Combining ABA and PECS Strategies to Enhance Learning of English Alphabet, Words, and Pronunciation in an Autistic Child

Document Type : Research Paper

Authors

1 Faculty of Humanities and Psychology, University of Tabriz, Tabriz, Iran

2 Department of English Language and Literature, Faculty of Literature and Foreign Language, University of Tabriz, Tabriz, Iran

Abstract

Despite communication challenges, research suggests that children with Autism Spectrum Disorder (ASD) can benefit from foreign language education. This aligns with their strengths in visual learning and the documented effect of Applied Behavior Analysis (ABA) in teaching language to children with ASD. Building on these strengths, this qualitative case study investigated the effectiveness of combining Applied Behavior Analysis (ABA) and Picture Exchange Communication System (PECS) strategies for teaching English language skills to an 8-year-old boy with high-functioning Autism Spectrum Disorder (ASD) at Sara Autism Center. The study employed detailed observations to explore the participant's experience learning English as a foreign language. The findings revealed a significant increase in vocabulary (30 words within three months) and highlighted the effect of ABA and PECS in facilitating language acquisition and generalization. The use of the Let Me Talk app on an iPad to support communication and parental involvement were identified as crucial factors for success. This case study emphasizes the importance of multimodal learning approaches. It also highlights the need to tailor interventions to individual needs for effective language development in autistic children. The findings offer valuable insights for educators, policymakers, and parents invested in improving educational outcomes for children with ASD.

