International Association of Educators   |  ISSN: 2834-7919   |  e-ISSN: 1554-5210
International Journal of Progressive Education
International Association of Educators

Original article | International Journal of Progressive Education 2021, Vol. 17(1) 479-497

The Effectiveness of an Early Intervention Program Developed based on Naturalistic Teaching Processes (DÖDEM) for Children with Down Syndrome and Their Families in Turkey

Gozde Tomrıs & İbrahim Halil Diken

pp. 479 - 497   |  DOI: https://doi.org/10.29329/ijpe.2021.329.30   |  Manu. Number: MANU-2007-16-0004

Published online: February 01, 2021  |   Number of Views: 220  |  Number of Download: 709

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Abstract

Introduction: The main focus of early intervention is to strengthen the interaction of parents with young children with disabilities, and to ensure that parents become active participants in the development and education of their children. The purpose of this study is to examine the effectiveness of an Early Intervention Program based on Naturalistic Teaching (DÖDEM), which has been developed in order to strengthen the interaction of parents with their children with Down syndrome and to introduce naturalistic teaching strategies to them.

Methods: The DÖDEM program was provided face-to-face through group family training sessions and home visits for a group of participants, while it was followed remotely by another group of participants via a tablet computer. The study was conducted with 10 parents and their children with Down syndrome aged 25-48 months. A mixed method research design was used in this study.

Results: The findings demonstrate that the parents in both groups made significant progress in interactional behaviours and increased the usage frequency of naturalistic teaching strategies. Furthermore, parents think that the program contributes positively to their interactions with their children and support the development of their children.

Conclusion: The results obtained demonstrated that following the DÖDEM program in both ways contributed to significant improvement in the parents’ interactional behaviours and the frequency of use of naturalistic teaching strategies. Thus, it can be said that this process has led to a change in both the parents’ and children’s behaviours.

Keywords: Parent-Child Interaction, Naturalistic Teaching, Parent-Implemented Interventions, Face-To-Face Parent Education, Offline Distance Education

How to Cite this Article?

APA 6th edition
Tomris, G. & Diken, I.H. (2021). The Effectiveness of an Early Intervention Program Developed based on Naturalistic Teaching Processes (DÖDEM) for Children with Down Syndrome and Their Families in Turkey . International Journal of Progressive Education, 17(1), 479-497. doi: 10.29329/ijpe.2021.329.30

Harvard
Tomris, G. and Diken, I. (2021). The Effectiveness of an Early Intervention Program Developed based on Naturalistic Teaching Processes (DÖDEM) for Children with Down Syndrome and Their Families in Turkey . International Journal of Progressive Education, 17(1), pp. 479-497.

