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Autism In The Classroom Computer-Aided Instruction Page |

Autism In The Classroom


Computer-Aided Instruction

Overview
Computer-aided instruction (CAI) is focused on the use of computers to teach academic skills as

well as to promote communication and language development skills. In the academic domain,

the evidence-based research studies focused on vocabulary and grammar. Within the

communication domain, studies targeted communicative functions and initiations. CAI meets

evidence-based practice criteria within the elementary and middle/high school age groups. CAI

has been used successfully in school settings and with all age groups.

What is Computer-Aided Instruction (CAI)?

According to Goldsmith and Leblanc (2004), computers have been used to teach a variety of

skills and can help learners:

o recognize and predict emotions,

o enhance problem solving,

o improve vocabulary,

o advance generative spelling,

o enhance vocal imitation,

o increase play-related statements, and

o improve reading and communication skills.


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Within the evidence base for CAI, this practice can be used to successfully teach communication

skills and enhance academic learning. Specifically, CAI is an effective means for teaching

vocabulary and grammar (Massaro & Bosseler, 2006; Hetzroni & Tannous, 2004; Bosseler &

Massaro, 2003; Moore & Calvert, 2000). It also has been demonstrated to be an effective means

for teaching communicative functions and related communication skills to learners with ASD

(Hetzroni & Tannous, 2004). Furthermore, CAI can be used to teach persons with ASD to

recognize and predict emotions in others (Silver & Oakes, 2001). Due to ever-changing

computer technology and the rapid introduction of computer software into the educational

market, this module will focus only on the salient aspects of CAI and how to choose computer

software that has been shown to be effective with learners with ASD. This module will not

address computer hardware configurations because the available software determines the type of

computer and operating system to be used. Also, software changes from time to time. Module

readers are encouraged to seek the input of technology support staff when determining

computing needs for CAI.

Why Use CAI?

There are a number of reasons why CAI can be used with learners with ASD. First,

characteristics of learners with ASD often include strengths in visual processing and preferences

for visual learning (Mesibov, Shea, & Schopler, 2005; Quill, 1997; Grandin, 1995; Schuler,

1995). Both of these characteristics are skills that are necessary for effective use of CAI. Many

learners with ASD have difficulty interacting with others. For example, they have considerable

difficulty with social reciprocity and interactions (American Psychiatric Association, 2000;

National Research Council, 2001). Because of these characteristics as well as the increasing

prevalence of computers both in and out of the classroom and the high cost of individualized
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instruction, computers are being used for some aspects of instructional time for learners with

ASD. Aspects of CAI that make it desirable include multi-sensory approaches (i.e., those that use

multiple senses such as visual, auditory, and tactile) structured environments (i.e., settings that

have a clear purpose and are well defined either visually or functionally), interactive functions,

and individualization and independence of use (Hetzroni & Tannous, 2004). Although CAI is

most often used to teach specific academic and communication skills, some studies have found it

to be effective in increasing motivation and attention as well (Hetzroni & Tannous, 2004; Silver

& Oakes, 2001; Moore & Calvert, 2000).

Who Can Use CAI, Where Can It Be Used, and What Are the Challenges?

CAI can be used across a range of environments by professionals and non-professionals,

including teachers, therapists, paraprofessional educators, parents, siblings, and other family

members. Because of the overwhelming number of computer hardware and software options,

many factors must be taken into account when deciding to use CAI. They include:

o identifying the target of instruction (i.e., the skill or behavior being taught),

o becoming familiar with the variety of software options available,

o being technologically savvy enough to identify whether or not the software will work on

available computers and operating systems,

o making oneself familiar with the software chosen and the computer on which it will

operate prior to beginning instruction,

o identifying available technology support,


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o understanding how to introduce learners and those who support them to the specific CAI

chosen,

o knowing how to prompt successfully and fade prompting as necessary to promote

independent interactions between the learner and the CAI, and

o collecting and monitoring data regarding learners' use of the CAI and their progress

toward target skills and related goals.

This module provides guidelines for promoting successful use of CAI with learners with ASD by

focusing on these factors.

With What Ages is CAI Most Effective?

The evidence base for CAI includes studies conducted with learners ranging from 3 to 18 years

of age. Within the domain of communication skills, the research has shown success with early

childhood as well as middle and high school students. For the area of academics and cognition,

learners in all three age categories (early childhood, elementary, and secondary) were

successfully taught a variety of skills using CAI. In short, depending on the target skill and the

needs/preferences of the learner, CAI may be used with nearly any age.

Are Any Assessments Needed Before Implementing CAI?

If you are considering implementing CAI with learners with ASD, some assessments have likely

already been completed. These may include formal tests of intelligence and adaptive functioning

including social interactions and communication skills. It is important to supplement information

derived from these formal measures with informal assessments such as observation, record

review, and interviews with learners and/or those individuals who support them (e.g., teacher,
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parent, paraprofessional). For some learners, it will be important to work with an occupational

therapist to determine if learners have the manual dexterity and fine motor skills to utilize a

traditional computer keyboard and/or mouse, or if an alternative device will be needed.

Informal assessments also should include some trials with a variety of CAI software options and

hardware configurations. If you are in a school setting, ask teachers and other staff what software

they use and how their students have responded to it. It is helpful to ask the parents of the learner

what software programs they have found useful at home. It is possible, even likely, that software

that is appealing to typically developing learners will be enjoyed by learners with ASD. Other

options for locating CAI software include stores that sell computer software, educational product

companies, and internet stores. In the Citation and References section at the end of this module, a

brief sampling of some of these sources is provided. Please note that we are not endorsing them.

They are provided as a starting point as you integrate CAI into your educational routines.

Step-by-Step Instructions

The following steps for implementation are actually guidelines for the general use of computer

software for instructional purposes. Thus, the steps used with purchased software will vary

according to the instructions that accompany them. The general guidelines for implementing CAI

are described in the following section.

Step 1. Identifying the Target Instruction

Practitioners/adults:

o refer to a learner's IEP or IFSP to identify the learner's goals.

o discuss goals with IEP/IFSP team members, family, and learner.


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o select a goal to be the target of instruction and ensure that the behavior is

observable and measurable.

