A Technology Project The Use of IPod Touch to Improve the Quality of Lives of Individuals with Autism

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1 A Technology Project The Use of IPod Touch to Improve the Quality of Lives of Individuals with Autism A L I S O N A L L E N, E D. D. K A O R I G. N E P O, M. E D., B C B A

2 Quality of Life What is QUALITY OF LIFE? Your personal satisfaction (or dissatisfaction) with the cultural or intellectual conditions under which you live (as distinct from material comfort) (WordNet 3.0, 2006 by Princeton University) Subjective measure Multi-dimensional:health, culture, housing, jobs, school, beliefs, values

3 Quality of Life How do we measure QOL? Four domains: physical, psychological, social, & environmental (WHO, World Health Organization) Study on Comparison of Measures (Carr, Thompson, & Kirwant, 1996) How to improve QOL? Improve skills to access: Active participation in society Community support Less dependent living arrangements Social/Emotional support Equal opportunity-job/school/community

4 Quality of Life Functional skills Communication Skills Social Skills Domestic Skills Self Care Skills Leisure Skills Job Skills Academic Skills

5 Autism Neurodevelopmental disorder Communication Difficulty Social impairment Stereotypy Varies in character and severity Autism Asperger PDD Childhood Disintegrative Disorder Rett Syndrome

6 Applied Behavior Analysis What is Applied Behavior Analysis? the science in which procedures derived from the principles of behavior are systematically applied to improve socially significant behavior to a meaningful degree, and to demonstrate experimentally that the procedures employed were responsible for the improvement in behavior." (p. 14) Cooper, Heron, and Heward (1987)

7 Communication Support ABA in Action

8 PECS ABA in Action

9 Visual Support ABA in Action

10 ABA in Action Visual Support (Schkidules)

11 Visual Support ABA in Action

12 ABA in Action Contingent Reinforcement

13 ABA in Action Video modeling: Effective teaching strategy for individuals with various skills and needs Social skills (Kimball, Kinney, Tayler, & Stromer, 2004) Complex play sequences (D Ateno, Mangiapanello, & Tayler, 2003) Social language (Maione & Ayres, 2004) Perspective taking (Charlop-Christy & Daneshvar, 2003) Variation in implementation Variation in models (self, others, point-of-view) Provides consistency implementing interventions

14 ABA in Action Video modeling examples

15 ABA in Action Video Modeling Prior Limitations in implementations Time consuming Access Timing Portability

16 Massed Trials ABA in Action

17 Advanced Technology

18 Advanced Technology Why do we incorporate commonly available technology? Increases independence Easier access Cost effective Improved portability Reduces stigma Promotes social integration Improves quality of life

19 Technology Devices iphone / ipod Touch ipad PDA

20 Technology Devices Portable DVD player Bluetooth Laptop/ net book

21 Technology Use of devices to improve quality of life Communication skills Schedule-following skills Organizational skills Self-care skills Leisure skills

22 Communication

23 Communication Tap to Talk TM Proloquo2Go My Talk

24 Visual Schedule iprompts iprompts

25 Visual Schedule First Then Visual Schedule ICommunicate Action Lists

26 Reinforcement System Token system ireward irewardchart

27 Video Modeling Video Modeling My Picture s Talk

28 Massed Trials Picture ID ABA Receptive Identification-By Class ABA Flash Cards

29 Massed Trials Picture ID See. Touch. Learn Word SLaPs

30 Academic Math Math Train 123 tracing and more

31 Academics Language Art Letter Tracer Preschool Letters Writing Practice abc PocketPhonics: Letter Sounds & Writing +First Words

32 Academics Language Art Sentence Builder Question Builder

33 Leisure

34 The Technology Project This project, partly funded by a grant from Autism Delaware, implemented innovative technology, IPod Touch, to examine the efficacy of the device to improve communication skills, leisure skills, and organizational skills.

