Skip to main content

Assistive Technology for People with Severe/Profound Intellectual and Multiple Disabilities

  • Chapter
  • First Online:
Assistive Technologies for People with Diverse Abilities

Abstract

This chapter provides an overview of studies that focused on intervention programs and technological resources directed at enhancing the performance/achievement of persons with severe and profound intellectual and multiple disabilities. The general goals of the studies included in the review were promoting adaptive behavior and environmental stimulation control (and occasionally also reducing problem posture/behavior), communication, preliminary ambulation skills, indoor orientation and travel, and task engagement. The studies are divided in four groups (with possible subgroups) based on the technological resources they assessed. The main technological resources employed were: microswitches, speech-generating devices (SGDs), spatial orientation systems, and activity instruction systems. The final part of the chapter provides general considerations about the studies (technological resources) reviewed and their implications for daily programs and also suggests several issues for new research in the area.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Algozzine, B., Browder, D., Karvonen, M., Test, D. W., & Wood, W. M. (2001). Effects of interventions to promote self-determination for individuals with disabilities. Review of Educational Research, 71, 219–277.

    Google Scholar 

  • Ayres, K., & Cihak, D. (2010). Computer- and video-based instruction of food-preparation skills: Acquisition, generalization, and maintenance. Intellectual and Developmental Disabilities, 48, 195–208.

    PubMed  Google Scholar 

  • Baldwin, D. (2003). Wayfinding technology: A road map to the future. Journal of Visual Impairment and Blindness, 97, 612–620.

    Google Scholar 

  • Banda, D. R., Dogoe, M. S., & Matuszny, R. M. (2011). Review of video prompting studies with persons with developmental disabilities. Education and Training in Autism and Developmental Disabilities, 46, 514–527.

    Google Scholar 

  • Bauer, S. M., Elsaesser, L.-J., & Arthanat, S. (2011). Assistive technology device classification based upon the World Health Organization’s, International Classification of Functioning, Disability and Health (ICF). Disability and Rehabilitation: Assistive Technology, 6, 243–259.

    PubMed  Google Scholar 

  • Bidwell, M. A., & Rehfeldt, R. A. (2004). Using video modeling to teach a domestic skill with an embedded social skill to adults with severe mental retardation. Behavioral Interventions, 19, 263–274.

    Google Scholar 

  • Borg, J., Larson, S., & Östegren, P. O. (2011). The right to assistive technology: For whom, for what, and by whom? Disability and Society, 26, 151–167.

    Google Scholar 

  • Brady, N. C. (2000). Improved comprehension of object names following voice output communication aid use: Two case studies. Augmentative and Alternative Communication, 16, 197–204.

    Google Scholar 

  • Brown, R. I., Schalock, R. L., & Brown, I. (2009). Quality of life: Its application to persons with intellectual disabilities and their families – introduction and overview. Journal of Policy and Practice in Intellectual Disabilities, 6, 2–6.

    Google Scholar 

  • Burne, B., Knafelc, V., Melonis, M., & Heyn, P. C. (2011). The use and application of assistive technology to promote literacy in early childhood: A systematic review. Disability and Rehabilitation: Assistive Technology, 6, 207–213.

    PubMed  Google Scholar 

  • Cannella-Malone, H. I., Fleming, C., Chung, Y.-I., Wheeler, G. M., Basbagill, A. R., & Singh, A. H. (2011). Teaching daily living skills to seven individuals with severe intellectual disabilities: A comparison of video prompting to video modeling. Journal of Positive Behavior Interventions, 13, 144–153.

    Google Scholar 

  • Cherrier, M. M., Mendez, M., & Perryman, K. (2001). Route learning performance in Alzheimer disease patients. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 14, 159–168.

    PubMed  Google Scholar 

  • Crawford, M. R., & Schuster, J. W. (1993). Using microswitches to teach toy use. Journal of Developmental and Physical Disabilities, 5, 349–368.

    Google Scholar 

  • Davies, D. K., Stock, S. E., & Wehmeyer, M. L. (2002). Enhancing independent task performance for individuals with mental retardation through use of a handheld self-directed visual and audio prompting system. Education and Training in Mental Retardation and Developmental Disabilities, 37, 209–218.

