Assessment & Research

Visual working memory in deaf children with diverse communication modes: improvement by differential outcomes.

López-Crespo et al. (2012) · Research in developmental disabilities 2012
★ The Verdict

A small, immediate picture reward raises visual memory scores for deaf children no matter how they communicate.

✓ Read this if BCBAs serving deaf or hard-of-hearing clients in school or clinic settings.
✗ Skip if Practitioners who work only with hearing populations and use only auditory reinforcers.

01Research in Context

01

What this study did

López-Crespo et al. (2012) tested visual working memory in deaf children. They compared kids who use only spoken language, only sign language, or both.

Each child played a memory game on a computer. When they got a match right, they saw a picture reward right away. This is called the differential outcomes procedure.

Hearing children did the same game for comparison.

02

What they found

All deaf groups remembered more pictures when the reward picture followed the match. Hearing kids also improved with the reward pictures.

Children who used only speech or only sign still scored lower than kids who used both languages or than hearing peers. Yet the reward boost helped every group equally.

03

How this fits with other research

Blowers et al. (2021) used a cousin tactic with autistic kids. They taught the kids to watch both the model and the consequence. Both studies show that tuning the consequence sharpens attention.

Edmier et al. (2023) moved from memory games to full ABA therapy. They added ASL and Deaf-culture touches for a preschooler with autism. Their case mirrors our target: start with a basic behavioral tool, then wrap it in the child’s real language world.

Duarte et al. (2011) looked at Down syndrome, not deafness. They saw that adding a spatial move—sliding tokens to spots—lifted verbal memory. Like Ginesa’s picture rewards, an extra visual hook made the brain hold on to more.

04

Why it matters

If you work with deaf or hard-of-hearing learners, pair correct responses with a quick visual treat: a photo, sticker, or brief video. It costs nothing and lifts memory scores for every communication mode. Try it next session during matching, sight-word, or imitation drills.

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Add a unique picture reward right after each correct match in memory or discrimination tasks.

02At a glance

Intervention
differential reinforcement
Design
quasi experimental
Population
not specified
Finding
positive

03Original abstract

Although visual functions have been proposed to be enhanced in deaf individuals, empirical studies have not yet established clear evidence on this issue. The present study aimed to determine whether deaf children with diverse communication modes had superior visual memory and whether their performance was improved by the use of differential outcomes. Severely or profoundly deaf children who employed spoken Spanish, Spanish Sign Language (SSL), and both spoken Spanish and SSL modes of communication were tested in a delayed matching-to-sample task for visual working memory assessment. Hearing controls were used to compare performance. Participants were tested in two conditions, differential outcome and non-differential outcome conditions. Deaf groups with either oral or SSL modes of communication completed the task with less accuracy than bilingual and control hearing children. In addition, the performances of all groups improved through the use of differential outcomes.

Research in developmental disabilities, 2012 · doi:10.1016/j.ridd.2011.10.022