Chicago 16th edition
Tomris, Gozde and Ibrahim Halil Diken (2021). "The Effectiveness of an Early Intervention Program Developed based on Naturalistic Teaching Processes (DÖDEM) for Children with Down Syndrome and Their Families in Turkey ". International Journal of Progressive Education 17 (1):479-497. doi:10.29329/ijpe.2021.329.30.
References
  1. Armstrong, R. A. (2014). When to use the Bonferroni correction. Ophthalmic and PhysiologicalOptics, 34, 502-508. https://doi.org/10.1111/opo.12131 [Google Scholar] [Crossref] 
  2. Baharav, E. & Reiser, C. (2010). Using telepractice in parent training in early autism. Telemedicine and E-Health, 16, 727–731. https://doi.org/10.1089/tmj.2010.0029 [Google Scholar] [Crossref] 
  3. Blacher, J., Baker, B. L. & Kaladjian, A. (2013). Syndrome specificity and mother child interactions: Examining positive and negative parenting across contexts. Journal of Autism and Developmental Disorders, 43, 761-774. [Google Scholar]
  4. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by natüre and design. Cambridge: Harvard University Press.  [Google Scholar]
  5. Brown, J. A. & Woods, J. J. (2015). Effects of a triadic parent-implemented home-based communication intervention for toddlers. Journal of Early intervention, 37, 44-68. https://doi.org/10.1177/1053815115589350 [Google Scholar] [Crossref] 
  6. Cavkaytar, A., Ceyhan, E., Adiguzel, O. C., Uysal, H. & Garan, O. (2012). Investigating education and support needs of families who have children with intellectual disabilities. Turkish Online Journal of Qualitative Inquiry, 3, 79-99. [Google Scholar]
  7. Cohen, J. W. (1988). Statistical power analysis for the behavioural sciences. (2nd ed.). Hillsdale, New Jersey: Lawrence Erlbaum Associates.  [Google Scholar]
  8. Creswell, J. W. & Plano Clark, V. L., (2018). Designing and conducting mixed methods research (3rd ed.). LA: Sage Publications.  [Google Scholar]
  9. Curtiss, S. L., Pearson, J. N., Akamoglu, Y., Fisher, K. W., Snodgrass, M. R., Meyer, L. E., .... Halle, J. W. (2016). Bringing instructional strategies home: Reaching families online. Teaching Exceptional Children, 48, 159-167. https://doi.org/full/10.1177/0040059915605816 [Google Scholar] [Crossref] 
  10. Diken, Ö., Topbas, S. Diken, H. İ. (2009). Validity and reliability of Turkish versions of maternal behaviour rating scale and child behaviour rating scale. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 10, 41-64. [Google Scholar]
  11. DuPaul, G. J., Kern, L., Belk, G., Custer, B., Daffner, M., Hatfield, A. & Peek, D. (2018). Face-to-face versus online behavioural parent training for young children at risk for ADHD: treatment engagement andoutcomes. Journal of Clinical Child & Adolescent Psychology, 47, 369-383. https://doi.org/10.1080/15374416.2017.1342544 [Google Scholar] [Crossref] 
  12. Fey, M. E., Warren, S. F., Brady, N., Finestack, L. H., Bredin-Oja, S. L., Fairchild, M., … Yoder, P. J. (2006). Early effects of responsivity education/prelinguistic milieu teaching for children with developmental delays and their parents. Journal of Speech, Language and Hearing Research, 49, 526-547. https://doi.org/10.1044/1092-4388(2006/039) [Google Scholar] [Crossref] 
  13. Gilmore, L. & Cuskelly, M. (2009). A longitudinal study of motivation and competence in children with Down syndrome: Early childhood to early adolescence. Journal of Intellectual Disability Research, 53, 484-492. https://doi.org/10.1111/j.1365-2788.2009.01166.x [Google Scholar] [Crossref] 
  14. Grisham-Brown, J., Schuster, J. W., Hemmeter, M. L. & Collins, B. C. (2000). Using an embedding strategy to teach preschoolers with significant disabilities. Journal of Behavioural Education, 10, 139-162. [Google Scholar]
  15. Halle, J. W., Alpert, C. L. & Anderson, S. R. (1984). Assessment and intervention with severely impaired preschoolers. Topics in Early Childhood Special Education, 4, 36-56.  [Google Scholar]