35 Procedure Materials IPod Touch 4 th Generation Otter Box First Then Visual Schedule Mytalk mobile Various game apps

36 Procedure Participants Individuals with Autism between the ages of twenty and thirty who have limited verbal communication skills and other independent skills, living in a residential community setting with staff support. None of the participants had prior exposure to the device used in this project, IPod Touch

37 Procedure Target Behaviors Communication: independent communication/ response Schedule following: independent completion of scheduled tasks/ activities Leisure skills: independent engagement/ duration Method: A Multiple Baseline Research design was conducted to investigate the efficacy of the technology device, IPod Touch 4 th generation, to improve independent functioning of individuals with Autism.

38 Procedure Baseline Phase Participants engaged in daily routines without the IPod Touch and staff collected data on communication, schedule following, and leisure activities.

39 Procedure Interventions IPod Touch with Apps implemented: communication, visual schedule, and leisure activities. Least-to-most prompts given: to navigate and utilize the device. Data collected: communication, schedule following, and leisure activities.

40 Results (Will be presented at conference during discussion)

41 Limitations Number of participants Long term effect Targeted population Limited training/ knowledge of instructors Staff turn over rate Variations in staff scheduling Limited administrative support/ Staff commitment level

42 Future Directions Replication of interventions for larger and more varied populations Implementation of device on various skills Improvement of Apps and other software to meet varied needs Improvement of devices for easier use Establish liaison with technology manufacturers and program developers in order to influence relevance of future Autism applications Improvement of data collection with Apps

43 Q & A

44 Further Information Alison Allen Kaori Nepo

46 Useful Apps Communication MyTalk tools mobile Free version, $49.99, or $89.99 o Highly customizable (c.f. size of pictures, pages ) o Can record real voice o Need to sign up for online account for setting up on the computer ($33/year - $111/lifetime to but you can also set up pages on the devices. Tap to Talk Free + $99.00 online account o Robotic voice o Need to have online account with fee to customize Proloquo2go $ o Similar set up with PECS o Can teach sentence structure/speech therapy o Takes time to communicate o expensive Assistive Chat $24.99 o Teach to text o Pick from favorite (already typed communication) o Voice output for communication o Icommunicate $49.99 o Customizable audio/pictures o Pre-recorded voice options o Language option o N2Ysymbolstix access o Picture size option o Check off Autism Life Support Gunji9@gmail.com Page 1

47 o iassist Communicator $29.99 o highly customizable o can record real voice Schedule/ Organization IPrompts $49.99 o Pictures/written schedule o Can embed choices o Visual countdown timer o Comes with photo library First Then Visual Schedule $9.99 o Picture/written/auditory schedule o Customizable (c.f. # of pictures, pictures ) o Checklist feature gtasks hd Free o written schedule o can sync with google calendar o pop up text to remind the schedule/task list complete class organizer $4.99 o note taking o record lecture o store document o schedule My Pictures Talk $4.99 o Video modeling o Social story o Picture/writing schedule Notes Plus $4.99 o Handwriting o Note taking o Shape drawing Autism Life Support Gunji9@gmail.com Page 2

48 o Sound recording time timer $6.99 o organization o independence Cross it off Lite Free o Written list o Can cross it off ichecklist lite for IPad o simple checklist o due date alart Free Shopping List-quick and easy $1.99 o Picture/written list o Tap to check off Dragon Dictation Free o Dictation for note taking/writing Leisure Skills Glow Hockey 2 Free Action Bowling Free Ping Pong Free Cut the Rope Free Doodle Hanger HD lite Free Tetari Free Angry Bird 3D Brick breaker revolution Free Racing Penguin, Flying Free Bubble popper Free Unblock Me Free Virtuoso Piano Free Basket Ball Hoops Free Bubble Shooter HD Free Rollercoaster HD extreme Free Waterslide 2 $0.99 Autism Life Support Gunji9@gmail.com Page 3

49 Star Blitz Alpang puzzle Free Free Motivation System My choice Board $9.99 o Picture/written choice board for reinforcers Safety Community Sidekick $9.99 o Locate person/device Social Skills Social Skill Sampler o Video modeling Free Autism Life Support Gunji9@gmail.com Page 4

The ipad and Mobile Devices: Useful Tools for Individuals with Autism

The ipad and Mobile Devices: Useful Tools for Individuals with Autism Leslie Mullette, OTR/L, ATP Clinical Coordinator / MonTECH MAR Conference October 25, 2012 Purpose of AT Enhance overall understanding