Studying the implementation of PECS in a naturalistic special education school setting

This study sought to investigate the predictors of spontaneous Picture Exchange Communication System (PECS) use in a naturalistic school setting.The study recruited 44 students (36 boys and eight girls), aged between 6 to 18 years and their teachers (26 teachers and two teaching assistants). Teaching staff completed measures of student’s communicative ability, autism symptomology and PECS abilities. Teachers also provided information of their PECS training history and PECS teaching experience.Stepwise Multiple Regression Analysis revealed that: (1) teacher’s intentional pre-planning of PECS; (2) context in which PECS is used; (3) PECS phase level; and (4) the number of months of PECS teaching experience teachers had significantly predicted spontaneous PECS use. Child-dependent variables such as the severity of student’s autism symptomology and level of student’s mastery and age did not significantly predict spontaneous PECS use.The limitations of this study are the small sample size, teachers’ self-reported bias, and the lack of exploring other potential factors.The findings of the study highlight the importance for professionals, such as Educational Psychologists (EPs), to consider implementation factors that will impact the efficacy of intervention. In this study, it was the orchestration of how PECS is taught that had significantly predicted better PECS spontaneous use, rather than within-child factors. This suggests that PECS is suitable for a wide range of ASD learners. Additionally, it provides new insights for EPs to emphasise certain components over others during PECS teachers’ trainings.

[1]  D. Trembath,et al.  The role of augmentative and alternative communication for children with autism: current status and future trends , 2016, Neuropsychiatric disease and treatment.

[2]  Devender R. Banda,et al.  A Review of Picture Exchange Communication Interventions Implemented by Parents and Practitioners , 2016 .

[3]  Cori M. More,et al.  Evaluating iPad Technology for Enhancing Communication Skills of Children With Autism Spectrum Disorders , 2015 .

[4]  Aubyn C. Stahmer,et al.  Training Teachers to use Evidence-Based Practices for Autism: Examining Procedural Implementation fidelity. , 2015, Psychology in the schools.

[5]  Massimiliano Conson,et al.  Long-term effects of PECS on social-communicative skills of children with autism spectrum disorders: a follow-up study. , 2014, International journal of language & communication disorders.

[6]  Giacomo Vivanti,et al.  Predictors of Outcomes in Autism Early Intervention: Why Don’t We Know More? , 2014, Front. Pediatr..

[7]  Margaret M. Flores,et al.  Maximizing ESY Services: Teaching Pre-Service Teachers to Assess Communication Skills and Implement Picture Exchange With Students With Autism Spectrum Disorder and Developmental Disabilities , 2014 .

[8]  Jennifer B. Ganz,et al.  Impacts of a PECS Instructional Coaching Intervention on Practitioners and Children with Autism , 2013, Augmentative and alternative communication.

[9]  Jennifer B. Ganz,et al.  Effectiveness of the PECS Phase III app and choice between the app and traditional PECS among preschoolers with ASD , 2013 .

[10]  Janet K. Kern,et al.  A Comparison of the Autism Treatment Evaluation Checklist (ATEC) and the Childhood Autism Rating Scale (CARS) for the Quantitative Evaluation of Autism , 2013, Journal of mental health research in intellectual disabilities.

[11]  Joseph P. McCleery,et al.  Motor development and motor resonance difficulties in autism: relevance to early intervention for language and communication skills , 2013, Front. Integr. Neurosci..

[12]  M. Conson,et al.  Social-communicative effects of the Picture Exchange Communication System (PECS) in autism spectrum disorders. , 2012, International journal of language & communication disorders.

[13]  Margaret M. Flores,et al.  A Comparison of Communication Using the Apple iPad and a Picture-based System , 2012, Augmentative and alternative communication.

[14]  W. Fisher,et al.  Teaching children with autism to engage in peer-directed mands using a picture exchange communication system. , 2012, Journal of applied behavior analysis.

[15]  Kathryn Z. Devis,et al.  Quantitative Synthesis and Component Analysis of Single-Participant Studies on the Picture Exchange Communication System , 2011 .

[16]  P. Howlin,et al.  A communication-based intervention for nonverbal children with autism: what changes? Who benefits? , 2011, Journal of consulting and clinical psychology.

