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Video Self-Modeling on an iPad to Teach Functional Math Skills to Adolescents


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DOI: 10.1177/1088357613478829

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28210.1177/1088357613478829Focus on Autism and Other Developmental DisabilitiesBurton et al.
© Hammill Institute on Disabilities 2013

Focus on Autism and Other

Video Self-Modeling on an iPad to Teach


Developmental Disabilities
28(2) 67­–77
© Hammill Institute on Disabilities 2013

Functional Math Skills to Adolescents With Reprints and permissions:


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DOI: 10.1177/1088357613478829
Autism and Intellectual Disability foa.sagepub.com

Cami E. Burton, MS1, Darlene H. Anderson, PhD1,


Mary Anne Prater, PhD1, and Tina T. Dyches, PhD1

Abstract
Researchers suggest that video-based interventions can provide increased opportunity for students with disabilities to
acquire important academic and functional skills; however, little research exists regarding video-based interventions on the
academic skills of students with autism and intellectual disability. We used a multiple-baseline-across-participants design to
investigate the effects of video self-modeling (VSM) on the mathematics skill acquisition of adolescents with autism. Four
adolescent male students viewed videos of themselves on an iPad solving mathematical problems to estimate the amount
of money used to pay for a given item and the amount to receive in change. Findings support a functional relationship
between VSM and performance on math skills for each participant. Subsequently, the VSM was systematically faded during
maintenance sessions, with little deterioration of skill. Follow-up data probes were interpreted to conclude that student
characteristics may affect retention of skill. Implications for practice and research are discussed.

Keywords
autism, intellectual disability, video self-modeling, functional mathematics instruction, iPad

The education of children with autism in inclusive environ- instructional technique that involves a student watching a
ments is becoming more widespread (Cihak, Fahrenkrog, video of a model (e.g., a peer or adult) engaging in target
Ayres, & Smith, 2010). For example, the U.S. Department behaviors or skills, with the student later performing the
of Education documented a 77% increase in the number of same skills (Cihak et al., 2010). Video self-modeling
students with autism receiving services in general education (VSM) is a specific application of VM, in which the indi-
classrooms between 1997 and 2006 (U.S. Department of vidual observes herself accurately and independently per-
Education, 2008). This statistic—representing a 14-per- forming the target behavior (Dowrick, 1999). VSM is a
centage-point increase over a 9-year period—may be partly form of observational learning in which individuals view
due to the broader spectrum of autism being identified. Due themselves performing a task at a more advanced level than
to the greater variability in functioning among children with they typically perform the skill (Buggey, Toombs, Gardener,
autism spectrum disorders (ASD), research is needed to & Cervetti, 1999). VSM has been used to teach a variety of
identify interventions appropriate for an increasingly skills, including transitional behaviors (Cihak et al., 2010),
diverse population. Moreover, investigations assessing the social-communication and functional/life skills (Bellini &
effects of instructional strategies to help students with dis- Akullian, 2007; Buggey, 2007), perspective taking
abilities access the core curriculum are recommended (Charlop-Christy & Daneshvar, 2003), and academic per-
(Knight, Smith, Spooner, & Browder, 2012). formance (Hitchcock, Dowrick, & Prater, 2003).
The effects of VSM have been assessed with students
without disabilities (Hartley, Bray, & Kehle, 1998), as well as
Promise of Technology with students with emotional disturbances (Possell, Kehle,
Researchers have shown that technology can increase
opportunities for students with disabilities to access the
1
Brigham Young University, Provo, UT, USA
core curriculum and achieve improved learning outcomes
Corresponding author:
(Cihak & Bowlin, 2009). Current advances in the use of Darlene H. Anderson, Brigham Young University, 340 MCKB, Provo, UT
technology in classrooms include new applications of video 84602, USA.
technology (Mechling, 2005). Video modeling (VM) is an Email: darlene_anderson@byu.edu
68 Focus on Autism and Other Developmental Disabilities 28(2)

