I take pointing for granted. When I want one of my own college-aged kids to take out the trash, I extend my right hand with the index finger --pointing out the full bin (with a stern look, of course). If I'm at a sushi bar and don't know the name of the item on the menu, I point to it (usually saying something like "I want this one!"). It seems so easy and it works!
In ESY (Extended School Year), I have the pleasure of meeting all types of children. Some I've seen for several summers in a row, and one little girl's mom specifically asked about the possibility of trying out the iPad. My assumption was that this 8-year-old knew that pointing got results.
After consulting the mom, my graduate intern and I programmed one cell on
Proloquo2go---'cat'. This was chosen because the little girl actually recognizes this animal and sweetly says 'Meow' when seeing one. I raided my daughters' room for her old collection of stuffed animals, finding one that actually resembled a real cat. Then, I discovered that just because she can actually label them with a word doesn't mean she really likes the critters---the little whiskers on the stuffed animal were a tad prickly, so after staring at it for a few seconds, she threw it deliberately to the floor, looking distressed. No requesting 'cat' for her! The next item was candy sprinkles---we quickly took a picture, programmed the iPad, and set it in front of her. We modeled pointing to the picture of the candy sprinkles, did a little hand-over-hand, and waited for her to point to the picture, activate the cell, which would then gain her a treat.
She was motivated to eat the sprinkles, reached for them, and even said the word 'off' (wanting the container opened). When presented with the iPad with the choices of a candy photo and cat photo on it..........
This is what she did---no pointing today! The iPad was a little drum.
A few days later, I did a little research by reading app reviews on this
wiki developed by a talented nationally renowned group of people. Take a look at it! Anyway, I found a cute little cause and effect app called
Peekaboo Barn. and I got the 'lite' version which was free. She loved it, and check out this cute little pointing finger!
So in the future for this child, my graduate intern and I need to continue to reinforce the pointing finger, and add in pointing for making requests with pictures, voice output devices (iPad), or objects. (In case you are wondering, '
picture exchange' has been on her IEP for at least 3 years---and it's been a bit of a challenge. I'm not her regular SLP, but she looks at the iPad more consistently than she looks at photos for picture exchange.) I'll send any data I get to her regular SLP but this girl's mom specifically asked about her response to an iPad.
I'll keep you posted on her progress! I see her for 4 more weeks.
Any suggestions? I'm open!