ABA Fundamentals

Sentence comprehension and production in children with cochlear implants: Errorless procedures and equivalence‐based instruction

Neves et al. (2023) · Behavioral Interventions 2023
★ The Verdict

Exclusion-based errorless trials plus equivalence training let kids with cochlear implants learn and say new sentences with fewer mistakes.

✓ Read this if BCBAs teaching language to children with cochlear implants or other hearing loss.
✗ Skip if Practitioners working only with older verbal adults or neurotypical preschoolers.

01Research in Context

01

What this study did

Neves and colleagues worked with six children who had cochlear implants. They wanted to teach sentence understanding and speaking with almost no errors.

The team used matrix training and equivalence-based lessons. Kids first learned to match spoken words to pictures without any mistakes. Then they practiced putting the words together into new sentences.

02

What they found

All six children learned the first matching task. Five of them built full equivalence classes. That means they could mix and match the words to understand and say brand-new sentences.

Exclusion trials made the biggest difference. When the wrong choice was clearly different, kids made fewer mistakes than with fading alone.

03

How this fits with other research

Mulder et al. (2020) looked at 28 studies and said fading is the top errorless tool for kids with ID. Neves keeps fading but adds exclusion, showing the combo works for hearing-impaired children too.

Cariveau et al. (2019) warned that no single error-correction tactic wins every time. Neves answers by testing two tactics side-by-side and finds exclusion beats fading alone.

Frederiksen et al. (1978) first showed errorless beats trial-and-error in typical kids. Neves moves the same logic into sentence-level lessons and cochlear implants, updating the old lab work for real language goals.

04

Why it matters

If you teach kids with cochlear implants, try starting lessons with clear exclusion trials. Pick foils that look very different so the right answer is obvious. Once the child masters matching, move to matrix training so they can build and say new sentences. You may cut errors in half and still get strong recombinative generalization.

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→ Action — try this Monday

Start your next lesson with one exclusion trial: show the target picture plus a very different foil so the child picks correctly every time.

02At a glance

Intervention
stimulus equivalence training
Design
single case other
Sample size
6
Population
other
Finding
positive

03Original abstract

AbstractResearch supports equivalence‐based instruction (EBI) and matrix training for increased listening and speaking skills in children with cochlear implants (CI). We incorporated errorless procedures to optimize the EBI and evaluated the effects on the auditory comprehension and verbal responding at‐sentences level in six CI children who were readers and showed inaccurate tacting. Subject‐verb‐object sentences were arranged in two matrices; diagonal combinations were trained and evaluated non‐diagonal combinations. EBI included stimulus fading and exclusion to directly teach the dictated sentence‐picture matching; written‐sentences construction upon dictation also was taught. Probes assessed the derived stimulus‐stimulus and stimulus‐response relations. All participants learned the auditory‐visual discriminations and the exclusion resulted in fewer errors than on a stimulus fading procedure. Five participants formed equivalence classes and increased verbal responding to equivalent stimuli, especially pictures tacting. They also showed recombinative generalization for both matrices. Professionals can incorporate errorless procedures to EBI for improving sentence comprehension, tacting, and productivity in CI children.

Behavioral Interventions, 2023 · doi:10.1002/bin.1922