McLoughlin, & Bray, 1999), learning disabilities (Clare, Table 1.  Student Assessment Results.
Jenson, Kehle, & Bray, 2000), intellectual disability (Cihak,
Reading Disability Full scale
Kessler, & Alberto, 2007), and ASD (Shipley-Benamou,
Student Age grade levela classification IQ test IQ
Lutzker, & Taubman, 2002). VSM has been delivered through
several media, including (a) television and videocassette Joey 13 4 Autism UNIT 85
recorder, (b) laptop computer, (c) DVD, and (d) handheld Will 14 3 Autism UNIT 76
device (e.g., video iPod). Handheld computers are one form Ryan 15 3 Autism WJIII 61
of technology that has been shown to be effective for the Aaron 13 3 Intellectual WISC IV 66
delivery of VSM to individuals with disabilities in various disability
settings (Cihak & Bowlin, 2009; Cihak et al., 2010). Note: UNIT = Universal Nonverbal Intelligence Test; WJIII = Woodcock
Johnson III Tests of Cognitive Ability;WISC IV = Wechsler Intelligence Scales for
Children (4th ed.). Disability classifications obtained from educational clas-
Using Technology to Enhance Math sifications listed on each participant’s IEP. IQ scores were obtained from
Vineland II Adaptive Behavior Scales (2nd ed.), Pearson Education.
Instruction a
Reading level was assessed using the Dynamic Indicators of Basic Early
Youth with disabilities are in need of instruction incorporat- Literacy Skills (DIBELS).
ing a blend of academic and functional math objectives
(Browder & Cooper-Duffy, 2003). Functional math focuses
on teaching practical mathematics within real-life situa- human participants, four male students, given the pseud-
tions such as telling time, using money, and completing onyms of Joey, Will, Ryan, and Aaron, were selected to
tasks related to measurement. Schunk and Hanson (1989) participate in the study. Parents of the students provided
used VSM to teach math concepts to elementary school written consent. The university’s institutional review board
students working below grade level in the subject area, and waived the need to obtain student assent.
suggested that VSM can increase students’ academic per- Participant selection was based on the following criteria
formance during cognitive skills training. The researchers adapted from Cihak and Bowlin (2009): (a) junior high
concluded that students who viewed themselves success- school enrollment; (b) disability based on eligibility require-
fully completing math problems performed at higher levels ments; (c) similar assessment results from selected math
than students who did not watch the VSM. However, addi- subtests of the BRIGANCE® Comprehensive Inventory of
tional research is needed to examine the use of VSM and Basic Skills–Revised (CIBS-R; Brigance, 1999); (d) IEP
handheld devices to teach mathematics to students with math goals and objectives similar to the learning objective
disabilities. for the current study; (e) parental permission to participate
In the current study, we sought to examine the effects of in the study, including videotaping; (f) no hearing or vision
VSM on the mathematics performance of adolescent stu- impairments that might impede video instruction; and (g)
dents with autism and intellectual disability receiving func- functional reading skills (i.e., ability to read the math story
tional skills instruction in a self-contained special education problems without additional instruction). Additional infor-
classroom. Given specific behavioral objectives involving mation regarding the participants’ cognitive ability and
estimating and counting exact change, two main research reading levels is displayed in Table 1.
questions were addressed: Ryan, Aaron, and Will received daily mathematics
instruction in a self-contained special education classroom.
Research Question 1: During the intervention phase, in Joey received daily mathematics instruction in a resource
the presence of a five-item exemplar, what are the pre-algebra math class with seven other students; he also
effects of VSM via an iPad on the percentage of cor- received additional functional mathematics instruction in
rect responses? the self-contained special education classroom. More spe-
Research Question 2: During postintervention Phases cific information about each student follows.
1 through 5, in the presence of similar but different
stimuli (i.e., the inclusion of novel math problems), Joey. Joey’s composite scores from the Universal Nonverbal
what are the effects of VSM via an iPad on the per- Intelligence Test (UNIT; Bracken & McCallum, 1998) were
centage of correct responses? in the average to low-average range. During study imple-
mentation, Joey attended three resource classes (math, read-
ing, and writing), two general education classes (career
Method introduction and chorus), and two life skills self-contained
Participants classes (life skills math and social skills). In the classroom,
Joey was pleasant and compliant; he often needed several
After receiving approval from the university and school redirections and prompts to focus on an activity. Joey was
district institutional review boards for research involving able to comprehend text on an upper third-grade level with
Burton et al. 69

