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The Influence of Need-

Supportive Teacher Behavior


on the Motivation of Students
with Congenital Deafblindness
Ineke Haakma, Marleen Janssen, and Alexander Minnaert
Structured abstract: Introduction: Research has indicated that need-supportive
learning environments positively influence students’ motivation. According to
self-determination theory, a need-supportive learning environment is one in
which teachers provide structure, autonomy support, and involvement, and
thereby support their students’ psychological needs for competence, autonomy,
and relatedness. In this study, we aimed to explore whether teachers of students
with congenital deafblindness provide such an environment and how they adjust
their need-supportive teaching to these students. Methods: We conducted an
in-depth analysis of teacher-student interactions using a multiple-case-study
design. We analyzed videos of teacher-student interactions from the perspective
of self-determination theory. Results: We found that successful need support
for this group requires careful adjustments for each individual student. Only
if the provision of structure, autonomy support, and involvement is tailored
to the student can a positive influence on motivation be noticed. Another
important finding is that teachers provide more structure and involvement
than autonomy support. Discussion: This study showed that need-supportive
teaching is important in the education of students with congenital deafblind­
ness. By using video analysis, we were able to point out teaching strategies
that led to greater motivation for these students. Implications for practitio­
ners: Motivation is a prerequisite for learning, and teachers’ behavior might
add to that motivation. This study showed that need support leads to en­
hanced motivation in students with congenital deafblindness. We provided
practical insights that teachers can use to create need-supportive learning
environments for these students.

The behavior of teachers plays an impor­ Since teachers can positively affect stu­
tant role in fostering students’ motivation. dents’ learning outcomes by fostering
Motivation has been associated with pos­ motivation, it is important to learn how
itive learning outcomes such as academic they can do so. These insights may be
performance (Wigfield & Cambria, 2010). especially important when teaching students

©2017 AFB, All Rights Reserved Journal of Visual Impairment & Blindness, May-June 2017 247
with congenital deafblindness, who often versal. It also provides examples of prac­
encounter difficulties in the learning pro­ tical applicable strategies teachers can use
cess because of their sensory, and often to support students’ needs. Therefore,
additional, impairments. This article de­ self-determination theory might also pro­
scribes in-depth case studies we under­ vide strategies for teachers of students
took to explore the behavior that fosters with congenital deafblindness.
motivation in students with congenital
deafblindness. Need-supportive teaching
We used self-determination theory In need-supportive teaching, teachers
(Deci & Ryan, 2000) to explore teachers’ use instructional behaviors that support
behavior. Self-determination theory pro­ students’ basic psychological needs for
vides an encompassing framework, part competence, autonomy, and relatedness.
of which stresses the importance of basic Meeting students’ needs positively influ­
psychological needs: competence, auton­ ences their motivation and engagement in
omy, and relatedness. It assumes that stu­ learning. Competence refers to the expe­
dents are motivated when teachers sup­ rience of behavior as effectively enacted
port the fulfillment of these needs. (Niemiec & Ryan, 2009). Teachers can
We chose to use this theory to study support this need by providing structure
motivational processes in this target group (such as clear expectations and guidance)
for several reasons. First, it not only fo­ (Jang, Reeve, & Deci, 2010). Autonomy
cuses on individuals, but also on interac­ refers to the experience of behavior as
tions with their environments (Opdenak­ volitional, unforced, and self-endorsed
ker & Minnaert, 2011). It addresses how (Niemiec & Ryan, 2009). Teachers can
social factors facilitate or undermine peo­ support this need by considering students’
ple’s sense of volition and initiative. For perspectives and providing meaningful
children with deafblindness, the social rationales for learning activities, present­
context is extremely important. They ing relevant learning activities, providing
need dependable others who can provide optimal challenges, highlighting mean­
access to interesting things in the envi­ ingful learning goals, and supporting stu­
ronment for exploration and further dents’ unforced endorsement of class­
learning. room behaviors (Reeve, Jang, Carrell,
Second, self-determination theory has Jeon, & Barch, 2004). Relatedness refers
been applied in a variety of domains, in­ to the need to experience a sense of
cluding educational settings. Related re­ security, connectedness, or belonging.
search about students with special needs Teachers can support this need by show­
is scarce (Deci, Hodges, Pierson, & To­ ing interest, understanding, or affection,
massone, 1992), however, and we could and by being available and responsive
find no research in which self-determination (Skinner & Belmont, 1993).
theory was applied in the education of The opposite of engagement is disen­
students with sensory loss. gagement. Its behavioral components in­
Third, self-determination theory states clude passivity, a lack of initiations, and
that the psychological needs for compe­ giving up. Its emotional components
tence, autonomy, and relatedness are uni­ include dejection, discouragement, and