The first step in implementing CAI is to identify the skills or behaviors that you want to teach via

the computer. The learner's Individualized Family Service Plan (IFSP) or Individualized

Education Program (IEP) will specify priorities and specific goals. From a review of the listed

goals, and discussion with learners, their families, and other team members, a specific skill (e.g.,

improved spelling, increased vocabulary) or behaviors (e.g., recognizing the emotions of other

people during conversations) should be identified as the target of instruction. It is important to

ensure that the behavior or skill is observable and measurable. For example, "Brendon will

increase his reading vocabulary by 50% across the school year, as measured by curriculum based

assessments."

Step 2. Collecting Baseline Data

Practitioners/adults collect baseline data appropriate for the targeted skill.

Once the specific skill has been identified and operationalized, baseline data are gathered on the

learner's use of the skill. Data may be gathered by multiple methods, depending on the skill or

behavior.

For example, if the target skill is to improve spelling, data may be gathered from permanent

products such as spelling tests, writing samples, and other written work. Another example of a

target skill could be to increase vocabulary. Again, data may be gathered from permanent

products such as writing samples or a vocabulary test that measures words in the learner's

vocabulary compared to a group sample and normed by age or grade. For target social skills,

such as recognizing and correctly interpreting the facial expressions of others, pre- and post-tests
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may be used that show pictures of people with a variety of facial expressions while asking

learners to identify simple emotions such as happy, sad, angry, or puzzled.

Practitioners/adults collect data on a minimum of three occasions to establish an accurate

baseline for the targeted skill.

Next, practitioners/adults collect an adequate amount of data on the target skill to establish an

accurate baseline. A good rule of thumb for baseline data is to collect it on a minimum of three

occasions to secure a measure of the target skill prior to instruction. If the data do not appear to

be stable (i.e., unchanging), consider collecting additional data until you have a typical estimate

of the learner's abilities. If the learner's performance of the target skill is erratic, it may take more

baseline data points to get a feel for how they engage in the skill over time. The importance of

collecting baseline data cannot be over-emphasized. Progress can be accurately measured only if

the starting point is well defined.

Many computer programs have built in data collection features that track learners' progress. For

example, most computer programs that teach and promote keyboarding skills automatically track

the user's progress on words per minutes and errors made. This is an excellent additional source

of information, but should not be relied upon for data collection. Nearly all skills or behaviors

that might be taught by computer are generalizable to natural settings. Therefore, it is important

to collect data using the measures that occur in natural environments. For example, while a

computer program may help learners increase vocabulary, the important outcome is how learners

use that vocabulary in written and oral communication tasks. Practitioners may collect data on

the learner's use of new vocabulary in classes and other settings across the school day. Written

vocabulary use may be measured via permanent products such as writing samples or vocabulary
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tests. Oral vocabulary may be measured by verbal reports and observation. Curriculum-based

assessments may also be used to assess a learner's use of a learned skill outside of the computer

program in which the learner is learning and practicing the skill.

Step 3. Identifying Technology Support

Practitioners/adults:

o identify technology support personnel in the school/program building.

o identify technology support personnel within the district.

o review district policies concerning the use of computer technology.

Before proceeding with the purchase of computer software, identify and contact persons in your

building who provide computer support. These individuals may be official technology support

persons or others who have different titles, but are experts on all things related to computers.

Include them in planning by sharing information such as your goals for the use of computers and

software. The information these individuals have is invaluable, and establishing a working

relationship with them is a great investment. In addition to identifying the persons who provide

technology support in your building, it is wise to know who supports computer use at the district

level. Familiarize yourself with any school policies concerning the use of computer technology.

Step 4. Identifying Available Computers for Use

Practitioners/adults:

o gather information about general computer specifications.


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o check schedules for computer availability for classroom, in media centers, or

libraries.

o develop a schedule for the learner's use of available computers and share with

others.

Prior to investing time, money, and effort in acquiring software that addresses the target of

instruction, identify and schedule times when learners can use computers within the

school/program. The following information may be helpful during this task:

o What type of computer (Mac or PC) is available?

o What type of operating system is on the computer (e.g., Windows XP or Vista for PCs,

OS X Leopard v 10.5 or later for Macs)?

o Where is the computer located (e.g., classroom, library, lab)?

o What types of drives does the computer have (e.g., CD, DVD, CD/DVD combination,

floppy, ISB Port)?

o Does the computer have internet access?

o Is the computer on a network (i.e., linked to other computers on the same server)?

o Does the computer have access to a printer and is it connected?

o Are the computer's keyboard and mouse in good working order?

o Does the computer have special adaptations (e.g., voice activated, large print monitor for

individuals with visual impairments)?


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Once you have gathered information about available computers, check classroom and school-

wide calendars to identify times that computers may be used by the learners. Create a schedule

for the learner's use of available computers and share this information with appropriate staff.

Step 5. Identify Appropriate Software

Practitioners/adults:

o check available software on existing accessible computers.

o ask school/program staff about their use of software.

o ask learners and their families about preferred software.

o inquire about appropriate software from vendors and retail stores, if necessary.

o review preview options and return policies prior to purchase.

CAI may be selected as an evidence-based instructional strategy because the learner already has

an interest in computers or because of the availability of software to teach the target skill or

behavior. If you are not aware of available software, the following suggestions might help:

o Check software already installed on accessible computers.

o Ask teachers and other staff (e.g., computer lab monitors, library staff) what software

they have or are familiar with and like.

o Ask learners, peers, and families what software they have or are familiar with and like.

o Visit a computer store that carries software and talk with sales people about popular titles

for the age of learners with whom you will be working. Ask for a demonstration of

software.
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o Conduct an internet search using the following keywords: computers, software, the age of

learner, autism or ASD, and the specific skill being targeted. You may also browse

popular internet stores that sell books and software. Many sites have search engines that

will allow you to browse by age, skill set, and so forth.

o Ask about software preview options and return policies before ordering software. It can

get expensive, not to mention discouraging, to purchase software, find out that it is not

exactly what is needed, and then learn that it cannot be returned.

Step 6. Selecting and Installing Software After you have identified software

options, choose the actual software to be purchased for use in CAI.

