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+ (rch Report - March 2005)Tj
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723
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724
+ (microswitch with a girl with minimal residual vision )Tj
725
+ T*
726
+ (and profound motor and intellectual disabilities, who )Tj
727
+ 0 -1.3 TD
728
+ (showed a combination of tracheal congestion and )Tj
729
+ 0 -1.3 TD
730
+ (unspecific or dystonic head movements. The girl\222s )Tj
731
+ T*
732
+ (activation of the microswitch \(by triggering both )Tj
733
+ T*
734
+ (microphones\) produced a brief period of her favorite )Tj
735
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736
+ (environmental stimuli.)Tj
737
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+ (The girl, aged 8, was diagnosed with congenital )Tj
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+ 0 -1.3 TD
747
+ (cerebropathy, low vision \(caused by optic atrophy\) )Tj
748
+ T*
749
+ (with attention for light displays, extensive motor )Tj
750
+ 0 -1.3 TD
751
+ (impairment, lack of speech, and profound intellectual )Tj
752
+ 0 -1.3 TD
753
+ (disability. She was also diagnosed with epilepsy that )Tj
754
+ T*
755
+ (was partially controlled by medication \(sodium )Tj
756
+ T*
757
+ (valproate and carbamazepine\) and typically sat in a )Tj
758
+ T*
759
+ (wheelchair. Given her extremely serious condition, no )Tj
760
+ 0 -1.3 TD
761
+ (specific responses had been established that she could )Tj
762
+ T*
763
+ (profitably use in her environment. The girl could emit )Tj
764
+ T*
765
+ (brief vocalization responses and could react with )Tj
766
+ T*
767
+ (smiles or other apparently positive facial expressions )Tj
768
+ T*
769
+ (\(such as alerting\) to environmental stimuli. She lived at )Tj
770
+ 0 -1.3 TD
771
+ (home with her parents and attended some basic )Tj
772
+ 0 -1.3 TD
773
+ (physiotherapy and stimulation sessions. Her parents )Tj
774
+ T*
775
+ (provided formal consent for the girl to participate in )Tj
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+ T*
777
+ (this study.)Tj
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+
790
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832
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834
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835
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+ (Vocalization was defined as any brief sound emission )Tj
837
+ 0 -1.3 TD
838
+ (of 50 decibels \(dBs\) or higher. The microswitch that )Tj
839
+ T*
840
+ (was used for detecting such a response consisted of a )Tj
841
+ 0 -1.3 TD
842
+ (battery-powered electronic unit 8 by 6 by 2 centimeters )Tj
843
+ 0 -1.3 TD
844
+ (\(about 3 by 2 by .8 inches\) that was connected to a )Tj
845
+ T*
846
+ (throat microphone \(a piezo-electric sensor with a )Tj
847
+ T*
848
+ (diameter of 2.2 cm, or about 0.9 inch, and a thickness )Tj
849
+ T*
850
+ (of 0.5 cm, or about .02 inch\) that was kept at the girl\222s )Tj
851
+ 0 -1.3 TD
852
+ (larynx with a light neckband, and an airborne )Tj
853
+ T*
854
+ (microphone that was placed on a table next to the girl\222s )Tj
855
+ T*
856
+ (face. Activation of the microswitch \(by triggering both )Tj
857
+ T*
858
+ (microphones\) turned on a battery-powered control )Tj
859
+ T*
860
+ (system that recorded the response and, during )Tj
861
+ 0 -1.3 TD
862
+ (intervention, activated the girl\222s favorite stimuli for six )Tj
863
+ 0 -1.3 TD
864
+ (seconds \(Lancioni et al., 2002\).)Tj
865
+ 0 -2.399 TD
866
+ (Favorite stimuli \(that is, stimuli that were considered to )Tj
867
+ 0 -1.3 TD
868
+ (be pleasant for the girl\) were selected through stimulus-)Tj
869
+ T*
870
+ (preference screening \(Crawford & Schuster, 1993\). )Tj
871
+ T*
872
+ (The screening covered multiple stimuli, each of which )Tj
873
+ T*
874
+ (was presented 15\22635 nonconsecutive times. Only the )Tj
875
+ T*
876
+ (stimuli that were followed by the girl\222s positive )Tj
877
+ T*
878
+ (reactions \(alerting, orienting, or smiling\) in 70% or )Tj
879
+ T*
880
+ (more of the presentations were selected. The stimuli )Tj
881
+ T*
882
+ (selected for the study included light displays, several )Tj
883
+ 0 -1.3 TD
884
+ (types of music and songs, various kinds of noise, and )Tj
885
+ T*
886
+ (vibratory inputs.)Tj
887
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888
+ EMC
889
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890
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894
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895
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896
+ ET
897
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898
+
899
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901
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902
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906
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907
+ (rch Report - March 2005)Tj
908
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909
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910
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911
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912
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913
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914
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915
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916
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917
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918
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919
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921
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922
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923
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924
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925
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926
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927
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928
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930
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931
+ EMC
932
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940
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942
+ 18.2 0 0 18.2 152.2 705.8022 Tm
943
+ (The girl was observed during an ABAB sequence of )Tj
944
+ 0 -1.3 TD
945
+ (sessions, in which A represented a baseline phase and )Tj
946
+ T*
947
