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11/26/14 1 Monitoring and Measuring Emergent Independence in PSE Seb M. Prohn Kelly R. Kelley Goals for Today’s Session University Participant (UP) Program overview Postsecondary education (PSE) and evaluating outcomes A process for increasing ‘independence’ Assessing support, support needs, and adaptive behavior 228 Programs www.thinkcollege.net Growth and programs continue to increase 34% of PSE Programs focus on students’ abilities to live independently Little know about programs’ impacts on students

Prohn Kelley SOA Independence - WCU

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Page 1: Prohn Kelley SOA Independence - WCU

11/26/14

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Monitoring and Measuring Emergent Independence in PSE

Seb M. Prohn Kelly R. Kelley

Goals for Today’s Session

•  University Participant (UP) Program overview

•  Postsecondary education (PSE) and evaluating outcomes

•  A process for increasing ‘independence’

•  Assessing support, support needs, and adaptive behavior

228  Programs  www.thinkcollege.net

•  Growth and programs continue to increase •  34% of PSE Programs focus on students’ abilities

to live independently •  Little know about programs’ impacts on students

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Overview of the UP Program

What is the UP Program?

•  A two year, inclusive transition program for college-aged individuals with intellectual disability

•  Supports up to 8 selected participants per year; 4 in each graduating cohort

•  Serves as a model demonstration site for the state by providing support to satellite programs in NC and technical assistance to programs across the nation

Year # of Students

2007/2008 2

2010 4

2011 8

2012 7

2013 8

2014 8

Personal Development

Community Participation

Vocational Preparation

Social Participation and Learning

Course Auditing

Guiding Frameworks

UP Program Framework Think College

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What do UP Students do at WCU?

•  Live in campus residence halls and experience college life with same age peers

•  Have an individual plan that would allow personal development for post-UP success

•  Attend and audit a limited number of classes

•  Participate in social events and activities

PSE and Evaluating Outcomes

College is a good thing- Why do outcomes matter?

•  What type of student development can be expected for the investment?

•  Stakeholders •  Students

•  Families

•  Adult service agencies

•  Strategies

PSE Costs in NC

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Outcome Studies

•  Evidence of better employment outcomes compared to peers with no postsecondary education experiences • More employment • Less required support • Higher earnings

(Grigal, Hart, & Migliore, 2011; Migliore, Butterworth, & Hart, 2009; Zafft, Hart, & Zimbrich, 2004)

Evaluation Questions

•  Does participating in a full inclusion PSE program affect personal skill development of persons with ID?

•  Can changes in on-campus supports be observed over time?

The Process for Increasing

‘Independence’

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Independence: The Process

Vision  

Goals  Schedule  

PCPs  

Entrance video Academic road map Successes

Goal review

Improvements Next steps

Summer immersion

Personal Social

Academic Vocational

Community

Personal Social

Academic Vocational

Community

Example Academic Roadmap

Who  will  I  be?  Future  me.  

• I’ll be good at childcare, have lots of friends, go to concerts and sporting events where I’ll tailgate

• I’ll live in Georgia in community housing

Skills  Desired

• Painting

• Public speaking

• Money management

• Cooking skills

• Camping skills

• Reading skills

By  the  9me  I  leave  college….  

• I want to know/ be able to… childcare

• I want to prove to others… That people like me and I can think like people without disabilities.

•  How will people remember me? As a regular person Back

http://www.youtube.com/watch?v=lyFz6lRDnVA&feature=youtu.be

Creating and Assessing IPCP Goals

Back

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Person Centered Planning

Back

I want to keep working on my budgeting.

Weekly Activity Schedules

•  Strengths •  Practical tool for students, program and others

•  Hours as a unit of measure

•  The Method is an intervention

•  Positive research

•  Limitations •  Quantity vs Quality

•  Time consuming

Scheduling Software

Whentowork.com

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UP Student View

Back

Assessing Support, Support Needs, and Adaptive Behavior

Demographics Participant Age/Ethnicity Disability Year in Program/High

School Completion

Kerri 20/ Multiracial

Borderline ID (IQ= 75), 18p chromosome abnormality

Second- graduated with vocational track diploma

Joy 20/Caucasian ID (IQ= 53), Waardenburg syndrome, epilepsy

Second year- graduated with certificate of completion

Holly 23/Caucasian Borderline ID (IQ = 73), Myotonic dystrophy, asthma

First year- graduated with certificate of completion  

Emmanuel 21/Caucasian ID (IQ = 49), Down syndrome

Second year - graduated with vocational track diploma

Gilbert 19/African American Borderline ID (IQ = 75), Cerebral Palsy

First year- graduated with vocational track diploma

Zeke 22/Caucasian ID (IQ = 55), Down syndrome

First year- graduated with vocational track diploma

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Assessing Support Needs

•  Assess where support can be implemented to improving human functioning across environments

