The Use of a PECS-based Electronic Communication Application in Working with Children with Developmental Disabilities. Case Study

Objectives. The use of alternative and augmented communication in children and adults with developmental disabilities significantly improves the skills necessary for successful social adaptation and learning. The article analyzes the results of using the PECS IV+ tablet communication app in several children with different types of developmental disabilities. Methods. Three children with different types of developmental disabilities (including autism, cognitive impairments etc.) aged 5–6 years took part in this case study. Participants study in the preschool department of the “My Planet” Inclusive Center. To test the effects and effectiveness of using the PECS IV+ application, a multiple-baseline design was used. We analyzed the transition from the analog version of PECS to the tablet application. The dependent variables were the number mands (non-verbal request behavior) and episodes of problem behavior. In addition, we calculated the d-Cohen effect size for each participant. Results. The average number of requests increased in the intervention phase in two out of three participants, medium effect of changes between phases is recorded for all participants. In terms of the number of episodes of problem behavior, a significant decrease was detected in two of the participants. The strong size of the effect of changes in this parameter between phases was revealed in two of the three participants. Conclusion. The study suggests that when using the e-application, the study participants showed reductions in some types of undesirable behaviours, as well as successful requesting skills.

1. Alekseeva E.I., Andreeva S.V. Formirovanie navykov obshcheniya s ispol'zovaniem sredstv al'ternativnoi kommunikatsii u detei s tyazhelymi i mnozhestvennymi narusheniyami razvitiya [Development of the communication skills using alternative communication in children with severe and multiple developmental disorders]. Vospitanie i obuchenie detei s narusheniyami razvitiya=Raising and teaching children with developmental disorders, 2014. no. 3, pp.1–16. (In Russ.).
2. Andrusenko V.M., Rimskaya T.O. Osnovnoe obshchee obrazovanie u detei, ispol'zuyushchikh sistemu al'ternativnoi kommunikatsii PECS [Basic general education for children using the PECS alternative communication system]. Severo-Kavkazskii psikhologicheskii vestnik=North Caucasian Psychological Bulletin, 2022. Vol. 20, no. 3, pp. 5–16. DOI: 10.21702/ncpb.2022.3.1 (In Russ., abstr. in Engl.).
3. Blinova A.M., Vyalitov R.R., Davydova Yu.A. et al. Ispol'zovanie plansheta kak sredstva kommunikatsii: otvety na populyarnye voprosy: uchebno-metodicheskoe posobie dlya roditelei i nachinayushchikh spetsialistov v oblasti al'ternativnoi i dopolnitel'noi kommunikatsii [Using a tablet as a means of communication: answers to popular questions: an educational manual for parents and aspiring specialists in the field of alternative and complementary communication]. Moscow: ANO "Laboratoriya Sensor-Tekh", 2022. 55 p. (In Russ.).
4. Gnedenko Ya.S., Karanevskaya O.V. Vliyanie ispol'zovaniya al'ternativnoi i dopolnitel'noi kommunikatsii na smyagchenie povedencheskikh trudnostei detei i podrostkov s tyazhelymi mnozhestvennymi narusheniyami razvitiya [The impact of the use of alternative and complementary communication on the mitigation of behavioral difficulties of children and adolescents with severe multiple developmental disorders]. Autizm i narusheniya razvitiya=Autism and developmental disorders, Vol. 20, no. 3, pp. 65–79. DOI: 10.17759/autdd.2022200307 (In Russ., abstr. in Engl.).
5. Gryaznova A.N., Vasina V.V. Otsenka sformirovannosti kommunikativnykh navykov c pomoshch'yu VB-MAPP u detei doshkol'nogo vozrasta s RAS [Assessment of the formation of communication skills using VB-MAPP in preschool children with ASD]. Autizm i narusheniya razvitiya=Autism and developmental disorders, 2020. Vol. 18, no. 4, pp. 23–32. DOI: 10.17759/autdd.2020180403 (In Russ., abstr. in Engl.).
6. Erofeeva O.S. Osobennosti korrekcionno-razvivajushhej raboty uchitelja-logopeda s det'mi s rasstrojstvami autisticheskogo spectra [Features of the psycho-developmental work of a speech therapist with children with autism spectrum disorders]. Auditorium. 2019, no. 2 (22), pp. 97–100. (In Russ.).
7. Kuper D.O., Kheron T.E., Kh'yuard U.L. Prikladnoi analiz povedeniya [Applied behavior analasys]. Moscow: Praktika, 2016, 826 p. (In Russ.).
