) communication system was compared, in terms of acquisition rates and preference, with Picture Exchange (PE) and an additional direct selection (DS) method of gaining access to desired stimuli in two young boys with ASD. Two male participants diagnosed with ASD were taught via systematic instructional procedures to request/gain access to the continuation of preferred cartoon movies by using TS, PE, and DS. Additionally, preference assessments were implemented during intervention and follow-up phases to determine whether the participants showed a preference for using one of these three requesting/access methods over the other two, and whether any such preferences remained stable throughout follow-up sessions. Results indicated that both participants successfully learned to request each of the six cartoon movies using each of the three methods. Specifically, acquisition rates for TS and PE were comparable across both participants, and overall both participants preferred to request using the TS. During intervention sessions, one participant preferred to use DS, however this preference changed during follow-up where he chose to use TS more overall. These data suggest that TS is a viable AAC option for children with ASD who do not speak, and can be learned to a high proficiency after receiving systematic teaching procedures as used in the present study.</p>

scholarly journals Comparing Tangible Symbols, Picture Exchange and a Direct Selection Response when Teaching Requesting to Two Children with Autism Spectrum Disorder

2021 ◽  
Author(s):  
◽  
Laura Kathleen Roche
Keyword(s):  
Autism Spectrum Disorder ◽  
Augmentative And Alternative Communication ◽  
Selection Response ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Direct Selection ◽  
Access Methods ◽  
Picture Exchange ◽  
Acquisition Rates

<p>Children diagnosed with Autism Spectrum Disorder (ASD) who fail to develop functional speech are candidates for augmentative and alternative communication (AAC) systems. One of the primary intentions of AAC is to provide an alternative method of communicating in the absence of speech (Mirenda, 2003). In order to select the most beneficial AAC system for a user, in regards to the ease of acquisition and successfully communicating with AAC systems, it is considered important to undertake research comparing various AAC systems and to assess users’ preferences for using one system over another. Empirical evidence from previous studies comparing AAC indicates that users often learn to use AAC systems with varying degrees of proficiency and at various acquisition rates. Additionally, assessing users’ preferences for different AAC systems has been shown to influence acquisition rates and long term maintenance of AAC systems and is suggested to be an important component when carrying out AAC intervention.  In the present study a tangible symbol (TS) communication system was compared, in terms of acquisition rates and preference, with Picture Exchange (PE) and an additional direct selection (DS) method of gaining access to desired stimuli in two young boys with ASD. Two male participants diagnosed with ASD were taught via systematic instructional procedures to request/gain access to the continuation of preferred cartoon movies by using TS, PE, and DS. Additionally, preference assessments were implemented during intervention and follow-up phases to determine whether the participants showed a preference for using one of these three requesting/access methods over the other two, and whether any such preferences remained stable throughout follow-up sessions. Results indicated that both participants successfully learned to request each of the six cartoon movies using each of the three methods. Specifically, acquisition rates for TS and PE were comparable across both participants, and overall both participants preferred to request using the TS. During intervention sessions, one participant preferred to use DS, however this preference changed during follow-up where he chose to use TS more overall. These data suggest that TS is a viable AAC option for children with ASD who do not speak, and can be learned to a high proficiency after receiving systematic teaching procedures as used in the present study.</p>

Instruction Using Augmentative and Alternative Communication Supports: Description of Current Practices by Speech-Language Pathologists Who Work With Children With Autism Spectrum Disorder

2020 ◽  
Vol 29 (2) ◽  
pp. 586-596 ◽  
Author(s):  
Kaitlyn A. Clarke ◽  
Diane L. Williams
Keyword(s):  
Autism Spectrum Disorder ◽  
Augmentative And Alternative Communication ◽  
Communication Systems ◽  
Diagnostic Category ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Alternative Communication ◽  
Speech Language Pathologists ◽  
Processing Differences

