Effectiveness of Discrete Trial Training on Motor Imitation in Children with Autism

Document Type : Original Article

Authors

1 PH.D Student of Psychology and Education of Children with Special Needs, Faculty of Education & Psychology, University of Isfahan, Isfahan, Iran.

2 Assistance professor of Psychology and Education of Children with Special Needs, Faculty of Education & Psychology, University of Isfahan, Isfahan, Iran.

Abstract

The present study aimed to evaluate the effectiveness of Discrete Trial Training on motor imitation skills in a child with high-functioning autism. This study was a case study with A-B-A design. Since the current research was looking for special or unusual cases, the purposeful sampling method was used. The subject was a boy with autism aged 3 years and 3 months in Kermanshah province. The target child received the intervention program for 21 sessions (6 consecutive weeks of one-hour sessions). Also, this study had three follow-up stages, 2 months, 4 months, and 6 months after the last intervention session. Stone, Ousley, and Littleford (2015) used the Movement Imitation Scale (MIS) to measure motor imitation in this study. The data were analyzed using SPSS-22 software, and the percentage of non-overlapping data (PND), percentage of overlapping data (POD), and Cohen's d. The findings showed that the subject had almost constant motor imitation scores at the baseline, which in the last session of the intervention was 0.60 percent recovery (PND), 0.40 percent overlap (POD), and after 2, 4, and 6 months follow-ups the month reached the recovery percentage (PND) of 100%. Also, the effect size using Cohen's d for the subject after the intervention was 1.34, and after 3 follow-up stages, 12.07 was at a high recovery level. Therefore, Discrete Trial Training can be considered by exceptional teachers, psychologists, and related planners.
 

Keywords


Ali, H. H., & Fazil, H. (2020). Investigating the Efficacy of Discrete Trial Training Program in the Development of Sustained Eye Contact in an Adolescent Girl with Autism Spectrum Disorder: A Case Study.‏ Pakistan Social Sciences Review. 4(1), 835-848.
American Psychiatric Association. (2013) Diagnostic and statistical manual of mental disorders 5th ed. Washington, DC: American Psychiatric Publishing.
Ashum, G., & Nidhi, S. (2005). Psychological support for families of children with Autism. Asia Pacific Disability Rehabilitation Journal16(2), 62-83.‏
Bravo, A., & Schwartz, I. (2022). Teaching Imitation to Young Children with Autism Spectrum Disorder Using Discrete Trial Training and Contingent Imitation. Journal of Developmental and Physical Disabilities. 34(4), 655-672.‏
Dadgar H, Alaghband Rad J, Soleymani Z, Khorammi A, McCleery J, Maroufizadeh S. (2017). The Relationship between Motor, Imitation, and Early Social Communication Skills in Children with Autism. Iran Journal of Psychiatry. 12(4), 236-240.
Ferguson, C.J. (2009). An Effect Size Primer: A Guide for Clinicians and Researchers. Professional Psychology: Research and Practice. 40(5), 532-538.
Hamdan, M. A. (2018). Developing a Proposed Training Program Based on Discrete Trial Training (DTT) to Improve the Non-Verbal Communication Skills in Children with Autism Spectrum Disorder (ASD). International Journal of Special Education33(3), 579-591.
Haroon, M. (2019). ABC of autism. (ABC Series) 1st Edition, Wiley-Blackwell.
Hillman, C. B., Lerman, D. C., & Kosel, M. L. (2021). Discrete‐trial training performance of behavior interventionists with autism spectrum disorder: A systematic replication and extension. Journal of Applied Behavior Analysis54(1), 374-388.‏
Koegel, R. L., Koegel, L. K., & Carter, C. M. (1999). Pivotal teaching interactions for children with autism. School Psychology Review. 28(4), 576–594.
 Lovaas, O. (2003). Teaching individual with developmental delays: basic intervention techniques. Austin, Texas: Ported.
Marathaki, K., Feidakis, M., Patrikakis, C., & Agrianiti, E. (2022). Deploy Social Assistive Robot to develop symbolic play and imitation skills in students with Autism Spectrum Disorder. IEEE Global Engineering Education Conference (EDUCON) (pp. 547-552). IEEE.‏
Milne, C. M. (2020). Comparing Conventional and Progressive Approaches of Discrete Trial Teaching when Teaching Expressive Labels to Children Diagnosed with Autism Spectrum Disorder. Doctoral dissertation, Endicott College.‏
Radley, K.C., & Dart, E.H. (2022). Discrete Trial Teaching. In: Social Skills Teaching for Individuals with Autism. Springer Series on Child and Family Studies. Springer, Cham.
Rogers, S. J., Hepburn, S. L., Stackhouse, T., & Wehner, E. (2003). Imitation performance in toddlers with autism and those with other developmental disorders. Journal of Child Psychology and Psychiatry. 44(5), 763–781.
Smith, T. (2001). Discrete trial training in the treatment of autism. Focus on Autism and Other Developmental Disabilities. 16(2), 86–92.
Stone, W. L., Ousley, O. Y., & Littleford, C. L. (1997). Motor imitation in young children with autism: What’s the object? Journal of Abnormal Child Psychology. 25, 475–485.
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Toth, K., Munson, J., Meltzoff, A. N., & Dawson, G. (2006). Early predictors of communication development in young children with autism spectrum disorder: Joint attention, imitation, and toy play. Journal of Autism and Developmental Disorders. 36(8), 993–1005.
Ünlü, E., Vuran, S., & Diken, I. H. (2018). Effectiveness of  Discrete Trial Training Program for Parents of Children with Autism Spectrum Disorder. International Journal of Progressive Education14(3), 12-31.
Uzgiris, I. (1981). Two functions of imitation in infancy. International Journal of Behavioral Development. 4(1), 1–12.
Vivanti, G. (2015). The importance of distinguishing propensity versus ability to imitate in ASD research and early detection. Journal of Autism and Developmental Disorders. 45(4), 1119–1120.
Yanchik, A. (2021). Effect of Natural Environment Training and Discrete Trial Training on Adaptive Behaviors.‏ Master of Arts Dissertation. Faculty of Psychology, Montclair State University, USA.