The Effect of the Picture Exchange Communication System on Individuals with Autism Spectrum Disorder
Yıl 2024,
Erken Görünüm, 1 - 17
Aslı Kanadlı
,
Derya Genç Tosun
Öz
Introduction: The aim of this study was to examine the effect of the Picture Exchange Communication System (PECS) protocol in teaching individuals with moderate/severe autism spectrum disorder (ASD) the ability to initiate spontaneous communication and request food.
Method: In the study, a single-subject research model, multiple probe design with across-participant was used. The participants of the study were three boys diagnosed with moderate/severe ASD attending a special education practice school. The independent variable of the study was the first three phases of the PECS protocol, and the dependent variable was the child's ability to initiate spontaneous communication and request food. The study included baseline, intervention, generalization and follow-up sessions.
Results: The first three phases of the PECS protocol were found to be effective in children with moderate/severe ASD in learning the skill of requesting food. The children were able to maintain the food-requesting skill they learned one and three weeks after the last intervention session and were able to generalize this skill to different environments and people. Teachers who participated in the study as communication partners expressed positive opinions about the study.
Discussion: The effectiveness findings of the study are consistent with other studies in the literature that examined the effect of PECS on the acquisition of requesting skills by individuals with ASD. The findings were discussed in comparison with the related literature and suggestions were made for future research and practice.
Kaynakça
- Akay, T. (2021). Otizm spektrum bozukluğu olan çocuklara resim değiş-tokuş sistemi kullanarak iletişim becerisi kazandırma (Tez Numarası: 664953) [Yüksek lisans tezi, Bı̇runı̇ Ünı̇versı̇tesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi.
- Alsayedhassan, B. T., Banda, D. R., & Griffin-Shirley, N. (2020). Training parents of children with autism to implement the picture exchange communication intervention. Clinical Archives of Communication Disorders, 5(1), 31-41. https://doi.org/10.21849/cacd.2019.00171
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5. baskı).
American Psychiatric Publishing
- Anderson, A., Moore, D. W., & Bourne, T. (2007). Functional communication and other concomitant behavior change following PECS training: A case study. Behaviour Change, 24(3), 173-181. https://doi.org/10.1375/bech.24.3.173
- Angermeier, K., Schlosser, R. W., Luiselli, J. K., Harrington, C., & Carter, B. (2008). Effects of iconicity on requesting with the Picture Exchange Communication System in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 2(3), 430-446. https://doi.org/10.1016/j.rasd.2007.09.004
- Barnes, C. S., Dunning, J. L., & Rehfeldt, R. A. (2011). An evaluation of strategies for training staff to implement the picture exchange communication system. Research in Autism Spectrum Disorders, 5(4), 1574-1583. https://doi.org/10.1016/j.rasd.2011.03.003
- Beck, A. R., Stoner, J. B., Bock, S. J., & Parton, T. (2008). Comparison of PECS and the use of VOCA: A replication. Education and Training in Developmental Disabilities, 43(2), 198-216. https://www.jstor.org/stable/23879930
- Bock, S. J., Stoner, J. B., Beck, A. R., Hanley, L., & Prochnow, J. (2005). Increasing functional communication in non-speaking preschool children: Comparison of PECS and VOCA. Education and Training in Developmental Disabilities, 40(3), 264-278. http://www.jstor.org/stable/23879720
- Boesch, M. C., Wendt, O., Subramanian, A., & Hsu, N. (2013). Comparative efficacy of the picture exchange communication system (PECS) versus a speech-generating device: Effects on requesting skills. Research in Autism Spectrum Disorders, 7(3), 480-493. https://doi.org/10.1016/j.rasd.2012.12.002
- Bondy, A. S. (2001). PECS: Potential benefits and risks. The Behavior Analyst Today, 2(2), 127-132. https://doi.org/10.1037/h0099924