•  Support Intensity Scale (SIS; Thompson et al., 2004) as a dependent variable

•  Needs assessed by two family members at the beginning and end of the academic year

Assessing Adaptive Behavior

•  Conceptual, social, and practical skills that are learned and performed by people in their everyday lives (AAIDD, 2013)

•  Scale of Independent Behaviors-Revised (SIB-R; Bruininks, Woodcock, Weatherman, & Hill, 1996) as dependent variable. Pretest/posttest

•  Development is crucial for independent community living

Assessing Receptive Vocabulary

•  The words one can comprehend and respond to

•  Peabody Picture Vocabulary Test, Fourth Edition (PPVT-4; Dunn, L.M. & Dunn, D.M., 2007)

•  Development is an indicator of education and can impact social interaction.

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Results: Hours Supported

0

10

20

30

40

50

60

Cohorts 1 & 2

Hou

rs S

uppo

rted

Fall 2013

Spring 2014

t(88)=7.03, p<.001

Time is Money*

0

200

400

600

800

1000

1200

1400

Year 1 start Year 1 End

Supp

ort

Cos

t P

er P

arti

cipa

nt P

er

Wee

k ($

)

*At estimated $25 per hour. Start: 53hrs; End: 42hrs.; Save $8000 per student per year with 1 year of college

The Trend Continues

0 5

10 15 20 25 30 35 40 45 50 55 60 65

Fall 2012 Spring 2013 Fall 2013 Spring 2014

Tot

al H

ours

Sup

port

ed

Semester

Cohort1

Cohort2

Cohort3

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Are Support Plateaus Bad?

•  Inclusive environments and shifting demand landscapes •  Constant demands: dining, campus navigation, leisure

•  Changing demands: social inclusion, work, problem solving

•  ‘Independence’

•  Challenge/demand

•  Support 0 5

10 15 20 25 30 35 40 45 50 55 60

Y1 start Y1 end Y2 start Y2 end

Hou

rs S

uppo

rted

(M

on-F

ri)

Summary of Results

SIB-R

•  Nonparametric analysis •  Wilcoxon sign-ranked test

•  Scores closer to 100 indicate more adaptive skills

•  Median drops: 89 to 86.5

•  z=2.21, p<.05, r=.63

•  Meaningful?

SIS

•  Nonparametric analysis •  Wilcoxon sign-ranked test

•  Lower Support Needs Index scores = fewer support needs

•  Median increases: 66.8-71

•  z=-1.997, p<.05, r=.58.

•  Meaningful?

PPVT-4 Growth Value Scale Scores

•  GVS- indicator of absolute performance

•  Recommended measure for statistical comparisons

•  Wilcoxon Signed Ranks Test (related samples)

•  z= -.53, p>.05

•  Changes in receptive vocabulary are non-significant

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Limitations

•  Failed control group recruitment

•  Maturation or program related? What parts of program?

Measurement sensitivity

•  SIS & SIBR •  College context

Program selection

•  Restriction of range

•  Support needs •  Adaptive skills

Future Research

•  Program structure and PSE short/long-term outcomes

• On-campus residency? •  Inclusive courses?

• Occupational preparation?

• Classes •  Internships

• Paid employment • Support structure?

Implications for Practice

•  Natural support •  Aware of ability IN environment

•  Provide peer-level recommendations about support need

•  Monitoring performance is necessary to understand support needs

•  Support needs/environmental demands vary by context

•  More independence can increase support needs

•  Student and family voices are essential

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Contact Us: up.wcu.edu

Seb M. Prohn, UP Academic and Outreach Coordinator

[email protected]

828-227-2712 Kelly R. Kelley, Assistant Professor,

UP Consultant

[email protected]

828-227-2990