I tested the effects of an observational intervention on observing responses, denial responses, and audience appropriate behaviors in 9 preschool children with developmental and language delays. The participants were 8 males and 1 female aged 3-5 years, who were selected from a preschool program that implemented a behavior analytic approach to all instruction. All participants had fluent listener and speaker repertoires and emitted mands, tacts, and sequelics with adults. The children were selected to participate because they displayed little to no awareness of, or interactions with their peers during free play and social settings. I conducted probes for a) peer observing responses, b) responses to denial of non-preferred stimuli being delivered to peers, c) social initiations to peers, d) responses to peers’ social initiations, and e) other socially appropriate behaviors. Pre-intervention probes showed that all participants emitted low peer observing responses in free play settings, and did not consistently initiate or reciprocate peer interactions across different social settings. Five out of nine participants emitted responses to denial prior to the intervention. The independent variable was an observational intervention using non-preferred stimuli and a denial condition that was used in prior studies to establish conditioned reinforcement by observation. The participant and peer confederate sat side-by-side at a table, and were separated by an opaque partition. They were both presented with a performance task. The participant observed the peer confederate receive the non-preferred stimuli but could not observe the peer’s responses to the task. The intervention continued until the participants emitted responses to denial of the non-preferred stimuli across two sessions. Post-intervention data suggest that peer observing responses in free play settings, as well as audience appropriate behaviors in social settings increased as a function of the observational intervention in 8 out of 9 participants. Responses to the denial of non-preferred stimuli delivered to a peer increased in 4 out of 4 participants who did not respond during pre-intervention probes.

Este estudo objetivou identificar na literatura de saúde textos que abordassem aspectos do desenvolvimento de crianças dependentes de ventilador; caracterizar ações de cuidado realizadas ou propostas para a promoção do desenvolvimento dessas crianças, assim como, analisá-las, segundo o referencial de necessidades essenciais da infância proposto por Brazelton e Greenspan (2002). O processo de busca bibliográfica realizado nas bases de dados PubMed, Lilacs, Embase e Cinahl e a leitura dos resumos, possibilitaram a organização dos artigos localizados em 17 grupos temáticos, sendo eleitos para a análise temática de conteúdo somente os que potencialmente continham informações relacionadas às perguntas da pesquisa. O corpus da análise constituiu-se de 35 artigos internacionais que pertenciam aos seguintes grupos temáticos: (1) processo de transição do hospital para casa/comunidade, (2) experiência da criança e da família, (3) interação criança-cuidador, (4) qualidade de vida, (5) proteção e segurança e (6) artigos de revisão. Os critérios para seleção dos documentos e análise pautaram-se no modelo metodológico de análise de Bardin (1977). A análise temática possibilitou a construção de duas categorias sobre o ambiente de cuidados e o desenvolvimento de crianças dependentes de ventilador. A categoria Concepções e práticas que resultam em cuidado desigual agrupou as diferentes concepções sobre infância e dependência de tecnologia ventilatória, e, como conseqüência, os contextos de assistência diversos, ou mesmo, opostos aos quais as crianças em ventilação prolongada foram submetidas. Revelou as ações, pensamentos, experiências e situações que dão existência ao contexto desfavorável ao atendimento das necessidades integrais da criança ou do adolescente dependente de ventilador, assim como aquelas que proporcionam condições mais favoráveis ao desenvolvimento. Sinalizou tanto as oportunidades como os desafios que estavam presentes em todos os cenários de atenção à saúde da criança e estabeleciam-se nas interações entre criança, ambiente e cuidador, resultando em maior ou menor desenvolvimento do potencial de cada criança. A categoria Potenciais de desenvolvimento efetivados versus potenciais de desenvolvimento comprometidos forneceu evidências sobre a competência da criança dependente de ventilador nas tarefas esperadas do desenvolvimento, tais como a socialização e o aprendizado, favorecidas no contexto de cuidados integrais. Ainda, descreveu distúrbios físicos, comportamentais e de desenvolvimento, potencialmente associados a contextos desfavoráveis, marcando os prejuízos a que seu potencial foi submetido. Notaram-se, nos artigos analisados, a preocupação e o empenho dos pais, profissionais e instituições para melhorar o contexto de atenção às necessidades de saúde das crianças dependentes de ventilador. No entanto, destacaram-se as ações que privilegiam a necessidade de proteção física e segurança em detrimento das demais necessidades essenciais para o desenvolvimento / This study aimed to identify in health literature papers that dealt with developmental aspects of ventilator-dependent children, to characterize care actions proposed or given so as to promote these childrens development, and at the same time to analyze such actions according to the Irreducible Needs of Children framework proposed by Brazelton and Greenspan (2002). Search for bibliography in PubMed, Lilacs, Embase and Cinahl and abstract reading made it possible to organize articles in 17 theme groups. However, theme analysis was carried out using only the articles that potentially contained information related to the research questions. Analysis corpus is made up of 35 articles from foreign sources belonging to the following group themes: (1) transition process from hospital to home/community, (2) childs and familys experience, (3) child-care giver interaction, (4) life quality, (5) protection and safely and (6) review articles. Criteria to select documents and analysis followed Bardins (1977) methodological model analysis. Theme analysis enabled the construction of two categories about care settings and ventilator-dependent children. The category Concepts and practices resulting in unequal care encompassed different concepts about childhood and ventilation technology dependence and thus the different or even opposite settings concerning care to which prolonged ventilator-dependent children are submitted. This concept also revealed actions, thoughts, experiences and situations that bring about both the unfavorable setting of providing for the comprehensive needs of ventilator-dependent child or adolescent and those that provide more favorable conditions for their development. It also pointed to opportunities and challenges present in all settings pertaining to the childs health care that are established in the interactions between child, environment and caregiver, resulting in higher or lower level of development of each childs full potential. The category Effective developmental potentials vs. Compromised developmental potentials provided evidences about competences of the ventilator-dependent child to perform developmental tasks, such as socializing and learning, which a comprehensive care setting favors. It also described physical, behavioral and developmental disorders potentially associated with unfavorable settings which compromise the childs and adolescents full potential. The analyzed studies showed that parents, health care professionals and institutions are concerned and making efforts to improve the health care setting of ventilator-dependent children. However, actions aimed at providing physical protection needs and safety are more favored to the detriment of other essential needs for their full development

