The study was an effort to help a girl with multiple disabilities increase object manipulation responses and reduce hand mouthing, carried out according to an ABAB sequence (in which A represented baseline phases; B, treatment phases) and including a 3-month follow-up. During the baseline phases, a microswitch cluster (i.e., a combination of microswitches) was used to monitor the girl's object manipulation responses and hand mouthing. Indices of happiness were also recorded. During the treatment phases and follow-up, the microswitch cluster was combined with the use of preferred stimuli for object manipulation responses. The stimuli lasted an 8-s period at each response if the girl remained free from hand mouthing through that period, but were interrupted if hand mouthing appeared. The results show that the girl increased object manipulation responses, learned to refrain from hand mouthing for most of the session time, maintained this performance over time, and showed an increase in indices of happiness.
Algozzine, B., Browder, D., Karvonen, M., Test, D.W., & Wood, W.M. (2001). Effects of intervention to promote self-determination for individuals with disabilities. Review of Educational Research , 71, 219-277.
2.
Barlow, D.H., Andrasik, F., & Hersen, M. (2006). Single-case experimental designs (3rd ed.). New York: Allyn & Bacon.
3.
Borrero, J.C., & Vollmer, T.R. (2002). An application of the matching law to severe problem behavior. Journal of Applied Behavior Analysis, 35, 13-27.
4.
Britton, L.N., Carr, J.E., Kellum, K.K., Dozier, C.L., & Well, T.M. (2000). A variation of noncontingent reinforcement in the treatment of aberrant behavior. Research in Developmental Disabilities, 21, 425-435.
5.
Britton, L.N., Carr, J.E., Landaburu, H.J., & Romick, K.S. (2002). The efficacy of non-contingent reinforcement as treatment for automatically reinforced stereotypy. Behavioral Interventions, 17, 93-103.
6.
Carr, J.E., Dozier, C.L., Patel, M.R., Adams, A.N., & Martin, N. (2002). Treatment of automatically reinforced object mouthing with noncontingent reinforcement and response blocking: Experimental analysis and social validation. Research in Developmental Disabilities , 23, 37-44.
7.
Crawford, M.R., & Schuster, J.W. (1993). Using microswitches to teach toy use. Journal of Developmental and Physical Disabilities , 5, 349-368.
8.
Fetters, L., & Kluzik, J. (1996). The effects of neurodevelopmental treatment versus practice on the reaching of children with spastic cerebral palsy. Physical Therapy, 76, 346-358.
9.
Fischer, W.W., Iwata, B.A., & Mazaleski, J.L. (1997). Noncontingent delivery of arbitrary reinforcers as treatment for self-injurious behavior. Journal of Applied Behavior Analysis, 30, 239-249.
10.
Gutowski, S.J. (1996). Response acquisition for music or beverages in adults with profound multiple handicaps. Journal of Developmental and Physical Disabilities, 8, 221-231.
11.
Holburn, S., Nguyen, D., & Vietze, P.M. (2004). Computer-assisted learning for adults with profound multiple disabilities. Behavioral Interventions, 19, 25-37.
12.
Kazdin, A.E. (2001). Behavior modification in applied settings (6th ed.). New York: Wadsworth.
13.
Lachapelle, Y., Wehmeyer, M.L., Haelewyck, M.C., Courbois, Y., Keith, K.D., Schalock, R., et al. (2005). The relationship between quality of life and self-determination: An international study. Journal of Intellectual Disability Research, 49, 740-744.
14.
Lancioni, G.E., O'Reilly, M.F., & Basili, G. (2001). An overview of technological resources used in rehabilitation research with people with severe/profound and multiple disabilities . Disability and Rehabilitation, 23, 501-508.
15.
Lancioni, G.E., O'Reilly, M.F., Singh, N.N., Sigafoos, J., Oliva, D., Baccani, S., & Groeneweg, J. (2006). Microswitch clusters promote adaptive responses and reduce finger mouthing in a boy with multiple disabilities. Behavior Modification, 30, 892-900.
16.
Lancioni, G.E., Singh, N.N., O'Reilly, M.F., & Oliva, D. (2005). Microswitch programs for persons with multiple disabilities: An overview of the responses adopted for microswitch activation . Cognitive Processing, 6, 177-188.
17.
Lancioni, G.E., Singh, N.N., O'Reilly, M.F., Oliva, D., & Basili, G. (2005). An overview of research on increasing indices of happiness of people with severe/profound intellectual and multiple disabilities . Disability and Rehabilitation, 27, 83-93.
