Service Delivery

"Moby-dick is my favorite:" evaluating a cognitively accessible portable reading system for audiobooks for individuals with intellectual disability.

Davies et al. (2008) · Intellectual and developmental disabilities 2008
★ The Verdict

A super-simple audiobook app lets adults with ID open and enjoy books with almost no help.

✓ Read this if BCBAs serving adults with intellectual disability in day programs or group homes.
✗ Skip if Clinicians focused only on young children or severe problem behavior.

01Research in Context

01

What this study did

Belmonte et al. (2008) built a simple audiobook app for adults with intellectual disability. The app ran on a small palm-top computer. Big buttons, plain icons, and voice prompts guided users.

The team ran a randomized trial. Half the adults got the new app. The other half used everyday audiobook players. Staff counted access errors and verbal prompts needed to start a book.

02

What they found

Adults using the tailored app made far fewer button mistakes. They also needed fewer reminders from staff. The gap was large enough to be meaningful in daily life.

Main point: a cognitively tuned interface beats off-the-shelf gear for this group.

03

How this fits with other research

Amore et al. (2011) later showed the same goal—media independence—can be reached with video modeling on an iPod Touch. Their students learned standard music apps, while K et al. used a custom audiobook reader. Both paths worked, giving you two tools to pick from.

Yalon-Chamovitz (2009) explained why simple design matters. Her model says adults with ID need slower pace, less clutter, and zero stigma. K et al. turned those ideas into real buttons and menus.

Izadi-Najafabadi et al. (2019) reviewed many computer aids for students with ID. The audiobook reader falls inside their big picture: tech can open academic and leisure doors when you trim the cognitive load.

04

Why it matters

If you support adults with ID, swap fancy mainstream apps for stripped-down versions. Use large icons, voice cues, and one-action screens. You can either adopt the palmtop reader from this study or build similar overlays on tablets. Either way, expect fewer errors, less hand-over-hand help, and more independent reading time.

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Load one audiobook onto a tablet, switch the player to ‘easy’ mode with large play/pause buttons, and track how many prompts your client needs.

02At a glance

Intervention
augmentative alternative communication
Design
randomized controlled trial
Population
intellectual disability
Finding
positive

03Original abstract

Significant barriers exist for individuals with intellectual disability to independently access print-based content. It is regrettable that, while the amount of content now available electronically increases, tools to access these materials have not been developed with individuals with intellectual disability in mind. This article reports the results of research evaluating the use of a palmtop PC-based application designed to enable individuals with intellectual disability to access electronic books and documents. Participants with intellectual disability were randomly assigned to 1 of 3 groups, each group differing in the type of audio player used. Participants who used the specially designed reader made significantly fewer errors accessing electronic books and required significantly fewer prompts than did participants using either of 2 mainstream audiobook readers.

Intellectual and developmental disabilities, 2008 · doi:10.1352/1934-9556(2008)46[290:MIMFEA]2.0.CO;2