    Google Scholar 

  • Dewson, M. R. J., & Whiteley, J. H. (1987). Sensory reinforcement of head turning with nonambulatory, profoundly mentally retarded persons. Research in Developmental Disabilities, 8, 413–426.

    PubMed  Google Scholar 

  • Dillon, C. M., & Carr, J. E. (2007). Assessing indices of happiness and unhappiness in individuals with developmental disabilities: A review. Behavioral Interventions, 22, 229–244.

    Google Scholar 

  • Draheim, C. C., Williams, D. P., & McCubbin, J. A. (2002). Prevalence of physical inactivity and recommended physical activity in community-based adults with mental retardation. Mental Retardation, 40, 436–444.

    PubMed  Google Scholar 

  • Furniss, F., Ward, A., Lancioni, G., Rocha, N., Cunha, B., Seedhouse, P., et al. (1999). A palmtop-based job aid for workers with severe intellectual disabilities. Technology and Disability, 10, 53–67.

    Google Scholar 

  • Furniss, F., Lancioni, G., Rocha, N., Cunha, B., Seedhouse, P., Morato, P., et al. (2001). VICAID: Development and evaluation of a palmtop-based job aid for workers with severe developmental disabilities. British Journal of Educational Technology, 32, 277–287.

    Google Scholar 

  • Gadler, E., Grassi, A., & Riva, G. (2009). A rehabilitation protocol for empowering spatial orientation in MCI: A pilot study. Annual Review of CyberTherapy and Telemedicine, 7, 234–236.

    Google Scholar 

  • Gibson, M. C., MacLean, J., Borrie, M., & Geiger, J. (2004). Orientation behaviors in residents relocated to a redesigned dementia care unit. American Journal of Alzheimer’s Disease and Other Dementias, 19, 45–49.

    PubMed  Google Scholar 

  • Guth, D., & LaDuke, R. (1994). The veering tendency of blind pedestrians: An analysis of the problem and literature review. Journal of Visual Impairment and Blindness, 88, 391–400.

    Google Scholar 

  • Guth, D., & LaDuke, R. (1995). Veering by blind pedestrians: Individual differences and their implications for instruction. Journal of Visual Impairment and Blindness, 89, 28–37.

    Google Scholar 

  • Gutowski, S. J. (1996). Response acquisition for music or beverages in adults with profound multiple handicaps. Journal of Developmental and Physical Disabilities, 8, 221–231.

    Google Scholar 

  • Harr, N., Dunn, L., & Price, P. (2011). Case study on effect of household task participation on home, community, and work opportunities for a youth with multiple disabilities. Work: Journal of Prevention. Assessment and Rehabilitation, 39, 445–453.

    Google Scholar 

  • Hemsley, B., Sigafoos, J., Balandin, S., Forbes, R., Taylor, C., Green, V. A., et al. (2001). Nursing the patient with severe communication impairment. Journal of Advanced Nursing, 35, 827–835.

    PubMed  Google Scholar 

  • Higgerty, M. J., & Williams, A. C. (2005). Orientation and mobility training using small groups. Journal of Visual Impairment and Blindness, 99, 755–764.

    Google Scholar 

  • Holburn, S., Nguyen, D., & Vietze, P. M. (2004). Computer-assisted learning for adults with profound multiple disabilities. Behavioral Interventions, 19, 25–37.

    Google Scholar 

  • Joffee, E. (1995). Approaches to teaching orientation and mobility. In K. M. Huebner, J. G. Prickett, T. R. Welch, & E. Joffee (Eds.), Hand in hand: Essentials of communication and orientation and mobility for your students who are deaf-blind (pp. 575–611). New York: AFB Press.

    Google Scholar 

  • Joffee, E., & Rikhye, C. H. (1991). Orientation and mobility for students with severe visual and multiple impairments: A new perspective. Journal of Visual Impairment and Blindness, 85, 211–216.

    Google Scholar 

  • Karvonen, M., Test, D. W., Wood, W. M., Browder, D., & Algozzine, B. (2004). Putting self-determination into practice. Exceptional Children, 71, 23–41.

    Google Scholar 

  • Kazdin, A. E. (2001). Behavior modification in applied settings (6th ed.). New York: Wadsworth.

    Google Scholar 

  • Kennedy, C. (2005). Single case designs for educational research. New York: Allyn & Bacon.