100% accuracy and on a fourth-grade level with 80% accu- Participant Selection Measures
racy, with teacher prompting. The Dynamic Indicators of
Basic Early Literacy Skills (DIBELS; Good & Kaminski, Two measures were used in selecting participants for the
2002) assessment indicated Joey was reading fourth-grade study. First, the CIBS-R was used to assess math skill. The
level text at a rate of 187 words per minute with 99% CIBS-R is a criterion-referenced classroom assessment for
accuracy. children between the ages of 5 and 13 years, recommended
for planning individual instruction. It consists of 154
Will. Will’s scores were in the borderline range for intellectual assessments in eight areas: Readiness, Speech, Listening,
disability. Will attended two general education classes (career Reading, Spelling, Writing, Research and Study Skills, and
introduction and chorus) with a paraeducator and spent the Mathematics. The current edition allows users to make
remainder of the school day in a life skills self-contained norm-referenced interpretations regarding student perfor-
classroom. Will had limited verbal ability and was often mance. Scores correlate moderately well with the Wechsler
echolalic in his speech. Yet, Will was very compliant; he pre- Intelligence Scale for Children. Validity evidence is
ferred to look at books or sit quietly rather than to interact reported, and analyses of reliability have shown test–retest
with his classmates. According to the DIBELS, Will was correlations to exceed .80. In summary, the CIBS-R is an
reading a third-grade level text at 61 words per minute with improved revision of a standard curriculum-based assess-
97% accuracy. In his IEP, recalling information from stories ment that is widely used by teachers to document elemen-
read was noted as an area of difficulty. tary and middle school students’ mastery of specific skills
(Cizek, 2001).
Ryan. Overall, Ryan’s scores were in the very low range. The classroom teacher evaluated students’ money skills
Ryan also had an adaptive behavior assessment indicating using the following subtests from the CIBS-R: recognizes
he had an intellectual disability. Although the cognitive money, equivalent values of coins and the dollar bill, total
score results suggested several areas of strength, Ryan values of groups of coins (adds), converts coins, and makes
clearly qualified for special education services within the change. During testing, an adapted version of the Assessment
intellectual disability category, based on the multidisci- Fidelity Checklist was used to help ensure assessment
plinary team’s decision. However, parental consent for this integrity. The checklist included only items relevant to the
classification was denied, and additional testing justified pre-assessment. The results of the assessment indicated an
educational classification in the autism category. Ryan instructional need within the subtest category of total val-
attended three general education classes (foods, peer-tutor- ues of groups of coins (adds). More specifically, Joey was
ing, and manufacturing) with a paraeducator. He spent the able to recognize pennies, nickels, dimes, and quarters; Will
remainder of the school day in a life skills self-contained and Aaron were able to recognize pennies, nickels, and
classroom. Ryan was provided a Behavior Intervention Plan dimes; and Ryan was able to recognize pennies and nickels.
(BIP) due to frequent displays of verbal and physical In the subtest category, equivalent values of coins and the
aggression. Despite difficulties in some social situations in dollar bill, Joey and Will scored (4/9), Ryan scored (8/9),
school, Ryan seemed to enjoy interacting with adults and and Aaron scored (7/9). In the category, CBM–Exact
peers. According to the DIBELS, Ryan was reading third- Change (up to $25.00), Joey scored (4/5), Will and Aaron
grade level text at 64 words per minute with 98% accuracy. scored (0/5), and Ryan scored (1/5).
In his IEP, recalling information from stories read was noted Second, to pinpoint the instructional level, a curriculum-
as an area of strength. based assessment was administered to determine students’
accuracy while reading a price tag and giving exact change,
Aaron. As was the case with Ryan, Aaron’s assessment using the fewest possible bills and coins. The curriculum-
scores fell in the very low range. During the study, Aaron based assessment included five items and five price tags.
attended one resource class (reading), and three general The prices listed on the curriculum-based assessment were
education classes (career introduction, art, and chorus) with $2.37, $19.54, $7.18, $22.07, and $12.89. Results of the
a paraeducator or a peer tutor. He spent the remainder of the curriculum-based assessment for all participants ranged
school day in a life skills self-contained classroom. Aaron from 0% to 20%, indicating a need for math instruction in
struggled to attend and stay on task in class; he often looked the area assessed.
around the classroom or attempted to talk to other students.
Aaron was friendly and outgoing, and appeared to get along
well with other students in the class. According to the Setting
DIBELS, Aaron was reading third-grade level text at 130 The study was conducted in a junior high school of approx-
words per minute with 99% accuracy. Aaron also scored at imately 1,200 students in a suburban neighborhood in the
a third-grade level in reading comprehension. In his IEP, western part of the United States. The classroom contained
reading was noted as an area of strength. 10 students (5 boys and 5 girls), with disabilities, including
70 Focus on Autism and Other Developmental Disabilities 28(2)