248 Journal of Visual Impairment & Blindness, May-June 2017 ©2017 AFB, All Rights Reserved
apathy (Skinner, Furrer, Marchand, & ingful way (Janssen, Riksen-Walraven, &
Kindermann, 2008). Van Dijk, 2002).
This study aimed to provide a better
Students with congenital understanding of how teachers motivate
deafblindness students with congenital deafblindness to
Students with congenital deafblindness complete learning tasks. The research
face many difficulties that might also af­ question was: “How does teachers’ need-
fect their engagement in learning activi­ supporting behavior influence the engage­
ties. The dual-sensory loss severely limits ment of students with congenital deaf-
their opportunities to learn and to com­ blindness?” To answer this question, we
municate with others (National Consor­ conducted a detailed, in-depth analysis of
tium on Deaf-Blindness, 2007). More­ teacher-student interaction using a multi-
over, they often demonstrate decreased method design.
responsiveness, joint attention, and mu­
tual enjoyment in interaction with care­
Methods
givers; self-stimulatory behavior; and a
restrictive repertoire of preverbal commu­ PARTICIPANTS
nicative behaviors (Chen & Haney, Four teachers and their students with con­
1995). These students may also only be genital deafblindness participated in the
aware of events that occur within their study presented here. We used a conve­
immediate physical proximity (Sall & nience sampling method to recruit partic­
Mar, 1999). Finally, these students, espe­ ipants from a school for students with
cially those who communicate through deafblindness in the Netherlands. All the
touch, often face barriers to interacting participating teachers volunteered to par­
with their environments, which can lead ticipate in the study. At this school, the
to high levels of stress and difficulties in education is highly individualized: one
remaining focused (Hersch, 2013). teacher works with one student most of
To overcome these difficulties, stu­ the day.
dents rely upon the support of their teach­ This study conforms with the guide­
ers. Therefore, we expect need-supportive lines described in the World Medical As­
teaching to be especially important for sociation’s Declaration of Helsinki on
students with deafblindness. Creating Ethical Principles for Medical Research
teacher-student interactions that support Involving Human Subjects. The teachers
students’ needs for competence, auton­ and parents of participating students
omy support, and involvement requires signed consent forms.
much sensitivity and skills from the Tables 1 and 2 describe the partici­
teacher, and knowledge of the individual pants’ characteristics. For privacy rea­
student. Unfortunately, research has shown sons, all their names were changed. Al­
that most teachers have difficulty with the though we use the term “deafblindness,”
competencies required to understand none of the students were totally deaf and
these children’s experiences and emo­ totally blind. All the students had cogni­
tions and connect with them in a mean­ tive delays in addition to deafblindness.

©2017 AFB, All Rights Reserved Journal of Visual Impairment & Blindness, May-June 2017 249
Table 1
Characteristics of the participating teacher-student pairs.
Participant Characteristic JamesS and BruceT TanyaS and HelenT PeterS and BettyT DianeS and RachelT

Student Gender Male Female Male Female


Age 12 15 13 17
Diagnosis Zellweger Spectrum CHARGE syndrome Cornelia de Lange CHARGE syndrome
syndrome syndrome
Visual impairment Mild (with glasses): Moderate: Moderate: Mild: coloboma
nystagmus coloboma nystagmus
Hearing impairment Severe. Moderate Moderate Moderate Deaf. Moderate
with hearing aid with hearing aid
Teacher Gender Male Female Female Female
Age 49 53 49 45
Years working at 23 29 17 12.5
this school
Years teaching this 3 2 1 1.5
student

S = student; T = teacher.

