Semin Speech Lang 2024; 45(03): 171-193
DOI: 10.1055/s-0044-1787274
Pediatric Research Article
Erin Gallegos
1
Department of Speech and Hearing Sciences, The University of New Mexico, Albuquerque, New Mexico
,
1
Department of Speech and Hearing Sciences, The University of New Mexico, Albuquerque, New Mexico
,
Cathy Binger
1
Department of Speech and Hearing Sciences, The University of New Mexico, Albuquerque, New Mexico
,
Mary Hartley
1
Department of Speech and Hearing Sciences, The University of New Mexico, Albuquerque, New Mexico
› Author Affiliations
Funding This study was supported by a grant from the U.S. Department of Education Office of Special Education Programs (project no. H325K200073).
Buy Article Permissions and Reprints
Abstract
Researchers implemented a short-term cascading coaching model focusing on naturalistic developmental behavioral intervention with three participant triads. Triads consisted of a graduate student clinician, a minimally verbal child with autism spectrum disorder, and the child's parent. Coaching and intervention occurred during an interprofessional summer clinic that included graduate student clinicians from special education and speech and hearing sciences departments. The efficacy of short-term instruction, researcher coaching for student clinicians, and student clinician coaching of parents was evaluated using a multiple baseline across participants' design. The dependent variables were student clinician's and parent's use of elicitation techniques (creating communication temptations, waiting, and prompting) and response techniques (naturally reinforcing children's communication and providing spoken language models). Following coaching, parents and student clinicians from all triads increased their use of elicitation and response techniques, with very large effect sizes across all variables. Visual analysis findings suggest individualized differences and variability across triads. Implications for graduate education and parent coaching programs are discussed.
Keywords
NDBI -
autism -
parent coaching -
graduate education -
interprofessional
Publication History
Article published online:
01 July 2024
© 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
References
American Speech-Hearing Association. (n.d.). What is interprofessional education? Accessed May 14, 2024 at:
https://www.asha.org/practice/ipe-ipp/what-is-ipe/
American Speech-Language-Hearing Association. (2022). Supply and demand resource list for speech-language pathologists. Accessed May 14, 2024 at:
www.asha.org
Akmanoglu, N., Yanardag, M., & Batu, E. S. (2014). Comparing video modeling and graduated guidance together and video modeling alone for teaching role playing skills to children with autism. Education and Training in Autism and Developmental Disabilities, 49(1), 17–31.
Barry, L., Holloway, J., & Gunning, C. (2018). An investigation of the effects of a parent delivered stimulus-stimulus pairing intervention on vocalizations of two children with autism spectrum disorder. Analysis of Verbal Behavior, 35(1), 57–73
Behavior Analyst Certification Board. (n.d.). BACB certificant data. Accessed May 14, 2024 at:
https://www.bacb.com/BACB-certificant-data
Beukelman, D. R., & Light, J. C. (2020). Augmentative & Alternative Communication: Supporting Children and Adults with Complex Communication Needs (5th ed.). Paul H. Brookes Publishing Co., Inc.
Brossart, D. F., Vannest, K. J., Davis, J. L., & Patience, M. A. (2014). Incorporating nonoverlap indices with visual analysis for quantifying intervention effectiveness in single-case experimental designs. Neuropsychological Rehabilitation, 24(3-4), 464–491
Bruinsma, Y., Minjarez, M. B., Schreibman, L., & Stahmer, A. C. (2020). Naturalistic Developmental Behavioral Interventions for Autism Spectrum Disorder. Paul H. Brookes Publishing Co.
Chung, M. Y., Lee, J. D., Meadan, H., Sands, M. M., & Haidar, B. S. (2022). Building professionals' capacity: the cascading coaching model. Journal of Positive Behavior Interventions, 24(4), 313–324
Cleave, P. L., Becker, S. D., Curran, M. K., Van Horne, A. J. O., & Fey, M. E. (2015). The efficacy of recasts in language intervention: a systematic review and meta-analysis. American Journal of Speech-Language Pathology, 24(2), 237–255
Coogle, C. G., Rahn, N. L., & Ottley, J. R. (2015). Pre-service teacher use of communication strategies upon receiving immediate feedback. Early Childhood Research Quarterly, 32, 105–115
Cooper, J. O., Heron, T. E., & Heward, W. L. (2019). Applied Behavior Analysis (3rd ed.). Pearson Education
Dubin, A. H., & Lieberman-Betz, R. G. (2020). Naturalistic interventions to improve prelinguistic communication for children with autism spectrum disorder: a systematic review. Review Journal of Autism and Developmental Disorders, 7(2), 151–167
Fisher, W. W., Piazza, C. C., Bowman, L. G., & Amari, A. (1996). Integrating caregiver report with systematic choice assessment to enhance reinforcer identification. American Journal of Mental Retardation, 101, 15–25.