    Google Scholar 

  • Konrad, M., Fowler, C. H., Walker, A. R., Test, D. W., & Wood, W. M. (2007). Effects of self-determination interventions on the academic skills of students with learning disabilities. Learning Disability Quarterly, 30, 89–113.

    Google Scholar 

  • Lachapelle, Y., Wehmeyer, M. L., Haelewyck, M. C., Courbois, Y., Keith, K. D., Schalock, R., et al. (2005). The relationship between quality of life and self-determination: An international study. Journal of Intellectual Disability Research, 49, 740–744.

    PubMed  Google Scholar 

  • Lancioni, G. E., & Oliva, D. (1988). A computer-aided programme for promoting unsupervised activities for multihandicapped adolescents. Journal of Mental Deficiency Research, 32, 125–136.

    PubMed  Google Scholar 

  • Lancioni, G. E., Bellini, D., & Oliva, D. (1993a). A robot to provide multihandicapped blind persons with physical guidance and activity choices. Journal of Developmental and Physical Disabilities, 5, 337–348.

    Google Scholar 

  • Lancioni, G. E., Bellini, D., & Oliva, D. (1993b). Building choice opportunities within a robot-assisted occupational program: a case study. Behavioral Residential Treatment, 8, 219–226.

    Google Scholar 

  • Lancioni, G. E., Oliva, D., & Bracalente, S. (1994). An electronic guidance system for multihandicapped blind persons: evaluating its effectiveness and likableness. Behavioral Interventions, 9, 93–103.

    Google Scholar 

  • Lancioni, G. E., Oliva, D., & Bracalente, S. (1995a). An acoustic orientation system to promote independent indoor travel in blind persons with severe mental retardation. Perceptual and Motor Skills, 80, 747–754.

    PubMed  Google Scholar 

  • Lancioni, G. E., Oliva, D., & Bracalente, S. (1995b). Comparison of two orientation systems for indoor travel of blind persons with mental retardation. Perceptual and Motor Skills, 81, 643–650.

    PubMed  Google Scholar 

  • Lancioni, G. E., Oliva, D., & Gnocchini, F. (1996). A visual orientation system for promoting indoor travel in persons with profound developmental disabilities and visual impairment. Perceptual and Motor Skills, 83, 619–626.

    PubMed  Google Scholar 

  • Lancioni, G. E., Oliva, D., Serenelli, S., & Pirani, P. (1997a). An unobtrusive system for helping a person with blindness and intellectual disability travel in indoor areas. Perceptual and Motor Skills, 85, 1431–1434.

    PubMed  Google Scholar 

  • Lancioni, G. E., Oliva, D., & Ten Hoopen, G. (1997b). Spoken messages as auditory cues for orientation in promoting indoor travel and activity by persons with multiple disabilities. Perceptual and Motor Skills, 85, 403–410.

    PubMed  Google Scholar 

  • Lancioni, G. E., Mantini, M., Cognini, I., & Pirani, P. (1998a). Facilitating ambulation and activity in persons with profound multiple disabilities through a visual orientation system. Behavioral Interventions, 13, 123–133.

    Google Scholar 

  • Lancioni, G. E., Oliva, D., & Bracalente, S. (1998b). A portable control device for promoting independent indoor travel by persons with severe multiple disabilities. Journal of Visual Impairment & Blindness, 92, 63–70.

    Google Scholar 

  • Lancioni, G. E., & Mantini, M. (1999). A corrective-feedback system for helping a person with multiple disabilities during indoor travel. Perceptual and Motor Skills, 88, 1291–1295.

    PubMed  Google Scholar 

  • Lancioni, G. E., Mantini, M., O’Reilly, M. F., & Oliva, D. (1999a). An adapted acoustic orientation system for promoting independent indoor travel and activity in persons with profound multiple disabilities. Journal of Developmental and Physical Disabilities, 11, 35–46.

    Google Scholar 

  • Lancioni, G. E., & Oliva, D. (1999). Using an orientation system for indoor travel and activity with persons with multiple disabilities. Disability and Rehabilitation, 21, 124–127.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., & Mantini, M. (1999b). Activity arrangements with or without mobility and performance of persons with multiple disabilities over long sessions. Irish Journal of Psychology, 20, 124–135.

    Google Scholar 

  • Lancioni, G. E., Gigante, A., O’Reilly, M. F., & Oliva, D. (2000a). Evaluating mild physical exercise with two persons with profound multiple disabilities. Journal of Visual Impairment and Blindness, 94, 461–465.