+ (B represented an intervention phase \(Richards, Taylor, )Tj
948
+ 0 -1.3 TD
949
+ (Ramasamy, & Richards, 1999\). A postintervention )Tj
950
+ 0 -1.3 TD
951
+ (assessment was conducted two months after the second )Tj
952
+ T*
953
+ (intervention phase. Typically, eight or nine sessions )Tj
954
+ T*
955
+ (per day occurred within the study periods. Each session )Tj
956
+ T*
957
+ (lasted five minutes, and the girl\222s responses were )Tj
958
+ 0 -1.3 TD
959
+ (recorded automatically through the control system. A )Tj
960
+ T*
961
+ (research assistant checked whether any response that )Tj
962
+ T*
963
+ (was recorded by the system and was followed by )Tj
964
+ T*
965
+ (favorite stimuli was a false positive \(that is, was due to )Tj
966
+ T*
967
+ (something other than the girl\222s vocalization\). A second )Tj
968
+ 0 -1.3 TD
969
+ (research assistant checked the reliability of the )Tj
970
+ 0 -1.3 TD
971
+ (recording of false positives over a total of 45 sessions )Tj
972
+ T*
973
+ (throughout the study. Interrater reliability was )Tj
974
+ T*
975
+ (computed for groups of five sessions, each divided into )Tj
976
+ T*
977
+ (five intervals of one minute. Agreements \(that is, one-)Tj
978
+ T*
979
+ (minute intervals for which the research assistants )Tj
980
+ T*
981
+ (reported the same number of false positives, which )Tj
982
+ T*
983
+ (could also be zero\) were divided by the total number of )Tj
984
+ T*
985
+ (one-minute intervals that were observed and were )Tj
986
+ T*
987
+ (multiplied by 100. The mean reliability was 97%, with )Tj
988
+ T*
989
+ (a range of 92% to 100%.)Tj
990
+ /TT2 1 Tf
991
+ 0 -2.353 TD
992
+ (Baseline phases.)Tj
993
+ /TT1 1 Tf
994
+ 0 -2.345 TD
995
+ (The two baseline phases included 14 and 9 sessions, )Tj
996
+ 0 -1.3 TD
997
+ (respectively. The microswitch and control system were )Tj
998
+ ET
999
+ EMC
1000
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1001
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1002
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1003
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1004
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1005
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1006
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1007
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1008
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1009
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1010
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1011
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1017
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1018
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1019
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1020
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1021
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1051
+ (available, but microswitch activation did not produce )Tj
1052
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1053
+ (the occurrence of favorite stimuli. At the start of the )Tj
1054
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1055
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1056
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1057
+ (or making noise at her ear\). The prompt was repeated )Tj
1058
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1059
+ (during the sessions after periods of nonresponse of )Tj
1060
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1061
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1062
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1063
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1064
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1065
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1066
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1067
+ (The two intervention phases included 81 and 86 )Tj
1068
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1069
+ (sessions, respectively. The procedural conditions were )Tj
1070
+ T*
1071
+ (the same as during the baseline phases except that )Tj
1072
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1073
+ (activation of the microswitch produced the occurrence )Tj
1074
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1075
+ (of favorite stimuli. A new activation occurring while )Tj
1076
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1077
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1078
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1079
+ (preferred stimuli \(that is, within the six-second interval )Tj
1080
+ T*
1081
+ (in which the stimuli were on\) was not recorded and did )Tj
1082
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1083
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1084
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1085
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1086
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1087
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1088
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1089
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1090
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1091
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1092
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1093
+ (that were comparable to those that occurred during the )Tj
1094
+ T*
1095
+ (intervention continued to be held. Twenty of these )Tj
1096
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1097
+ (sessions \(carried out two months after the end of the )Tj
1098
+ T*
1099
+ (second intervention phase\) served as the )Tj
1100
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1101
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1102
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1103
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1104
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1105
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1106
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1107
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1108
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1116
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1117
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1118
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1120
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1121
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1127
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1128