The integration of disabled children into regular schools is a current educational and social issue causing widespread interest, concern and debate throughout Australia. The most controversial and innovative adoption of integration policy has occurred in Victoria since the release of the Collins Report in 1984. The present study was conducted in 26 State primary schools in the Bendigo area of the Loddon Campaspe Mallee region of Victoria where disabled children had been integrated in regular classrooms with the assistance of a paid teacher aide during 1988. The purpose of the study was to survey the concerns of those teachers into whose classes children with disabilities had been integrated. The Stages of Concern (SoC) dimension of the Concerns-Based Adoption Model (C-BAM) was chosen as the research methodology. C-BAM was developed at the Research and Development Center for Teacher Education, University of Texas at Austin, and for the purpose of this study, the methodology consisted of a questionnaire of 35 standardized items (the Stages of Concern Questionnaire), and a School Survey. The study set out to identify the concerns of teachers (ii) toward integration, and to establish reasons why teachers are at particular stages of concern. Factors included teachers' age, gender, number of years of teaching experience, qualifications and in-service training. Other issues related to the disabled children themselves, the school, and factors such as availability of resources, funding levels, and access to support systems. This study developed from the policy document Integration in Victorian Education (the Collins Report, 1984). Since then, the Ministry of Education has published two additional booklets (in January and February, 1987), which partly address some of the issues included in this thesis. These include resourcing, in-servicing and the legal implications of the innovation. The analysis of the data points to major shortcomings which will jeopardize the implementation process and the likely success of the innovation. A number of recommendations have been suggested, with particular reference to the pre-service and in-service training of teachers, and issues relating to funding and resources. The findings have implications for all classroom teachers, as potentially all are required to accept disabled children into their classes. The results and recommendations also have relevance for the Ministry of Education, whose responsibility it is to ensure that the integration of disabled children into regular classes is fully supported at a government level, and for training institutions, whose task it is to provide appropriate pre-service and in-service programs for present and future classroom teachers.

The purpose of this study was to investigate the effect of untrained and trained peer tutors on the motor performance of students with developmental disabilities in integrated physical education classes. This study utilized a single subject delayed multiple baseline design across subjects. Six elementary age students with developmental disabilities and six nondisabled peer tutors participated in the study. The students were videotaped during their physical education class and data were analyzed on discrete motor skill responses. The students were assigned to one of two protocols. Protocol 1 consisted of three conditions; baseline, assistance by an untrained peer tutor, and assistance by a trained peer tutor. The results of Protocol 1 data revealed that trained peer tutors were effective at assisting subjects with developmental disabilities improve their motor performance, while untrained peer tutors were not. As a result of these findings Protocol 2 which consisted only of baseline and assistance by trained peer tutors, was utilized to replicate and provide additional support for the effect of trained peer tutors. The results of Protocol 2 revealed that trained peer tutors were effective at assisting subjects with developmental disabilities improve their motor performance in integrated physical education classes. Trained peer tutors were provided with instruction in the following three teaching areas: cueing, feedback, and reinforcement. The cueing techniques followed the system of least prompts and included verbal cueing, modeling, and physical assistance. Feedback information consisted of positive general and positive specific reinforcement. Peer tutors were trained over two 30 minute sessions. Pre-established criteria required the peer tutors to implement the teaching behaviors with the researcher a minimum of 4 out 5 times, and receive a score of 90% or better on the peer tutor quiz. All peers were successful at meeting this criteria. Data were collected on the tutors' teaching behaviors throughout the study via a wireless microphone. The results of the peer tutor data revealed that the tutors were able to implement the tutor training program. The results of this study demonstrate that elementary age peer tutors can be trained to provide assistance to students with developmental disabilities in integrated physical education classes. Recommendations for future research are provided based on the results of this study. / Graduation date: 1994

Source: Masters Abstracts International, Volume: 47-06, page: 3556. Adviser: Irwin B. Horwitz. Includes bibliographical references.

