title: Extending the evaluation of a computer system used as a microswitch for word utterances of persons with multiple disabilities.
abstract: BACKGROUND
  Micro-switches can be vital tools to help individuals with extensive multiple disabilities acquire control of environmental stimulation. This study was aimed at extending the evaluation of a computer system used as a microswitch for word utterances with three participants with multiple disabilities.
  
  
  METHODS
  Sets of 7 or 12 word utterances were used for the participants. The utterances were divided into three groups, which were exposed to intervention successively. During the intervention and a 2-month post-intervention check, the participants' emission of the target utterances led the system to present favourite, matching stimuli (i.e. provided that it recognized the utterances).
  
  
  RESULTS
  Intervention data showed that (1) the participants increased the frequencies of the target utterances and (2) the computer system recognized approximately 80% of those utterances. These findings were maintained at the post-intervention check. An analysis of the levels of occurrence of individual utterances showed statistically significant differences among them, in line with the notions of preference and choice.
  
  
  CONCLUSIONS
  The computer system was useful as a microswitch to enable access to favourite stimuli. There is a need to improve the accuracy of the system with respect to its recognition of the participants' utterances.
authors.affiliation: Department of Psychology, University of Bari, Italy. g.lancioni@psico.uniba.it
authors.forename: G E
authors.initials: GE
authors.lastname: Lancioni
authors.forename: M F
authors.initials: MF
authors.lastname: O'Reilly
authors.forename: N N
authors.initials: NN
authors.lastname: Singh
authors.forename: J
authors.initials: J
authors.lastname: Sigafoos
authors.forename: D
authors.initials: D
authors.lastname: Oliva
authors.forename: G
authors.initials: G
authors.lastname: Montironi
authors.forename: M
authors.initials: M
authors.lastname: Savino
authors.forename: A
authors.initials: A
authors.lastname: Bosco
mesh_terms: D000293:Adolescent; D000328:Adult; D002755:Choice Behavior; D003143:Communication Devices for People with Disabilities; D003199:Computer Systems; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D019989:Persons with Intellectual Disabilities / Q000534:rehabilitation*; D012201:Reward; D049250:Speech Recognition Software; D013673:Technology Assessment, Biomedical