- Bondy, A. S., & Frost, L. A. (1994). The picture exchange communication system. Focus on Autism and Other Developmental Disabilities, 9(3), 1-19. https://doi.org/10.1177/108835769400900301
- Buckley, S. D., & Newchok, D. K. (2005). Differential impact of response effort within a response chain on use of mands in a student with autism. Research in Developmental Disabilities, 26(1), 77-85. https://doi.org/10.1016/j.ridd.2004.07.004
- Carré, A. J., Le Grice, B., Blampied, N. M., & Walker, D. (2009). Picture exchange communication (PECS) training for young children: Does training transfer at school and to home? Behaviour Change, 26(1), 54- 65. https://doi.org/10.1375/bech.26.1.54
- Chaabane, D. B. B., Alber‐Morgan, S. R., & DeBar, R. M. (2009). The effects of parent‐implemented PECS training on improvisation of mands by children with autism. Journal of Applied Behavior Analysis, 42(3), 671-677. https://doi.org/10.1901/jaba.2009.42-671
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- Chazin, K. T. & Ledford, J. R. (2016). Preference assessments. In Evidence-based instructional practices for young children with autism and other disabilities. http://ebip.vkcsites.org/preference-assessments
DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29(4), 519-533. https://doi.org/10.1901/jaba.1996.29- 519
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- Doherty, A., Bracken, M., & Gormley, L. (2018). Teaching children with autism to initiate and respond to peer mands using picture exchange communication system (PECS). Behavior Analysis in Practice, 11(4), 279- 288. https://doi.org/10.1007/s40617-018-00311-8
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Otizm Spektrum Bozukluğu Olan Bireylerde Resim Değiş Tokuşuna Dayalı İletişim Sisteminin Etkisi
Yıl 2024,
Erken Görünüm, 1 - 17
Aslı Kanadlı
,
Derya Genç Tosun
Öz
Giriş: Bu araştırmanın amacı, orta/ağır düzeyde otizm spektrum bozukluğu (OSB) olan bireylere kendiliğinden iletişim başlatıp yiyecek talep etme becerisinin öğretiminde kullanılan resim değiş tokuşuna dayalı iletişim sistemi (Picture exchange communication system [PECS]) protokolünün etkisini incelemektir.
Yöntem: Araştırmada tek-denekli araştırma modellerinden katılımcılar arası yoklama denemeli çoklu yoklama deseni kullanılmıştır. Araştırmanın katılımcıları bir özel eğitim uygulama okuluna devam eden orta/ağır düzey OSB tanılı üç erkek çocuktur. Araştırmanın bağımsız değişkeni PECS protokolünün ilk üç evresi, bağımlı değişkeni ise çocuğun kendiliğinden iletişim başlatıp yiyecek talep etme becerisidir. Araştırmada başlama düzeyi, uygulama, genelleme ve izleme oturumları yer almıştır.
Bulgular: PECS protokolünün ilk üç evresi orta/ağır düzeyde OSB olan çocukların yiyecek talep etme becerisini öğrenmesinde etkili bulunmuştur. Çocuklar öğrendikleri yiyecek talep etme becerisini öğretim tamamlandıktan bir ve üç hafta sonra koruyabilmiş ve bu beceriyi farklı ortam ve kişilere genelleyebilmişlerdir. Araştırmaya iletişim ortağı olarak katılan öğretmenler ise araştırmaya ilişkin olumlu görüşler belirtmiştir.
Tartışma: Araştırmanın etkililik bulguları, alanyazında yer alan OSB olan bireylerin talep etme becerisi kazanmasında PECS’in etkisini inceleyen diğer çalışmalarla tutarlılık göstermektedir. Bulgular ilgili alanyazın ile karşılaştırarak tartışılmış ve ileriki araştırmalar ve uygulamaya yönelik önerilerde bulunulmuştur.
Etik Beyan
Eskişehir Osmangazi Üniversitesi Sosyal ve Beşeri Bilimler İnsan Araştırmaları Etik Kurulu tarafından 05.04.2023 tarihli ve 2023-05 numaralı toplantıda etik kurul onayı alınmıştır.
Kaynakça
- Akay, T. (2021). Otizm spektrum bozukluğu olan çocuklara resim değiş-tokuş sistemi kullanarak iletişim becerisi kazandırma (Tez Numarası: 664953) [Yüksek lisans tezi, Bı̇runı̇ Ünı̇versı̇tesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi.
- Alsayedhassan, B. T., Banda, D. R., & Griffin-Shirley, N. (2020). Training parents of children with autism to implement the picture exchange communication intervention. Clinical Archives of Communication Disorders, 5(1), 31-41. https://doi.org/10.21849/cacd.2019.00171
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5. baskı).