8. Nigmatullina I.A., Borisova N.S., Frolova A.S. Otsenka bazovykh navykov u detei doshkol'nogo vozrasta s rasstroistvami autisticheskogo spektra s pomoshch'yu metodiki VB-MAPP [Assessment of basic skills in preschool children with autism spectrum disorders using the VB-MAPP technique]. Autizm i narusheniya razvitiya=Autism and developmental disorders, Vol. 19, no. 1, pp. 25–33. DOI:10.17759/autdd.2021190103 (In Russ., abstr. in Engl.).
9. Novoselova N.V. Sistema al'ternativnoi kommunikatsii PECS v obuchenii detei s RAS [PECS Alternative Communication System in teaching children with ASD]. Interaktivnaya nauka=Interactive Science, 2021. no. 8(63), pp. 7–11. DOI: 21661/r-554967 (In Russ.).
10. Osokina L.M. Russkij zhestovyj jazyk v sisteme obrazovanija detej s narushenijami sluha [Russian sign language in the education system for children with hearing impairments]. Obuchenie jazyku v sisteme obrazovanija detej s OVZ. K 95-letiju so dnja rozhdenija E.A. Gorbunovoj: Materialy nauchno-prakticheskoj konferencii s mezhdunarodnym uchastiem, Moskva, 21 maja 2022 goda. Pod obshhej redakciej K.B. Vovnenko [Language teaching in the education system of children with disabilities. On the occasion of the 95th anniversary of the birth of E.A. Gorbunova: Proceedings of a scientific and practical conference with international participation, Moscow, May 21, 2022 / Under the editorial of K.B. Vovnenko]. Moscow: Moskovskij pedagogicheskij gosudarstvennyj universitet, 2022, pp. 86-92 (In Russ.).
11. Pereverzeva D.S., Mamokhina U.A., Davydova E.Yu. et al. Osobennosti ponimaniya rechi u detei s rasstroistvami autisticheskogo spektra mladshego shkol'nogo vozrasta [Features of speech comprehension in children with autism spectrum disorders of primary school age]. Klinicheskaya i spetsial'naya psikhologiya=Clinical and special psychology, Vol. 10, no. 4, pp. 137–161. DOI: 10.17759/cpse.2021100407 (In Russ., abstr. in Engl.).
12. Popova O.A. Obzor elektronnogo kommunikativnogo prilozheniya sistemy al'ternativnoi kommunikatsii PECS IV+ [Overview of the electronic communication application of the PECS IV+ Alternative communication system]. Autizm i narusheniya razvitiya=Autism and developmental disorders, 2023. Vol. 21, no. 1, pp. 41–48. DOI: 10.17759/autdd.2023210105 (In Russ., abstr. in Engl.).
13. Popova O.A., Filina N.M. Vliyanie sistemy al'ternativnoi kommunikatsii PECS na proyavleniya vokal'noi rechi u detei s autizmom [The influence of the PECS alternative communication system on the manifestations of vocal speech in children with autism]. Autizm i narusheniya razvitiya=Autism and developmental disorders, 2021. Vol. 19, no. 2, pp. 23–39. DOI: 10.17759/autdd.2021710204 (In Russ., abstr. in Engl.).
14. Rudycheva L.V., Serkova T.N., Sivtseva A.S. Sistema al'ternativnoi kommunikatsii PECS dlya detei s rasstroistvom autisticheskogo spektra [PECS alternative communication system for children with autism spectrum disorder.]. Nauchnyi al'manakh=Scientific Almanac, no. 12-1(86), pp. 128–130. (In Russ., abstr. in Engl.).
15. Sandberg M. VB-MAPP, Programma otsenki vekh razvitiya verbal'nogo povedeniya i postroeniya individual'nogo plana vmeshatel'stva [The verbal behavior milestones assessment and placement program: the VB-MAPP guide], Copyright, 2008. 108 p. (In Russ.).
16. Tantsyura S.Yu., Kononova S.I. Al'ternativnaya kommunikatsiya v obuchenii detei s OVZ: Metodicheskoe posobie [Alternative communication in teaching children with disabilities: A methodological guide]. Moscow: TTs Sfera, 2017, 64 p. (In Russ.).
17. Frost L., Bondi E. Sistema al'ternativnoi kommunikatsii s pomoshch'yu kartochek PECS: Rukovodstvo dlya pedagogov [Alternative communication system using PECS cards: A Guide for teachers], Moscow: Terevinf, 2011. 416 p. (In Russ.).