  16. Hamad, C. D., Serna, R. W., Morrison, L. & Fleming, R. (2010). Extending the reach of early intervention training for practitioners: A preliminary investigation of an online curriculum for teaching behavioural intervention knowledge in autism to families and service providers. Infants & Young Children, 23, 195. [Google Scholar]
  17. Harjusola-Webb, S. M. & Robbins, S. H. (2011). The effects of teacher-implemented naturalistic intervention on the communication of preschoolers with autism. Topics in Early Childhood Special Education, 20, 1-13. https://doi.org/10.1177/0271121410397060 [Google Scholar] [Crossref] 
  18. Huck, S. W. (2012). Reading statistics and research (6th Ed.). Boston: Pearson.  [Google Scholar]
  19. Jang, J., Dixon, D. R., Tarbox, J., Granpeesheh, D., Kornack, J. & Nocker, Y. (2012). Randomized trial of an eLearning program for training family members of children with autism in the principles and procedures of applied behaviour analysis. Research in Autism Spectrum Disorders, 6, 852-856. https://doi.org/10.1016/j.rasd.2011.11.004 [Google Scholar] [Crossref] 
  20. Kaiser, A. P. & Roberts, M. Y. (2013). Parent-implemented enhanced milieu teaching with preschool children who have intellectual disabilities. Journal of Speech, Language and Hearing Research, 56, 295–309. https://doi.org/10.1044/1092-4388(2012/11-0231) [Google Scholar] [Crossref] 
  21. Kaiser, A. P., Hancock, T. B. & Hester, P. (1998). Parents as co-interventionists: Research on applications of naturalistic language teaching procedures. Infants & Young Children, 10, 4-12. [Google Scholar]
  22. Kaiser, A. P., Hancock, T. B. & Nietfeld, J. P. (2000). The effects of parent implemented enhanced milieu teaching on the social communication of children who have autism. Early Education and Development,11, 423-446. https://doi.org/10.1207/s15566935eed1104_4 [Google Scholar] [Crossref] 
  23. Kaiser, A. P., Hemmeter, M. L., Ostrosky, M. M., Fischer, R., Yoder, P. & Keefer, M. (1996). The effects of teaching parents to use responsive interaction strategies. Topics in Early Childhood Special Education, 16, 375-406. [Google Scholar]
  24. Kashinath, S., Woods, J. & Goldstein, H. (2006). Enhancing generalized teaching strategy use in daily routines by parents of children with autism. Journal of Speech, Language, and Hearing Research, 49, 466-485. https://doi.org/10.1044/1092-4388(2006/036) [Google Scholar] [Crossref] 
  25. Kim, J. M. & Mahoney, G. (2004). The effects of mother's style of interaction on children's engagement: Implications for using responsive interventions with parents. Topics in Early Childhood Special Education, 24, 31-38. https://doi.org/10.1177/02711214040240010301 [Google Scholar] [Crossref] 
  26. Kobak, K. A., Stone, W. L., Wallace, E., Warren, Z., Swanson, A. & Robson, K. (2011). A Web-based tutorial for parents of young children with autism: Results from a pilot study. Telemedicine and e-Health, 17, 804–808. https://doi.org/10.1089/tmj.2011.0060 [Google Scholar] [Crossref] 
  27. Kohler, F. W., Anthony, L. J., Steighner, S. A. & Hoyson, M. (2001). Teaching social interaction skills in the integrated preschool an examination of naturalistic tactics. Topics in Early Childhood Special Education, 21, 93-103. https://doi.org/10.1177/027112140102100203 [Google Scholar] [Crossref] 
  28. Kohler, F. W., Strain, P. S., Hoyson, M. & Jamieson, B. (1997). Merging naturalistic teaching and peer-based strategies to address the IEP objectives of preschoolers with autism an examination of structural and child behaviour outcomes. Focus on Autism and Other Developmental Disabilities, 12, 196-206. https://doi.org/10.1177/108835769701200402 [Google Scholar] [Crossref] 
  29. Larocci, G., Virji‐Babul, N. & Reebye, P. (2006). The Learn at Play Program (LAPP): Merging family, developmental research, early intervention and policy goals for children with Down syndrome. Journal of Policy and Practice in Intellectual Disabilities, 3, 11-21. https://doi.org/10.1111/j.1741-1130.2006.00048.x [Google Scholar] [Crossref] 