Practitioners/adults select software that:

◦explicitly teaches the target skill or behavior;

◦is age appropriate (for example, a Sesame Street program is appropriate for early childhood and

early elementary learners, but not for later elementary, middle, or high school age learners);

◦is compatible with the computer identified in Step 4; and

◦is user-friendly, meaning that it has a clear progression of steps, easy to follow on-screen

guides or menus, and readily identified help access (e.g., a button on every page that will take the

learner back to the main menu).


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Practitioners/adults install software and make it accessible for learners.

When you have chosen a program and acquired it, be sure to read through installation

procedures and get assistance from your technology support persons, if needed. Install the

software, so that it is easily accessible for learners by placing the program icon on the computer

desktop or in a folder that is readily identified. Go through all of the installation steps and, if

required, restart your computer before moving on to the software tutorial.

Step 7. Learning the Software

Practitioners/adults:

o try out the program before introducing it to the learner.

o select a starting point that is a good match with the learner's interests and abilities.

If the program comes with a tutorial, proceed through it before trying to use the software or

introducing the learner or others to the program. Once you have completed the tutorial, spend

some time getting acquainted with the program by moving through various activities, games, or

levels and looking for places that the learner may have difficulties. If the software offers a

variety of levels and activities, take this opportunity to select one or two that you feel will be a

good match to the interests and abilities of the learner. As you begin to feel comfortable with the

program, you can move ahead to task analysis.

Step 8. Completing a Task Analysis

Practitioners/adults complete an analysis of the steps for accessing the software within

CAI, and provide it to the learner.


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Breaking down the task, or task analysis, is an important step in CAI, because it helps learners

use computers more independently. This task analysis is specific to how one launches and uses

the computer software that is installed and should not be confused with a task analysis of the

target skill. A task analysis for running and launching the computer software might include the

following steps:

o Sit at computer.

o Turn on computer (if it isn't already on).

o Open CD drive.

o Insert selected software.

o Close CD drive.

o Launch program via icon that pops up once CD loads.

o Use software for desired length of time.

o Exit program.

o Remove CD from drive.

o Place CD in case and put away.

o Close CD drive.

o Shut down computer.

Practitioners/adults create a troubleshooting guide for the computer software

and provide it to the learner.


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Learners may find it helpful to have a specific troubleshooting guide created for the particular

software. An example of this might include:

o If the software does not open when the CD is inserted in the drive, try double-clicking on

the (CD designated) drive. Once this opens, double click on the program launch icon.

o If you reach a level that is too difficult and want to go back, press the ESC key on the

computer keyboard. This key will take you back to the main menu of the software.

o If the software freezes during play, wait 30 seconds and try again. If it still does not work,

try pressing the ESC key. If it still does not work, ask an adult to assist you.

An example for a younger learner, a learner who does not read, or a learner who is not

technically oriented may include shorter phrases or key words, icons with words, or just icons to

represent the steps for troubleshooting. Clearly, this step must be individualized based on the

abilities and preferences of the learner using CAI.

Step 9. Teaching the Software to Others

Practitioners/adults:

o introduce the software to those who work with the learner at school and at home.

o link the use of the software to target skills.

o provide support persons with the task analysis for computer use.

o allow support persons time to try out the program and ask questions.

At this point, it is appropriate to introduce the software to those who work with and support the

learner. This may include other teachers, classroom assistants, peers, and family members.
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Explain how the program addresses or teaches target skills. Provide them with an overview of

the task analysis and of the computer program. Then allow them time to explore with the

software program and ask questions before they work with the learner.

Step 10. Teaching the Learner

Practitioners/adults provide opportunities for learners to practice basic computer skills.

This step may be completed at any time prior to introduction of the software and may not be

necessary for all learners. If the learner has limited experience with computers or is very young,

you will need to teach some basic computer skills. These may include:

o sitting at the computer;

o wearing headphones (often a necessity in public settings where multiple types of

instruction occur simultaneously);

o looking at, listening to, and responding to the computer screen;

o using a mouse and/or keyboard (and possibly other specialized equipment, such as a

touch pad or a touch screen);

o taking turns, if the computer software has multi-user options; or

o treating the computer equipment with care (e.g., not banging or throwing the mouse, not

hitting the keyboard or screen when frustrated, knowing how to turn the computer off and

on, and how to ask for help if difficulties ensue).

If learners are already expert computer users, you may skip this step entirely. If they have had

some experience with computers, these skills may be reviewed as you teach the task analysis and
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begin working with the new software. If learners have not had much experience with computers,

you may choose to teach these skills with a simple game or program that is already installed and

has a clear cause/effect action. For example, a game designed for preschool and early elementary

learners who have not used a mouse before plays happy music and shows bubbles floating across

the screen. Learners merely have to move the mouse over the bubbles to make them pop.

Learners can move to the next level once this motion is learned, where a click of the left mouse

button pops the bubbles.

If necessary, practitioners/adults identify additional reinforcers to pair with computer use

to promote learner engagement and to teach basic computer skills.

An additional task that may be useful with some learners (especially those who have little or no

experience with computers) is to identify reinforcers that can be paired with the computer

software to motivate them to engage in the program long enough to experience success.

Step 11. Introducing Learner to Software

Practitioners/adults:

o explain to the learner how the program will help them learn and practice target

skills.

o model the task analysis for accessing the program.

o demonstrate basic program functions, if necessary.

o give the learner time to try the program while providing feedback and assistance.

Having completed all of the prerequisite steps, now it is time to actually begin working with

learners and the new computer software program. Talk with learners about the target skills or
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behaviors that the software will help them to learn and practice. Sit with them at the computer

while you model the task analysis for accessing and starting the program. Once the program has

launched, demonstrate the basic functions of the program. You may want to give some learners

access to the program right away and just sit with them while they initially use it. For other

learners with less computer experience, you may have them observe you using the program and

then sit with and assist them as they move through various levels of the program. Regardless of

learners' abilities, it will be important to have someone who has had experience with the program

to be immediately available to answer questions or provide assistance.

