Abstract
Recent studies with three persons with multiple disabilities have indicated that smile expressions can be used as functional choice responses (i.e., occurring in relation to samples of preferred stimuli to be selected and absent in relation to samples of non-preferred stimuli to be bypassed). The purpose of this study was to extend the evaluation of the smile response with two new participants (a girl and a woman) with multiple disabilities within a technology-aided choice program. The smile response was monitored through an optic microswitch pointing to the girl’s lower lip or across the area before the woman’s right cheekbone. The study started with a baseline phase during which the participants were to use a vocalization response to choose among the stimuli presented to them. The intervention phase with the smile response and optic microswitch was introduced according to a non-concurrent multiple baseline design across participants. The results showed that both participants used the smile response and optic microswitch to choose the preferred stimuli and abstained from using such response (i.e., from making choices) in relation to non-preferred stimuli. Implications of the results are discussed.
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Alves, N., Falk, T. H., & Chau, T. (2010). A novel integrated mechanomyogram-vocalization access solution. Medical Engineering and Physics, 32, 940–944.
Barlow, D. H., Nock, M., & Hersen, M. (2009). Single-case experimental designs: Strategies for studying behavior change (3rd ed.). New York: Allyn & Bacon.
Beadle-Brown, J., Hutchinson, A., & Mansell, J. (2008). Care standards in homes for people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 21, 210–218.
Borg, J., Larson, S., & Östergren, P. O. (2011). The right to assistive technology: for whom, for what, and by whom? Disability and Society, 26, 151–167.
Brown, R. I., Schalock, R. L., & Brown, I. (2009). Quality of life: its application to persons with intellectual disabilities and their families—introduction and overview. Journal of Policy and Practice in Intellectual Disabilities, 6, 2–6.
Chan, J., Falk, T. H., Teachman, G., Morin-McKee, J., & Chau, T. (2010). Evaluation of a non-invasive vocal cord vibration switch as an alternative access pathway for an individual with hypotonic cerebral palsy: a case study. Disability and Rehabilitation. Assistive Technology, 5, 69–78.
De Joode, E., van Heugten, C., Verhey, F., & van Boxtel, M. (2010). Efficacy and usability of assistive technology for patients with cognitive deficit: a systematic review. Clinical Rehabilitation, 24, 701–714.
De Joode, E. A., Van Boxtel, M. P. J., Verhey, F. R., & Van Heugten, C. M. (2012). Use of assistive technology in cognitive rehabilitation: exploratory studies of the opinions and expectations of healthcare professionals and potential users. Brain Injury, 26, 1257–1266.
Foley, A., & Ferri, B. A. (2012). Technology for people, not disabilities: ensuring access and inclusion. Journal of Research in Special Education Needs, 12, 192–200.
Friedman, B., Wamsley, B. R., Liebel, D. V., Saad, Z. B., & Eggert, G. M. (2009). Patient satisfaction, empowerment, and health and disability status effects of a disease management-health promotion nurse intervention among Medicare beneficiaries with disabilities. The Gerontologist, 49, 778–792.
Holburn, S., Nguyen, D., & Vietze, P. M. (2004). Computer-assisted learning for adults with profound multiple disabilities. Behavioral Interventions, 19, 25–37.
Kazdin, A. E. (2001). Behavior modification in applied settings (6th ed.). New York: Wadsworth.
Kennedy, C. (2005). Single case designs for educational research. New York: Allyn & Bacon.
Lancioni, G. E., & Lems, S. (2001). Using a microswitch for vocalization responses with persons with multiple disabilities. Disability and Rehabilitation, 23, 745–748.
Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Oliva, D., & Antonucci, M. (2006). A microswitch-based programme to enable a boy with multiple disabilities and minimal motor behaviour to choose among environmental stimuli. Disability and Rehabilitation. Assistive Technology, 1, 205–208.
Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Oliva, D., Antonucci, M., Tota, A., & Basili, G. (2008). Microswitch-based programs for persons with multiple disabilities: an overview of some recent developments. Perceptual and Motor Skills, 106, 355–370.
Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Buonocunto, F., Sacco, V., Colonna, F., Navarro, J., Lanzilotti, C., Oliva, D., & Megna, G. (2010). Post-coma persons with motor and communication/consciousness impairments choose among environmental stimuli and request stimulus repetitions via assistive technology. Research in Developmental Disabilities, 31, 777–783.
Lancioni, G. E., Bellini, D., Oliva, D., Singh, N. N., O’Reilly, M. F., Lang, R., Didden, R., & Bosco, A. (2011). Persons with multiple disabilities select environmental stimuli through a smile response monitored via camera-based technology. Developmental Neurorehabilitation, 14, 267–273.
Lancioni, G. E., Sigafoos, J., O’Reilly, M. F., & Singh, N. N. (2012a). Assistive technology: interventions for individuals with severe/profound and multiple disabilities. New York: Springer.
Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Olivetti Belardinelli, M., Buonocunto, F., Sacco, V., Navarro, J., Lanzilotti, C., De Tommaso, M., Megna, M., & Badagliacca, F. (2012b). Promoting adaptive behavior in persons with acquired brain injury, extensive motor and communication disabilities, and consciousness disorders. Research in Developmental Disabilities, 33, 1964–1974.
Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Ricci, I., Buonocunto, F., & Sacco, V. (2012c). Access to environmental stimulation via eyelid responses for persons with acquired brain injury and multiple disabilities: a new microswitch arrangement. Perceptual and Motor Skills, 114, 353–362.
Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Alberti, G., Bellini, D., Oliva, D., Boccasini, A., La Martire, M. L., & Signorino, M. (2013). Persons with multiple disabilities use forehead and smile responses to access or choose among technology-aided stimulation events. Research in Developmental Disabilities, 34, 1749–1757.
Leung, B., & Chau, T. (2010). A multiple camera tongue switch for a child with severe spastic quadriplegic cerebral palsy. Disability and Rehabilitation. Assistive Technology, 5, 58–68.
Lidström, H., Almqvist, L., & Hemmingsson, H. (2012). Computer-based assistive technology device for use by children with physical disabilities: a cross-sectional study. Disability and Rehabilitation. Assistive Technology, 7, 287–293.
Mechling, L. C. (2006). Comparison of the effects of three approaches on the frequency of stimulus activations, via a single switch, by students with profound intellectual disabilities. Journal of Special Education, 40, 94–102.
Memarian, N., Venetsanopoulos, A. N., & Chau, T. (2011). Client-centred development of an infrared thermal access switch for a young adult with severe quadriplegic cerebral palsy. Disability and Rehabilitation. Assistive Technology, 6, 179–187.
Parette, H. P., Meadan, H., Doubet, S., & Hess, J. (2010). Supporting families of young children with disabilities using technology. Education and Training in Autism and Developmental Disabilities, 45, 552–565.
Ratliffe, K. T., Rao, K., Skouge, J. R., & Peter, J. (2012). Navigating the currents of change: technology, inclusion, and access for people with disabilities in the pacific. Information Technology for Development, 18, 209–225.
Scherer, M. J., Craddock, G., & Mackeogh, T. (2011). The relationship of personal factors and subjective well-being to the use of assistive technology devices. Disability and Rehabilitation, 33, 811–817.
Shih, C.-H. (2013). Assisting people with disabilities in actively performing designated occupational activities with battery-free wireless mice to control environmental stimulation. Research in Developmental Disabilities, 34, 1521–1527.
Sunderland, N., Catalano, T., & Kendall, E. (2009). Missing discourses: concepts of joy and happiness in disability. Disability and Society, 24, 703–714.
Tullis, C. A., Cannella-Malone, H. I., Basbigill, A. R., Yeager, A., Fleming, C. V., Payne, D., & Wu, P.-F. (2011). Review of the choice and preference assessment literature for individuals with severe and profound disabilities. Education and Training in Autism and Developmental Disabilities, 46, 576–595.
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Lancioni, G.E., Singh, N., O’Reilly, M. et al. Persons with Multiple Disabilities Choose Among Environmental Stimuli Using a Smile Response and a Technology–Aided Program. J Dev Phys Disabil 26, 183–191 (2014). https://doi.org/10.1007/s10882-013-9353-1
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DOI: https://doi.org/10.1007/s10882-013-9353-1