  30. Leigh, P., Nievar, M. A. & Nathans, L. (2011). Maternal sensitivity and language in early childhood: A test of the transactional model. Perceptual and Motor Skills, 113, 281-299. https://doi.org/10.2466/10.17.21.28.PMS.113.4.281-299 [Google Scholar] [Crossref] 
  31. Mahoney, G., Powell, A. & Finger, I. (1986). Relationship of maternal behavioural style to the development of organically impaired mentally retarded infants. American Journal of Mental Deficiency, 90, 296-302. [Google Scholar]
  32. McDuffie, A., Machalicek, W., Oakes, A., Haebig, E., Weismer, E. S. & Abbeduto, L. (2013). Distance video-teleconferencing in early intervention: Pilot study of a naturalistic parent-İmplemented language intervention. Topics in Early Childhood Special Education, 20, 1–14. https://doi.org/10.1177/0271121413476348 [Google Scholar] [Crossref] 
  33. McWilliam, R. A. (2010). Working with families of young children with special needs. New York: The Guilford Press.  [Google Scholar]
  34. Meadan, H. & Daczewitz, M. E. (2015). Internet-based intervention training for parents of young children with disabilities: A promising service-delivery model. Early child development and care, 185, 155-169. https://doi.org/10.1080/03004430.2014.908866 [Google Scholar] [Crossref] 
  35. Meadan, H., Stoner, J. B., Angell, M. E., Daczewitz, M. E., Cheema, J. & Rugutt, J. K. (2014a). Do You See a Difference? Evaluating outcomes of a parent implemented intervention. Journal of Developmental and Physical Disabilities, 26, 415–430. https://doi.org/10.1007/s10882-014-9376-2 [Google Scholar] [Crossref] 
  36. Meadan, H., Angell, M. E., Stoner, J. B. & Daczewitz, M. E. (2014b). Parent implemented social-pragmatic communication intervention: A pilot study. Focus on Autism and Other Developmental Disabilities, 29, 1–16. https://doi.org/10.1177/1088357613517504 [Google Scholar] [Crossref] 
  37. Meadan, H., Meyer, L.E., Snodgrass, M.R. & Halle, J.W., 2013. Coaching parents of young children with autism in rural areas using internet-based technologies: A pilot program. Rural Special Education Quarterly, 32, 3-10. https://doi.org/10.1177/875687051303200302 [Google Scholar] [Crossref] 
  38. Meadan, H., Snodgrass, M. R., Meyer, L. E., Fisher, K. W., Chung, M. Y. & Halle, J. W. (2016). Internet-based parent-implemented intervention for young children with autism: A pilot study. Journal of Early Intervention, 38, 3-23. https://doi.org/10.1177/1053815116630327 [Google Scholar] [Crossref] 
  39. Mobayed, K. L., Collins, B. C., Strangis, D. E., Schuster, J. W. & Hemmeter, M. L. (2000). Teaching parents to employ mand-model procedures to teach their children requesting. Journal of Early Intervention, 23, 165–179. https://doi.org/10.1177/10538151000230030601 [Google Scholar] [Crossref] 
  40. Moore, H. W., Barton, E. E. & Chironis, M. (2014).  A program for improving toddler communication through parent coaching. Topics in Early Childhood Special Education, 33, 212–224. https://doi.org/10.1177/0271121413497520 [Google Scholar] [Crossref] 
  41. Nunes, D. & Hanline, M. F. (2007). Enhancing the alternative and augmentative communication use of a child with autism through a parent- implemented naturalistic intervention. International Journal of Disability, Development and Education, 54, 177–197. https://doi.org/10.1080/10349120701330495 [Google Scholar] [Crossref] 
  42. Odom, S. L. & Wolery, M. (2003). A unified theory of practice in early intervention/early childhood special education: Evidence-based practices. The Journal of Special Education, 37, 164–173. https://doi.org/10.1177/00224669030370030601 [Google Scholar] [Crossref] 
  43. Peterson, P. (2009). Promoting generalization and maintenance of skills learned via natural language teaching. Journal of Speech Language Pathology & Applied Behaviour Analysis, 4, 90-131. http://dx.doi.org/10.1037/h0100252 [Google Scholar]
  44. Peterson, P., Carta, J. J. & Greenwood, C. (2005). Teaching enhanced milieu language teaching skills to parents in multiple risk families. Journal of Early Intervention, 57, 94-109. https://doi.org/10.1177/105381510502700205 [Google Scholar] [Crossref] 