Step 12. Multiple Opportunities to Practice

Practitioners/adults:

o explain to the learner how the program will help them learn and practice target

skills.

o model the task analysis for accessing the program.

o demonstrate basic program functions, if necessary.

o give the learner time to try the program while providing feedback and assistance.

Having completed all of the prerequisite steps, now it is time to actually begin working with

learners and the new computer software program. Talk with learners about the target skills or

behaviors that the software will help them to learn and practice. Sit with them at the computer

while you model the task analysis for accessing and starting the program. Once the program has

launched, demonstrate the basic functions of the program. You may want to give some learners

access to the program right away and just sit with them while they initially use it. For other
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learners with less computer experience, you may have them observe you using the program and

then sit with and assist them as they move through various levels of the program. Regardless of

learners' abilities, it will be important to have someone who has had experience with the program

to be immediately available to answer questions or provide assistance.

Step 13. Providing Ongoing Support

Practitioners/adults provide learners with access to staff persons for assistance and to

answer questions during CAI time.

As learners become more independent with the use of the computer and the specific software

program, you may find that they do not need on-going supervision or assistance. If that is the

case, celebrate! That is a wonderful thing. Regardless of how adept learners are in accessing and

engaging in CAI, it will be important that they know how to seek assistance from a staff member

or peer should they need help at any point.

Step 14. Collecting Data

Practitioners/adults:

o collect data on the target skill in a format similar to baseline data collection.

o use data to make instructional decisions regarding the target skill or behavior.

Be sure to collect data on the progress of the target skill during the use of CAI is as the initial

collection of baseline data is important. As mentioned in Step 2, you may find that the program

has a data collection mechanism. These data may prove useful for providing learners with

immediate feedback as they use the software and may also be useful information to share with

learners' families and others on their team. Again, do not rely on these data alone for monitoring
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learner progress toward goals. Using the same procedures that were used to collect data at

baseline, continue to collect data regularly on how the learner uses and generalizes the target

skill being taught or supported via CAI. That is, in addition to any information gathered by the

computer program, also assess the learner's use of the target skill or behavior in school and other

environments.

Next Steps

Once you have successfully implemented CAI with a learner in your setting, you will likely find

that other learners (and perhaps adults in the setting as well) will be interested in joining in. For

learners who are successful with CAI, additional opportunities for its use will likely emerge.

Next steps may include using CAI with small groups of learners, using CAI in the context of

Peer-Mediated Instruction and Interventions, or finding new topics of interest or skill sets with

which to use CAI. Some practitioners report that even when learners reach mastery level with

some CAI programs, they continue to enjoy using the program. In these situations, learners can

continue to use CAI to promote the use of learned skills or behaviors.

Case Study Examples

Three case study examples are provided to demonstrate how computer-aided instruction might be

used. Jessie is a 4-year-old in an inclusive kindergarten program in his neighborhood school. He

is working on readiness skills, and the CAI is designed to help him increase his ability to "sit" for

longer periods of time and also to teach "mouse" skills. Brady is an 11-year-old in a rural setting.

The CAI goal for Brady is to increase receptive and expressive language. Finally, Lorna is a 14-

year-old without optimal inclusive opportunities. As the adults plan for her transition language

and recreation skills have become a priority. CAI will be used to improve these skills.
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Jessie

Case Study: Jessie

Jessie is a four-year-old boy with PDD-NOS who spends his mornings in an inclusive

kindergarten (4-K) program in his neighborhood school. He spends afternoons in an early

childhood program for children with ASD that meets in a school across town. Jessie's goals this

school year are to develop his school readiness skills, continue to build on his verbal

communication skills, and increase his ability to endure the school day. Several times this year,

he has had to go home following morning kindergarten because of behavioral episodes. His

parents and teachers report that he tires easily and that the demands of 4-K have been

challenging for him. A therapist in the afternoon early childhood program has commented that

Jessie does better if he has some time away from the typical demands of the school day upon

arrival. While not wanting to give up precious instructional time, the team has decided to use

computer-aided instruction to give Jessie a break from interactions and task demands, while

providing him with opportunities to practice some school readiness skills.

Step 1. Identifying the Target of Instruction

Jessie has two specific goals that will be addressed with CAI. The first goal is for Jessie to

increase his ability to sit at and attend to the computer for 15 minutes at a time with minimal

adult assistance (i.e., two or fewer verbal reminders), four out of five times across two

consecutive weeks. The second goal is that Jessie will learn to use the mouse (i.e., manipulate it

across the table top to make the cursor move where he desires, and to use the left click to select

items or initiate actions) 100% of the time (with no banging or hitting of the mouse) for two

consecutive weeks.
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Step 2. Collecting Baseline Data

Observational baseline data show that Jessie is currently able to attend to computer programs that

others manipulate for up to seven minutes. Jessie sometimes gets excited about the program and

hit the keyboard or grab the mouse, but does not yet know how to use them appropriately.

Steps 3, 4, and 5. Identifying Technology Support, Identifying Available Computers for

Use, and Identifying Appropriate Software

The early childhood program has two computers in the classroom that are used with and by

children. Program-staff feel fairly confident in using software and have checked with district

technology support staff about installing new software. If Jessie does well with and enjoys the

software, the four-year old kindergarten teacher is willing to also have the program installed on a

computer that her class uses in the elementary school's computer lab. The team believes that

Jessie will do well with the software and may also quickly learn how to use other software at the

elementary school.

The team decides to purchase and use a Reader Rabbit Preschool TM software program. Jessie's

older sister (who is typically developing) enjoyed Reader Rabbit TM software at home when she
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was in preschool and kindergarten, and some of the teachers and therapists in the preschool

program have had experience with other Reader Rabbit TM software. The team discussed whether

or not to use the preschool or kindergarten software and decided to start with the preschool

version so Jessie is not overwhelmed. Another advantage of the preschool software is that it

teaches the use of the mouse in phases. Initially, the learner only has to move the mouse over the

icons to make something happen (thus establishing cause and effect). As learners progress, they

are introduced to using the left click button to initiate cause and effect. Remember, that the

primary use of CAI at this point is to help Jessie develop endurance for the school day. The team

wants him to readily master and enjoy the software before increasing demands. They agree that if

Jessie does well with the preschool version, they can easily acquire the kindergarten version.