Keywords

Main Subjects


Adkins, J. (2022). Applied Behavior Analysis Therapy for Children with Autism Spectrum Disorder and the Impact of Environment on Treatment Outcomes. Unpublished  Dissertation, Walden University. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=13512&context=dissertations
Alberto, P. A., & Troutman, A. C. (1999). Applied behavior analysis for teachers (5th ed.). Upper Saddle River, NJ: Pearson Education Merrill Prentice Hall.
Allred, Charlotte. G. (2014). The Effect of Picture Exchange Communication Systems and Sign Language Training     on the Communication Attempts of a Child with Autism [Dissertation].
Anderson, D. K., Lord, C., Risi, S., DiLavore, P. S., Shulman, C., Thurm, A., & Pickles, A. (2007). Patterns of growth in verbal abilities among children with autism spectrum disorder.        Journal of Consulting and Clinical Psychology, 75(4), 594-604. https://doi.org/10.1037/0022-006X.75.4.594
Anderson, S. R., & Romanczyk, R. G. (1999). Early intervention for young children with autism: Continuum-based     behavioral models. Journal of the Association for Persons with Severe    Handicaps, 24(3), 162-173. https://doi.org/10.2511/rpsd.24.3.162
Barletta, N. P. (2018). High-functioning autism and second language development: A case study. Interamerican     Journal of Psychology, 52(2), 183–193. https://doi.org/10.30849/rip/ijp.v52i2.345
Bondy, A. (2001). PECS: Potential benefits and risks. The Behavior Analyst Today, 2(1), 127-146. https://doi.org/10.1037/h0099924
Bondy, A., & Frost, L. (2011). A picture's worth: PECS and other visual communication strategiesin autism. Child & Family Behavior Therapy, 34(2), 163–166.
Castillo, C. S. V., & Sanchez, D. F. M. (2016). Strategies to teach English as a foreign language  to autistic children at a basic level at Saint Mary school [Bachelor's thesis]. Universidad Centro Americana. http://repositorio.uca.edu.ni/4501/1/UCANI4960.Pdf
Cooc, N. (2019). Teaching Students with Special needs: International Trends in School Capacity and the Need for Teacher Professional Development. Teaching and Teacher Education, 83(1), 27–41. https://doi.org/10.1016/j.tate.2019.03.021
Dawson, G., Jones, E. J., Merkle, K., Venema, K., Lowy, R., Faja, S., ... & Webb, S. J. (2012). Early behavioral     intervention is associated with normalized brain activity in young children with autism. Journal of the American Academy of Child & Adolescent Psychiatry51(11), 1150-1159.
Eapen, V., Črnčec, R., & Walter, A. (2013). Clinical outcomes of an early intervention program for preschool     children with autism spectrum disorder in a community group setting. BMC pediatrics13, 1-9.
Elder, J. H., Seung, H., & Siddiqui, S. (2006). Intervention outcomes of a bilingual child with autism. Journal of Medical Speech-Language Pathology, 14(1), 53–63.
Feinstein, N. W. (2012). Making sense of autism: Progressive engagement with science among parents of young,     recently diagnosed autistic children. Public Understanding of Science, 23(5), 592–609. https://doi.org/10.1177/0963662512455296
Fernandez y Garcia, E., Breslau, J., Hansen, R., & Miller, E. (2012). Unintended consequences: An ethnographic narrative case series exploring language recommendations for bilingualfamilies of children with autistic spectrum disorders. Journal of Medical Speech-Language Pathology, 20(2), 10-16.
Fitri, N. (2024). Enhancing Language Skills in Autistic Children: A Psycholinguistic Exploration of ABA Therapy Effects with Linguistic and Psycho-Behavioral Perspective. Gramatika STKIP PGRI Sumatera Barat, 10(1). https://doi.org/10.22202/jg.2024.v10i1.8029
Frost, L. (2002). The picture exchange communication system. Perspectives on Language           Learning and Education, 9(2), 13–16. https://doi.org/10.1044/lle9.2.13
Ganz, J. B., & Simpson, R. L. (2004). Effects on communicative requesting and speech   development of the picture exchange communication system in children with characteristics of autism. Journal of Autism and Developmental Disorders, 34(4), 395        409. https://doi.org/10.1023/B:JADD.0000037416.59095.d7
Hambly, C., & Fombonne, E. (2012). The impact of bilingual environments on language development in children with autism spectrum disorders. Journal of autism and developmental disorders42, 1342-1352.
Hariharasudan, A., & Kot, S. (2018). A Scoping Review on Digital English and Education 4.0 for Industry 4.0. Social Sciences, 7(11), 227. https://doi.org/10.3390/socsci7110227
Hashim, H. U., Yunus, M. M., & Norman, H. (2021). English as secondary language learning and autism spectrum     disorder: The obstacles in teaching and learning the language. Arab World English Journal (AWEJ), 12(2), 22–30. https://dx.doi.org/10.24093/awej/vol12no2.2