    Google Scholar 

  • Lancioni, G. E., Gigante, A., O’Reilly, M. F., Oliva, D., & Montironi, L. (2000b). Indoor travel and simple tasks as physical exercise for people with profound multiple disabilities. Perceptual and Motor Skills, 91, 211–216.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Seedhouse, P., Furniss, F., & Cunha, B. (2000c). Promoting independent task performance by persons with severe developmental disabilities through a new computer-aided system. Behavior Modification, 24, 700–718.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., & Basili, G. (2001a). An overview of technological resources used in rehabilitation research with people with severe/profound and multiple disabilities. Disability and Rehabilitation, 23, 501–508.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., & Basili, G. (2001b). Use of microswitches and speech output systems with people with severe/profound intellectual or multiple disabilities: A literature review. Research in Developmental Disabilities, 22, 21–40.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Oliva, D., & Coppa, M. M. (2001c). A microswitch for vocalization responses to foster environmental control in children with multiple disabilities. Journal of Intellectual Disability Research, 45, 271–275.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Oliva, D., & Coppa, M. M. (2001d). Using multiple microswitches to promote different responses in children with multiple disabilities. Research in Developmental Disabilities, 22, 309–318.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Oliva, D., Singh, N. N., & Coppa, M. M. (2002a). Multiple microswitches for multiple responses with children with profound disabilities. Cognitive Behaviour Therapy, 31, 81–87.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Oliva, D., Piazzolla, G., Pirani, P., et al. (2002b). Evaluating the use of multiple microswitches and responses for children with multiple disabilities. Journal of Intellectual Disability Research, 46, 346–351.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., & Oliva, D. (2002c). Using a hand-tap response with a vibration microswitch with students with multiple disabilities. Behavioural and Cognitive Psychotherapy, 30, 237–241.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Oliva, D., Baccani, S., & Canevaro, A. (2002d). Using simple hand-movement responses with optic microswitches with two persons with multiple disabilities. Research and Practice for Persons with Severe Disabilities, 27, 276–279.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Oliva, D., & Groeneweg, J. (2003). Using microswitches with persons who have profound multiple disabilities: Evaluation of three cases. Perceptual and Motor Skills, 97, 909–916.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Sigafoos, J., Singh, N. N., Oliva, D., & Basili, G. (2004a). Enabling a person with multiple disabilities and minimal motor behaviour to control environmental stimulation with chin movements. Disability and Rehabilitation, 26, 1291–1294.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Campodonico, F., Marziani, M., & Oliva, D. (2004b). A microswitch program to foster simple foot and leg movements in adult wheelchair users with multiple disabilities. Cognitive Behavior Therapy, 33, 137–142.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Oliva, D., Baccani, S., et al. (2004c). Technological aids to promote basic developmental achievements by children with multiple disabilities: Evaluation of two cases. Cognitive Processing, 5, 232–238.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Oliva, D., Coppa, M. M., & Montironi, G. (2005a). A new microswitch to enable a boy with minimal motor behavior to control environmental stimulation with eye blinks. Behavioral Interventions, 20, 147–153.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Campodonico, F., Oliva, D., & Vigo, C. M. (2005b). Promoting walker-assisted step responses by an adolescent with multiple disabilities through automatically delivered stimulation. Journal of Visual Impairment and Blindness, 99, 109–113.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., & Oliva, D. (2005c). Microswitch programs for persons with multiple disabilities: An overview of the responses adopted for microswitch activation. Cognitive Processing, 6, 177–188.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Oliva, D., & Groeneweg, J. (2005d). Enabling a girl with multiple disabilities to control her favorite stimuli through vocalization and a dual-microphone microswitch. Journal of Visual Impairment and Blindness, 99, 179–182.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Groeneweg, J., Bosco, A., Tota, A., et al. (2006a). A social validation assessment of microswitch-based programs for persons with multiple disabilities employing teacher trainees and parents as raters. Journal of Developmental and Physical Disabilities, 18, 383–391.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Oliva, D., Baccani, S., Severini, L., et al. (2006b). Micro-switch programmes for students with multiple disabilities and minimal motor behaviour: Assessing response acquisition and choice. Pediatric Rehabilitation, 9, 137–143.