Step 6 and 7. Selecting and Installing Software and Learning the Software

The Reader RabbitTM software is purchased online through a website that offers educator

discounts. In this instance, the software is not very expensive so the early childhood program is

willing to pay for the software out of their materials budget. They rationalize that the software

will likely be used by multiple learners. All school district computers must have an administrator

(i.e., someone from technology support) to install or download computer programs, so the early

childhood teacher contacts that person and he agrees to load the software on the classroom

computer. As soon as the software is loaded, the teacher and educational assistant (EA) spend

time learning the software and identify aspects that they believe Jessie will like, as well as areas

with which he might have trouble. In this instance, both the teacher and the EA feel that Jessie

can start anywhere in the program and do well. They decide to have him use the software with

them initially until he is familiar with the options and then they will allow him to choose the
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activities he most prefers during computer time. Because Jessie has little previous experience

with computers, they feel that the preschool program is a good match with his skills.

Step 8 and 9. Completing a Task analysis of Steps for Using Software and Teaching the

Software to Others Who Support the Learner

Because Jessie is only four, and other learners his age do not independently use the classroom

computers, the teacher decides to create a checklist for staff to use when launching the software

with Jessie. The team agrees that, with experience, Jessie can be instructed on more steps so that

he can use the software more independently. However, his focus for now should be on spending

time at the computer and using the mouse and keyboard appropriately. The checklist that the

teacher creates for herself and others to assist Jessie with using the software is as follows:

1. Turn on computer (if it is not already on)

2. Log-on to computer (if necessary)

3. Open CD drive and insert disk

4. Close CD drive

5. Have Jessie sit at computer

6. Using hand-over-hand physical guidance, help Jessie double click on the desktop icon for

the desired computer program.

7. While the software loads, stay with Jessie and remind him to not use the keyboard or the

mouse (i.e., point out the hourglass icon that means the software is loading). Place a

"stress" ball (i.e., fidget toy) near the keyboard so that Jessie can keep his hands busy, if

necessary.
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8. Once the software loads and the welcome or introductory screen is showing, help Jessie

choose a beginning activity (using hand-over-hand physical guidance to help him click on

the appropriate icon).

9. Initially, stay with Jessie and help him learn to use the program appropriately. This will

likely involve hand-over-hand physical prompting at first; however, prompts should be

faded quickly to a touch prompt, a gesture (visual) prompt, and then possibly no

prompting or an occasional verbal prompt. Once Jessie is able to interact with the

program with few mistakes or frustrations, stay near him to provide assistance if he

encounters difficulty in using the program.

10. Praise Jessie for the things he does well and encourage him as he increases his time at the

computer. The focus is on increasing his time at the computer skills and his enjoyment at

school while he has a break from academic task and social demands.

11. If Jessie begins to show signs of frustration or boredom with the software, help him

"Exit" the program, and allow him to move on to something else.

12. After Jessie has exited the program, eject the CD from the CD drive and put it in its case

for storage.

13. If appropriate, shut down the computer.

Step 10. Teaching the Learner Basic Computer Skills

Jessie's team decides not to spend a lot of time teaching Jessie multiple aspects of computer use.

They want him to have a good experience with this first software, and they feel that once he has

learned to use the computer successfully, additional computer skills can be added. The specific
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computer skills that the team will focus on for Jessie include using the mouse and keyboard in

appropriate ways. If Jessie gets excited while using the program and begins banging either the

keyboard or the mouse, the adult helper will interrupt the behavior and implement hand-over-

hand guidance to use the tool appropriately, while gently reminding Jessie not to hit the mouse or

keyboard.

Step 11. Introducing the Learner to the Software

Using the task analysis generated in Step 9, the teacher, EA, or other adult helper introduce

Jessie to the Reader RabbitTM preschool software and support him throughout its use. Baseline

data indicated that Jessie could attend to the computer when others were using it for up to seven

minutes. Therefore, the initial goal for Jessie will be to stay at the computer for five minutes,

stopping before he becomes bored or frustrated. However, if Jessie indicates that he wants to

interact with the software for longer than five minutes, the adult helper can extend the time. The

important feature here is to stop before Jessie becomes bored or frustrated and follow computer

time with another desirable activity (such as snack time, or time in the swing - two of Jessie's

highly preferred activities).

Step 12 and 13. Providing Learner with Multiple Opportunities to Use Computer, and

Providing Ongoing Support to Learner during Software/Computer Use

Jessie initially uses the computer with the Reader RabbitTM software as soon as he arrives at the

early childhood program in the afternoon. Once he has become accustomed to the program and

when he requests access to it, he may be allowed to also use the software during free-choice time

toward the end of the school day. As noted in Steps 9 and 11, the adult helper will initially

remain with Jessie throughout his computer time. As Jessie becomes more adept at using the
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software and experiences fewer frustrations with using the mouse and keyboard appropriately,

the adult may move away from him, but should remain available at all times in order to assist

him as needed.

Step 14. Collect Data on Acquisition of Target Skill

Adult helpers should continue to take data on how long Jessie uses the CAI software, as well as

his ability to intentionally and appropriately use the mouse and keyboard to interact with the

software. The example data sheets shown below demonstrate how baseline and progress

monitoring data were collected for Jessie.

Jessie's Computer Use

Goal 1:

Jessie will increase his ability to sit at and attend to the computer to 15 minutes at a time with

minimal adult assistance (2 or fewer verbal reminders), four out of five times across two

consecutive weeks.
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Jessie's Computer Use

Goal 2:

Jessie will learn to use the mouse (i.e., manipulate it across the table top to make the cursor move

where he desires, and to use the left click to select items or initiate actions), 100% of the time

(with no banging or hitting of the mouse) for two consecutive weeks.