Hess, K. L., Morrier, M. J., Heflin, L. J., & Ivey, M. L. (2008). Autism treatment survey: Services received by children with autism spectrum disorders in public school classrooms. Journal of autism and developmental    disorders38, 961-971.
Hughes, M., & Greenhough, P. (2006). Boxes, bags and videotape: enhancing home–school communication through     knowledge exchange activities. Educational Review, 58(4), 471–487. https://doi.org/10.1080/00131910600971958
Jensen, Vanessa K. PsyD; Sinclair, Leslie V. (2002). Treatment of Autism in Young Children: Behavioral Intervention and Applied Behavior Analysis. Infants & Young Children 14(4), 42-52.
Jobling, A., & Moni, K. B. (2004). "I never imagined I'd have to teach these children": providing authentic learning     experiences for secondary pre‐service teachers in teaching students with special needs. Asia-Pacific     Journal of Teacher Education, 32(1), 5–22. https://doi.org/10.1080/1359866042000206026
Juane Heflin, L., & Simpson, R. L. (1998). Interventions for Children and Youth with Autism. Focus on Autism and     Other Developmental Disabilities, 13(4), 194–211. https://doi.org/10.1177/108835769801300401
Kaprava, A. (2019). The Importance of English in the Modern World. In Інноваційні тенденції підготовки фахівців в умовах полікультурного та мультилінгвального глобалізованого світу. Київський        національний університет технологій та дизайну. Innovative trends in training in a multicultural and multilingual globalized world. Kyiv National University of Technology and Design
Khasawneh, M. A. S. . (2021). The level of motivation among teachers of learning disabilities in English language in light of the COVID-19 pandemic. Social Science Learning Education Journal6(11), 642–651. Retrieved from     https://sslej.in/index.php/sslej/article/view/3501
Khodaverdi, N., Ashayeri, H., & Maftoon, P. (2018). Teaching English as a foreign language tohigh-functioning     autistic children. Neuropsychology Journal, 3(4), 39–54. http://clpsy.journals.pnu.ac.ir/article_4867_93592e693dc854d6a9d9a36e68ae8e27.pdf
Koegel, R. L., Koegel, L. K., & Carter, C. M. (1999). Pivotal Teaching Interactions for Children with Autism.     School Psychology Review, 28(4), 576–594. https://doi.org/10.1080/02796015.1999.12085986
Kravits, T. R., Kamps, D. M., Kemmerer, K., & Potucek, J. (2002). Brief report: Increasing communication         skills for an elementary-aged student with autism using the picture exchange communication system.        Journal of Autism and Developmental Disorders, 32(3),          225–230. https://doi.org/10.1023/A:1015457931788      
Kuparinen, T. (2017). Perceptions of EFL learning and teaching by autistic students, their teachers and their school     assistants [Master's Thesis]. University of Jyväskylä. https://jyx.jyu.fi/bitstream/handle/123456789/55292/1/URN%3ANBN%3Afi%3Ajyu 201709073681.pdf
Linzalone, R., Schiuma, G., & Ammirato, S. (2020). Connecting universities with entrepreneurship through digital     learning platform: functional requirements and education-based knowledge exchange activities. Semantic     Scholar, 26(7). https://doi.org/10.1108/ijebr-07-2019-0434
Lohman, M. C., & Woolf, N. H. (2001). Self-Initiated Learning Activities of Experienced Public School Teachers:     Methods, sources, and relevant organizational influences. Teachers and Teaching, 7(1), 59–74.     https://doi.org/10.1080/13540600123835
Magyar, C. I. (2011). Developing and Evaluating Educational Programs for Students with Autism. Springer.
McCorkle, S. L. (2012). Visual strategies for students with autism spectrum disorders. LC Journal of Special Education, 6(4). https://doi.org/10.1155/2012/259468
Marcus, L., & Schopler, E. (2007). Educational approaches for autism – TEACCH. In E. Hollander & E.  Anagnostou (Eds), Clinical manual for the treatment of autism, 211-230. American Psychiatric Publishing Inc.
MedlinePlus. (2021). Autism spectrum disorder. MedlinePlus. https://medlineplus.gov/autismspectrumdisorder.html
Norwich, B., & Lewis, A. (2007). How specialized is teaching children with disabilities and difficulties? Journal of     Curriculum Studies, 39(2), 127–150. https://doi.org/10.1080/00220270601161667
Padmadewi, N. N., & Artini, L. P. (2017). Teaching English to a student with autism spectrum disorder in a regular classroom in Indonesia. International Journal of Instruction, 10(3), 159–176. https://doi.org/10.12973/iji.2017.10311a
Pennington, L., Goldbart, J., & Marshall, J. (2004). Speech and language therapy to improve the communication skills of children with cerebral palsy. The Cochrane database of systematic reviews2004(2),  CD003466. https://doi.org/10.1002/14651858.CD003466.pub2 