DATA COLLECTION was part of a larger research project in


A trained camera operator made 10 to which we aimed to record everyday
20 hours of video recordings of each “practice as usual” teaching practices to
teacher-student pair over a two-month examine what actually happens in the
period. The large-scale data collection classroom on a regular school day. To

Table 2
Students’ communication, social-emotional functioning, and adaptive skills.
Student’s method of Teacher’s method
Student communication of communication Social-emotional functioning Adaptive skills

James Reaching, hand leading, Speech supported Makes contact, shows Matches colors
signing, short with tactile sign displeasure by walking and forms
sentences, and language away or pushing objects
sounds away, or shows pleasure
or surprise by laughing or
making happy sounds
Tanya Spoken language Speech supported The quality of the relationship Largely independent
and signs with sign with adults is best when in daily care tasks;
language adults are predictable and enjoys drawing,
consistent; can have cooking, and
sudden, intense mood moving; can make
swings; expresses own decisions; has
discomfort by throwing many ideas and
material, kicking objects, wants to take
screaming, and hitting initiative
herself or others
Peter Hand leading, Verbal keywords Enjoys interaction games; Makes choices
approaching, looking, and short shows displeasure by by pulling objects
sounds, and some sentences crying, yelling, hitting toward himself
signs himself or others, biting, or pushing them
or throwing objects away away; can ask for
help by grabbing a
teacher’s hands;
can match colors
and forms
Diane Signs, sounds, Speech supported Enjoys spending time with Matches categories
and pictures with tactile sign others, can name emotions of animals, fruit,
language in others and in herself form, colors;
understands
function of money
and time

250 Journal of Visual Impairment & Blindness, May-June 2017 ©2017 AFB, All Rights Reserved
ensure that the teachers would act the Table 3
Teacher codes.a
way that they would normally act with­
out a camera operator present, teachers Dimension of
need support
Present (1)/
Absent (0) Components
were instructed to follow their usual
Structure (S) 1/0 Provide clarity
schedule of activities and act as they Offer guidance
would normally. Provide support and
encouragement
Provide constructive,
informational
DATA SELECTION feedback

We chose to examine one activity for Autonomy (A) 1/0 Provide choice
Foster relevance
each teacher-student pair. This method Show respect
gave us the opportunity to do a very de­
Involvement (I) 1/0 Show affection
tailed, thorough, and in-depth study of Express attunement
Dedicate resources
teacher-student interaction instead of an­ to the student
Be dependable and
alyzing a large dataset in a more global available to offer
manner. support

We applied the following selection cri­ a


Based on a review of need-supportive teaching
by Stroet, Opdenakker, & Minnaert (2013).
teria to each video. First, the teacher and
student were both present and undertook
a learning activity with which they were teachers’ and students’ behaviors and com­
both familiar. To enhance ecological va­ munications. Another researcher watched
lidity, we chose prototypical and repre­ the videos, read the transcripts, and coded
sentative videos of common situations. them using the coding form developed
The filmed activity was part of their nor­ for this study. This second researcher was
mal daily schedule and was chosen by the trained to fully understand all categories
teacher. Moreover, we selected videos in of the coding form. The training was
which both the teacher’s and student’s based on steps described by Hartmann
behavior and communication were clearly (1984) and included, among other things,
visible all the time. For each pair, we learning the coding manual, practicing,
randomly chose one video from all the and retraining. The researchers were
videos that met these inclusion criteria. given detailed information about each
To ensure the comparability of cases teacher, student, and setting.
with respect to the amount of teacher- The coding forms were based on analy­
student interactions, we selected 25 se­ ses of many video recordings, student files,
quential teacher-student interactions for and literature about self-determination the­
each pair, the maximum number of inter­ ory and deafblindness. There were sepa­
actions for each of the pairs. An interac­ rate coding forms for the behavior of
tion refers to an action and a response: a teachers (see Table 3) and students (see
teacher’s action, followed by a student’s Table 4). Teachers’ behavior included
response (or vice versa). provision of structure, autonomy support,
and involvement. For each interaction,
DATA ANALYSIS these need-supportive components were
A researcher who was not informed about assessed as being present (1) or absent
the purpose of the study transcribed the (0). For student behavior, we coded the

©2017 AFB, All Rights Reserved Journal of Visual Impairment & Blindness, May-June 2017 251
252
Table 4
Student codes.
Disengaged Engaged

