The Effect of Systematic Prompting on the Acquisition of Five Muscle-Strengthening Exercises by Adults With Mild Intellectual Disabilities

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Iva Obrusnikova University of Delaware

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Haley M. Novak University of Delaware

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Albert R. Cavalier University of Delaware

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Adults with intellectual disability have significantly lower musculoskeletal fitness than their peers without a disability. Appropriate instructional strategies are needed to facilitate their acquisition and maintenance of musculoskeletal fitness. In this multiple-baseline across-participants single-subject study, the authors evaluated the effects of a multicomponent package that included a video-enhanced system of least-to-most prompts on the acquisition of 5 muscle-strengthening exercises in 3 women with mild intellectual disability, age 24–37 yr. Results show substantive gains in correct and independent performance of steps in the 5 exercises during the treatment condition. The improved performance was maintained 2 wk after the last treatment session and in a large YMCA gym. The study suggests that use of the video-enhanced system of least-to-most prompts can lead to improved acquisition and maintenance of muscle-strengthening exercises by adults with mild intellectual disability.

Obrusnikova and Novak are with the Dept. of Behavioral Health and Nutrition, and Cavalier, the School of Education, University of Delaware, Newark, DE.

Obrusnikova (obrusnik@udel.edu) is corresponding author.
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  • Alberto, P.A., & Troutman, A.C. (2013). Applied behavior analysis for teachers (9th ed.). Upper Saddle River, NJ: Pearson Education.

  • Almuhtaseb, S., Oppewal, A., & Hilgenkamp, T.I.M. (2014). Gait characteristics in individuals with intellectual disabilities: A literature review. Research in Developmental Disabilities, 35(11), 28582883. PubMed ID: 25105568 doi:10.1016/j.ridd.2014.07.017

    • Search Google Scholar
    • Export Citation
  • American College of Sports Medicine. (2014). ACSM’s guidelines for exercise testing and prescription (9th ed.). Philadelphia, PA: Paul D Thompson Wolters Kluwer/Lippincott Williams & Wilkins.

    • Search Google Scholar
    • Export Citation
  • Banda, D.R., Dogoe, M.S., & Marie Matuszny, R. (2011). Review of video prompting studies with persons with developmental disabilities. Education and Training in Autism and Developmental Disabilities, 46(4), 514.

    • Search Google Scholar
    • Export Citation
  • Barnes, T.L., Howie, E.K., McDermott, S., & Mann, J.R. (2013). Physical activity in a large sample of adults with intellectual disabilities. Journal of Physical Activity & Health, 10(7), 10481056. PubMed ID: 23132823 doi:10.1123/jpah.10.7.1048

    • Search Google Scholar
    • Export Citation
  • Billingsley, F. (2003). Principles and practices for instructing students with significant needs in inclusive settings. In D.L. Ryndak & S. Alper (Eds.), Curriculum and instruction for students with significant disabilities in inclusive settings (pp. 362381). Boston, MA: Allyn & Bacon.

    • Search Google Scholar
    • Export Citation
  • Bossink, L.W.M., van der Putten, A.A.J., & Vlaskamp, C. (2017). Understanding low levels of physical activity in people with intellectual disabilities: A systematic review to identify barriers and facilitators. Research in Developmental Disabilities, 68, 95110. PubMed ID: 28750208 doi:10.1016/j.ridd.2017.06.008

    • Search Google Scholar
    • Export Citation
  • Cannella-Malone, H.I., Sigafoos, J., O’Reilly, M., De La Cruz, B., Edrisinha, C., & Lancioni, G.E. (2006). Comparing video prompting to video modeling for teaching daily living skills to six adults with developmental disabilities. Education and Training in Developmental Disabilities, 41, 344356.

    • Search Google Scholar
    • Export Citation
  • Cooper, J.O., Heron, T.E., & Heward, W.L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson.

  • Dallery, J., & Raiff, B.R. (2014). Optimizing behavioral health interventions with single-case designs: From development to dissemination. Translational Behavioral Medicine, 4(3), 290303. PubMed ID: 25264468 doi:10.1007/s13142-014-0258-z

    • Search Google Scholar
    • Export Citation
  • Doyle, P.M., Wolery, M., Ault, M.J., & Gast, D.L. (1988). System of least prompts: A literature review of procedural parameters. Research and Practice for Persons with Severe Disabilities, 13(1), 2840. doi:10.1177/154079698801300104

    • Search Google Scholar
    • Export Citation
  • Elliott, S.N., & Treuting, M.V.B. (1991). The Behavior Intervention Rating Scale: Development and validation of a pretreatment acceptability and effectiveness measure. Journal of School Psychology, 29(1), 4351. doi:10.1016/0022-4405(91)90014-I

    • Search Google Scholar
    • Export Citation
  • Flesch, R.F. (1974). The art of readable writing. New York, NY: Harper and Row.