autism, multiple disabilities, intellectual disability, other dimes, 30 nickels, and 50 pennies; scratch paper; and a pen-
health impairments, and emotional disturbance. Adults cil, students will estimate, calculate, and show the exact
working in the classroom included one licensed special change with at least 80% accuracy over at least three con-
education teacher, two classroom paraeducators, and one secutive sessions, using the following steps:
paraeducator assigned to a specific student. Baseline, inter-
vention, and postintervention phases of the study occurred • Read the story problem or watch the video model on
in a partitioned section of the classroom. the iPad.
Prior to the intervention, math instruction consisted of • Identify the cost of the item listed on the price tag by
delivering math content individually or in small groups. circling the price.
Materials included manipulatives, worksheets, and learning • Estimate the amount to be paid using the smallest
activities. A token economy featuring reward charts and number of bills by writing the estimate.
simulated money was used to reinforce desired behavior. • Give the money to the teacher.
Possible rewards included 5 min of free time on an iPad. By • Estimate about how much change you should get
this means, students were able to familiarize themselves back (within $0.50) by writing the estimate.
with the iPad prior to the commencement of the study. • Calculate and write the exact amount you should get
back.
• Use the cash register to make exact change using the
Materials fewest possible bills and coins.
All videos were created using a Panasonic HM-TA1 flip
video camcorder and Windows Live Movie Maker soft- To record student performance, the teacher used a scor-
ware. Five videos were developed for each participant ing form listing all of the steps of the task analysis for each
using video feedforward (Dowrick, 1999) to show the indi- of the problems. The scoring procedure was integral to the
vidual students successfully completing five story prob- study’s dependent variable (i.e., the percentage of steps par-
lems. Following the editing of each video, the five videos ticipants completed correctly). The teacher likewise docu-
per student were loaded onto a 16-GB Apple iPad for view- mented the number of times the student watched the VSM
ing. A cash drawer also contained specified simulated on the scoring form.
money. At the beginning of each instructional session, stu-
dents were given a worksheet with story problems relating
to functional math, scratch paper, and a pencil. Interobserver Agreement
Each instructional session was videotaped. To conduct the
reliability checks, the first author (primary coder) and a
Response Measurement and Data Collection second coder independently viewed one third of the ses-
Students were instructed to estimate the amount they sions in baseline, intervention, and postintervention phases.
should use to purchase a particular item and the amount of To achieve acceptable levels of agreement, the two coders
change they should receive back. The purpose of the discussed the scoring criteria in detail and the second coder
instruction was to help ensure honest treatment by mer- practiced the scoring procedure. The two coders then inde-
chants in real-life settings. pendently scored three work samples, achieving an agree-
The learning objective was related to the common core ment index of 100%. The observer scoring records were
state mathematics standards for seventh graders, standard compared item by item and an agreement was tallied if both
7.EE, “solve real life and mathematical problems using coders recorded identical scores. Point-by-point percentage
numerical and algebraic expressions and equations” agreement (Kazdin, 1982) was calculated by dividing the
(“Common Core State Standards for Mathematics,” n.d., p. number of agreements by the number of agreements plus
47). The standard suggests that students need to understand disagreements and multiplying by 100%. The percentage of
how to solve functional multistep math problems, convert agreement in baseline, intervention, and postintervention
between mathematical forms, and use mental computation phases for all study participants was 100%.
and estimation. Essential math skills linked to the common
core were assessed by recording the dependent variable
(i.e., the percentage of steps completed accurately and inde- Experimental Design
pendently). The assessment aligned with the following Experimental effects were evaluated within a multiple-
learning objective: baseline-across-participants design. Baseline data were
Given five story problems using specific price tags initially gathered on the dependent variable, percentage of
($3.49, $8.68, $14.82, $17.13, and $24.53); a cash register correct responses, for each of the four students. When all
containing simulated money consisting of two $20 bills, baseline data were stable with respect to level and trend, the
four $10 bills, five $5 bills, 25 $1 bills, 10 quarters, 20 intervention was applied to the first baseline series while
Burton et al. 71

