Increasing the vocalizations of individuals with autism during intervention with a speech-generating device

J Appl Behav Anal. 2016 Mar;49(1):17-33. doi: 10.1002/jaba.270. Epub 2015 Dec 6.

Abstract

This study aimed to teach individuals with autism spectrum disorder (ASD) and limited vocal speech to emit target vocalizations while using a speech-generating device (SGD). Of the 4 participants, 3 began emitting vocal word approximations with SGD responses after vocal instructional methods (delays, differential reinforcement, prompting) were introduced. Two participants met mastery criterion with a reinforcer delay and differential reinforcement, and 1 met criterion after fading an echoic model and prompt delay. For these participants, vocalizations initiated before speech outputs were shown to increase, and vocalizations generalized to a context in which the SGD was absent. The 4th participant showed high vocalization rates only when prompted. The results suggest that adding vocal instruction to an SGD-based intervention can increase vocalizations emitted along with SGD responses for some individuals with ASD.

Keywords: autism spectrum disorder; differential reinforcement; prompt delay; speech-generating device; vocalization.

MeSH terms

  • Autism Spectrum Disorder / complications*
  • Child
  • Child, Preschool
  • Communication Devices for People with Disabilities*
  • Generalization, Psychological
  • Humans
  • Male
  • Reinforcement, Psychology*
  • Time Factors
  • Verbal Behavior / physiology*
  • Vocal Cord Dysfunction / etiology*
  • Vocal Cord Dysfunction / rehabilitation*