Next Steps for Jessie

Within the first two weeks of CAI use, Jessie looks forward to his computer time with Reader

RabbitTM each day after lunch. Staff feel CAI is helping Jessie transition from the K4 setting to

the EC setting, thus building his endurance for the school day. There have been fewer behavioral

incidents during the transition, supporting the belief that CAI is a helpful activity for Jessie. As

for the actual computer use, Jessie has increased the amount of time he can sit at the computer
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and needs less physical guidance as he becomes more adept with using the mouse. He has made

progress toward both of his goals in this area. The plan is for Jessie to continue to have Reader

RabbitTM time each day upon his arrival to EC and to offer it as an option during free choice time

toward the end of the school day. Jessie's parents are interested in acquiring the program for him

to use at home on the weekends.

Brady

Case Study: Brady

Brady is an 11 year old student with a diagnosis of autism. He goes to school in a small rural

district that has a very inclusive program. Brady has a general goal of increasing his receptive

and expressive language skills for academic tasks. Currently, he is scheduled for language arts

and reading in the READ180 (copyright 1999, Scholastic Inc.) classroom at his school.

Step 1. Identifying the Target of Instruction

Brady's goal of increasing receptive and expressive language skills for academic tasks has

several related objectives. His team considers where Brady is at in the READ180 program and

decides to focus on the following objective: Brady will identify the use of figurative language,

such as, idiom, metaphor, and simile in sentence and paragraph level material and verbally

express a non-literal interpretation in 7 out of 10 opportunities.

Step 2. Collecting Baseline Data


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Baseline data were collected via READ180 rSkills tests (curriculum-based assessment) and

showed that Brady is not at grade level for the interpretation or use of figurative language. These

data were confirmed with an informal verbal assessment in which the teacher read seven

sentences and three short paragraphs that included a variety of idioms, metaphors, and similes

and then asked Brady, "What did that mean?" or "What do you think the author was saying?"

Brady was able to identify only three of the examples of figurative language correctly.

Steps 3, 4, 5, 6, and 7. Identifying Technology Support, Identifying Available Computers

for Use, Identifying Appropriate Software, Selecting and Installing Software and Learning

the Software

These five steps do not have to be addressed in this situation as the READ180 curriculum had

already been purchased and adopted by the district. Thus, technology support has already

installed the related software on classroom computers and the teachers using the program with

learners have already been through a workshop on its use that is offered as part of the price of the

curriculum.

Step 8, 9, and 10. Completing a Task analysis of Steps for Using Software, Teaching the

Software to Others Who Support the Learner, and Teaching the Learner Basic Computer

Skills

As with Steps 3 - 7 above, Step 9 only needs to be done for staff who were unable to participate

in the initial training offered by the makers of READ180. This particular curriculum offers an

online training option for those who are unable to attend the initial two day workshop. Steps 8

and 10 may be individualized for Brady using materials provided with the curriculum. In Brady's
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case, he has worked on computers both at home and at school in the past and has demonstrated

competence in basic computer skills.

Steps 11, 12, and 13. Introducing Learner to the Software, Providing Learner with

Multiple Opportunities to Use Computer, and Providing Ongoing Support to Learner

during Software/Computer Use

Brady is introduced to the software with the rest of the class during the whole group time and

subsequent small group rotations, one aspect of which is engagement with the READ180

software. This curriculum package, like many others that include computer aided instruction

comes with complete instructions on engaging and supporting learners in the use of the

materials. Brady has more questions than his classmates the first few times he interacts with the

software and has a tendency to spend too long on practicing and recording words and phrases, so

the educational assistant who works with him during the class stays close during his computer

time.

Step 14. Collecting Data on Acquisition of Target Skill

Brady's progress in READ180 is monitored through the program's included curriculum-based

assessments. His case manager, speech and language therapist, and educational assistant also

informally assess his understanding and use related to figurative language every week by reading

sentences, phrases, and paragraphs similar to the ones used in baseline that illustrate idioms,

metaphors, and similes and questioning him on what they mean or what he thinks the author

means with their use.


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Next Steps for Brady

Brady is enjoying his participation in all aspects of the READ180 program, particularly the

individualized instruction he receives during the computer time. His teachers feel that he is

making progress in his understanding and use of figurative language, among other things. As the

program is available and will continue to be available for him through this and the next school

year, they decide to link all of the objectives for his goal of increasing his receptive and

expressive language skills in academic tasks to the program. They also feel, however, that it is

important to assess his understanding and use of language in other settings across the day as

well, both academically and socially to be sure that what he is learning in language arts and

reading is generalizing to other subjects and settings and that Brady's language use is functional

and successful.

Lorna

Case Study: Lorna

Lorna is a 14-year-old girl with autistic disorder (i.e., classic autism). While she is verbal, Lorna

does not initiate interactions and needs to be encouraged to use complete sentences and to make

varied word choices. Lorna attends school in a district that values inclusion, but has had

difficulties in supporting learners of varying abilities across all environments. Thus, Lorna

spends about a third of her day in a resource setting so that she can focus on math and language

arts. In addition to goals for social skills and career development, Lorna has a language arts (LA)

goal of increasing her vocabulary (both written and verbally). As Lorna's team has begun

thinking about her transition to adult life, they have prioritized vocabulary that is functional (i.e.,
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words that she needs to recognize and use for independent functioning). She also has a recreation

goal that is focused on teaching her what to do with her down time other than watching

television or videos.

Step 1. Identifying the Target of Instruction

Lorna's LA goal is to increase her vocabulary by 25 words and to use new words in written and

spoken format. Specifically, Lorna will add two to four new words a week to her vocabulary and

use them in written language arts activities. She also will practice using the words during

interactions with others at least three times a week.

Step 2. Collecting Baseline Data

Baseline data indicate that Lorna is not at age level for receptive. She scored four years younger

than her actual age level on the Peabody Picture Vocabulary Test. In expressive language use,

Lorna's teachers and parents describe her as being very quiet, with few initiations. She uses one

or two word phrases to make requests (e.g., "More please," "Done now,") and often responds to

initiations of others with short, one word answers (e.g., "Yes," "No," "Goodbye"). All team

members agree that Lorna's receptive vocabulary is more important for independent functioning

(e.g., being able to follow directions, identify materials), but her parents would like to see her

using verbal language in social contexts as well.