baseline conditions were continued for the other partici- story problems similar to those presented during the inter-
pants. When the behavior of the first student reached the vention phase. The adult directed the student to read the
criterion level as defined in the learning objective (80% story problem and follow the directions listed on the work-
accuracy over at least three consecutive sessions), the inter- sheet. The adult did not instruct or give feedback regarding
vention was implemented with the second student. This the accuracy of the student’s response.
procedure was followed until all of the participants had
received the intervention. Video development. To develop the videos, the teacher turned
on the video recorder, presented each student with a script
of the seven steps of the task analysis and prompted each
Experimental Procedures student as necessary in reading the steps and solving the
In addition to baseline, intervention, and postintervention story problems while being videotaped. The teacher pro-
phases, an additional nonexperimental phase involved the vided the level of prompting needed to ensure accurate
development of the video self-model, occurring between completion of the story problem. The script listed all seven
baseline and intervention phases. Math problems presented steps of the task analysis and contained exact statements to
in the baseline phase differed from those assessed during the be read by the students. Each participant was required to
intervention phase. However, problems presented in both solve five math problems, resulting in five video self-mod-
phases were assumed to be of similar difficulty because they els representing the problems to be solved. The videos were
were kept within the same price range. The classroom edited to eliminate teacher prompts and ranged in length
teacher additionally tried to anticipate the change partici- from approximately 3 to 5 min. Data were not collected dur-
pants would be expected to make to assure the use of similar ing the video development phase because only one session
coins across baseline and intervention phases. The five was needed.
problems comprising the baseline assessment were changed
every three sessions to prevent participants from becoming Intervention: Math instruction via VSM. The intervention pro-
too familiar with (or overly frustrated by) the high demand cedures were implemented twice daily, 4 days a week. After
task. During baseline and intervention phases, participants turning on the video recorder on the iPad, the student
received daily assessment and/or instruction in approxi- watched himself complete one problem. He could then
mately 20- to 30-min sessions four to eight times per week. pause the video, fast-forward, or rewind as necessary to
The worksheets used consisted of step-by-step instructions solve the same problem on paper. This procedure was fol-
and five one-sentence story problems with the solution of lowed for each of the five problems presented. The VSM
each problem encompassing seven distinct steps. intervention was implemented without the teacher’s assis-
Positive reinforcement (i.e., verbal praise and a class- tance. The teacher’s role was to record student performance,
room token economy) was delivered in baseline, interven- collect treatment fidelity data, and praise appropriate behav-
tion, and postintervention phases. Because the purpose of ior. Intervention procedures were continued until the crite-
the study was to test the effects of VSM alone, rather than rion level of performance was achieved and maintained for
to assess the impact of a multicomponent treatment pack- at least three consecutive sessions.
age, participants were praised for engaging in appropriate
behavior, but no praise was delivered for improved aca- Post-intervention. Post-intervention consisted of six individ-
demic performance; in addition, neither prompts nor error ual phases. During the postintervention phase, a fading pro-
correction procedures were used. Examples of behavior cedure was used to reduce the number of video models
praise statements included, “I like the way you are follow- provided to the student over time. This was accomplished
ing directions” and “Great working!” The token economy by requiring the participants to complete one novel problem
implemented in the students’ classroom allowed students without a video model while gradually removing the model
to earn five stars for working prior to selecting the back-up for previously solved problems.
reinforcer of their choice. Free-reading time, pretend quar- In Phase 1, the video model was provided for four previ-
ters to be used in the class store, listening to music, helping ously solved problems while one novel problem was intro-
the teacher, swinging, choosing a friend to sit by, and play- duced and answered without the video model. The VSM
ing a game were back-up reinforcer options. was gradually removed for the problems in subsequent
phases, until postintervention Phase 5 when participants
Baseline. The first author (classroom teacher) trained two were expected to solve all five problems without the video
paraeducators in implementation procedures prior to the model.
beginning of the study. The training occurred over a period In postintervention Phase 6, the student was presented
of approximately 1 week in five 30-min sessions. During with the same five problems assessed during the interven-
baseline, either the classroom teacher or the paraeducator tion phase. The purpose of this phase was to determine
worked one-on-one with each student and presented five whether the participant could successfully solve the
72 Focus on Autism and Other Developmental Disabilities 28(2)