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Tota, A., Antonucci, M., et al. (2006c). Children with multiple disabilities and minimal motor behavior using chin movements to operate microswitches to obtain environmental stimulation. Research in Developmental Disabilities, 27, 290–298.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., La Martire, M. L., Stasolla, F., Smaldone, A., et al. (2006d). Microswitch-based programs as therapeutic recreation interventions for students with profound multiple disabilities. American Journal of Recreation Therapy, 5, 15–20.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Oliva, D., Smaldone, A., Tota, A., et al. (2006e). Assessing the effects of stimulation versus microswitch-based programmes on indices of happiness of students with multiple disabilities. Journal of Intellectual Disability Research, 50, 739–747.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Oliva, D., Costantini, A., et al. (2006f). An optic microswitch for an eyelid response to foster environmental control in children with minimal motor behaviour. Pediatric Rehabilitation, 9, 53–56.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Didden, R., Oliva, D., et al. (2007a). Persons with multiple disabilities and minimal motor behavior using small forehead movements and new microswitch technology to control environmental stimuli. Perceptual and Motor Skills, 104, 870–878.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Didden, R., Oliva, D., et al. (2007b). Small hand-closure movements used as a response through microswitch technology by persons with multiple disabilities and minimal motor behavior. Perceptual and Motor Skills, 104, 1027–1034.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Didden, R., Oliva, D., et al. (2007c). Effects of microswitch-based programs on indices of happiness of students with multiple disabilities: A new research evaluation. American Journal on Mental Retardation, 112, 167–176.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Oliva, D., Piazzolla, G., et al. (2007d). Automatically delivered stimulation for walker-assisted step responses: Measuring its effects in persons with multiple disabilities. Journal of Developmental and Physical Disabilities, 19, 1–13.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Oliva, D., Severini, L., et al. (2007e). Microswitch technology to promote adaptive responses and reduce mouthing in two children with multiple disabilities. Journal of Visual Impairment and Blindness, 101, 628–636.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Oliva, D., Antonucci, M., et al. (2008a). Microswitch-based programs for persons with multiple disabilities: An overview of some recent developments. Perceptual and Motor Skills, 106, 355–370.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Oliva, D., & Severini, L. (2008b). Enabling two persons with multiple disabilities to access environmental stimuli and ask for social contact through microswitches and a VOCA. Research in Developmental Disabilities, 29, 21–28.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Oliva, D., & Severini, L. (2008c). Three persons with multiple disabilities accessing environmental stimuli and asking for social contact through microswitch and VOCA technology. Journal of Intellectual Disability Research, 52, 327–336.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Campodonico, F., & Oliva, D. (2008d). Self-management of orientation technology and auditory cues for indoor travel by two persons with multiple disabilities. Journal of Developmental and Physical Disabilities, 20, 129–138.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Oliva, D., Gatti, M., et al. (2008e). A microswitch-cluster program to foster adaptive responses and head control in students with multiple disabilities: Replication and validation assessment. Research in Developmental Disabilities, 29, 373–384.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Buonocunto, F., Sacco, V., Colonna, F., et al. (2009a). Evaluation of technology-assisted learning setups for undertaking assessment and providing intervention to persons with a diagnosis of vegetative state. Developmental Neurorehabilitation, 12, 411–420.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Buonocunto, F., Sacco, V., Colonna, F., et al. (2009b). Technology-based intervention options for post-coma persons with minimally conscious state and pervasive motor disabilities. Developmental Neurorehabilitation, 12, 24–31.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., & Sigafoos, J. (2009c). An overview of behavioral strategies for reducing hand-related stereotypies of persons with severe to profound intellectual and multiple disabilities. Research in Developmental Disabilities, 30, 20–43.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Buonocunto, F., Sacco, V., et al. (2009d). Two persons with severe post-coma motor impairment and minimally conscious state use assistive technology to access stimulus events and social contact. Disability and Rehabilitation: Assistive Technology, 4, 367–372.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Didden, R., & Oliva, D. (2009e). Two boys with multiple disabilities increasing adaptive responding and curbing dystonic/spastic behavior via a microswitch-based program. Research in Developmental Disabilities, 30, 378–385.

