Applied behavior analysis on inhibition, planning, and working memory of intellectually disabled children with hearing impairment

  • Farangis Demehri Department of Psychology, School of Humanities, Science and Arts University, Yazd, Iran
  • Mohsen Saeidmanesh Department of Psychology, School of Humanities, Science and Arts University, Yazd, Iran
  • Fahimeh Dehghani Tezeng Department of Psychology, School of Humanities, Science and Arts University, Yazd, Iran
Keywords: Applied behavior analysis; intellectual disability children; inhibition; working memory

Abstract

Background and Aim: Children with intellectual disability have significant defects in the essential elements that constitute mental development. The purpose of this study was to investigate the effectiveness of applied behavior analysis on inhibition, planning, and working memory of intellectually disabled children with hearing impairment.
Methods: The study design was quasi-experimental with pretest, posttest and a group control. The study population comprised all intellectually disabled children with hearing impairment, referred to Yazd Rehabilitation Centers. A total of 30 students were selected from the hearing-impaired children with mild to moderate intellectual disability. Then, they were randomly assigned into control (n = 15) and experimental (n = 15) groups. The study instrument was the Behavior Rating Inventory of Executive Function (BRIEF) questionnaire. The program based on applied behavior analysis presented for experimental group and after that the posttest were administered for both groups. Analyses of covariance was used to analyze data.
Results: The study result indicate that group therapy based on applied behavior analysis has significant effects on inhibition (p < 0.01) and planning (p < 0.05) of intellectually disabled children with hearing impairment, but cannot change their working memory (p < 0.17).
Conclusion: Applied behavior analysis can be used as a therapeutic method for improving exe­cutive functions in intellectually disabled children with hearing impairment.

References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). 5th ed. Washington, DC: American Psychiatric Association; 2013.
2. Maulik PK, Mascarenhas MN, Mathers CD, Dua T, Saxena S. Prevalence of intellectual disability: a meta-analysis of population-based studies. Res Dev Disabil. 2011;32(2):419-36. doi: 10.1016/j.ridd.2010.12.018
3. Heslop P, Blair PS, Fleming P, Hoghton M, Marriott A, Russ L. The Confidential Inquiry into premature deaths of people with intellectual disabilities in the UK: a population-based study. Lancet. 2014;383(9920):889-95. doi: 10.1016/S0140-6736(13)62026-7
4. Tyrer F, McGrother C. Cause-specific mortality and death certificate reporting in adults with moderate to profound intellectual disability. J Intellect Disabil Res. 2009;53(11):898-904. doi: 10.1111/j.1365-2788.2009.01201.x
5. Lee NR, Anand P, Will E, Adeyemi EI4, Clasen LS, Blumenthal JD, et al. Everyday executive functions in Down syndrome from early childhood to young adulthood: evidence for both unique and shared charac¬teristics compared to youth with sex chromosome trisomy (XXX and XXY). Front Behav Neurosci. 2015;9:264. doi: 10.3389/fnbeh.2015.00264
6. Loveall SJ, Conners FA, Tungate AS, Hahn LJ, Osso TD. A cross-sectional analysis of executive function in Down syndrome from 2 to 35 years. Journal of Intellectual Disabillity Res. 2017; 61(9):877-87. doi: 10.1111/jir.12396
7. Carlson SM. Developmentally sensitive measures of executive function in preschool children. Dev Neuropsychol. 2005;28(2):595-616. doi: 10.1207/s15326942dn2802_3
8. Memisevic H, Sinanovic O. Executive function in children with intellectual disability--the effects of sex, level and aetiology of intellectual disability. J Intellect Disabil Res. 2014;58(9):830-7. doi: 10.1111/jir.12098
9. Pritchard AE, Kalback S, McCurdy M, Capone GT. Executive functions among youth with Down Syndrome and co‐existing neurobehavioral disorders. J Intellect Disabil Res. 2015;59(12):1130-41. doi: 10.1111/jir.12217
10. Jarrold C, Baddeley AD. Short-term memory in Down syndrome: applying the working memory model. Downs Syndr Res Pract. 2001;7(1):17-23.
11. Lanfranchi S, Jerman O, Dal Pont E, Alberti A, Vianello R. Executive function in adolescents with Down syndrome. J Intellect Disabil Res. 2010;54(4):308-19. doi: 10.1111/j.1365-2788.2010.01262.x
12. LI Y, WU R, HU X, LI H, Zelazo P D .The development of executive function in deaf children: comparing with normal children]. Acta Psychology Sinica. 2006; 38(3):356-64. Chinese.
13. Willems M, Hilgenkamp TI, Havik E, Waninge A, Melville CA. Use of behaviour change techniques in lifestyle change interventions for people with intellectual disabilities: A systematic review. Res Dev Disabil. 2017;60:256-68. doi: 10.1016/j.ridd.2016.10.008
14. Christy Hicks S, Rivera CJ, Patterson DR. Simple steps for teaching prepositions to students with autism and other developmental disabilities. Interv Sch Clin. 2016;51(3):163-9. doi: 10.1177/1053451215585807
15. Sambandam, E, Rangaswami K, Thamizharasan S. Efficacy of ABA programme for children with autism to improve general development, language and adaptive behaviour. Indian J Posit Psychol. 2014;5(2):192-5.
16. Noorani Jurjadeh SR, Mashhadi A, Tabibi Z, Kheirkhah F. [Effectiveness of executive functions training based on daily life on executive functioning in children with attention deficit/hyperactivity disorder]. Advances in Cognitive Science. 2016;18(1):68-78. Persian.
17. Madani SS, Alizadeh H, Farrokhi NA, Hakimi Rad E. [Development of an executive functions (response inhibition, updating, sustained attention) program and examining its effectiveness on symptoms amelioration in children with attention deficit/hyperactivity disorder]. Sychology of Exceptional Individuals. 2017;7(26):1-25. Persian. doi: 10.22054/JPE.2017.24627.1622
18. Gioia AG, Isguith PK, Guy SC, Kenvorth L. Test review behavior rating inventory of executive function. Child Neuropsychology. 2000;6(3):235-8. doi: 10.1076/chin.6.3.235.3152
19. Barkley RA. Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull. 1997;121(1):65-94. doi: 10.1037/0033-2909.121.1.65
20. Baltruschat L, Hasselhorn M, Tarbox J, Dixon DR, Najdowski AC, Mullins RD, et al. Further analysis of the effects of positive reinforcement on working memory in children with autism. Res Autism Spectr Disord. 2011;5(2):855-63. doi: 10.1016/j.rasd.2010.09.015
Published
2019-05-19
How to Cite
1.
Demehri F, Saeidmanesh M, Dehghani Tezeng F. Applied behavior analysis on inhibition, planning, and working memory of intellectually disabled children with hearing impairment. Aud Vestib Res. 28(3):158-163.
Section
Research Article(s)