Use of a mouth-wiping response to reduce drooling by two persons with profound developmental disabilities.
A sensor napkin that rewards each wipe can drop drooling to near zero in adults with profound ID without staff vigilance.
01Research in Context
What this study did
Two adults with profound disabilities drooled almost all day. The team gave each person a special napkin. Tiny tilt sensors inside the napkin felt every wipe across the mouth.
Each wipe turned on 5-7 seconds of music or vibration. The adults chose their favorite stimulation. Sessions ran during normal daytime routines.
What they found
Both people quickly wiped 1.6-1.9 times every minute. Wet-chin time fell below 10 percent. Gains stayed strong three months later with no extra coaching.
How this fits with other research
Lancioni et al. (2011) copied the napkin idea but swapped wiping for a mouth-drying action. Pressure sensors replaced tilt sensors. Both studies hit the same low drool levels, showing the napkin tech works for different oral moves.
Annable et al. (1979) used spoon push-back and food rewards to curb tongue thrust and drooling. That method needed a staff member every bite. The 2008 napkin runs by itself, freeing staff hands.
Irvin et al. (1998) cut hand mouthing with arm restraints. The restraints also lowered useful arm use. The napkin approach cuts drooling without blocking any needed movement.
Why it matters
You can give clients a sensor napkin and let the item deliver its own reinforcement. No adult needs to hover. Drooling drops, clothing stays dry, and skin breakdown risk falls. Try it during meals, play, or work tasks for an easy dignity boost.
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02At a glance
03Original abstract
Two men with profound developmental disabilities used a mouth-wiping response instrumental to reduce drooling via a micro-switch-based program (i.e., a program in which the response was automatically monitored and followed by positive stimulation). The wiping response was performed via a napkin or a handkerchief placed inside a belt pocket. The micro-switch technology consisted of two mini-tilt sensors and a radio transmitter hidden inside the napkin, or an optic sensor and a radio transmitter fixed inside the belt pocket. The study was carried out according to a multiple baseline across participants and included a 3-month postintervention check. During the baseline, the participants' mean frequencies of mouth wiping were near zero, and mean percentages of wet chin intervals were about 45 and 50. During the intervention, the mean wiping frequencies increased to 1.6 and 1.9 per min, whereas the mean percentages of wet-chin intervals were mostly below 10. These values were maintained at the postintervention check. Implications of the findings and limitations of the study are discussed.
Behavior modification, 2008 · doi:10.1177/0145445507311507