    PubMed  Google Scholar 

  • Lancioni, G. E., Bellini, D., Oliva, D., Singh, N. N., O’Reilly, M. F., & Sigafoos, J. (2010a). Camera-based microswitch technology for eyelid and mouth responses of persons with profound multiple disabilities: Two case studies. Research in Developmental Disabilities, 31, 1509–1514.

    PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Buonocunto, F., Sacco, V., Colonna, F., et al. (2010b). Post-coma persons with minimal consciousness and motor disabilities learn to use assistive communication technology to seek environmental stimulation. Journal of Developmental and Physical Disabilities, 22, 119–129.

    Google Scholar 

  • Lancioni, G. E., Saponaro, F., Singh, N. N., O’Reilly, M. F., Sigafoos, J., & Oliva, D. (2010c). A microswitch to enable a woman with acquired brain injury and profound multiple disabilities to access environmental stimulation with lip movements. Perceptual and Motor Skills, 110, 488–492.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Alberti, G., Scigliuzzo, F., et al. (2010d). Persons with multiple disabilities use orientation technology to find room entrances during indoor traveling. Research in Developmental Disabilities, 31, 1577–1584.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Buonocunto, F., Sacco, V., et al. (2010e). Persons with acquired brain injury and multiple disabilities access stimulation independently through microswitch-based technology. Perceptual and Motor Skills, 111, 485–495.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Campodonico, F., & Oliva, D. (2010f). Two persons with multiple disabilities use orientation technology with auditory cues to manage simple indoor traveling. Research in Developmental Disabilities, 31, 397–402.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Oliva, D., Smaldone, A., et al. (2010g). Promoting ambulation responses among children with multiple disabilities through walkers and microswitches with contingent stimuli. Research in Developmental Disabilities, 31, 811–816.

    PubMed  Google Scholar 

  • Lancioni, G. E., Bellini, D., Oliva, D., Singh, N. N., O’Reilly, M. F., Lang, R., et al. (2011a). Camera-based microswitch technology to monitor mouth, eyebrow, and eyelid responses of children with profound multiple disabilities. Journal of Behavioral Education, 20, 4–14.

    Google Scholar 

  • Lancioni, G. E., Perilli, V., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Bosco, A., et al. (2011b). Persons with mild or moderate Alzheimer’s disease use a basic orientation technology to travel to different rooms within a day center. Research in Developmental Disabilities, 32, 1985–1991.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Alberti, G., Oliva, D., Megna, G., et al. (2011c). Post-coma persons with extensive multiple disabilities use microswitch technology to access selected stimulus events or operate a radio device. Research in Developmental Disabilities, 32, 1638–1645.

    PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Ricci, I., Addante, L. M., et al. (2011d). A woman with multiple disabilities uses a VOCA system to request for and access caregiver-mediated stimulation events. Life Span and Disability, 14, 91–99.

    Google Scholar 

  • Lancioni, G. E., Sigafoos, J., O’Reilly, M. F., & Singh, N. N. (2012a). Assistive technology: Interventions for individuals with severe/profound and multiple disabilities. New York: Springer.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Amenduni, M. T., Navarro, J., et al. (2012b). Microswitch technology and contingent stimulation to promote adaptive engagement in persons with minimally conscious state: A case evaluation. Cognitive Processing, 13, 133–137.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Ricci, I., Buonocunto, F., et al. (2012c). Access to environmental stimulation via eyelid responses for persons with acquired brain injury and multiple disabilities: A new microswitch arrangement. Perceptual and Motor Skills, 114, 353–362.

    PubMed  Google Scholar 

  • Lancioni, G. E., Perilli, V., O’Reilly, M. F., Singh, N. N., Sigafoos, J., Bosco, A., et al. (2013). Teachnology-based orientation programs to support indoor travel by persons with moderate Alzheimer’s disease: Impact assessment and social validation. Research in Developmental Disabilities, 34, 286–293.

    PubMed  Google Scholar 

  • Leatherby, J. K., Gast, D. L., Wolery, M., & Collins, B. C. (1992). Assessment of reinforcer preference in multi-handicapped students. Journal of Developmental and Physical Disabilities, 4, 15–36.

    Google Scholar 

  • Leung, B., & Chau, T. (2010). A multiple camera tongue switch for a child with severe spastic quadriplegic cerebral palsy. Disability and Rehabilitation: Assistive Technology, 5, 58–68.