  45. Phillips, B. A., Conners, F. & Curtner-Smith, E. M. (2017). Parenting children with down syndrome: An analysis of parenting styles, parenting dimensions, and parental stress. Research in Developmental Disabilities, 68, 9-19. [Google Scholar]
  46. Pino, O. (2000). The effect of context on mother’s interaction style with Down’s syndrome and typically developing children. Research in Developmental Disabilities, 21, 329 346. https://doi.org/10.1016/S0891-4222(00)00046-9 [Google Scholar] [Crossref] 
  47. Pretti-Frontczak, K. & Bricker, D. (2001). Use of embedding strategy during Daily activities by early childhood education and early childood special education teachers. Infant-Toddler Inter¬vention, 11, 111-128.  [Google Scholar]
  48. Roberts, M. Y. & Kaiser, A. P. (2011). The effectiveness of parent-implemented language interventions: A meta-analysis. American Journal of Speech-Language Pathology, 20, 180-199. https://doi.org/10.1044/1058-0360(2011/10-0055) [Google Scholar] [Crossref] 
  49. Spence, S. H., Holmes, J. M., March, S. & Lipp, O. V. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behaviour therapy for childhood anxiety. Journal of Consulting and Clinical Psychology, 74, 614. [Google Scholar]
  50. Stoner, J. B., Meadan, H., Angell, M. E. & Daczewitz, M. (2012). Evaluation of the Parent-implemented Communication Strategies (PiCS) project using the Multiattribute Utility (MAU) approach. Educational Assessment, Evaluation and Accountability, 24, 57-73. [Google Scholar]
  51. Temel, F., Ersoy, O., Avcı, N. & Turla, A. (2004). Gazi erken çocukluk gelisimi degerlendirme aracı (Gazi early childhood developmental assessment tool) Ankara: Rekmay.  [Google Scholar]
  52. Toelken, S. & Miltenberger, R. G. (2012). Increasing independence among children diagnosed with autism using a brief embedded teaching strategy. Behavioural Interventions, 27, 93-104. https://doi.org/10.1002/bin.337 [Google Scholar] [Crossref] 
  53. Wainer, A. L. & Ingersoll, B. R. (2013). Disseminating ASD interventions: A pilot study of a distance learning program for parents and professionals. Journal of autism and developmental disorders, 43, 11-24. [Google Scholar]
  54. Warren, S. F. & Kaiser, A. P. (1986). Incidental language teaching: A critical review. Journal of Speech and Hearing Disorders, 51, 291–299.
 [Google Scholar]
  55. Wolery, M. (1994). Instructional strategies for teaching young children with special needs. In: Including children with special needs in early childhood programs (eds M. Wolery & J. S. Wilbers), pp. 119-140. National Association for the Education of Young Children,
 Washington, DC. [Google Scholar]
  56. Yoder, P. J. & Warren, S. F. (1998). Maternal responsivity predicts the prelinguistic communication intervention that facilitates generalized intentional communication. Journal of Speech, Language, and Hearing Research, 41, 1207-1219. https://doi.org/10.1044/jslhr.4105.1207 [Google Scholar] [Crossref] 
  57. Yoder, P. J. & Warren, S. F. (1999). Maternal responsivity mediates the relationship between prelinguistic intentional communication and later language. Journal of Early Intervention, 22, 126-136. https://doi.org/10.1177/105381519902200205 [Google Scholar] [Crossref] 
  58. Yoder, P. J. & Warren, S. F. (2001). Relative treatment effects of two prelinguistic communication interventions on language development in toddlers with developmental delays vary by maternal characteristics. Journal of Speech, Language, and Hearing Research, 44, 224-237. https://doi.org/10.1044/1092-4388(2001/019) [Google Scholar] [Crossref] 
  59. Yoder, P. J. & Warren, S. F. (2002). Effects of prelinguistic milieu teaching and parent responsivity education on dyads involving children with intellectual disabilities. Journal of Speech, Language and Hearing Research, 45, 1158- 1174.  [Google Scholar]
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