Purpose The aim of this research study was to examine common practices of speech-language pathologists (SLPs) who work with children with autism spectrum disorder (ASD) with respect to whether or not SLPs consider processing differences in ASD or the effects of input during their instruction. Method Following a qualitative research method, how SLPs instruct and present augmentative and alternative communication systems to individuals with ASD, their rationale for method selection, and their perception of the efficacy of selected interventions were probed. Semistructured interviews were conducted as part of an in-depth case report with content analysis. Results Based on completed interviews, 4 primary themes were identified: (a) instructional method , (b) input provided , (c) decision-making process , and (d) perceived efficacy of treatment . Additionally, one secondary theme, training and education received , was identified . Conclusions Clinicians reported making decisions based on the needs of the child; however, they also reported making decisions based on the diagnostic category that characterized the child (i.e., ASD). The use of modeling when teaching augmentative and alternative communication to individuals with ASD emerged as a theme, but variations in the method of modeling were noted. SLPs did not report regularly considering processing differences in ASD, nor did they consider the effects of input during instruction.

Mental health correlates and potential childhood predictors for the wish to be of the opposite sex in young autistic adults

Autism ◽  
2021 ◽  
pp. 136236132110240
Author(s):  
Jung-Chi Chang ◽  
Meng-Chuan Lai ◽  
Yueh-Ming Tai ◽  
Susan Shur-Fen Gau
Keyword(s):  
Mental Health ◽  
Autism Spectrum Disorder ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Typically Developing ◽  
Item Endorsement ◽  
Opposite Sex ◽  
Autistic Adults

Cross-sectional research has demonstrated the overrepresentation of gender dysphoria in children and adults with autism spectrum disorder. However, the predictors and underlying mechanisms of this co-occurrence remain unclear. This follow-up study aimed to explore baseline (childhood/adolescence) predictors for the follow-up (adulthood) self-reported wish to be of the opposite sex and to investigate its mental health correlates in a sample of 88 autistic individuals as compared with 42 typically developing controls. An item on the Adult Self-Report Inventory-4, “I wish I was the opposite sex,” was used. We compared mental health symptoms between adults with and without this item endorsement. We used prediction models to explore family and autism-related predictors in childhood/adolescence to endorse this item in adulthood. There were more adults endorsing the item in the autism spectrum disorder group compared with the typically developing group. Autistic adults who endorsed the item experienced more mental health challenges, more bullying victimization, more suicidal ideations, and worse quality of life. Lower parent-reported family support and more stereotyped/repetitive behaviors during childhood/adolescence predicted the self-reported wish to be of the opposite sex in adulthood in autistic individuals. It is necessary to raise more attention to gender development and related mental health impact in autistic individuals. Lay abstract Autistic people/people with autism spectrum disorder are more likely to experience gender dysphoria. However, the possible longitudinal predictors and underlying mechanisms of this co-occurrence are unclear. To fill this knowledge gap, we assessed 88 people with autism spectrum disorder and 42 typically developing individuals at their average ages of 13.0 (baseline, childhood/adolescence) and 20.2 years old (follow-up, adulthood). At follow-up, their endorsement on the item “I wish I was the opposite sex” was used to evaluate gender dysphoric symptoms. We compared mental health symptoms between adults with and without this item endorsement at the follow-up assessment. We explored parent-reported family and autism characteristics-related predictors in childhood/adolescence to this item endorsement in adulthood. We found that more autistic adults reported the wish to be of the opposite sex than did typically developing individuals. Autistic adults who endorsed this item experienced more mental health challenges, more school bullying and cyberbullying, more suicidal ideation, and worse quality of life. Moreover, parent-reported lower family support and more stereotyped/repetitive behaviors during childhood/adolescence predicted the self-reported wish to be of the opposite sex in adulthood in autistic individuals. More attention and support should be provided to autistic people regarding gender development and related mental health and quality of life impact, especially during the transition period to young adulthood.

scholarly journals Developing a Culturally Sensitive ICF-Based Tool to Describe Functioning of Children with Autism Spectrum Disorder: TEA-CIFunciona Version 1.0 Pilot Study

