Assessment & Research

Using Vocal Production to Improve Long-Term Verbal Memory in Adults with Intellectual Disability.

Icht et al. (2021) · Behavior modification 2021
★ The Verdict

Ask adults with mild ID to say target facts aloud and they will remember far more.

✓ Read this if BCBAs teaching daily living or vocational skills to adults with mild ID.
✗ Skip if Clinicians serving only non-speaking clients or severe-profound ID.

01Research in Context

01

What this study did

The team worked with the adults who had mild intellectual disability.

Everyone studied the same lists of objects, words, and sentences.

Half the group read the items out loud. The other half looked at them quietly.

Later the adults tried to name as many items as they could remember.

02

What they found

The adults who spoke the items recalled about twice as many.

The boost showed up for single words and for whole sentences.

Silent study gave little gain, but vocal production gave a big jump.

03

How this fits with other research

Cudré-Mauroux (2010) saw kids with ID reach only mental-age levels on story tasks.

Michal’s adults beat their usual scores when they added vocal production.

The two studies don’t clash: kids were tested without a trick, adults got a trick.

Staats et al. (2000) showed phonological working memory is weak in ID.

Saying items aloud may strengthen that weak loop, which H’s paper flagged.

Together the set hints: don’t expect higher base memory, but do add sound.

04

Why it matters

You can lift recall right away by having clients speak the material.

No extra tech, cost, or training is needed—just voice.

Try it for safety rules, job steps, or social phrases adults need to keep.

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→ Action — try this Monday

In your next session, have the learner read the grocery list out loud twice before you test recall.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
55
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

Individuals with intellectual disability (ID) typically show weak long-term memory (LTM) skills. Understanding verbal LTM processes and searching for effective mnemonics in this population is important, to improve intervention programs. The current study aimed to assess verbal LTM abilities of adults with mild ID of mixed etiologies, and to offer a simple memorization technique based on vocal production. Participants (n = 55) learned lists of different study materials (images of familiar and unfamiliar objects, written words, and sentences) by vocal production (saying or reading aloud) or by no-production (looking, listening, or reading silently). Memory tests followed. Better memory was found for vocally produced images of familiar objects, written words, and sentences. The results show that adults with mild ID can benefit from the relative distinctiveness of items at study. Hence, vocalization may be used in educational and therapeutic contexts for this population, improving memory performance.

Behavior modification, 2021 · doi:10.1177/0145445520906583