    PubMed  Google Scholar 

  • Lui, M., Falk, T. H., & Chau, T. (2012). Development and evaluation of a dual-output vocal cord vibration switch for persons with multiple disabilities. Disability and Rehabilitation: Assistive Technology, 7, 82–88.

    PubMed  Google Scholar 

  • Marquardt, G., & Schmieg, P. (2009). Dementia-friendly architecture: Environments that facilitate wayfinding in nursing homes. American Journal of Alzheimer’s Disease and Other Dementias, 24, 333–340.

    PubMed  Google Scholar 

  • Martinsen, H., Tellevik, J. M., Elmerskog, B., & StorlilØkken, M. (2007). Mental effort in mobility route learning. Journal of Visual Impairment and Blindness, 101, 327–338.

    Google Scholar 

  • McDougall, J., Evans, J., & Baldwin, P. (2010). The importance of self-determination to perceived quality of life for youth and young adults with chronic conditions and disabilities. Remedial and Special Education, 31, 252–260.

    Google Scholar 

  • Mechling, L. C. (2006). Comparison of the effects of three approaches on the frequency of stimulus activation, via a single switch, by students with profound intellectual disabilities. The Journal of Special Education, 40, 94–102.

    Google Scholar 

  • Mechling, L. C., & Gustafson, M. (2009). Comparison of the effects of static picture and video prompting on completion of cooking related tasks by students with moderate intellectual disabilities. Exceptionality, 17, 103–116.

    Google Scholar 

  • Moisey, S. D. (2007). The Inclusive Libraries Initiative: Enhancing the access of persons with developmental disabilities to information and communication technology. Developmental Disabilities Bulletin, 35, 56–71.

    Google Scholar 

  • Moisey, S., & van de Keere, R. (2007). Inclusion and the Internet: Teaching adults with developmental disabilities to use information and communication technology. Developmental Disabilities Bulletin, 35, 72–102.

    Google Scholar 

  • Mullennix, J., & Stern, S. (Eds.). (2010). Computer synthesized speech technologies: Tools for aiding impairment. Hershey, NY: Medical Information Science Reference.

    Google Scholar 

  • Parette, H. P., Meadan, H., Doubet, S., & Hess, J. (2010). Supporting families of young children with disabilities using technology. Education and Training in Autism and Developmental Disabilities, 45, 552–565.

    Google Scholar 

  • Parker, A. T. (2009). Orientation and mobility with persons who are deaf-blind: An initial examination of single-subject-design research. Journal of Visual Impairment and Blindness, 103, 372–377.

    Google Scholar 

  • Petry, K., Maes, B., & Vlaskamp, C. (2005). Domains of quality of life of people with profound multiple disabilities: The perspective of parents and direct support staff. Journal of Applied Research in Intellectual Disabilities, 18, 35–46.

    Google Scholar 

  • Petry, K., Maes, B., & Vlaskamp, C. (2009). Measuring the quality of life of people with profound multiple disabilities using the QOL-PMD: First results. Research in Developmental Disabilities, 30, 1394–1405.

    PubMed  Google Scholar 

  • Provencher, V., Bier, N., Audet, T., & Gagnon, L. (2008). Errorless-based techniques can improve route finding in early Alzheimer’s disease: A case study. American Journal of Alzheimer’s Disease and Other Dementias, 23, 47–56.

    PubMed  Google Scholar 

  • Rainville, C., Passini, R., & Marchand, N. (2001). A multiple case study of wayfinding in dementia of the Alzheimer type: Decision making. Aging Neuropsychology and Cognition, 8, 54–71.

    Google Scholar 

  • Realon, R. E., Favell, J. E., & Dayvault, K. A. (1988). Evaluating the use of adapted leisure materials on the engagement of persons who are profoundly, multiply handicapped. Education and training in Mental retardation, 23, 228–237.

    Google Scholar 

  • Reichle, J. (2011). Evaluating assistive technology in the education of persons with severe disabilities. Journal of Behavioral Education, 20, 77–85.

    Google Scholar 

  • Ripat, J., & Woodgate, R. (2011). The intersection of culture, disability and assistive technology. Disability and Rehabilitation: Assistive Technology, 6, 87–96.

    PubMed  Google Scholar 

  • Rispoli, M. J., Franco, J. H., van der Meer, L., Lang, R., & Camargo, S. P. H. (2010). The use of speech generating devices in communication interventions for individuals with developmental disabilities: A review of the literature. Developmental Neurorehabilitation, 13, 276–293.

