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etadd_47(3) - Division on Autism and Developmental Disabilities

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Language Coding Measures<br />

An appropriate play–related utterance was defined<br />

as an intelligible verbalizati<strong>on</strong> of <strong>on</strong>e or<br />

more English words (or an intelligible approximati<strong>on</strong><br />

thereof) by the participants immediately<br />

before, during or immediately after an<br />

appropriate play act, <strong>and</strong> the verbalizati<strong>on</strong><br />

had to be related to or in c<strong>on</strong>necti<strong>on</strong> with the<br />

play acti<strong>on</strong>. Verbalizati<strong>on</strong>s made immediately<br />

before, during or immediately after any acti<strong>on</strong><br />

or sequence by the participant which was not<br />

coded as an appropriate play acti<strong>on</strong> were recorded<br />

but not coded as an appropriate play–<br />

related verbalizati<strong>on</strong>, even if they related<br />

to <strong>and</strong> were in c<strong>on</strong>necti<strong>on</strong> with the (n<strong>on</strong>–<br />

appropriate play) acti<strong>on</strong>. Verbalizati<strong>on</strong>s that<br />

were related to an appropriate play acti<strong>on</strong> but<br />

made more than three sec<strong>on</strong>ds prior to, or<br />

three sec<strong>on</strong>ds after, the play acti<strong>on</strong> were recorded<br />

but not scored (the incidence of such<br />

verbalizati<strong>on</strong>s was extremely low). All verbalizati<strong>on</strong>s<br />

during a sessi<strong>on</strong> were logged, regardless<br />

of whether they c<strong>on</strong>stituted an appropriate<br />

play–related utterance. Due to the<br />

difficulty in definitively categorizing utterances<br />

<strong>and</strong> the coder being blind to the instructi<strong>on</strong><br />

<strong>on</strong> the video models, no distincti<strong>on</strong><br />

was made between play–related utterances<br />

modeled in the video models (i.e., scripted<br />

utterances) <strong>and</strong> novel or different utterances<br />

(i.e., unscripted utterances).<br />

Average MLU was calculated for each sessi<strong>on</strong><br />

by dividing the total number of morphemes<br />

uttered during all appropriate play–<br />

related utterances made during the sessi<strong>on</strong> by<br />

the total number of all appropriate play–<br />

related utterances made during the sessi<strong>on</strong>.<br />

The total number of morphemes spoken during<br />

any particular utterance was determined<br />

in accordance with the procedures set forth in<br />

the Guide to Analysis of Language Transcripts,<br />

Sec<strong>on</strong>d Editi<strong>on</strong>, (Retherford, 1993)<br />

which represents the st<strong>and</strong>ard methodology<br />

employed by speech language pathologists<br />

when measuring mean length of utterance<br />

(e.g., counting the utterance of <strong>on</strong>e plural<br />

noun forms as two morphemes, <strong>and</strong> counting<br />

the utterance of <strong>on</strong>e verb in predicate form as<br />

two morphemes).<br />

The first author (MS, CCC-SLP) trained the<br />

undergraduate student to measure MLU. The<br />

undergraduate student transcribed <strong>and</strong> calcu-<br />

lated MLU for all sessi<strong>on</strong>s. The first author<br />

checked every transcripti<strong>on</strong> (100%) <strong>and</strong> c<strong>on</strong>firmed<br />

any discrepancies with the undergraduate.<br />

Results<br />

Interventi<strong>on</strong> Outcomes<br />

Average play skills are presented graphically<br />

within video modeling interventi<strong>on</strong> (instructi<strong>on</strong>,<br />

baseline, <strong>and</strong> maintenance) <strong>and</strong> during<br />

generalizati<strong>on</strong> (no baseline or maintenance).<br />

Average MLU is presented graphically within<br />

video modeling interventi<strong>on</strong> (instructi<strong>on</strong>,<br />

baseline, <strong>and</strong> maintenance) <strong>and</strong> during generalizati<strong>on</strong><br />

(no baseline or maintenance). Figure<br />

1 shows Ian’s progress (play observed in<br />

instructi<strong>on</strong>, play in generalized observati<strong>on</strong>,<br />

MLU observed in instructi<strong>on</strong>, MLU in generalized<br />

observati<strong>on</strong>), Figures 2, 3, <strong>and</strong> 4 show<br />

Jeremy’s, Ryan’s, <strong>and</strong> J<strong>on</strong>ah’s progress respectively.<br />

During the interventi<strong>on</strong>, all four children<br />

were able to progress through multiple<br />

levels of play (Table 2) <strong>and</strong> all generally maintained<br />

those gains in the limited maintenance<br />

phase of the investigati<strong>on</strong>. Please keep in<br />

mind that the figures present ‘average’ level of<br />

play <strong>and</strong> thus, a child might have an average<br />

level lower than their mastered level (e.g., a<br />

child has the 3 higher level acts with 3 novel<br />

toys but other play acts are at other levels <strong>and</strong><br />

thus, an average is obtained; see Jeremy’s initial<br />

instructi<strong>on</strong>al point). Recall that n<strong>on</strong>e of<br />

the four children received level 7 instructi<strong>on</strong><br />

(as it was included with the video model for<br />

level 9).<br />

Figure 1 displays Ian’s steady progressi<strong>on</strong> in<br />

both the instructi<strong>on</strong>al <strong>and</strong> generalized situati<strong>on</strong>s<br />

based <strong>on</strong> average level of play achieved.<br />

Prior to the interventi<strong>on</strong>, his average level of<br />

play was 1.8 (range of 1–2). Ian was initially<br />

instructed at level 3/4 <strong>and</strong> progressed<br />

through each level until emergence at level 8<br />

where the interventi<strong>on</strong> ended. In the maintenance<br />

phase, the average level of play Ian<br />

displayed was 6.8 (the range of play acts<br />

through maintenance observati<strong>on</strong> went as low<br />

as level 5 <strong>and</strong> as high as level 10). Further, as<br />

noted, the highest level of play observed during<br />

any play sessi<strong>on</strong> (trial, generalizati<strong>on</strong>, <strong>and</strong><br />

maintenance) was level 10. Ian had a slight<br />

drop in his average play level during the first<br />

310 / Educati<strong>on</strong> <strong>and</strong> Training in <strong>Autism</strong> <strong>and</strong> <strong>Developmental</strong> <strong>Disabilities</strong>-September 2012

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