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Steps 3, 4, 5 and 6. Identifying Technology Support, Identifying Available Computers for

Use, Identifying Appropriate Software, and Selecting and Installing Software

The high school that Lorna is transitioning into has computers in numerous areas including the

library, a computer lab, a learning center, and in some classrooms. Lorna's case manager has

spoken with the technology support staff at the high school and they have identified computers in

three settings that Lorna can use throughout her school day (either by assignment or by choice).

The LA teacher and case manager conducted an internet search and identified a software

program called, "Concentrate! On Words and Concepts" (copyright 2003, Laureate Learning

Systems, Inc.), that teaches vocabulary (word categorization, word association, and word

association by function) in a memory game format. The software can be used by one or two

persons, emphasizing cooperative learning, short-term memory enhancement, and vocabulary

building. The software is designed for recreational use as well. While Lorna's vocabulary is

several years below age level, because of her age and the desire of her team to focus on

functional language, the team chooses to buy Level III of the software, which focuses on higher

level nouns. They contact the seller of the software and learn that there is a 60-day money back
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option (minus shipping and handling). If the software does not turn out to be a good match, it can

be returned. They also learn that the software can only be installed on one computer, so they

choose to have it installed on a computer in the computer lab. The lab is accessible to Lorna at

any time during the school day.

Step 7. Learning the Software

Once the software program is installed, Lorna's case manager, LA teacher, and educational

assistant (EA) become familiar with the program. They are pleased with the level of vocabulary

in the program, believing it will allow Lorna to increase her functional vocabulary without

overwhelming her. They also like that the software can be used in a recreational format either

alone or with a partner. The LA teacher will encourage Lorna to ask a peer in her LA class to

play the game with her (once she is familiar and competent with the program).
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Step 8, 9, and 10. Completing a Task analysis of Steps for Using Software, Teaching the

Software to Others Who Support the Learner, and Teaching the Learner Basic Computer

Skills

Lorna has used computers for a variety of school and recreational activities in the past and has

demonstrated competency with basic computer functions. However, she often needs to be

reminded to ask for help if she experiences a problem. Based on this, the team does not feel that

they need to teach Lorna basic computer skills, but instead will provide her with a visual

checklist of steps for accessing the program and handling problems that she encounters. An

example of Lorna's checklist appears to the right.

Lorna's support staff learned the computer program together in Step 7 and feel that the software

is intuitive enough for Lorna's peers and the various adults who work as computer lab monitors

to use. Thus, they do not feel the need to teach the software to others at this point. Due to the cost

of the software (over $100.00), it is unlikely that Lorna's family will want to purchase it for

home use.

Step 11. Introducing Learner to the Software

Now that the software has been purchased and installed, staff have familiarized themselves with

the program, and Lorna's visual checklist is in place (in her LA notebook since she shares the

computer with others in the lab), the case manager uses resource room time to introduce Lorna to

the program. As a precursor to using the software, the teacher reminds Lorna how to use the

computer by demonstrating how to sit at the computer, how to use the mouse and keyboard, and

what to do if she has a problem. This is followed by an introduction to the visual checklist and a

practice round of "Concentrate! On Words and Concepts." Once Lorna is comfortable with the
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format, the teacher steps back, allowing her to interact with the program for a few minutes, but

staying close to answer questions or provide assistance as needed.

Step 12 and 13. Providing Learner with Multiple Opportunities to Use Computer, and

Providing Ongoing Support to Learner during Software/Computer Use

The LA teacher and case manager have arranged for Lorna to use 20 minutes of her regular LA

class time to go to the computer lab and use the "Concentrate! On Words and Concepts"

software. After Lorna has reviewed her homework at the end of the day and gathered materials

for going home, Lorna may choose to go to the computer lab again and use the software. As soon

as she has become comfortable with the software, Lorna will be encouraged to ask a classmate to

participate with her in the computer game during LA. With success, Lorna may go to the

computer lab during LA and Resource on her own. Until then, the case manager arranges for an

adult to be readily available during Lorna's computer use so that she can get assistance quickly if

she encounters a problem while using the computer.

Step 14. Collecting Data on Acquisition of Target Skill

The LA teacher, case manager, and EA continue to collect data on Lorna's use of newly acquired

vocabulary. When they previewed the software, the case manager and LA teacher made a list of

the vocabulary included in the software. The EA uses adapted worksheets (which highlight the

words from the program) to monitor Lorna's written vocabulary use. The case manager, who

serves as Lorna's resource teacher, spends time each week (three times) in conversations with

Lorna that focus on using the new vocabulary words. In this way, Lorna's goals of adding two to

four new words a week to her vocabulary (used in language arts activities) and using the words

in interactions with others at least three times a week may be met.


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Next Steps for Lorna

Lorna learns to use the software fairly quickly and enjoys the memory game format. She

especially enjoys playing the two player version with a classmate or adult when she can. In

addition, Lorna is using the software game feature as a leisure activity in place of more television

watching. Unfortunately, she has learned all of the vocabulary offered in the software and there

is not a next level. From here, Lorna's team would like to see her begin to use computer

programs that are available to all students in the computer lab and online. When looking for

software to start Lorna with, her case manager and LA teacher found many websites that offer a

variety of vocabulary activities and games, often organized by grade and/or topic. To promote

vocabulary and language use to other settings (e.g., community, home), the team is turning their

attention to peer-mediated instruction and intervention.

Summary

Computer-aided instruction (CAI) is an intervention whose time has come. Technology is an

ever-increasing part of our daily lives and both hardware and software are increasingly

affordable for the average consumer. Learners with ASD who enjoy using computers may find

CAI a helpful tool for skills acquisition. Teachers also may find it useful for instruction. Parents

and other caregivers may find it an appealing teaching activity in the home setting. While CAI

should be implemented with forethought and care, its use can be an important and enjoyable part

of the instructional day. Those wishing to use CAI should communicate with available

technology support experts and use the support offered with many software packages from the

companies that produce and market them.


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Citation and References


Collet-Klingenberg, L. (2010). Computer-aided instruction (CAI) for children with autism
spectrum disorders. (Madison, WI: The National Professional Development Center on
Autism Spectrum Disorders, The Waisman Center, University of Wisconsin.) In Ohio
Center for Autism and Low Incidence (OCALI), Autism Internet Modules,
www.autisminternetmodules.org. Columbus, OH: OCALI.