E1 E2 E3 E4 E5
Variable Active negative Passive Neutral Active positive Flowa

General description Student actively expresses Student is passive Student does what is being Student takes self-initiated action, Student is absorbed
a desire not to engage and inactive. asked, nothing more or enjoys the activity, and finds it in the learning task.
in the activity: student less. Student is not interesting. Student expresses Student is involved,
communicates, shows disengaged but does not positive emotions. focused, and
frustration, or is seem to find the activity showing high levels
distracted. interesting or fun. of enjoyment.
Behaviors Distractedb Passiveb Concentrationb Effortb Absorptionb
Mentally disengagedb Inattentiveb Attentionb Exertionb Persistenceb
Stereotypical behaviord Boredb Attemptsb Exploringc
Restlessd Disinterestedb Involvementb

Journal of Visual Impairment & Blindness, May-June 2017


Aggressivec Apatheticd Interestb
Self-abusivec Helplessd Focusedd
Withdrawnb Approachingd
Inactived Initiating actionb
Cooperativec
Emotions Frustrationb Indifferenced Calmnessd Enjoymentb Excitementc
Angerb Lethargyd Enthusiasmb
Sadnessb Emotionlessnessd Satisfactionb
Anxietyb Stoicismd Prideb
Nervousnessd
a
Based on Csikszentmihalyi’s (1990) conceptualization of the concept of flow.

b
Based on Skinner et al. (2008), who defined engagement in behavioral and emotional dimensions.

c
Based on Martens et al.’s (2014) observation categories for people with CDB and intellectual disabilities.

©2017 AFB, All Rights Reserved


Added by the authors of this study.

Figure 1. Interaction patterns of Bruce and James.

extent to which they were engaged during Nock, & Hersen, 2009). In line with
a learning task. In line with Skinner et al. Prain, McVilly, and Ramcharan (2012),
(2008), we defined engagement in behav­ we calculated Cohen’s Kappa statistics
ioral and emotional dimensions. for the teacher and student codes. The
We developed a five-point scale rang­ value of the Kappa statistic was 0.92 for
ing from active disengagement to flow, in the dimension structure, 0.92 for auton­
which flow represents a state in which a omy support, 0.97 for involvement, and
student is absorbed in the learning task 0.96 for engagement, which indicates a
(totally involved, focused, and showing substantial to almost perfect agreement
high levels of enjoyment; Csikszentmi­ (Landis & Koch, 1977).
halyi, 1990). The scale was based on anal­
yses of many video recordings and student
Data interpretation
files. To adjust it for students with congen­
ital deafblindness and intellectual disabili­ We presented the results in figures and
ties, we added some deafblind-specific looked for patterns within and between
observational categories (see Table 4) de­ teacher-student pairs (see Figures 1– 4).
scribed by Martens, Janssen, Ruijssenaars, In each figure, the x-axis indicates the
Huisman, and Riksen-Walraven (2014). In sequential interactions between a pair
the final coding, we merged behavioral and over time. An interaction refers to a
emotional components into one overall en­ teacher’s action, followed by a student’s
gagement code. response. For example, the teacher asks a
question (coded as need supporting or
Inter-rater reliability not) and the student answers (coded on a
To assure reliability, a second researcher scale from disengaged to engaged). The
coded 25% of the material (see Barlow, x-axis presents the teacher’s need support

©2017 AFB, All Rights Reserved Journal of Visual Impairment & Blindness, May-June 2017 253
Figure 2. Interaction patterns of Helen and Tanya.

(1 = present or 0 = absent) and the Results


student’s engagement (1 = disengaged to BRUCE AND JAMES
5 = engaged). The findings were inter- We made video recordings during physi­
preted by the researcher who coded the cal education class. Together with a few
videos and by the first author. other teacher-student pairs, James com-

Figure 3. Interaction patterns of Betty and Peter.

254 Journal of Visual Impairment & Blindness, May-June 2017 ©2017 AFB, All Rights Reserved
Figure 4. Interaction patterns of Rachel and Diane.

pleted a parkour course full of obstacles, Teacher’s involvement


assisted by Bruce, his teacher. Bruce exhibited optimal involvement: he
was patient, responsive, and attentive.
Teacher’s provision of structure The one time he did not pay attention to
Bruce provided continuous structure until James, we observed a small decline in
interaction 15 (see Figure 1). He clearly James’ engagement.
and playfully explained what he expected
from James, encouraged James, and gave Student’s engagement
feedback. From interactions 15 to 25, James was engaged most of the time, except
Bruce’s provision of structure declined, for when he had to wait for another student.
rose, and declined again. Those declines The first times he had to wait (interactions
were followed by a decline in James’ 1–9) did not influence his engagement, but
engagement. he became increasingly frustrated.