2021 ◽  
Vol 18 (7) ◽  
pp. 3720
Author(s):  
Silvana B. Napoli ◽  
María Paula Vitale ◽  
Pablo J. Cafiero ◽  
María Belén Micheletti ◽  
Paula Pedernera Bradichansky ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Latin American ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
International Classification Of Functioning ◽  
Children With Asd ◽  
Practice Methods ◽  
Icf Core Sets ◽  
Family Centered

Background: Autism spectrum disorder (ASD) affects the daily functioning of children and their families; however, in Argentina, there are no standardized tools to guide the description, evaluation, and follow-up of functioning and disability of children with ASD. To fill this gap, the overarching purpose of this study was to create a novel tool guided by the International Classification of Functioning, Disability, and Health (ICF) Core Sets for ASD for clinical practice. Methods: A multistep methodology was used to identify the most relevant ICF categories for an Argentinian clinical setting. The content of this ICF-based shortlist was piloted and revised according to the results. Subsequently, a toolbox of measures was proposed to operationalize each ICF category. Finally, profiles of the functioning of 100 children with ASD were created. Results: An ICF-based tool called TEA-CIFunciona was created, consisting of 32 ICF categories (10 body functions, 15 activities and participation, 7 environmental factors categories). The application of TEA-CIFunciona incorporated a family-centered approach in ASD evaluations and helped identify functional needs. Conclusions: TEA-CIFunciona is the first ICF-based instrument that guides the description of functioning of children with ASD in Argentina. TEA-CIFunciona standardizes collaborative assessments in pediatric ASD populations in Latin American contexts.

Acquisition, Preference and Follow-up Comparison Across Three AAC Modalities Taught to Two Children with Autism Spectrum Disorder

2016 ◽  
Vol 64 (2) ◽  
pp. 117-130 ◽  
Author(s):  
Laurie McLay ◽  
Martina C. M. Schäfer ◽  
Larah van der Meer ◽  
Llyween Couper ◽  
Emma McKenzie ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder

Promoting Speech Intelligibility in Autism Spectrum Disorder through the Implementation of Phonologically Similar Stimuli

2020 ◽  
pp. 1-11
Author(s):  
Kakia Petinou
Keyword(s):  
Autism Spectrum Disorder ◽  
Speech Intelligibility ◽  
Speech Sound ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Single Subject ◽  
Clinical Implementation ◽  
Intervention Protocol ◽  
Expressive Phonology

<b><i>Objectives:</i></b> The study focused on promoting expressive phonological skills in 1 Greek-speaking child with autism spectrum disorder (ASD) and comorbid speech sound disorder (SSD). Based on the phonological neighborhood density framework, it was hypothesized that the experimental manipulation through clinical implementation of phonologically overlapping stimuli would yield positive expressive phonology gains relevant to ASD. <b><i>Participant and Methods:</i></b> A multiple-baseline single-subject design was implemented. Three baseline sessions measured expressive phonology variables. Sixteen biweekly 30-min intervention sessions were carried out for a period of 2 months. Dependent variables included phonetic inventory size, proportion of consonants correct, occurrences of phonological processes, and percentage of whole word matches elicited via specific word probe stimuli. The Intelligibility in Context Scale was completed by the child’s teacher prior to the initiation of intervention and at a follow-up session. Experimental stimuli were grouped together in phonologically dense cohorts. <b><i>Results:</i></b> Comparison between pre-test and post-test measures revealed expressive phonology gains across all measured variables. Follow-up session results showed generalization of expressive phonology gains on untreated targets. <b><i>Conclusions:</i></b> Significant expressive phonology gains were achieved through the implementation of phonologically similar word stimuli within a systematic intervention protocol with the implementation of specific word-level variables. The findings supported this treatment approach for a child with ASD and SSD, while providing evidence for the phonological density advantage from a cross-linguistic perspective.

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