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Teaching participants with developmental disabilities to comply with self-instructions.

Four adults with mild mental retardation were taught to sort based on what two pictures had in common and to name each object and common features of two pairs as well as to comply with a series of instructions to sort the pictures selectively. The criterion task was to inspect a sample pair, sort through a deck of 15 pictures to find those showing what the sample pair had in common, and to repeat a series of pairs. They failed this task and continued to fail even after a supposedly relevant self-instruction. After being taught to act on what they told themselves, they self-instructed correctly and sorted accordingly. Imperfect generalization by 2 participants was remediated by revoking self-instructions. They were taught to act on what they told themselves; thereafter, they self-instructed correctly and sorted accordingly. Imperfect generalization by 2 participants was remediated by re-evoking the relevant self-instructions.

Adult↗

Are residents ready for self-directed learning? A pilot program of individualized learning plans in continuity clinic.

UNLABELLED: Changes in training and certification requirements demand that trainees and practitioners take charge of planning and documenting their ongoing learning. Individualized learning plans (ILPs) have been proposed as a tool to guide this process. We report on a pilot program using ILPs as part of the pediatric continuity clinic experience. OBJECTIVE: The goal of the project was to explore residents' and faculty members' reactions to using ILPs when ILPs were offered as an optional tool. METHODS: A group of 42 residents and 13 faculty members volunteered to use ILPs in continuity clinic. Nine months into the intervention, residents and faculty completed questionnaires about their experiences using ILPs. We performed a content analysis of questionnaire responses to identify perceived benefits and barriers to using ILPs. RESULTS: ILP users reported that the program was helpful in providing a framework and focus for learning and in amplifying their awareness of the learning process. Barriers to using ILPs included lack of time and difficulty establishing and working with learning goals. CONCLUSIONS: Our results suggest that residents are unaccustomed to taking active roles in planning their own learning. To prepare trainees for lifelong learning and continuous professional development, residency programs need to provide explicit education in the process of self-directed learning.

Continuity of Patient Care↗

The use of learning resource centers in the teaching of pulmonary medicine.

Learning resource centers (LRC) are areas designed for individual study which contain a variety of self-instructional materials. To evaluate the use of LRC in teaching pulmonary medicine, a survey was conducted of medical school pulmonary sections; responses were obtained from 30 sections with an NHLBI pulmonary Academic Award (PAA groups), and 21 sections without PAA (non-PAA group). LRC were established in 77 percent of the PAA group but only 14 percent of the non-PAA group. A higher percentage of pulmonary fellows than students used the resource center and student use was higher when the LRC was formally integrated into the curriculum. Textbooks and journals were more heavily used than materials utilizing audiovisual educational techniques. The results of this study suggest that pulmonary LRC use is modest, LRC cost is high, and LRC educational value may not be superior to general medical libraries.

Academic Medical Centers↗

[Nursing physical examination of the full-term neonate: self-instructional software].

The purpose of this research is to elaborate software about the physical examination of full-term newborns (TNB) for neonatal nursing teaching at undergraduate level. The software was developed according to the phases of planning, content development and evaluation. The construction of the modules was based on Gagné's modern learning theory and structured on the Keller Plan, in line with the systemic approach. The objectives were to elaborate and evaluate the contents of the self-instructional modules, to be used as a teaching strategy in the undergraduate course. After being structured, the material was reviewed and analyzed by 11 neonatal nursing experts, who rated the 42 exposed items as good or excellent.

Humans↗

Toward a functional analysis of private verbal self-regulation.

We developed a methodology, derived from the theoretical literatures on rule-governed behavior and private events, to experimentally investigate the relationship between covert verbal self-regulation and nonverbal behavior. The methodology was designed to assess whether (a) nonverbal behavior was under the control of covert rules and (b) verbal reports of these rules were functionally equivalent to the covert rules that control non-verbal behavior. The research was conducted in the context of teaching shopping skills to persons with mild intellectual disabilities using a self-instruction training format. In Phase 1, 4 participants were successfully taught to perform shopping skills using overt and covert self-instructions. The self-instructions were then blocked under overt and covert self-instruction conditions, which resulted in a reversal of shopping skills to baseline levels. This indicated that the overt and covert self-instructions might be controlling responding. In Phase 2, we demonstrated that the self-instructions, when used as external directives, produced successful shopping with 3 other participants. By demonstrating that self-rules can produce correct responding when used as external directives, we were more confident that it was the self-instructions and not other verbal or nonverbal behavior that controlled responding under overt, covert, and blocking conditions in Phase 1.

Adult↗

The effects of errors on children's performance on a circle-ellipse discrimination.

Children first learned by means of a teaching program to discriminate a circle from relatively flat ellipses. Children in the control group then proceeded into a program which gradually reduced the difference between the circle and the ellipses. They advanced to a finer discrimination when they made a correct choice, and reversed to an easier discrimination after making errors ("backup" procedure). The children made relatively few errors until they approached the region of their difference threshold (empirically determined under the conditions described). When they could no longer discriminate the forms, they learned other bases for responding that could be classified as specifiable error patterns. Children in the experimental group, having learned the preliminary circle-ellipse discrimination, were started at the upper end of the ellipse series, where it was impossible for them to discriminate the forms. The backup procedure returned them to an easier discrimination after they made errors. They made many errors and reversed down through the ellipse series. Eventually, most of the children reached a point in the ellipse series where they abandoned their systematic errors and began to make correct first choices; then they advanced upward through the program. All of the children advanced to ellipse sizes that were much larger than the ellipse size at the point of their furthest descent.

Achievement↗

The effects of graduated stimulus change on the acquisition of a simple discrimination in severely retarded boys.

Methods were compared for teaching severely retarded boys to discriminate the position of a 0.75-in. black square and to press the response key closest to it. Seven boys were given trial-and-error training; one learned the task. The six boys who did not learn were presented with a program of graduated stimulus changes. All but one acquired the performance, and he was under appropriate control during the program. When he reached the criterion stimuli, he reverted to a position-based response learned during trial-and-error training. Six similar subjects were presented with graduated stimulus training alone. All six learned the criterion discrimination with few or no errors. Both groups were tested for retention of the criterion performance 35 days after training was completed. Two boys who had near-perfect criterion discrimination performances showed no signs of retention after 35 days. These boys had a history of trial-and-error training.

Adolescent↗