Despite a remarkable need and demand for services, little is known about the family relationships of children with social competency disorders (SCD), defined in this study as children with Asperger’s Disorder and nonverbal learning disabilities (NVLD). Both children with Asperger’s Disorder and children with NVLD exhibit social skill deficits essential to building and maintaining relationships. These social competency impairments are thought to be related to similarities in their neuropsychological profiles. The low prevalence rates of these conditions and the neuropsychological and behavioral similarities supports the combination of Asperger’s Disorder and NVLD as a “social competency disorders” group for purposes of research. Attention deficit-hyperactivity disorders (ADHD) have been found to be highly comorbid in children with SCD, and were included in this study as clinical control group. The purpose of this study was to examine the relational functioning in the families of children with social competency deficits across different parts of the family system. It was hypothesized that the social competency deficits in children with SCD would result in significantly lower levels of relational functioning across the parent-child subsystem, parenting subsystem and whole family level of the family. Sixty-one children between the ages of 8-12 and their mothers participated in this study. Children were assigned to the SCD, ADHD or typically developing group based on pre-determined criteria. Self-report measures of interpersonal functioning in the parent-child relationship, strength of parenting alliance in the parental relationship and social support in the whole family were collected and compared across the three groups. As predicted, mothers of children with SCD reported significantly higher levels of dysfunction in the parent-child subsystem as compared to mothers of typically developing children; however, no significant differences in parent-child dysfunction were found between the SCD and the ADHD group. Contrary to the hypotheses proposed in this study, the SCD group showed no significant group differences on measures of parenting alliance and social support in the whole family. This study reveals the importance of intervention in the parent-child relationship in these families, and the need for additional research using longitudinal, multi-modal and multiple informant designs. / text

published_or_final_version / Mental Health / Master / Master of Social Sciences

This study identified factors related to solving mathematical word problems and then examined the differences in characteristics between students with low achievement in mathematics who were likely to have a learning disability and students with low achievement in mathematics who were unlikely to have a learning disability. Factoral analysis identified two significant factors: abstract thinking and long term retrieval from memory. Results indicated qualitative differences between sixth grade students with achievement in mathematics at or below the 25th percentile with indications of learning disabilities (MLD) and students with achievement in mathematics at or below the 25th percentile without an indication of a learning disability (Low Math/NLD). The Learning Disabilities Diagnostic Inventory, which measures intrinsic processing disorders indicative of learning disabilities, was used to differentiate between students with MLD (n = 13) and students with Low Math/NLD (n = 16). The Woodcock-Johnson III Tests of Achievement, Clinical Evaluation of Language Fundamentals-Fourth Edition, and the Informal Mathematics Assessment (IFA) were used to compare the two groups. In contrast to students with MLD, students with Low Math/NLD had a higher mathematical performance and had more difficulties with math fluency. When solving mathematics word problems on the IFA, a test composed of word problems, student interview, and error analysis, students with Low Math/NLD had more correct answers, more computational errors, and fewer translation errors than students with MLD did. Students with MLD had conceptual difficulties in the areas of analyzing, reasoning, and abstract thinking.

This thesis address the question of agency that children with profound and multiple learning disabilities (PMLD) have in educational contexts. Teachers and educators do not usually regard children with PMLD in terms of their agency, because of their profound and multiple impairments. Discourses on children and adults with PMLD are linear, systematic, defining and closed to contingency. The discourses normally applied with regard to children with PMLD attending school are mapped out in the beginning of the thesis. The thesis provides an account of my becoming-teacher and my becoming-researcher It is my journey with students whom I worked with directly as their teacher in a segregated specialised school for children with PMLD, and also as a participant observer in two mainstream primary classrooms. The works of Jacques Derrida, Felix Guattari and Gilles Deleuze were crucial in reading the lives of these children together with mine. Nine stories with comments are the central focus of this thesis, where through the writing of these stories my own becoming-teacher is mapped out. The thesis shows how students with PMLD are able to provide teachers with spaces of possibilities in the linear and closed discourses mentioned above. Students themselves are able to introduce in the life of teachers, their classroom and at times even at school level, the ‘non-sense’ that help teachers ‘think again’ the discourses that they are working with. They are able to help teachers open up discourses, and see that they are ‘assemblages’, characterised by contingency, contradictions and aporias. Students with PMLD provide possibilities (potentials) for engagement in these assemblages. The identity of a teacher is shaken when she experiences her identity as an assemblage, but even more so when such an identity is seen as a process of becoming by engaging with the possibilities. Here the end is not important and is unknown; what is important is the process. What is argued is that the teacher’s identity is seen as becoming-teacher through becoming-PMLD. This thesis concludes that there needs to be a desire to engage with students with PMLD to continue the process of becoming-teacher.

published_or_final_version / Education / Master / Master of Education