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Activity Schedules for Children with Severe Diagnoses: Teaching Independent Play in the Absence of Adult Prompting

Hedley Dray, Sarah K. (2018) Activity Schedules for Children with Severe Diagnoses: Teaching Independent Play in the Absence of Adult Prompting. Doctor of Philosophy (PhD) thesis, University of Kent,. (KAR id:69073)

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Children diagnosed with severe intellectual disabilities (ID) and autism spectrum disorders (ASD) often lack independence, relying on adult prompting to engage in play activities. In the absence of adult prompting or access to reinforcers (R+), independent engagement typically does not occur. Activity schedule (AS) interventions have been successfully implemented to develop a wide range of skills in this population, but many AS studies incorporated additional prompts and therefore do not adhere to the original protocol designed by MacDuff et al. (1993), named here as PCDI-AS. While other methods have been successful, it is not clear if adding gestural and/or verbal prompting improves effectiveness. To investigate the effectiveness of PCDI-AS and AS using other methods for individuals diagnosed with severe ID and/or ASD, two studies were completed:

Study One - Systematic Review:

Method. A systematic review was conducted, including a narrative synthesis. Each study was assessed for quality using the single case experimental design (SCED) scale (Tate, McDonald, Perdices, Togher, Schultz & Savage, 2008). The percentage of non-overlapping data (PND) method was used to estimate effect size (Scruggs, Mastropieri & Casto, 1997).

Conclusion: Findings are limited to use of PND and SCED as measurement systems, as other measurement systems may have yielded different results, however, data collected via these methods suggest that for developing independent play skills in those with ID and/or ASD diagnoses PDI-AS is more suitable than AS using other methods.

Aims. To a) identify if PCDI-AS are suitable for teaching engagement with play materials to individuals with severe ASD or ID, in the absence of adult prompting, and b) to see if skills acquired during training would generalise to other settings under the control of naturally occurring stimuli.

Results. PCDI-AS appears to be effective for developing independent play skills in participants with severe diagnoses; six pupils mastered schedule following. Play observations suggested that PCDI-AS impacted upon behaviour in other settings. Following the start of training, for most, levels of engagement increased and variety of play materials widened.

While AS are effective in general, the systematic review suggests that PCDI-AS are more effective than AS using other methods, and are associated with more generalisation. To develop their independent play skills, pupils with severe diagnoses were introduced to PCDI-AS. The intervention appeared to be successful; independent schedule following occurred under the stimulus control of visual cues alone, in the absence of adult prompting. Furthermore, evidence suggested that skills can be generalised to other settings under the control of naturally occurring stimuli.

Item Type: Thesis (Doctor of Philosophy (PhD))
Thesis advisor: Chiesa, Mecca
Thesis advisor: Langdon, Peter
Thesis advisor: Johnston, Robert
Uncontrolled keywords: activity schedule play independence autism severe diagnoses intellectual disability applied behaviour analysis
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research
SWORD Depositor: System Moodle
Depositing User: System Moodle
Date Deposited: 12 Sep 2018 09:11 UTC
Last Modified: 16 Feb 2021 13:57 UTC
Resource URI: (The current URI for this page, for reference purposes)
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