Teacher’s autonomy support HELEN AND TANYA


Although James was able to follow the Helen and Tanya worked together on a
track almost independently, he had to computer with a sign language dictionary
follow it in a prescribed order without program. One of them chose 10 words;
the possibility of providing any input. Helen, the teacher, then wrote each word
During interactions 20 and 24, Bruce on paper and entered them into the pro­
provided autonomy support and James’ gram. The words were then demonstrated
engagement rose from disengaged to in a video with a person who signed the
engaged. words.

©2017 AFB, All Rights Reserved Journal of Visual Impairment & Blindness, May-June 2017 255
Teacher’s provision of structure forth alongside the wall. Betty, his
A decline in Helen’s provision of struc­ teacher, usually stood behind him.
ture was mostly caused by too-sudden
transitions, such as introducing a new Teacher’s provision of structure
word before finishing discussion of the Figure 3 shows that, in general, Betty pro­
previous word. A decline in structure al­ vided structure and Peter was engaged until
ways coincided with a decline in Tanya’s interaction 9. Thereafter, they both showed
engagement (see Figure 2). However, a more fluctuations. Although Betty provided
decline in autonomy support appeared to directions and expressed feedback and en­
mitigate the lack of structure. couragement, Peter did not seem to receive
her communications since Betty was stand­
Teacher’s autonomy support ing behind him.
In general, Tanya’s engagement level was
high when Helen provided autonomy sup­ Teacher’s autonomy support
port. This support was provided by letting Betty provided autonomy support once.
Tanya choose the words or by linking a In this activity there was little room for
word to Tanya’s interests. The three de­ Peter to take initiatives; he only had a
clines in engagement were accompanied small amount of time to look around at
by a lack of autonomy support. the beginning. Betty insisted that Peter
finish the activity, even when he com­
Teacher’s involvement plained, struggled, or sat down.
When Helen showed involvement, Tan­
ya’s engagement level was high. How­ Teacher’s involvement
ever, low levels of involvement were fol­ At the beginning of the activity, Betty
lowed by a decline in engagement. This was involved only now and then; at the
situation could occur when Helen did not end, she was uninvolved. Peter some­
show affection or express attunement. times responded to Betty’s lack of in­
These declines were significant when ac­ volvement with a decline in engagement.
companied by a lack of structure.
The lack of structure seemed to strengthen
this effect. Moreover, when Peter exhib­
Student’s engagement
ited good on-task behavior, Betty showed
Tanya was engaged most of the time,
affection. When Peter’s behavior was not
although sometimes she was distracted.
effectively enacted, Betty tended to be
This seemed to occur when Helen chose
more directive.
the word. Tanya was most engaged when
the lesson content was adapted to her
Student’s engagement
interests and she could provide input.
At first, Peter did exactly what was asked of
BETTY AND PETER him. After Betty told him the activity was
Peter had to move plastic rings from one almost finished, he sped up to finish it.
bucket to another. The buckets stood a When she introduced a new activity, Peter
few meters apart against the wall in the became less engaged and more frustrated,
hallway and Peter had to walk back and and exhibited more stereotypical behavior.

