People with multiple disabilities learn to engage in occupation and work activities with the support of technology-aided programs.
Simple tech that prompts and praises can replace a staff member for basic work steps.
01Research in Context
What this study did
Van Hanegem et al. (2014) tested a tech-aided program for people with multiple disabilities. The goal was to help them do simple work tasks on their own.
The program gave spoken or picture prompts through a device. It also gave automatic praise or music when the step was done right.
What they found
All participants learned to start and finish the task without staff help. They kept working even when the room was quiet or other people walked by.
The tech prompts and built-in rewards were enough to keep the behavior going. Staff only had to refill materials.
How this fits with other research
Peterson et al. (2021) extends this idea. They used Behavioral Skills Training to teach young adults how to stay safe at work. Both studies aim for vocational independence, but Peterson adds a safety script.
Matson et al. (2004) got similar engagement using DRA-DRO instead of tech. One adult with severe disabilities moved from a day program to a real job after staff praised on-task behavior and ignored stereotypy. The method differs, yet the outcome—steady work—is the same.
Sanders et al. (1989) gives the big picture. Their narrative review shows that supported employment has always tried new tools, from job coaches to gadgets. Van Hanegem et al. (2014) is the next step: letting the gadget do the coaching.
Why it matters
You can set up a tablet or cheap mp3 player to cue each step of a task. Add a favorite song as a reward. Start with one short duty—folding towels or shredding paper. Fade yourself out once the tech chain runs smoothly. This frees you to monitor other clients while the worker stays productive.
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02At a glance
03Original abstract
These two studies were aimed at assessing technology-aided programs to help persons with multiple disabilities engage in basic occupation or work activities. Specifically, Study I focused on teaching two participants (an adolescent and an adult) with low vision or total blindness, severe/profound intellectual disabilities, and minimal object interaction to engage in constructive object-manipulation responses. The technology monitored their responses and followed them with brief stimulation periods automatically. Study II focused on teaching three adults with deafness, severe visual impairment, and profound intellectual disabilities to perform a complex activity, that is, to assemble a five-component water pipe. The technology regulated (a) light cues to guide the participants through the workstations containing single pipe components and the carton for completed pipes and (b) stimulation events. The results of both studies were positive. The participants of Study I showed consistent and independent engagement in object-manipulation responses. The participants of Study II showed consistent and independent pipe assembling performance. General implications of the two programs and the related technology packages for intervention with persons with multiple disabilities are discussed.
Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2014.03.026