+ (rch Report - March 2005)Tj
1129
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1130
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1149
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1160
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1161
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1162
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1163
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1164
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1165
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1166
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1167
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1173
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1174
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1175
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1176
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1177
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1178
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1179
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1180
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1181
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1182
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1183
+ T*
1184
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1185
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1186
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1187
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1188
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1189
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1190
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1191
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1192
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1193
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1194
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1195
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1196
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1197
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1198
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1199
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1200
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1201
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1202
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1203
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1204
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1205
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1207
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1210
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1211
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1212
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1213
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1214
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1215
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1216
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1217
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1218
+ (positive responses to a low level. This evidence )Tj
1219
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1220
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1221
+ T*
1222
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1223
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1224
+ (motor, and intellectual disabilities and underlines the )Tj
1225
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1226
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1227
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1228
+ (2001; Richards et al., 1999\). Indeed, this microswitch )Tj
1229
+ T*
1230
+ (may allow the use of vocalization with individuals with )Tj
1231
+ T*
1232
+ (bronchotracheal congestion and dystonic movements )Tj
1233
+ T*
1234
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1235
+ T*
1236
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1237
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1238
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1239
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1245
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1246
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1247
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1269
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1289
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1290
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1291
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1292
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1293
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1294
+ (their lives \(Felce & Perry, 1995; Holburn, Nguyen, & )Tj
1295
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1296
+ (Vietze, 2004; Schalock et al., 2002; Watson, Hayes, & )Tj
1297
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1298
+ (Vietze, 1982\).)Tj
1299
+ 0 -2.399 TD
1300
+ (In spite of the encouraging results, general conclusions )Tj
1301
+ 0 -1.3 TD
1302
+ (cannot be drawn because the research is still at a )Tj
1303
+ T*
1304
+ (preliminary stage \(Green & Reid, 1994; Kazdin, 2001\). )Tj
1305
+ T*
1306
+ (New studies will need to extend the assessment of this )Tj
1307
+ T*
1308
+ (response-microswitch combination with other persons )Tj
1309
+ T*
1310
+ (with profound multiple disabilities, to determine the )Tj
1311
+ T*
1312
+ (overall applicability of the combination and the )Tj
1313
+ T*
1314
+ (generality of the findings, and to identify ways of )Tj
1315
+ T*
1316
+ (reducing the cost of the present microswitch \(which is )Tj
1317
+ T*
1318
+ (about $200\), to make it more affordable in educational )Tj
1319
+ T*
1320
+ (and home settings.)Tj
1321
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1322
+ 21.7 0 0 21.7 152.2 322.8353 Tm
1323
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1324
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1325
+ 18.2 0 0 18.2 162.2 280.2511 Tm
1326
+ (Crawford, M. R., & Schuster, J. W. \(1993\). Using )Tj
1327
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1328
+ (microswitches to teach toy use. )Tj
1329
+ /TT2 1 Tf
1330
+ (Journal of )Tj
1331
+ T*
1332
+ (Developmental and Physical Disabilities, 5)Tj
1333
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1334
+ (, 349\226368. )Tj
1335
+ 0 -2.399 TD
1336
+ (Felce, D., & Perry, J. \(1995\). Quality of life: Its )Tj
1337
+ 0 -1.303 TD
1338
+ (definition and measurement. )Tj