256 Journal of Visual Impairment & Blindness, May-June 2017 ©2017 AFB, All Rights Reserved
RACHEL AND DIANE need support can be relatively stable or
Diane was learning to identify and spell the fluctuate over time. Third, there seemed
names of colors. Rachel, her teacher, used to be a hierarchy of need support: a lack
different tools, such as a card with the of structure seemed to have the most
colors and their names, as well as the negative effect on student engagement.
environment. Fourth, there seemed to be connections
between needs. The presence or absence
Teacher’s provision of structure of support of one need could have been
Overall, Rachel provided a lot of struc­ strengthened or compensated for by the
ture: she was very active, talked and presence or absence of another. Fifth, the
moved a lot, and used many different presence or absence of need support ap­
materials. When Rachel did not provide peared to affect student engagement.
structure, by giving overly vague or un­
clear directions, Diane’s engagement Discussion
level still remained high. In general, teachers provided more struc­
ture and involvement than autonomy
Teacher’s autonomy support support. Previous research (Reeve et al.,
Rachel asked a question and Diane an­ 2004) also found a lack of autonomy
swered, leaving little room for indepen­ support, indicating that teachers often
dent initiatives. Rachel did most of the use more controlling than autonomy-
work and was more active. Nevertheless, supportive strategies. Reeve (2009) pro­
Diane stayed engaged. vided reasons why teachers adopt this
controlling style, even when it is associ­
Teacher’s involvement ated with negative student functioning.
Rachel’s involvement was almost contin­ For instance, some teachers believe that
uously high. She paid attention to Diane, controlling motivating strategies are more
created a friendly atmosphere, and made effective than autonomy-supportive ones.
Diane laugh. We also found a possible hierarchy in
the influence of the different types of need
Student’s engagement provision on student engagement. Struc­
Diane clearly stayed engaged, although ture seems to be most influential, fol­
she was generally not very expressive. lowed by involvement and autonomy
She closely observed Rachel, answered support. According to Deci and Ryan
questions, and laughed at jokes. (2000), autonomy and competence are the
most powerful influences on intrinsic mo­
OVERALL PATTERNS tivation, since people often engage in in­
A comparison of dimensions of need- trinsically motivated behavior in isola­
supportive behaviors and their effect on tion.
students’ engagement provided a number However, relatedness is assumed to
of insights. First, not all needs were sup­ play a more important role when educat­
ported to the same extent. Teachers ex­ ing students with deafblindness. Accord­
pressed more support for structure and ing to Janssen et al. (2002), harmonious
involvement than for autonomy. Second, interactions are the foundation for learning,

©2017 AFB, All Rights Reserved Journal of Visual Impairment & Blindness, May-June 2017 257
communication, well-being, and quality interests and devise how different
of life for these students. Therefore, we learning materials, lesson content, or ap­
think that it is crucial to support students’ proaches influence their engagement,
need for relatedness by showing involve­ which is an important starting point for
ment in this setting. developing instruction for students with
Another important finding involves intensive support needs.
possible interconnections between types First, it is important to provide struc­
of need support. The presence or absence ture and clarify goals. Students need to
of support of one need may be strength­ know what is expected from them and
ened or compensated for by the presence what they need to do to attain the goal.
or absence of another. Previous studies Tanya, for instance, knew they were go­
(for instance, Sierens, Vansteenkiste, Go­ ing to pick 10 words, because the teacher
ossens, Soenens, & Dochy, 2009; Trouil­ wrote the number at the start of the les­
loud, Sarrazin, Bressoux, & Bois, 2006) son. Peter, on the other hand, had no idea
have addressed possible connections be­ how many rings he had to bring back and
tween needs. More research is needed to forth and he was unpleasantly surprised
unravel these linkages and to look for when a bucket of balls was added after he
differences between students with and
finished the rings. This lack of structure
without impairments.
could have diminished his feeling of com­
IMPLICATIONS FOR PRACTITIONERS petence, because he did not know what to
expect. If a student completes some of the
The results have valuable practical impli­
task and then complains or refuses to con­
cations for teachers of students with con­
tinue (like Peter), the teacher could offer
genital deafblindness. Provision of struc­
a choice (through representative objects)
ture seemed to have the largest effect on
of continuing the activity or changing to
student engagement. Teachers can posi­
tively influence engagement by commu­ another.
nicating clear expectations, providing Second, goals should be realistic. Goals
support and directions when needed, be­ that are too difficult or too easy are very
ing available to answer questions, and demotivating. We found that teachers
giving feedback. It also appears that by sometimes set too-easy goals for their stu­
providing involvement, teachers can pre­ dents, who might be more motivated by a
vent or change a student’s decline in en­ greater challenge.
gagement. Third, goals should be meaningful and
In our observations, autonomy support adapted to the student’s interest. The
was the least present of the three needs. tasks selected for James, Tanya, and Di­
We did, however, notice that autonomy ana appeared to be meaningful. However,
support positively affected engagement. Peter’s task did not seem very meaning­
When teachers offered opportunities to ful, so it is unsurprising that he showed
explore and broaden students’ worlds and less engagement. This is where offering a
capabilities, even in small ways, the stu­ choice would have been helpful; doing so
dents became more engaged. Therefore, would contribute to engagement and fos­
teachers need to explore their students’ ter autonomy.

258 Journal of Visual Impairment & Blindness, May-June 2017 ©2017 AFB, All Rights Reserved
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