previously practiced problems, given the lapse in time, worksheet containing five story problems and a list of
without the use of the video model. Although the video seven steps to be used in solving the problems.
model was eventually removed, visual prompts (i.e., the
seven steps needed to complete each problem) were listed
on the worksheets for the duration of the study. Having the Joey
opportunity to access the seven steps allowed the students During baseline, Joey read the story problems out loud and
to independently prompt themselves. occasionally circled the correct price, completing at the
Following the completion of postintervention Phase 6, most two out of the seven steps required to solve the prob-
student performance was examined in three weekly probes. lem. Baseline data were somewhat variable with a slight
VM was removed during follow-up and the math problems downward trend. The mean percentage of steps solved cor-
presented were identical to those evaluated during the inter- rectly during baseline was 24% with a median of 26% and
vention phase. range of 16% to 28%.
At the beginning of intervention, the change in level was
immediate and pronounced. Intervention data were slightly
Data Analysis variable with a consistent upward trend. The mean percent-
Visual analysis was used to analyze and interpret the results age of steps solved correctly during intervention was 98%
of the study. Using a line graph, individual student perfor- (range = 91%–100%). The increase in the percentage of
mance was recorded and analyzed daily in baseline, inter- steps solved correctly during intervention was 74%. The
vention, and postintervention phases. Changes in level, mean percentage of steps completed correctly across the
trend, and variability were carefully noted across and first five postintervention phases was 98.8%. The mean per-
within conditions and were important indicators of an centage correct for postintervention Phase 6 was 100%.
experimental effect. Baseline, intervention, and postinter- Results of three weekly probes all reached 100%.
vention averages were calculated and compared. The
research objective was to demonstrate a functional relation-
ship between the dependent variable (percentage of correct Will
responses) and independent variable (VSM) by observing a During baseline, Will read the story problems out loud,
systematic change in student performance that occurred at completing at the most one out of the seven steps required
the same time the intervention was introduced. to solve the problem. Baseline data revealed no downward
or upward trend. All baseline values equaled 14%. After
Treatment fidelity. The teacher assessed treatment fidelity intervention was initiated, the change in level was immedi-
using a checklist for each phase of the study as well as the ate and pronounced. Intervention data were stable with no
set-up. She collected data on all steps of the task analysis downward or upward trend. The mean percentage of steps
for each intervention session, and an independent observer solved correctly during intervention was 100%. The
recorded data during 33% of the intervention phases. Treat- increase in the percentage of steps solved correctly during
ment fidelity measures verified the teacher’s use of the intervention was 86%.
instructional task analysis, which included providing The mean percentage of steps completed correctly across
the iPad to the student, prompting the student to activate the the first five postintervention phases was 96.7%; percent-
device, and collecting data, during all phases of the study. ages for the sixth postintervention phase averaged 90.3%.
Data confirmed that all materials were set up and interven- Results of the weekly probes averaged 92.3%.
tion procedures accurately implemented 100% of the time.
Ryan
Results During baseline, Ryan completed none of the seven steps
Effects of VSM via an iPad on the math performance of required to solve the problem, resulting in 0% correct. At
adolescent students with autism and intellectual disability the beginning of intervention, the change in level was
were evaluated using a multiple-baseline design across four immediate and pronounced. Intervention data were slightly
participants in baseline, intervention, and postintervention variable with an upward trend. The mean percentage of
phases. Data analysis revealed a functional relationship steps solved correctly during intervention was 98.5%
between VSM and accuracy of math calculation for all four (range = 97%–100%). The increase in the percentage of
participants during the calculation of five math problems steps solved correctly during intervention was 98.5%.
during the intervention phase and math problems that var- The mean percentage correct across the first five postint-
ied during postintervention Phases 1 through 5. Figure 1 ervention phases was 93.2%, while performance in postint-
shows the effect of VSM on the percentage of steps that ervention Phase 6 averaged 85.8%. Results of weekly
each student solved accurately and independently using a probes indicated an overall average of 88%.
Burton et al. 73

Figure 1.  Percentage of steps completed accurately for all participants.


Note: VSM = video self-model; M = maintenance.

Aaron points. The mean percentage of steps solved correctly dur-


ing intervention was 98.5% (range = 94%–100%). The
During baseline, Aaron read the story problems out loud, increase in the percentage of steps solved correctly during
completing at the most one out of the seven steps required intervention was 84.5%.
to solve the problem. Baseline data revealed no downward The mean percentage of steps completed correctly dur-
or upward trend. All data points were 14%. When the inter- ing the first five postintervention phases was 92.58%,
vention began, the change in level was immediate and whereas postintervention Phase 6 scores averaged 87%.
pronounced. Intervention data were slightly variable with Results of weekly probes indicated an average score of
no observed difference in trend in the final three data 79.6%.
74 Focus on Autism and Other Developmental Disabilities 28(2)

Stimulus Generalization disability. Results of the study were interpreted to identify


