Griffen Brenna, Lorah Elizabeth R, Holyfield Christine, Caldwell Nicolette, Nosek John
Louisiana State University- Shreveport, Department of Psychology, Shreveport, LA USA.
University of Arkansas, Department of Curriculum and Instruction, Fayetteville, AR USA.
J Dev Phys Disabil. 2025;37(4):673-705. doi: 10.1007/s10882-024-09976-2. Epub 2024 Jul 2.
Individuals with intellectual and developmental disabilities (IDD) face many barriers to meaningful inclusion, including limited language and communication skills. Professionals, such as speech-language pathologists (SLPs), can provide personalized instruction to promote skill development and inclusion. Providing opportunities for individuals to express preferences and choice, such as the multiple stimulus without replacement preference assessment (MSWO; DeLeon & Iwata 1996), within these programs, further increases skill acquisition and social interaction. However, limitations in professionals' knowledge and skills in performing assessments can be another barrier to meaningful inclusion for individuals with IDD and traditional training methods can be challenging and time consuming. The purpose of the current study was to compare the use of artificial intelligence with traditional pen and paper self-instructional MSWO training methods for five preservice SLPs. Fidelity of implementation and duration of assessment were measured. Results demonstrated a large increase in implementation fidelity for two participants, a moderate increase for two participants and a slight increase for the remaining participant while using artificial intelligence. All participants demonstrated a decrease in scoring errors using artificial intelligence. Regarding duration of implementation, artificial intelligence resulted in a significant reduction for four participants and a moderate reduction for the remaining participant. Results of the follow-up survey suggest that all adult participants and both child participants found that artificial intelligence had a higher treatment acceptability and was more effective at producing socially significant outcomes than traditional methods. Recommendations for clinicians and future research are discussed.
智力和发育障碍(IDD)患者在实现有意义的融入方面面临诸多障碍,包括语言和沟通技能有限。言语语言病理学家(SLP)等专业人员可以提供个性化指导,以促进技能发展和融入。在这些项目中,为个人提供表达偏好和选择的机会,例如无替换多重刺激偏好评估(MSWO;德莱昂和岩田,1996年),可以进一步提高技能习得和社交互动。然而,专业人员在进行评估时知识和技能的局限性可能成为IDD患者实现有意义融入的另一个障碍,而且传统的培训方法可能具有挑战性且耗时。本研究的目的是比较人工智能与传统纸笔式自我指导MSWO培训方法对五名职前言语语言病理学家的效果。测量了实施的保真度和评估持续时间。结果表明,在使用人工智能时,两名参与者的实施保真度大幅提高,两名参与者适度提高,其余一名参与者略有提高。所有参与者使用人工智能时评分错误均减少。关于实施持续时间,人工智能使四名参与者显著减少,其余一名参与者适度减少。后续调查结果表明,所有成年参与者和两名儿童参与者都发现,人工智能比传统方法具有更高的治疗可接受性,并且在产生具有社会意义的结果方面更有效。文中还讨论了对临床医生的建议和未来研究方向。