American Psychiatric Publishing
- Anderson, A., Moore, D. W., & Bourne, T. (2007). Functional communication and other concomitant behavior change following PECS training: A case study. Behaviour Change, 24(3), 173-181. https://doi.org/10.1375/bech.24.3.173
- Angermeier, K., Schlosser, R. W., Luiselli, J. K., Harrington, C., & Carter, B. (2008). Effects of iconicity on requesting with the Picture Exchange Communication System in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 2(3), 430-446. https://doi.org/10.1016/j.rasd.2007.09.004
- Barnes, C. S., Dunning, J. L., & Rehfeldt, R. A. (2011). An evaluation of strategies for training staff to implement the picture exchange communication system. Research in Autism Spectrum Disorders, 5(4), 1574-1583. https://doi.org/10.1016/j.rasd.2011.03.003
- Beck, A. R., Stoner, J. B., Bock, S. J., & Parton, T. (2008). Comparison of PECS and the use of VOCA: A replication. Education and Training in Developmental Disabilities, 43(2), 198-216. https://www.jstor.org/stable/23879930
- Bock, S. J., Stoner, J. B., Beck, A. R., Hanley, L., & Prochnow, J. (2005). Increasing functional communication in non-speaking preschool children: Comparison of PECS and VOCA. Education and Training in Developmental Disabilities, 40(3), 264-278. http://www.jstor.org/stable/23879720
- Boesch, M. C., Wendt, O., Subramanian, A., & Hsu, N. (2013). Comparative efficacy of the picture exchange communication system (PECS) versus a speech-generating device: Effects on requesting skills. Research in Autism Spectrum Disorders, 7(3), 480-493. https://doi.org/10.1016/j.rasd.2012.12.002
- Bondy, A. S. (2001). PECS: Potential benefits and risks. The Behavior Analyst Today, 2(2), 127-132. https://doi.org/10.1037/h0099924
- Bondy, A. S., & Frost, L. A. (1994). The picture exchange communication system. Focus on Autism and Other Developmental Disabilities, 9(3), 1-19. https://doi.org/10.1177/108835769400900301
- Buckley, S. D., & Newchok, D. K. (2005). Differential impact of response effort within a response chain on use of mands in a student with autism. Research in Developmental Disabilities, 26(1), 77-85. https://doi.org/10.1016/j.ridd.2004.07.004
- Carré, A. J., Le Grice, B., Blampied, N. M., & Walker, D. (2009). Picture exchange communication (PECS) training for young children: Does training transfer at school and to home? Behaviour Change, 26(1), 54- 65. https://doi.org/10.1375/bech.26.1.54
- Chaabane, D. B. B., Alber‐Morgan, S. R., & DeBar, R. M. (2009). The effects of parent‐implemented PECS training on improvisation of mands by children with autism. Journal of Applied Behavior Analysis, 42(3), 671-677. https://doi.org/10.1901/jaba.2009.42-671
- Charlop-Christy, M. H., Carpenter, M., Le, L., LeBlanc, L. A., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: Assessment of PECS acquisition, speech, social-communication behavior, and problem behavior. Journal of Applied Behavior Analysis, 35(3), 213- 231. https://doi.org/10.1901/jaba.2002.35-213
- Chazin, K. T. & Ledford, J. R. (2016). Preference assessments. In Evidence-based instructional practices for young children with autism and other disabilities. http://ebip.vkcsites.org/preference-assessments
DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29(4), 519-533. https://doi.org/10.1901/jaba.1996.29- 519
- DeLeon, I. G., Fisher, W. W., Rodriguez-Catter, V., Maglieri, K., Herman, K., & Marhefka, J. M. (2001). Examination of relative reinforcement effects of stimuli identified through pretreatment and daily brief preference assessments. Journal of Applied Behavior Analysis, 34(4), 463-473. https://doi.org/10.1901/jaba.2001.34-463
- Doherty, A., Bracken, M., & Gormley, L. (2018). Teaching children with autism to initiate and respond to peer mands using picture exchange communication system (PECS). Behavior Analysis in Practice, 11(4), 279- 288. https://doi.org/10.1007/s40617-018-00311-8
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