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The ASA's 39th National Conference on Autism Spectrum Disorders of ASAThe Westin Kierland Resort & Spa, Scottsdale, AZ |
For a complete author index with session numbers, please click here |
Friday, July 11, 2008: 10:45 AM-12:00 PM | |||
Miami 3 | |||
#3533- Objectives Based Education for Improving Executive Functions: Reaching Children with Pervasive Developmental Deficits. | |||
Results of a study designed to investigate the impact of an objectives based curriculum targeting the development of behavioral and metacognitive skills of executive functioning in students with a diagnosis of PDD will be shared. A positive correlation was found in the Behavior Rating Index of the Behavior Rating Inventory of Executive Functions (BRI) pre and post condition. The BRI measures skills in the areas of inhibit, shift, and emotional control. Implications for use in developing IEP's will be discussed. | |||
Presenter: | - Debrah Hall received a B.S. cum laude in Psychology, and her M.Ed. in Educational Psychology from the University of Houston. She completed her doctoral work at Union Institute and University where her research focused on objectives based education for improving executive functions in children with neurological deficits. | ||
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This study reviewed teacher reports of executive functioning for children with neurological and psychological disorders as measured by changes in T-scores of the Behavior Rating Inventory of Executive Function-Teacher (BRIEF-T) on the sub skills measured by the Behavior Regulation Index (BRI) and Metacognitive Index (MI). The measurements were recorded at the time the student enrolled (pre) and again in May of 2006 (post). The length of treatment ranged from one to six years to The Monarch School Objectives (TMO), a set of developmentally sequenced objectives in a pre and post model. Paired sample t-tests were used to examine the relationship of the dependent variables of behavior ratings (BRI) and metacognitive indexes (MI) with age, gender, years attending the program, IQ, and diagnosis as fixed variables to identify any significance. Findings revealed statistical significance within the Behavior Rating Index (BRI) pre and post test for children with a diagnosis of autism, Asperger’s Syndrome, and Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS). For all participants, data quantified from TMO indicates improvement in skills as measured by The Monarch School Objectives. Kleinhans, Akshoomoff, and Delix (2005) found that ASD adults and adolescents performed well below the average range on their composite measure of executive functions. The most consistent deficit was found on measures of verbal fluency that required cognitive shifting and initiation of efficient lexical retrieval strategies. Ahluvlia, Kenworthy, Wagner, Wallace, Gilotty, and Towbin (2002) reported greater weaknesses in verbal aspects of working memory than in spatial working memory for children with ASD. Gilotty, Kenworthy, Sirian, Black, and Wagner (2002) suggested that impairments in executive abilities are strongly associated with the deficits in communication, play and social relationships found in children with autism. Ozonoff (1998) and Ozonoff and Jensen (1999) found those on the autism spectrum had flexibility and planning problems and were less impaired in the area of inhibition. Note that all researchers implicate executive function deficits as co-existing and associated with autism spectrum disorders.Although the impact of executive function deficits on school success is profound, the awareness of this issue among educators and parents is all too often limited and there are few systematic interventions available for children with EF deficits. Despite the growing literature on the importance of executive functions, little has been written about systematic interventions that may enable children with disorders of executive functions to acquire requisite EF skills (Marlowe, 2000). As more children than ever are being diagnosed with neurological disorders, most of whom will show some deficit in executive functioning, the need for intervention increases. Interventions shown to bear strong relationships to discrete areas of functioning addressed by a well-validated measure such as the BRIEF offer new and more direct ways of intervening to increase students’ executive functioning skills within educational settings. Educational psychologists, neuropsychologists, and educators all report the assumption that executive functions are critical life skills. The need to teach students these skills is documented. What is lacking is a systematic guide for helping students learn better executive functions in a school setting. This is a critical need for all students, particularly those with an ASD. This presentation will share a method that has been used for 11 years at The Monarch School that incorporates the use of the BRIEF-T to establish a baseline of behaviors as rated by the BRI and MI and then crafts a treatment plan using The Monarch Objectives to focus the work in four core areas that include ownership of self-regulation and self-awareness, ownership of relationship development, ownership of executive functions, and ownership of academic competence. Presenter will conduct an interactive discussion of eight categories of executive functions observable in daily functioning. A brief overview of formal assessments will offered with more elaboration on a functional, ecological assessment tool that can be used. Detail as to the types of objectives that would be helpful to include on IEP's and ways to track progress will be discussed. Interactive presentation. Use of Power Point with video. |
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