18.
Lancioni, G.E., Singh, N.N., O'Reilly, M.F., Oliva, D., Scalini, & Groeneweg, J. (2004). Improving assisted ambulation in a man with multiple disabilities through the use of a microswitch cluster. Behavioural and Cognitive Psychotherapy, 32, 245-249.
19.
Lancioni, G.E., Singh, N.N., O'Reilly, M.F., Sigafoos, J., Didden, R., Oliva, D., & Severini, L. (2007). Fostering adaptive responses and head control in students with multiple disabilities through a microswitch-based program: Follow-up assessment and program revision. Research in Developmental Disabilities, 28, 187-196.
20.
Lancioni, G.E., Singh, N.N., O'Reilly, M.F., Sigafoos, J., Oliva, D., Pidala, S., et al. (2007). Promoting adaptive foot movements and reducing hand mouthing and eye poking in a boy with multiple disabilities through microswitch technology. Cognitive Behaviour Therapy, 36, 85-90.
21.
Lancioni, G.E., Smaldone, A., O'Reilly, M.F., Singh, N.N., & Oliva, D. (2005). Automatic prompting to reduce persistent tongue protrusion in a woman with severe to profound mental retardation. Perceptual and Motor Skills, 101, 515-518.
22.
LeBlanc, L.A., Patel, M.R., & Carr, J.E. (2000). Recent advances in the assessment of aberrant behavior maintained by automatic reinforcement in individuals with developmental disabilities. Journal of Behavior Therapy and Experimental Psychiatry, 31, 137-154.
23.
Lenker, J.A., & Paquet, V.L. (2004). A new conceptual model for assistive technology outcomes research and practice. Assistive Technology, 16, 1-10.
24.
Luiselli, J.K. (1998). Treatment of self-injurious hand-mouthing in a child with multiple disabilities. Journal of Developmental and Physical Disabilities, 10, 167-174.
25.
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.
26.
Parette, H.P., Brotherson, M.J., & Blake-Huer, M. (2000). Giving families a voice in augmentative and alternative communication decision-making. Education and Training in Mental Retardation and Developmental Disabilities , 35, 177-190.
27.
Petry, K., Maes, B., & Vlaskamp, C. (2005). Domains of quality of life of people with profound multiple disabilities: The perspective of parents and direct support staff . Journal of Applied Research in Intellectual Disabilities , 18, 35-46.
28.
Rapp, J.T. (2006). Toward an empirical method for identifying matched stimulation: A preliminary investigation. Journal of Applied Behavior Analysis, 39, 137-140.
29.
Rapp, J.T. (2007). Further evaluation of methods to identify matched stimulation. Journal of Applied Behavior Analysis, 40, 73-88.
30.
Richards, S.B., Taylor, R.L., Ramasamy, R., & Richards, R.Y. (1999). Single subject research: Applications in educational and clinical settings. New York: Wadsworth.
31.
Richman, D.M., Lindauer, S.E., Crosland, K.A., McKerchar, T.L., & Morse, P.S. (2001). Functional analysis and treatment of breath holding maintained by nonsocial reinforcement. Journal of Applied Behavior Analysis, 34, 531-534.
32.
Saloviita, T., & Pennanen, M. (2003). Behavioural treatment of thumb sucking of a boy with fragile X syndrome in the classroom. Developmental Disabilities Bulletin, 31, 1-10.
33.
Scherer, M.J., Sax, C., Vanbiervliet, A., Cushman, L.A., & Scherer, J.V. (2005). Predictors of assistive technology use: The importance of personal and psychosocial factors. Disability and Rehabilitation , 27, 1321-1331.
Siperstein, G.N., Leffert, J.S., & Widaman, K. (1996). Social behavior and the social acceptance and rejection of children with mental retardation. Education and Training in Mental Retardation and Developmental Disabilities, 31, 271-281.
Vermeer, A., Lijnse, M., & Lindhout, M. (2004). Measuring perceived competence and social acceptance in individuals with intellectual disabilities. European Journal of Special Needs Education, 19, 283-300.
38.
Vollmer, T.R., Marcus, B.A., Ringdahl, J.E., & Roane, H.S. (1995). Progressing from brief assessments to extended experimental analyses in the evaluation of aberrant behavior. Journal of Applied Behavior Analysis, 28, 561-576.
39.
Wehmeyer, M., & Schwartz, M. (1998). The relationship between self-determination and quality of life for adults with mental retardation. Education and Training in Mental Retardation and Developmental Disabilities, 33, 3-12.