  • Gardner, S.J., & Wolfe, P.S. (2013). Use of video modeling and video prompting interventions for teaching daily living skills to individuals with autism spectrum disorders: A review. Research and Practice for Persons with Severe Disabilities, 38(2), 7387. doi:10.2511/027494813807714555

    • Search Google Scholar
    • Export Citation
  • Graham, A., & Reid, G. (2000). Physical fitness of adults with an intellectual disability: A 13-year follow-up study. Research Quarterly for Exercise and Sport, 71(2), 152161. PubMed ID: 10925812 doi:10.1080/02701367.2000.10608893

    • Search Google Scholar
    • Export Citation
  • Graham, J.E., Karmarkar, A.M., & Ottenbacher, K.J. (2012). Small sample research designs for evidence-based rehabilitation: Issues and methods. Archives of Physical Medicine and Rehabilitation, 93(Suppl. 8), S111S116. PubMed ID: 22580169 doi:10.1016/j.apmr.2011.12.017

    • Search Google Scholar
    • Export Citation
  • Heller, T., Miller, A.B., & Hsieh, K. (2002). Eight-year follow-up of the impact of environmental characteristics on well-being of adults with developmental disabilities. Mental Retardation, 40(5), 366378. PubMed ID: 12215072 doi:10.1352/0047-6765(2002)040<0366:EYFUOT>2.0.CO;2

    • Search Google Scholar
    • Export Citation
  • Horner, R.H., Carr, E.G., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single-subject research to identify evidence-based practice in special education. Exceptional Children, 71(2), 165. doi:10.1177/001440290507100203

    • Search Google Scholar
    • Export Citation
  • Horner, R.H., Dunlap, G., & Koegel, R.L. (1988). Generalization and maintenance: Life-style changes in applied settings. Baltimore, MD: Paul H. Brookes Publishing.

    • Search Google Scholar
    • Export Citation
  • Howie, E.K., Barnes, T.L., McDermott, S., Mann, J.R., Clarkson, J., & Meriwether, R.A. (2012). Availability of physical activity resources in the environment for adults with intellectual disabilities. Disability and Health Journal, 5(41), 4148. doi:10.1016/j.dhjo.2011.09.004

    • Search Google Scholar
    • Export Citation
  • Mechling, L.C., Ayres, K.M., Purrazzella, K., & Purrazzella, K. (2012). Evaluation of the performance of fine and gross motor skills within multi-step tasks by adults with moderate intellectual disability when using video models. Journal of Developmental and Physical Disabilities, 24(5), 469486. doi:10.1007/s10882-012-9284-2

    • Search Google Scholar
    • Export Citation
  • Obrusnikova, I., Cavalier, A.R., Novak, H.M., & Blair, A.E. (2019). The effect of systematic prompting on the acquisition of two muscle-strengthening exercises by adults with moderate intellectual disabilities. Journal of Behavioral Education. Advance online publication. doi:10.1007/s10864-019-09328-7

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Oppewal, A., Hilgenkamp, T.I.M., van Wijck, R., Schoufour, J.D., & Evenhuis, H.M. (2014). Physical fitness is predictive for a decline in daily functioning in older adults with intellectual disabilities: Results of the HA-ID study. Research in Developmental Disabilities, 35(10), 22992315. PubMed ID: 24950015 doi:10.1016/j.ridd.2014.05.027

    • Search Google Scholar
    • Export Citation
  • Park, J., Bouck, E., & Duenas, A. (2019). The effect of video modeling and video prompting interventions on individuals with intellectual disability: A systematic literature review. Journal of Special Education Technology, 34(1), 316. doi:10.1177/0162643418780464

    • Search Google Scholar
    • Export Citation
  • Pitetti, K.H., & Boneh, S. (1995). Cardiovascular fitness as related to leg strength in adults with mental retardation. Medicine & Science in Sports & Exercise, 27(3), 423428. PubMed ID: 7752871 doi:10.1249/00005768-199503000-00020

    • Search Google Scholar
    • Export Citation
  • Schalock, R.L., Borthwick-Duffy, S.A., Bradley, V.J., Buntinx, W.H.E., Coulter, D.L., Craig, E.M., . . . Yeager, M.H. (2010). Intellectual disability: Definition, classification, and systems of supports (11th ed.). Washington, DC: American Association on Intellectual and Developmental Disabilities.