Friedman, M., Woods, J., & Salisbury, C. (2012). Caregiver coaching strategies for early intervention providers. Infants and Young Children, 25(1), 62–82
Gast, D. L., Lloyd, B. P., & Ledford, J. R. (2014). Multiple baseline and multiple probe designs. In: Single Case Research Methodology (pp. 251–296). Routledge
Gevarter, C. (Program Manager). (2021–2025). Project SCENES (Social communication: Collaborating early with naturalistic, evidence-based supports) (Project No. H325K200073) [Grant]. US Department of Education Office of Special Education Programs. Accessed May 14, 2024 at:
https://sites.google.com/view/projectscenes/home
Gevarter, C., Groll, M., Stone, E., & Medina Najar, A. (2021). A parent-implemented embedded AAC intervention for teaching navigational requests and other communicative functions to children with Autism spectrum disorder. Augmentative and Alternative Communication, 37(3), 180–193
Gevarter, C., Najar, A. M., Flake, J., Tapia-Alvidrez, F., & Lucero, A. (2022a). Naturalistic communication training for early intervention providers and Latinx parents of children with signs of autism. Journal of Developmental and Physical Disabilities, 34(1), 147–169
Gevarter, C., Siciliano, M. G., & Stone, E. (2022b). Early interventionists' knowledge of evidence-based practices for autism. Focus on Autism and Other Developmental Disabilities, 37(4), 203–214
Hamberger, R. J., Evmenova, A. S., Coogle, C. G., & Regan, K. S. (2022). Parent coaching in natural communication opportunities through bug-in-ear technology. Topics in Early Childhood Special Education, 42(3), 234–245
Hirsh-Pasek, K., Adamson, L. B., Bakeman, R., Owen, M. T., Golinkoff, R. M., Pace, A., Yust, P. K., & Suma, K. (2015). The contribution of early communication quality to low-income children's language success. Psychological Science, 26(7), 1071–1083
Ingersoll, B. (2012). Brief report: effect of a focused imitation intervention on social functioning in children with autism. Journal of Autism and Developmental Disorders, 42(8), 1768–1773
Kasari, C., Brady, N., Lord, C., & Tager-Flusberg, H. (2013). Assessing the minimally verbal school-aged child with autism spectrum disorder. Autism Research, 6(6), 479–493
Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40(9), 1045–1056
Kasari, C., Lawton, K., Shih, W., Barker, T. V., Landa, R., Lord, C., Orlich, F., King, B., Wetherby, A., & Senturk, D. (2014). Caregiver-mediated intervention for low-resourced preschoolers with autism: an RCT. Pediatrics, 134(1), e72–e79
Kent-Walsh, J., Murza, K. A., Malani, M. D., & Binger, C. (2015). Effects of communication partner instruction on the communication of individuals using AAC: a meta-analysis. Augmentative and Alternative Communication, 31(4), 271–284
Kratochwill, T. R., Hitchcock, J. H., Horner, R. H., Levin, J. R., Odom, S. L., Rindskopf, D. M., & Shadish, W. R. (2013). Single-case intervention research design standards. Remedial and Special Education, 34(1), 26–38.
Koegel, L. K., Bryan, K. M., Su, P. L., Vaidya, M., & Camarata, S. (2020). Parent education in studies with nonverbal and minimally verbal participants with autism spectrum disorder: a systematic review. American Journal of Speech-Language Pathology, 29(2), 890–902
Leko, M. M. (2014). The value of qualitative methods in social validity research. Remedial and Special Education, 35(5), 275–286
Mandel, N. R., Cividini-Motta, C., & Schram, J. (2022). An evaluation of the impact of stimulus mode on acquisition, maintenance, and generalization of tacts of actions. Behavioral Interventions, 37(1), 5–18
Meadan, H., Chung, M. Y., Sands, M. M., & Snodgrass, M. R. (2020). The cascading coaching model for supporting service providers, caregivers, and children. The Journal of Special Education, 54(2), 113–125
Miltenberger, R. G. (2011). Behavior Modification: Principles and Procedures (5th ed.). Cengage Learning
Minjarez, M. B., Earl, R. K., Bruinsma, Y., & Donaldson, A. L. (2020). Targeting communication skills. In: Y. Bruinsma, M.B. Minjarez, L. Schreibman, & A.C. Stahmer (Eds.), Naturalistic Developmental Behavioral Interventions for Autism Spectrum Disorder (1st ed., pp. 237–277). Paul H. Brookes Publishing Co.