18. Yagunova K.V., Gainetdinova D.D. Rechevye narusheniya u detei rannego i doshkol'nogo vozrasta [Verbal disorders in children of early and preschool age]. Rossiiskii vestnik perinatologii i pediatrii=Russian Bulletin of Perinatology and Pediatrics, Vol. 63, no. 6, pp. 23–30. DOI: 10.21508/1027–4065–2018–63–5–23–30 (In Russ., abstr. in Engl.).
19. Yastrebova L.A., Plekhanova M.A. Sistema alternativnoi kommunikatsii PECS v korrektsionnoi rabote s detmi s rasstroistvami autisticheskogo spektra [PECS alternative communication system in correctional work with children with autism spectrum disorders.]. Problemy sovremennogo pedagogicheskogo obrazovaniya=Problems of modern pedagogical education, no. 54-6, pp. 252–259. DOI: 10.21661/r-554967 (In Russ.)
20. Aydin O., Diken I.H. Studies Comparing Augmentative and Alternative Communication Systems (AAC) Applications for Individuals with Autism Spectrum Disorder. Education and training in autism and developmental disabilities, Vol. 55 (2), pp. 119–141. DOI: 10.1080/13638490500519984
21. Bondy A., Frost L. PECS® IV+ App for the iPad® [electronic resource]. N-C.: Pyramid educational consultants. URL: https://www.pecs.com/PECSIV/ (Accessed: 31.10.23).
22. Bondy A., Frost L. PECS® to SGD: Guidelines and Recommendations for a Successful Transition [electronic resource]. N-C.: Pyramid educational consultants. URL: https://www.pecsusa.com/Brochures/PECStoSGD-GuidelinesRecommendations-USA.pdf (Accessed: 31.10.23).
23. Conklin C.G., Mayer G.R. Effects of implementing the Picture Exchange Communication System (PECS) with adults with developmental disabilities and severe communication deficits. Remedial and Special Education, 2011. Vol. 32 (2), pp. 155–166. DOI: https://doi.org/10.1080/17489539.2012.673748
24. Ganz J.B., Parker R., Benson J. Impact of the picture exchange communication system: Effects on communication and collateral effects on maladaptive behaviors. Augmentative and Alternative Communication, 2009. Vol. 25 (4), pp. 250–261. DOI: 10.3109/07434610903381111
25. Gevarter C., Horan K., Sigafoos J. Teaching preschoolers with autism to use different speech-generating device display formats during play: Intervention and secondary factors Language, Speech, and Hearing Services in Schools, 2020. 51 (3), pp. 821–838. DOI: 10.1044/2020_LSHSS-19-00092
26. Jurgens A., Anderson A., Moore D.W. Maintenance and generalization of skills acquired through picture exchange communication system (PECS) training: a long-term follow-up. Developmental neurorehabilitation, 2019. Vol. 22 (5), pp. 338–347. DOI: 1080/17518423.2018.1503619
27. Lane J. D., Gast D.L. Visual analysis in single case experimental design studies: Brief review and guidelines. Neuropsychological rehabilitation, 2014. Vol. 24 (3-4), pp. 445-463. DOI: 1080/09602011.2013.815636
28. Olusanya B.O., Smythe T., Ogbo F.A. et al. Global prevalence of developmental disabilities in children and adolescents: A systematic umbrella review. Frontiers in public health, 2023. Vol. 11, p. 1122009.
29. Quigley H., Macdonald R. A qualitative study of an online Makaton choir for individuals with learning difficulties. International journal of community music, 2022. Vol. 15. (1), pp. 65-94.
30. Sankardas S.A., Rajanahally J. iPad: efficacy of electronic devices to help children with autism spectrum disorder to communicate in the classroom. Support for Learning, 2017. Vol. 32 (2), pp. 144–157. DOI: 10.1111/1467-9604.12160
31. Taryadi, Kurniawan I. The improvement of autism spectrum disorders on children communication ability with PECS method Multimedia Augmented Reality-Based. Journal of Physics: Conference Series, IOP Publishing, 2018. Vol. 947, p. 012009. DOI: 10.1088/1742-6596/947/1/012009
32. Tiura M., Kim J., Detmers D. et al. Predictors of longitudinal ABA treatment outcomes for children with autism: A growth curve analysis. Research in Developmental Disabilities, 2017. Vol. 70, pp. 185–197. DOI: 1016/j.ridd.2017.09.008
33. Wendt O., Hsu N., Simon K. et al. Effects of an iPad-based speech-generating device infused into instruction with the picture exchange communication system for adolescents and young adults with severe autism spectrum disorder. Behavior modification, 2019. Vol. 43 (6), pp. 898–932. DOI: 1177/0145445519870552