    • Search Google Scholar
    • Export Citation
  • Schlosser, R.W., Lee, D.L., & Wendt, O. (2008). Application of the percentage of non-overlapping data (PND) in systematic reviews and meta-analyses: A systematic review of reporting characteristics. Evidence-Based Communication Assessment and Intervention, 2(3), 163187. doi:10.1080/17489530802505412

    • Search Google Scholar
    • Export Citation
  • Shields, N., & Taylor, N.F. (2010). A student-led progressive resistance training program increases lower limb muscle strength in adolescents with Down syndrome: A randomised controlled trial. Journal of Physiotherapy, 56(3), 187193. PubMed ID: 20795925 doi:10.1016/S1836-9553(10)70024-2

    • Search Google Scholar
    • Export Citation
  • Smith, K.A., Ayres, K.M., Mechling, L.C., Alexander, J.L., Mataras, T.K., & Shepley, S.B. (2015). Evaluating the effects of a video prompt in a system of least prompts procedure. Career Development and Transition for Exceptional Individuals, 38(1), 3949. doi:10.1177/2165143413511981

    • Search Google Scholar
    • Export Citation
  • Spooner, F., & Spooner, D. (1984). A review of chaining techniques: Implications for future research and practice. Education and Training of the Mentally Retarded, 19, 114124.

    • Search Google Scholar
    • Export Citation
  • Stokes, T.F., & Baer, D.M. (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis, 10(2), 349367. PubMed ID: 16795561 doi:10.1901/jaba.1977.10-349

    • Search Google Scholar
    • Export Citation
  • Strain, P.S., Barton, E.E., & Dunlap, G. (2012). Lessons learned about the utility of social validity. Education and Treatment of Children, 35, 183200. doi:10.1353/etc.2012.0007

    • Search Google Scholar
    • Export Citation
  • Tawney, J.W., & Gast, D.L. (1984). Single subject research in special education. Columbus, OH: Merrill.

  • Thompson, J.R., Shogren, K.A., & Wehmeyer, M.L. (2016). Supports and support needs in strengths-based models of intellectual disability. In M.L. Wehmeyer & K.A. Shogren (Eds.), Handbook of research-based practices for educating students with intellectual disability (pp. 3149). Abingdon, United Kingdom: Routledge.

    • Search Google Scholar
    • Export Citation
  • van der Fels, I.M.J., te Wierike, S.C.M., Hartman, E., Elferink-Gemser, M.T., Smith, J., & Visscher, C. (2015). The relationship between motor skills and cognitive skills in 4–16 year old typically developing children: A systematic review. Journal of Science and Medicine in Sport, 18(6), 697703. PubMed ID: 25311901 doi:10.1016/j.jsams.2014.09.007

    • Search Google Scholar
    • Export Citation
  • van Wingerden, E., Segers, E., van Balkom, H., & Verhoeven, L. (2017). Foundations of reading comprehension in children with intellectual disabilities. Research in Developmental Disabilities, 60, 211222. PubMed ID: 27856108 doi:10.1016/j.ridd.2016.10.015

    • Search Google Scholar
    • Export Citation
  • Vismara, L.A., & Rogers, S.J. (2010). Behavioral treatments in autism spectrum disorder: What do we know? Annual Review of Clinical Psychology, 6(1), 447468. doi:10.1146/annurev.clinpsy.121208.131151

    • Search Google Scholar
    • Export Citation
  • Wechsler, D. (2011). Wechsler abbreviated scale of intelligence (2nd ed.). San Antonio, TX: Pearson.

  • Wehmeyer, M.L., & Smith, D.J. (2016). Historical understandings of intellectual disability and the emergence of special education. In M.L. Wehmeyer & K.A. Shogren (Eds.), Handbook of research-based practices for educating students with intellectual disability (pp. 316). Abingdon, United Kingdom: Routledge.

    • Search Google Scholar
    • Export Citation
  • West, E.A., & Billingsley, F. (2005). Improving the system of least prompts: A comparison of procedural variations. Education and Training in Developmental Disabilities, 40(2), 131144.

    • Search Google Scholar
    • Export Citation
  • Wolery, M., Ault, M.J., & Doyle, P.M. (1992). Teaching students with moderate to severe disabilities: Use of response prompting strategies. New York, NY: Longman.

    • Search Google Scholar
    • Export Citation
  • Wolery, M., & Gast, D.L. (1984). Effective and efficient procedures for the transfer of stimulus control. Topics in Early Childhood Special Education, 4(3), 5277. doi:10.1177/027112148400400305

    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2000). Obesity: Preventing and managing the global epidemic (WHO Technical Report Series 894). Geneva, Switzerland: Author.

    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2001). International classification of functioning, disability and health. Geneva, Switzerland: Author.

  • Yoder, P., & Symons, F. (2010). Observational measurement of behavior. New York, NY: Springer.

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