[17]  Cormac Duffy,et al.  Spontaneous Communication in Autism Spectrum Disorder: A Review of Topographies and Interventions. , 2011 .

[18]  Aubyn C. Stahmer,et al.  Toward a technology of treatment individualization for young children with autism spectrum disorders , 2011, Brain Research.

[19]  G. R. Mayer,et al.  Effects of Implementing the Picture Exchange Communication System (PECS) With Adults With Developmental Disabilities and Severe Communication Deficits , 2011 .

[20]  Mark Carter,et al.  A Review of the Efficacy of the Picture Exchange Communication System Intervention , 2009, Journal of autism and developmental disorders.

[21]  N. Blampied,et al.  Picture Exchange Communication (PECS) Training for Young Children: Does Training Transfer at School and to Home? , 2009, Behaviour Change.

[22]  D. Moore,et al.  The Effect of Teaching PECS to a Child With Autism on Verbal Behaviour, Play, and Social Functioning , 2009, Behaviour Change.

[23]  Beth Sulzer-Azaroff,et al.  The Picture Exchange Communication System (PECS) , 2009 .

[24]  Jeff Sigafoos,et al.  Issues in the use of visual supports to promote communication in individuals with autism spectrum disorder , 2009, Disability and rehabilitation.

[25]  R. Paul.  Interventions to improve communication in autism. , 2008, Child and adolescent psychiatric clinics of North America.

[26]  M. Carter,et al.  Spontaneity of Communication in Individuals with Autism , 2008, Journal of autism and developmental disorders.

[27]  F. Rusch,et al.  A Review and Analysis of the Picture Exchange Communication System (PECS) for Individuals with Autism Spectrum Disorders Using a Paradigm of Communication Competence , 2008 .

[28]  M. H. Charlop-Christy,et al.  Acquisition of the Picture Exchange Communication System (PECS) and its relationship with word production varies for individual children with autism , 2008 .

[29]  D. Moore,et al.  Functional Communication and Other Concomitant Behavior Change Following PECS Training: A Case Study , 2007, Behaviour Change.

[30]  Tony Charman,et al.  The effectiveness of Picture Exchange Communication System (PECS) training for teachers of children with autism: a pragmatic, group randomised controlled trial. , 2007, Journal of child psychology and psychiatry, and allied disciplines.

[31]  Summer J. Ferreri,et al.  A preliminary analysis of teaching improvisation with the picture exchange communication system to children with autism. , 2006, Journal of applied behavior analysis.

[32]  L. LeBlanc,et al.  Using the picture exchange communication system (PECS) with children with autism: assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior. , 2002, Journal of applied behavior analysis.

[33]  F. Wilczenski,et al.  Using an Activity Schedule to Smooth School Transitions , 2001 .

[34]  A. Bondy,et al.  The Picture Exchange Communication System , 2002 .

[35]  B. Prizant,et al.  The Expression of Communicative Intent: Assessment Guidelines , 1989 .

[36]  A. Wetherby,et al.  Profiles of communicative and cognitive-social abilities in autistic children. , 1984, Journal of speech and hearing research.

[37]  S. Karabenick,et al.  Teachers’ implicit attitudes, explicit beliefs, and the mediating role of respect and cultural responsibility on mastery and performance-focused instructional practices. , 2014 .

[38]  J. Pieters,et al.  Engaging students: The role of teacher beliefs and interpersonal teacher behavior in fostering student engagement in vocational education , 2014 .

[39]  Tonya N. Davis,et al.  Using iPods(®) and iPads(®) in teaching programs for individuals with developmental disabilities: a systematic review. , 2013, Research in developmental disabilities.

[40]  Brian Reichow,et al.  Evidence-based practices and treatments for children with autism , 2011 .

[41]  Hsu-Min Chiang.  Differences between Spontaneous and Elicited Expressive Communication in Children with Autism. , 2009 .

[42]  J. Ganz,et al.  The impact of the Picture Exchange Communication System on requesting and speech development in preschoolers with autism spectrum disorders and similar characteristics , 2008 .

[43]  Jacob Cohen.  QUANTITATIVE METHODS IN PSYCHOLOGY A Power Primer , 1992 .