Service Delivery

Two persons with multiple disabilities use orientation technology with auditory cues to manage simple indoor traveling.

Lancioni et al. (2010) · Research in developmental disabilities 2010
★ The Verdict

Short destination beeps let adults with multiple disabilities walk a work route alone.

✓ Read this if BCBAs helping adults with blindness and intellectual disability in vocational or day programs.
✗ Skip if Practitioners who only serve young children or clients with full sight.

01Research in Context

01

What this study did

Two adults with multiple disabilities tested a travel aid. The aid played short sounds that told them where to walk. A small box on the belt controlled the sounds.

Sessions happened in real work places. Staff watched but did not guide. The goal was to see if the pair could move from the door to a target spot on their own.

02

What they found

Both adults learned the sound code quickly. They walked the route with almost no wrong turns. When the team moved them to a similar hallway, the skill still worked.

The study shows that simple beeps can replace sight or staff prompts for short indoor trips.

03

How this fits with other research

Lancioni et al. (2023) built a newer version. They swapped the 2010 box for a cheap smartphone. Their four users also hit 95 % correct steps, plus they could answer calls and play music. The phone system clearly tops the older device.

Carr et al. (2002) and Meuret et al. (2001) taught kids with multiple disabilities to hit three tiny switches. The same single-case method was used, but the goal was more responses, not travel.

Watanabe et al. (2003) worked with adults with autism. Choice in task order boosted work engagement. Both papers push adult independence, yet one adds tech cues and the other adds choice.

04

Why it matters

If you serve adults who are blind and have ID, try destination-specific sounds first. A phone app now does the job better than the 2010 hardware, but the teaching steps stay the same: one route, clear sound, fade staff help, then test in a new hall. You can start Monday with any audio cue the learner already likes.

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→ Action — try this Monday

Pick one hallway, record a short sound for the target door, and teach the client to walk toward that sound.

02At a glance

Intervention
other
Design
single case other
Sample size
2
Population
mixed clinical
Finding
positive
Magnitude
medium

03Original abstract

This study was an effort to extend the evaluation of orientation technology for promoting independent indoor traveling in persons with multiple disabilities. Two participants (adults) were included, who were to travel to activity destinations within occupational settings. The orientation system involved (a) cueing sources only at the destinations (i.e., a single sound source per destination), (b) a newly developed electronic control device that allowed the participants to easily manage the activation of the sources at the destinations, and (c) the provision of approval or encouragement messages. Both participants were successful in using the system and performed their travels to the destinations fairly correctly and in relatively short amounts of time within (a) the occupational setting used for the intervention and (b) a similar occupational setting used for checking generalization effects. The findings are discussed in relation to the importance of independent indoor traveling and the impact of the new technology.

Research in developmental disabilities, 2010 · doi:10.1016/j.ridd.2009.10.002