a functional relationship between dependent and indepen-
Because the novel problems had not been previously intro- dent variables over three replications of the VSM interven-
duced and the order in which these problems were pre- tion. The dependent variable, percentage of correct
sented in each of the five postintervention phases varied, responses, indicated marked improvement in participant
the first five of the six postintervention phases allowed performance only when the intervention was implemented
participants to transfer previous learning to an unfamiliar and not before; intervention effects were similar during the
stimulus and to demonstrate flexibility of responding with- study’s follow-up phase, and the participants’ ability to
out the use of the video model. In terms of the dependent transfer learning to a novel stimulus was demonstrated in
variable, percentage of correct responses, the results the first five postintervention phases.
achieved in the assessment indicated varied degrees of Similar to previous VM and VSM findings (Bellini &
stimulus generalization across individual participants. Akullian, 2007; Buggey, 2007; Charlop-Christy &
To sort out the effects of test practice, the dependent Daneshvar, 2003; Cihak et al., 2010; Hitchcock et al., 2003),
variable was examined in relation to each participant’s ini- the intervention applied in the current study was successful
tial attempt to solve a novel problem. In this analysis, the in teaching students with disabilities a new skill. Results
mean percentage of steps completed correctly across the were likewise consistent with those of prior researchers in
five postintervention phases ranged from 82.8% (Joey) to showing improved math functioning through the use of VM
59.8% (Aaron), with an overall average of nearly 70% for and VSM of students with disabilities and students at risk of
the four participants. failure (Cihak & Bowlin, 2009; Schunk & Hanson, 1989).
The data additionally substantiated previous VM and VSM
Social Validity research demonstrating continuous improved student per-
formance across time (Bellini & Akullian, 2007; Cihak &
Social validity was assessed using two versions of an open- Bowlin, 2009; Cihak et al., 2010). Finally, the results can be
ended, four-question survey. The surveys evaluated partici- used to confirm the efforts of previous researchers investi-
pants’ satisfaction with goals, procedures, and outcomes of gating the use of handheld computers to promote student
the study (Wolf, 1978). The first survey was administered learning (Cihak & Bowlin, 2009; Cihak et al., 2010).
to the paraeducators involved in the study’s implementa- Results of the current study extended the previous VSM
tion; the second was administered to student participants. literature in a number of respects. First, the VSM interven-
The classroom teacher distributed the surveys and assumed tion incorporated innovative instructional methodologies
the students could read and understand the questions; she allowing students with disabilities who were receiving ser-
offered an explanation if a student asked for one. (Ryan vices in a self-contained special education classroom
asked one or two questions. Other participants answered increased access to the core curriculum. Although many
the questions independently.) evidence-based practices have been previously identified
Both paraeducators stated that they enjoyed participating (Browder & Cooper-Duffy, 2003), our efforts expanded the
in the study. Time and scheduling issues were the only chal- knowledge base in academic core instruction, specifically,
lenging aspects noted. Each paraeducator reported seeing through the use of VSM via an iPad, demonstrating the
immediate progress in the students’ performance during the intervention’s utility as a highly efficient aide to instruction.
intervention phase. One remarked, “I saw students using the Second, the study extended the research by documenting
iPad as a learning tool, and I saw firsthand that these stu- the acquisition of a functional math skill clearly linked to
dents could remember each step.” The other commented, the core curriculum (Browder & Cooper-Duffy, 2003).
“This study was amazing to me.” Third, the study extended research involving the use of
In their written comments, all student participants indi- VSM to teach a mathematical skill to a new population of
cated that they liked having a video made of them in class students, that is, adolescents with autism and intellectual
and stated that they enjoyed watching a video of them- disability.
selves. As Ryan affirmed, “It was cool and fun.” Three of
the four participants positively referenced the iPad. It was
observed that without exception, all of the students seemed Limitations
enthusiastic and excited to participate in the study each day. The single-case study was conducted with four participants,
affecting the generalizability of the findings. Replications
of the experimental effect would strengthen external valid-
Discussion ity. An additional limitation relates to the first author
The purpose of the current research was to evaluate the assuming the dual role of classroom teacher and researcher.
effects of VSM via an iPad on the mathematics skill acqui- Although the original intent was to involve the paraeduca-
sition of adolescent students with autism and intellectual tors according to a set schedule, near the beginning of the
Burton et al. 75