Pepperdine, C. R., & McCrimmon, A. W. (2018). Test review: Vineland adaptive behavior scales, third edition (Vineland-3) by Sparrow, S. S., Cicchetti, D. V., and Saulnier, C. A. Canadian Journal of School Psychology, 33(2), 157–163
Rakap, S. (2015). Effect sizes as result interpretation aids in single-subject experimental research: Description and application of four nonoverlap methods. British Journal of Special Education, 42(1), 11–33
Reszka, S. S., Boyd, B. A., McBee, M., Hume, K. A., & Odom, S. L. (2014). Brief report: concurrent validity of autism symptom severity measures. Journal of Autism and Developmental Disorders, 44(2), 466–470
Rogers, S. J., Estes, A., Vismara, L., Munson, J., Zierhut, C., Greenson, J., Dawson, G., Rocha, M., Sugar, C., Senturk, D., Whelan, F., & Talbott, M. (2019). Enhancing low-intensity coaching in parent implemented Early Start Denver Model intervention for early autism: a randomized comparison treatment trial. Journal of Autism and Developmental Disorders, 49, 632–646
Romeo, R. R., Leonard, J. A., Robinson, S. T., West, M. R., Mackey, A. P., Rowe, M. L., & Gabrieli, J. D. E. (2018). Beyond the 30-million-word gap: children's conversational exposure is associated with language-related brain function. Psychological Science, 29(5), 700–710
Rose, V., Trembath, D., Keen, D., & Paynter, J. (2016). The proportion of minimally verbal children with autism spectrum disorder in a community-based early intervention programme. Journal of Intellectual Disability Research, 60(5), 464–477
Rowe, M. L. (2012). A longitudinal investigation of the role of quantity and quality of child-directed speech in vocabulary development. Child Development, 83(5), 1762–1774
Rowland, C. (2011). Using the communication matrix to assess expressive skills in early communicators. Communication Disorders Quarterly, 32(3), 190–201
Sandbank, M., Bottema-Beutel, K., Crowley, S., Cassidy, M., Feldman, J. I., Canihuante, M., & Woynaroski, T. (2020). Intervention effects on language in children with autism: a project aim meta-analysis. Journal of Speech, Language, and Hearing Research: JSLHR, 63(5), 1537–1560
Schopler, E., Reichle, R. J., & Renner, B. R. (2010). Childhood Autism Rating Scale (2nd ed.). Los Angeles, CA: Western Psychological Services
Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., Kasari, C., Ingersoll, B., Kaiser, A. P., Bruinsma, Y., McNerney, E., Wetherby, A., & Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428
Shumway, S., & Wetherby, A. M. (2009). Communicative acts of children with autism spectrum disorders in the second year of life. Journal of Speech, Language, and Hearing Research: JSLHR, 52(5), 1139–1156
Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2016). Vineland Adaptive Behavior Scales (3rd ed.) Pearson
Stahmer, A. C., Rieth, S. R., Dickson, K. S., Feder, J., Burgeson, M., Searcy, K., & Brookman-Frazee, L. (2020). Project ImPACT for toddlers: pilot outcomes of a community adaptation of an intervention for autism risk. Autism, 24(3), 617–632
Swanson, M. R., Donovan, K., Paterson, S., Wolff, J. J., Parish-Morris, J., Meera, S. S., Watson, L. R., Estes, A. M., Marrus, N., Elison, J. T., Shen, M. D., McNeilly, H. B., MacIntyre, L., Zwaigenbaum, L., St John, T., Botteron, K., Dager, S., Piven, J.; The IBIS Network. (2019). Early language exposure supports later language skills in infants with and without autism. Autism Research, 12(12), 1784–1795
Tiede, G., & Walton, K. M. (2019). Meta-analysis of naturalistic developmental behavioral interventions for young children with autism spectrum disorder. Autism, 23(8), 2080–2095
Venker, C. E., Bolt, D. M., Meyer, A., Sindberg, H., Ellis Weismer, S., & Tager-Flusberg, H. (2015). Parent telegraphic speech use and spoken language in preschoolers with ASD. Journal of Speech, Language, and Hearing Research: JSLHR, 58(6), 1733–1746
Vannest, K. J., & Ninci, J. (2015). Evaluating intervention effects in single-case research designs. Journal of Counseling and Development, 93(4), 403–411
Vannest, K. J., Parker, R. I., Gonen, O., & Adiguzel, T. (2016). Single Case Research: web based calculators for SCR analysis. (Version 2.0) [Web-based application]. College Station, TX: Texas A&M University
Wolfe, K., Pound, S., McCammon, M. N., Chezan, L. C., & Drasgow, E. (2019). A systematic review of interventions to promote varied social-communication behavior in individuals with autism spectrum disorder. Behavior Modification, 43(6), 790–818
Comments (0)