Petersen, J. (2010). Lexical skills in bilingual children with autism spectrum disorders [Master's thesis]. https://circle.ubc.ca/handle/2429/23471
Reppond, J. S. (2015). English language learners on the autism spectrum: Identifying gaps in learning. Hamline     University. http://digitalcommons.hamline.edu/cgi/viewcontent.cgi?article=1241&context=hse_all
Rezvani, M. (2020, December 22). Teaching English to Students With Autism: Montessori-Oriented versus Audio Lingual Method. International Institute for Technology Education and Research.
Rodwin, A. H., Shimizu, R., Travis, R., Jr, James, K. J., Banya, M., & Munson, M. R. (2022). A systematic review     of music-based interventions to improve treatment engagement and mental health outcomes for adolescents and young adults. Child & Adolescent Social Work Journal: C & A, 1–30. Advance online         publication. https://doi.org/10.1007/s10560022-00893-x
Ryan, R., Santesso, N., Lowe, D., Hill, S., Grimshaw, J., Prictor, M., Kaufman, C., Cowie, G., & Taylor, M. (2014). Interventions to improve safe and effective medicines use by           consumers: an overview of systematic reviews. The Cochrane Database of Systematic Reviews2014(4), 68-77. https://doi.org/10.1002/14651858.CD007768.
Samadi, S. A., McConkey, R., & Kelly, G. (2013). Enhancing parental well-being and coping through a family-centred short course for Iranian parents of children with an autism spectrum disorder. Autism17(1), 27-43. https://doi.org/10.1177/1362361311435156
Santrock, J. W. (2007). Child development. New York: McGrow.
Schloss, P. J., & Smith, M. A. (1998). Applied behavior analysis in the classroom (Rev. ed.). Boston: Allyn and Bacon.
Schopler, E., Mesibov, G.B., Hearsey, K. (1995). Structured Teaching in the TEACCH System. In: Schopler, E.,  Mesibov, G.B. (Ed.), Current Issues in Autism (234-367) https://doi.org/10.1007/978-1-4899-12862_13  
Setiadi, I. B. (2017). Teacher Talk in Teaching English for Students with Autism Spectrum Disorder (ASD). Jurnal Penelitian Pendidikan, 34(1), 15–24. https://doi.org/10.15294/jpp.v34i1.10906
Sugai, G., Lewis-Palmer, T., & Hagan-Burke, S. (2000). Overview of the Functional Behavioral Assessment     Process. Exceptionality, 8(3), 149–160. https://doi.org/10.1207/s15327035ex0803_2
Sulzer-Azaroff, B., & Mayer, G. R. (1977). Applying behavior-analysis procedures with children and youth. New York: Holt, exchange communication system (PECS). In International Journal     of Special Education, 22(3), 58-68.
Swanson, H., & Sachse-Lee, C. (2000). A meta-analysis of single-subject-design intervention research for students with LD. Journal of learning disabilities33(2), 114-136.
Tamanaha, A. C., Olivatti, D. O. F., Silva, S. C. da, Vieira, S. C. P., & Perissinoto, J. (2023). Picture Exchange     Communication System (PECS) Implementation Program for children with autism spectrum disorder.     CoDAS, 35(4). https://doi.org/10.1590/2317-1782/20232021305en
Parekh, T. (2024). Butterfly learnings. Butterflylearnings.com. https://www.butterflylearnings.com/how-pecs     improves-communication-autism-people
Trembath, D., Balandin, S., & Togher, L. (2007). Vocabulary selection for Australian children who use augmentative and alternative communication. Journal of Intellectual and Developmental Disability32(4), 291-301.
Tri Gunadi. (2019). The Effect of Applied Behavior Analysis Verbal Behavior to the Ability of Language Development in Early Age Children with Autistic Spectrum Disorder. Jurnal Sosial Humaniora Terapan,  1(2).
Virués-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta regression and dose–response meta-analysis of multiple outcomes. Clinical psychology review30(4), 387-399.
Warwick, I., Maxwell, C., Statham, J., Aggleton, P., & Simon, A. (2008). Supporting mental health and emotional well‐being among younger students in further education. Journal of Further and Higher Education32(1), 1–13. https://doi.org/10.1080/03098770701560331
Yunus, M., Amirullah, A., Safiah, I., Ridha, S., & Suartama, I. K. (2022). Development of the CPOL design to     improve the ability to develop teaching materials. Cypriot Journal of Educational Sciences, 17(5), 1655-1670. https://doi.org/10.18844/cjes.v17i5.7257
Zohoorian, Z., Zeraatpishe, M., & Matin sadr, N. (2021). Effectiveness of the Picture Exchange Communication     System in Teaching English Vocabulary in Children with Autism Spectrum Disorders: A single-subject   study. Cogent Education, 8(1), 189-299. https://doi.org/10.1080/2331186x.2021.1892995
Zohrabi, M., Tadayyon, P., & Dobakhti, L. (2018). The Effects of Rote and Contextualized Memorization on Iranian     Intermediate EFL Learners' Vocabulary Development. Iranian Journal of English for Academic Purposes,     7(2),16–31. https://dor.isc.ac/dor/20.1001.1.24763187.2018.7.2.2.7