study, this involvement was discontinued. Even though data nickel, one dime, one quarter, or one dollar. Problem pre-
collection procedures did not appear to be compromised, sentation during the intervention phase also was restricted
the change was made due to concerns related to treatment to one five-item exemplar. It is acknowledged that repeated
fidelity. The paraeducators frequently asked the teacher presentations of the same academic task can have a “facili-
questions about the procedures, interrupting classroom tative effect” on participant performance (Gast, 2010).
instruction. As a result, the paraeducators were only Practice effects thus present a confounding variable, poten-
involved in approximately 20% of the total sessions, mostly tially influencing the outcome of the study. Instituting
during the baseline condition. greater variability among visual stimuli during task presen-
Certain procedural limitations factored into the current tation may have strengthened the results of the study in
research. Part of the instructions on the worksheets stated, terms of the inferences made.
“Read the story problem” when they should have read, Finally, although social validation data were collected,
“Read the story problem out loud or watch the video.” the way in which the information was gathered represents a
Changes were made to the worksheets after Day 1 of base- limitation. A more indirect method of assessing consumer
line. During the second session of the intervention phase, it satisfaction such as documenting students’ voluntary and/or
was noted that Joey’s video self-model contained a step that continued use of the VSM procedure following the study’s
was incorrect. Additional filming and editing were required completion would have strengthened the interpretation of
to correct the VSM for Joey. On one occasion during pos- the results. In the future, researchers would do well to
tintervention phases, only the morning session was con- examine areas noted in this section.
ducted due to the scheduling of school activities during the
afternoon session. It is possible this change in routine may
have had a subtle effect on participant performance. Because Implications for Practice
spring break occurred the 7th week of the 10-week study, The current findings can be used to suggest that VSM via
the postintervention and/or follow-up phases were inter- an iPad could be an effective option for teachers imple-
rupted for all participants. Outcomes for certain students menting interventions to improve the academic perfor-
may have been adversely affected. mance of students with autism and intellectual disability,
Marked differences were noted between Joey’s and including those receiving educational services in special
Aaron’s performances during the fading procedure and education classrooms. Moreover, the results of the study
follow-up probes. Although the two students made similar can be used to draw implications for educators delivering
gains during the intervention phase, Aaron’s posttreatment instruction to students of varied abilities in broadly diverse
averages declined dramatically, falling to 87% and 79.6%, settings. Importantly, the study’s outcome addressed the
respectively. In contrast, Joey’s scores averaged 100%, current need to extend the literature base in the use of VSM
both during postintervention Phase 6 and follow-up. It is to strengthen academic skills instruction (Prater, Carter,
speculated that differences in the students’ ability to retain Hitchcock, & Dowrick, 2012).
and generalize information may have been related to Specifically, the VSM intervention allowed participants
uncontrolled factors, such as differences in aptitude. For to independently access the technology and prompt them-
example, Joey’s level of intellectual functioning was selves through the completion of functional math skills
reported to be in the “low to average” range, while Aaron’s without teacher assistance. The results, therefore, have
full-scale IQ fell in the “borderline” range of intelligence. implications for educators in terms of innovative methods
In addition, Aaron’s working memory was estimated to be that may be feasibly implemented without high levels of
at the fourth percentile. The classroom teacher believed teacher supervision. The intervention is less labor-intensive
that Joey’s ability to memorize and follow visual cues were than some instructional procedures, potentially freeing up
important factors relating to his success. She likewise instructor time and allowing multiple students to receive
attributed Aaron’s performance, at least in part, to his being individualized assistance. Furthermore, the invention sup-
the last student to receive the intervention. Although both ports independence and the development of quality work
students qualified for participation in the study on the basis habits, important outcomes for all learners, including stu-
of skill-based assessment, differences in participant perfor- dents with autism.
mance suggest that it may be important to consider factors An immediate and abrupt change in student performance
other than skill level when planning for and accurately pro- was observed each time the video model was introduced.
jecting intervention outcomes. The data therefore demonstrate the efficacy of using visual
An additional limitation relates to the similarity of prices stimuli to enhance skill acquisition when working with stu-
in the intervention and postintervention phases. Each price dents with autism and limited cognitive ability. The class-
was changed based on its generalizability to one part of the room teacher reported that study participants appeared to be
problem (penny, nickel, dime, quarter, or dollar bill). In excited to use the iPad and watch the VSM. Anecdotal
other words, the price was altered either by one penny, one information indicated that students with serious behavior
76 Focus on Autism and Other Developmental Disabilities 28(2)

issues (i.e., aggression, language, fidgeting, inattention) disability, to participate more fully in the core curriculum
remained on task to a greater extent than when the technol- have greatly increased. In addition, there exists a greater
ogy was unavailable. Results suggest that VSM improved focus on individual strengths and fostering independence in
students’ academic skills and may have increased their task the presence of high expectations for students with dis-
engagement. abilities. Important outcomes include the acquisition of
Additional applications of VSM could benefit students functional, adaptive, daily living, and social skills, and to
with disabilities in a number of ways, allowing learners to gain the competencies necessary to achieve the highest
engage in a wide array of academic and work-related tasks. level of independence possible. Results of the study are
The increased educational opportunity could lead to improved interpreted to conclude that VSM via an iPad may be an
self-efficacy, resulting in better social and academic out- effective way to deliver academic content to adolescent
comes over the life span. Positive intervention effects, gener- students with autism and intellectual disability. Although
alized across behaviors, contexts, and time could likewise present findings are promising, additional research is
significantly affect future educational practice. needed to establish VSM as an evidence-based practice for
Interventions such as the one evaluated in the present students with disabilities and in a variety of academic con-
study may help adolescents with disabilities access the core texts (Prater et al., 2012).
curriculum and achieve improved long-term outcomes.
However, further research is needed to explore the efficacy Declaration of Conflicting Interests
of using interventions such as VSM to extend the literature The author(s) declared no potential conflicts of interest with
base in academic core instruction for all students with dis- respect to the research, authorship, and/or publication of this
abilities (Browder & Cooper-Duffy, 2003). article.

Funding
Implications for Research The author(s) disclosed receipt of the following financial sup-
Systematic replications of the study could be helpful in port for the research, authorship, and/or publication of this arti-
examining a number of research questions. For example, in cle: The project was funded through the receipt of a Graduate
the future, researchers would do well to assess the positive Research Award, Office of Graduate Studies, Brigham Young
effects of VSM via an iPad on dependent variables such as University.
on-task behavior during academic instruction. Anecdotal
data collected as part of the current research suggested that References
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