1339
+ /TT2 1 Tf
1340
+ (Research in )Tj
1341
+ T*
1342
+ (Developmental Disabilities, 16)Tj
1343
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1344
+ (, 51\22674. )Tj
1345
+ 0 -2.399 TD
1346
+ (Green, C. W., & Reid, D. H. \(1994\). A )Tj
1347
+ 0 -1.3 TD
1348
+ (comprehensive evaluation of a train-the-trainers )Tj
1349
+ T*
1350
+ (model for training education staff to assemble )Tj
1351
+ ET
1352
+ EMC
1353
+ /Artifact <</Attached [/Bottom ]/Type /Pagination /BBox [18 5 582 14 ]>>BDC
1354
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1355
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1356
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1357
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1358
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1359
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1360
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1361
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1363
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1371
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1392
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1393
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1395
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1402
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1403
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1404
+ (adaptive switches. )Tj
1405
+ /TT1 1 Tf
1406
+ (Journal of Developmental and )Tj
1407
+ 0 -1.303 TD
1408
+ (Physical Disabilities, 6,)Tj
1409
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1410
+ ( 219\226238. )Tj
1411
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1412
+ (Gutowski, S. J. \(1996\). Response acquisition for )Tj
1413
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1414
+ (music or beverages in adults with profound multiple )Tj
1415
+ 0 -1.303 TD
1416
+ (handicaps. )Tj
1417
+ /TT1 1 Tf
1418
+ (Journal of Developmental and Physical )Tj
1419
+ T*
1420
+ (Disabilities, 8)Tj
1421
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1422
+ (, 221\226231. )Tj
1423
+ 0 -2.399 TD
1424
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1425
+ 0 -1.3 TD
1426
+ (Computer-assisted learning for adults with profound )Tj
1427
+ 0 -1.303 TD
1428
+ (multiple disabilities. )Tj
1429
+ /TT1 1 Tf
1430
+ (Behavioral Interventions, 19, )Tj
1431
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1432
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1433
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1434
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1435
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1436
+ (Kazdin, A. E. \(2001\). )Tj
1437
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1438
+ (Behavior modification in )Tj
1439
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1440
+ (applied settings)Tj
1441
+ /TT0 1 Tf
1442
+ ( \(6th ed.\). Belmont, CA: Wadsworth/)Tj
1443
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1444
+ (Thomson Learning. )Tj
1445
+ 0 -2.399 TD
1446
+ (Lancioni, G. E., & Lems, S. \(2001\). Using a )Tj
1447
+ 0 -1.3 TD
1448
+ (microswitch for vocalization responses with persons )Tj
1449
+ 0 -1.303 TD
1450
+ (with multiple disabilities. )Tj
1451
+ /TT1 1 Tf
1452
+ (Disability and )Tj
1453
+ T*
1454
+ (Rehabilitation, 23)Tj
1455
+ /TT0 1 Tf
1456
+ (, 745\226748. )Tj
1457
+ 0 -2.399 TD
1458
+ (Lancioni, G. E., O\222Reilly, M. F., Oliva, D., & Coppa, )Tj
1459
+ 0 -1.3 TD
1460
+ (M. M. \(2001\). A microswitch for vocalization )Tj
1461
+ T*
1462
+ (responses to foster environmental control in children )Tj
1463
+ 0 -1.303 TD
1464
+ (with multiple disabilities. )Tj
1465
+ /TT1 1 Tf
1466
+ (Journal of Intellectual )Tj
1467
+ T*
1468
+ (Disability Research, 45)Tj
1469
+ /TT0 1 Tf
1470
+ (, 271\226275. )Tj
1471
+ 0 -2.399 TD
1472
+ (Lancioni, G. E., Singh, N. N., O\222Reilly, M. F., Oliva, )Tj
1473
+ 0 -1.3 TD
1474
+ (D., Baccani, S., & Canevaro, A. \(2002\). Using simple )Tj
1475
+ T*
1476
+ (hand-movement responses with optic microswitches )Tj
1477
+ ET
1478
+ EMC
1479
+ /Artifact <</Attached [/Bottom ]/Type /Pagination /BBox [18 5 582 14 ]>>BDC
1480
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1481
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1482
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1483
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1484
+ 9 0 0 9 18 7.17 Tm
1485
+ (http://www.afb.org/jvib/jvib990307.asp \(9 of 12\)5/5/2005 8:36:44 AM)Tj
1486
+ ET
1487
+ EMC
1488
+
1489
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1490
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1491
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1492
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1493
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1494
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1496
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1497
+ (rch Report - March 2005)Tj
1498
+ ET
1499
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1500
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1501
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1502
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1503
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1518
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1519
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1520
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1521
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1522
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1527
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1528
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1529
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1530
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1531
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1532
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1533
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1534
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1535
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1536
+ (, )Tj
1537
+ /TT1 1 Tf
1538
+ (27)Tj
1539
+ /TT0 1 Tf
1540
+ (, )Tj
1541
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1542
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1543
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1544
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1545
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1546
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