    PubMed  Google Scholar 

  • Ross, D. A., & Kelly, G. W. (2009). Filling the gaps for indoor wayfinding. Journal of Visual Impairment and Blindness, 103, 229–234.

    Google Scholar 

  • Sandler, A. G., & McLain, S. C. (1987). Sensory reinforcement: Effects of response-contingent vestibular stimulation on multiply handicapped children. American Journal of Mental Deficiency, 91, 373–378.

    PubMed  Google Scholar 

  • Saunders, M. D., Smagner, J. P., & Saunders, R. R. (2003). Improving methodological and technological analyses of adaptive switch use of individuals with profound multiple impairments. Behavioral Interventions, 18, 227–243.

    Google Scholar 

  • Schepis, M. M., & Reid, D. H. (1995). Effects of a voice output communication on interactions between support personnel and an individual with multiple disabilities. Journal of Applied Behavior Analysis, 28, 73–77.

    PubMed  Google Scholar 

  • Scherer, M. J., Craddock, G., & Mackeogh, T. (2011). The relationship of personal factors and subjective well-being to the use of assistive technology devices. Disability and Rehabilitation, 33, 811–817.

    PubMed  Google Scholar 

  • Shih, C.-H. (2011). Assisting people with developmental disabilities to improve computer pointing efficiency through multiple mice and automatic pointing assistive programs. Research in Developmental Disabilities, 32, 1736–1744.

    PubMed  Google Scholar 

  • Sigafoos, J., Green, V. A., Payne, D., Son, S.-H., O’Reilly, M., & Lancioni, G. E. (2009). A comparison of picture exchange and speech generating devices: Acquisition, preference, and effects on social interaction. AAC: Augmentative and Alternative Communication, 25, 99–109.

    PubMed  Google Scholar 

  • Sullivan, M. W., Laverick, D. H., & Lewis, M. (1995). Fostering environmental control in a young child with Rett syndrome: A case study. Journal of Autism and Developmental Disorders, 25, 215–221.

    PubMed  Google Scholar 

  • Szymanski, L. S. (2000). Happiness as a treatment goal. American Journal on Mental Retardation, 105, 352–362.

    PubMed  Google Scholar 

  • Tam, G. M., Phillips, K. J., & Mudford, O. C. (2011). Teaching individuals with profound multiple disabilities to access preferred stimuli with multiple microswitches. Research in Developmental Disabilities, 32, 2352–2361.

    PubMed  Google Scholar 

  • Taylor, J. L., & Hodapp, R. M. (2012). Doing nothing: Adults with disabilities with no daily activities and their siblings. American Journal of Intellectual and Developmental Disabilities, 117, 67–79.

    Google Scholar 

  • Thunberg, G., Ahlsén, E., & Sandberg, A. D. (2007). Children with autistic spectrum disorders and speech-generating devices: Communication in different activities at home. Clinical Linguistics and Phonetics, 21, 457–479.

    PubMed  Google Scholar 

  • Uslan, M. (1976). Teaching basic ward layout to the severely retarded blind: An auditory approach. The New Outlook for the Blind, 70, 401–402.

    Google Scholar 

  • Uslan, M., Malone, S., & De L’Aune, W. (1983). Teaching route travel to multiply handicapped blind adults: An auditory approach. Journal of Visual Impairment and Blindness, 77, 18–20.

    Google Scholar 

  • Uslan, M., Russell, I., & Weiner, C. (1988). A musical pathway for spatially disoriented blind residents of a skilled nursing facility. Journal of Visual Impairment and Blindness, 82, 21–24.

    Google Scholar 

  • Wacker, D. P., Wiggins, B., Fowler, M., & Berg, W. K. (1988). Training students with profound or multiple handicaps to make requests via microswitches. Journal of Applied Behavior Analysis, 21, 331–343.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giulio E. Lancioni .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lancioni, G.E., Singh, N.N., O’Reilly, M.F., Sigafoos, J., Oliva, D. (2014). Assistive Technology for People with Severe/Profound Intellectual and Multiple Disabilities. In: Lancioni, G., Singh, N. (eds) Assistive Technologies for People with Diverse Abilities. Autism and Child Psychopathology Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4899-8029-8_10

Download citation

Publish with us

Policies and ethics