Evidence map›Paper›PMID 41582097›Full record

ArticleJournal of applied research in intellectual disabilities : JARID2026

Precision Teaching to Develop Key Word Sign Skills in Practitioners in Intellectual Disability Services: A Proof-of-Concept Study.

Athanasios Vostanis, Oliver Douglas Payne, Anthony Cox, Jill Bradshaw

Abstract read
In one paragraph

Article in Journal of applied research in intellectual disabilities : JARID, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Athanasios VostanisTizard Centre, University of Kent, Kent, UK.ORCID https://orcid.org/0000-0002-3065-4545
Oliver Douglas PayneTizard Centre, University of Kent, Kent, UK.ORCID https://orcid.org/0009-0006-8508-5470
Anthony CoxAmbitious About Autism, The Pears National Centre for Autism Education, London, UK.ORCID https://orcid.org/0009-0007-2853-7511
Jill BradshawIntellectual Disabilities Research Institute, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0002-0379-8877

Funding

British Academy SRG23\230886
6 · The paper itself

Abstract

backgroundPeople with intellectual disabilities frequently communicate through Key Word Signs (KWS). Although various methods have trained practitioners to sign, they have not led to increased use. This study evaluated whether Precision Teaching would lead to improved outcomes.

methodPractitioners were divided into experimental (n = 4) and control conditions (n = 5) using a multiple baseline across participants design. Experimental participants received Precision Teaching for 60 signs three times a week for 14 weeks. Control participants had completed a one-day training event via Makaton at least 1 year before. Naturalistic observations were conducted for all participants to measure signing while supporting service users.

resultsExperimental participants demonstrated fluency, emergent application, and maintenance of improvements. They also signed more than control participants when supporting clients.

conclusionPrecision Teaching can lead to increased usage of KWS under naturalistic conditions. However, training in isolation might be inadequate. Additional elements, such as practice leadership, are required.

Indexed as

Communication Devices for People with DisabilitiesHealth PersonnelIntellectual DisabilityAdultFemaleHumansMaleProof of Concept StudyAACaugmentative and alternative communicationfluencystandard celeration chart

Identifiers

PMID41582097
PMCPMC12832601

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.