References
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental
Disorders (4th ed.- text revision). Washington, DC: American Psychiatric Association.

Bosseler, A., & Massaro, D. W. (2003). Development and evaluation of a computer-


animated tutor for vocabulary and language learning in children with autism. Journal of
Autism and Developmental Disorders, 33(6), 653-672.

Goldsmith, T. R., & Leblanc, L. A. (2004). Use of technology in interventions for children
with autism. Journal of Early and Intensive Behavior Intervention, 1(2), 166-178.

Grandin, T. (1995).Thinking in pictures. New York: Doubleday.

Hetzroni, O. E., & Shalem, U. (2005). From logos to orthographic symbols: A multilevel
fading computer program for teaching nonverbal children with autism. Focus on Autism
and Other Developmental Disabilities, 20(4), 201-212.

Hetzroni, O. E., & Tannous, J. (2004). Effects of a computer-based intervention program


on the communicative functions of children with autism. Journal of Autism and
Developmental Disorders, 34(2),95-113.

Massaro, D. W., & Bosseler, A. (2006). Read my lips: The importance of the face in a
computer-animated tutor for vocabulary learning by children with autism. Autism, 10(5),
495-510.

Mesibov, G. B,, Shea, V., & Schopler, E. (2005). The approach to autismspectrum
disorders. NY: Kluwer Academic/Plenum Publishers.

Moore, M., & Calvert, S. (2000). Brief report: Vocabulary acquisition for children with
autism: Teacher or computer instruction. Journal of Autism and Developmental
Disorders, 30(4), 359-362.
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National Research Council (2001).Educating children with autism. Washington,DC:


National Academy Press.

Quill, K. (1997). Instructional considerations for young children with autism: The

Rationale for visually cued instructions. Journal of Autism and Developmental


Disorders, 21, 697-714.

Schuler, A. L. (1995). Thinking in autism: Differences in learning and development. In K.


A. Quill (Ed.), Teaching children with autism: Strategies to enhance communication and
socialization, (pp 11-32). NY: Delmar.

Silver, M., & Oakes, P. (2001). Evaluation of a new computer intervention to teach
people with autism or Asperger syndrome to recognize and predict emotions in others.
Autism, 5(3), 299-316.

Additional References
Blischak, D. M., & Schlosser, R. W. (2003). Use of technology to support independent
spelling by students with autism. Topics in Language Disorders, 23(4), 293-304.

Heinmann, M., Nelson, K., Tjus, T., & Gillberg, C. (1995). Increasing reading and
communication skills in children with autism through an interactive multimedia computer
program. Journal of Autism and Developmental Disorders, 25(5), 459-580.

Lahm, E. A. (1996). Software that engaged young children with disabilities: A study of
design features. Focus on Autism and Other Developmental Disabilities, 11(2), 115-125.

Light, J. C., Roberts, D. B., Dimarco, R., & Greiner, N. (1998). Augmentative and
alternative communication to support receptive and expressive communication for
people with autism. Journal of Communication Disorders, 31, 153-178.

Mirenda, P, Wilk, D., & Carson, P. (2000). A Retrospective analysis of technology use
patterns of students with autism over a five-year period. Journal of Special Education
Technology, 15, 5-16.

Panyan, M. V. (1984) Computer technology for autistic students. Journal of Autism and
Developmental Disorders, 14(4), 275-382.

Schlosser, R.. W., Blischak, D. M., & Belfiore, P. J. (1998). Effects of synthetic speech
output and orthographic feedback on spelling in a student with autism: A preliminary
study. Journal of Autism and Developmental Disorders, 28(4), 309-319.
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Tjus, T., Heimann, M., & Nelson, K. E. (2001). Interaction patterns between children and
their teachers when using a specific multimedia and communication strategy. Autism,
5(2), 175-187.

Williams, C., Wright, B., Callaghan, G., & Coughlan, B. (2002). Do children with autism
learn to read more readily by computer assisted instruction or traditional book
methods?: A pilot study. Autism: The International Journal of Research and Practice,
6(1), 71-91.

Additional Resources
Internet Resources

http://animatedspeech.com/Research/research.html.This site is the home of Baldi (see


evidence-based article by Massaro & Bosseler, 2007). Includes tools for learning
speech and language skills.

http://www.broderbund.com/store/broder/DisplayHomePage. This company website


markets/sells Reader Rabbit and other educational software.

http://www.laureatelearning.com/. This company website offers information about


Concentrate! On Words and Concepts and other software for CAI and learners with
special needs.

http://teacher.scholastic.com/products/Read 180/. This company website markets/sells


READ 180 and other educational software. TM & Scholastic Inc. All rights reserved.

http://www.zacbrowser.com/ . This free internet browser designed for young learners


with ASD (early childhood through elementary ages); View this YouTube video for more
info on ZacBrowser:

Videos

Associated Press (2009, February 25). Zacbrowser [Video file] Video posted to
http://www.youtube.com/watch?v=eJGncJatGUg&feature=PlayList&p=4A3B71861FAAF
FAB&index=23

http://www.youtube.com/watch?v=ArUT7XF7_Ss&feature=related. This website offers a


video of a young boy usingReader Rabbit software
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http://www.youtube.com/watch?v=mtWhPLkgRjQ&feature=PlayList&p=4A3B71861FAA
FFAB&index=10. This links to a video of a boy and assistant using CAI with additional
visual supports.

Quiz
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42

1. When collecting baseline data for CAI, data should be gathered on:
The learner’s general computer knowledge

The learner’s use of the intended software

The learner’s current level of skill or knowledge related to the target of instruction

2. Before using CAI, it is important to:


Identify technology support personnel in the building or the district

Review school district policies concerning the use of computer technology

Identify available computers and check their schedules for use by others

3. Practitioners should never use the same CAI software with multiple learners.
True

False

4. When using new CAI software, the teacher/practitioner should:


Have learner try the software on their own before the teacher provides instruction

Learn the software alongside the learners

Try out the software and find a good starting point, before engaging the learner

5. Since many software programs used with CAI have built in data-collection, the
teacher/practitioner does not need to collect data beyond baseline.
True

False

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