{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:30:45Z","timestamp":1790037045796,"version":"4.0.1"},"reference-count":80,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Rehabil Assist Technol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with moderate to severe intellectual disability can have difficulties accessing leisure stimuli and engaging in basic cognitive and physical activity independently. These difficulties may be even more marked in individuals with a combination of intellectual disability and sensory or sensory-motor impairments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study assessed a new program relying on touch screen technology, which was set up to support access to leisure stimuli and the performance of a simple form of cognitive activity and basic physical exercise for adults with intellectual or intellectual and hearing disabilities, lack of functional speech, and poor motor dexterity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The program alternated access to preferred stimuli (ie, songs, comic sketches, or cartoons) with cognitive activity (ie, matching-to-sample tasks) and physical exercise (ie, body movements). The touch screen technology was modified to ensure that people with poor motor dexterity would be effective in their responding regardless of the accuracy of their responses. The program was implemented with 7 participants. Its impact was assessed through the use of single-case research methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the baseline (when standard technology was used), the mean percentage of songs, comic sketches, or cartoons accessed; match-to-sample responses provided; and body movements performed correctly and independent of research assistants\u2019 help was 0% for all participants with a single exception. During the intervention (when the new program with modified touch screen technology was used), the participants\u2019 mean percentage of songs, comic sketches, or cartoons accessed correctly and independent of research assistants\u2019 help per session was virtually 100%. Their mean percentage for correct match-to-sample responses provided and correct body movements performed independent of research assistants\u2019 help was within the 90% to 100% range.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggest that the program may constitute a useful tool for helping people with intellectual and multiple disabilities access leisure stimuli and engage in cognitive and physical activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/82596","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T18:25:11Z","timestamp":1760552711000},"page":"e82596","source":"Crossref","is-referenced-by-count":2,"title":["A Technology-Aided Program to Help People With Intellectual and Multiple Disabilities Access Leisure Stimuli and Engage in Cognitive and Physical Activity: Development and Usability Study"],"prefix":"10.2196","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6515-5690","authenticated-orcid":false,"given":"Giulio E","family":"Lancioni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6355-2003","authenticated-orcid":false,"given":"Gloria","family":"Alberti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2282-3537","authenticated-orcid":false,"given":"Chiara","family":"Filippini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4418-4847","authenticated-orcid":false,"given":"Nirbhay N","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6433-3475","authenticated-orcid":false,"given":"Mark F","family":"O\u2019Reilly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1239-759X","authenticated-orcid":false,"given":"Jeff","family":"Sigafoos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1080\/08990220.2016.1278204"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcci.2022.100488"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/S10882-020-09781-7"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1080\/20473869.2021.1995640"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09353-6"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/0162643419836410"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18189659"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3390\/disabilities3020018"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1177\/00084174211073257"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1088357620943500"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.2196\/44239"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.21926\/obm.neurobiol.2304202"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/20473869.2020.1764242"},{"key":"ref14","first-page":"129","author":"Lifshitz, H","year":"2020","journal-title":"Growth and Development in Adulthood among Persons with Intellectual Disability"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191811369"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.647399"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12562"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.12965\/jer.1835194.597"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12467"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2019.1573932"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12148"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/6825476"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1007\/978-3-319-95720-3_33","author":"Fellinger, J","year":"2022","journal-title":"Textbook of Psychiatry for Intellectual Disability and Autism Spectrum Disorder"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2019.01.005"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-127.2.125"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2021.1945704"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2021.1945705"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1111\/jar.13133"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1111\/jar.13139"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s40489-021-00247-w"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1177\/0308022618764781"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2017.00282"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2019.1650298"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2014.08.020"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.3390\/technologies11050120"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1177\/0162643419836416"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2011.05.031"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2014.06.011"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1080\/07434618.2017.1306881"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-123.5.443"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1044\/2022_ajslp-22-00039"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8932707"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1007\/S41252-018-0068-2"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2020.1818138"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2023.1257493"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2020.1836047"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.1007\/S10209-021-00858-4"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000649"},{"key":"ref49","doi-asserted-by":"crossref","DOI":"10.26741\/abaespana\/2020.cooper3e","author":"Cooper, JO","year":"2020","journal-title":"Applied Behavior Analysis. 3rd edition"},{"key":"ref50","doi-asserted-by":"crossref","DOI":"10.4324\/9781315200682","author":"Pierce, WD","year":"2017","journal-title":"Behavior Analysis and Learning: A Biobehavioral Approach. 6th edition"},{"key":"ref51","author":"Balboni, G","year":"2016","journal-title":"Vineland-II - Adaptive Behavior Scales - 2nd Edition"},{"key":"ref52","author":"Sparrow, SS","year":"2005","journal-title":"Vineland Adaptive Behavior Scales: Survey Forms Manual. 2nd edition"},{"key":"ref53","doi-asserted-by":"publisher","DOI":"10.1080\/20473869.2025.2521677"},{"key":"ref54","unstructured":"Activity configurationMicrosoft Azure2025-09-29https:\/\/calm-river-0ad32ab10.6.azurestaticapps.net"},{"key":"ref55","doi-asserted-by":"publisher","DOI":"10.1007\/s40614-022-00351-0"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.1007\/s40614-022-00326-1"},{"key":"ref57","doi-asserted-by":"publisher","DOI":"10.1177\/15407969211036911"},{"key":"ref58","doi-asserted-by":"publisher","DOI":"10.1177\/0145445511399147"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.1007\/s40474-020-00205-x"},{"key":"ref60","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000724"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21111453"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.1080\/13642987.2020.1783533"},{"key":"ref63","doi-asserted-by":"publisher","DOI":"10.1111\/jppi.12460"},{"key":"ref64","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17197121"},{"key":"ref65","doi-asserted-by":"publisher","DOI":"10.1177\/00084174231160975"},{"key":"ref66","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2021.1963856"},{"key":"ref67","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18042072"},{"key":"ref68","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2023.1184946"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2017.06.008"},{"issue":"4","key":"ref70","first-page":"561","volume":"44","author":"Cobigo, V","year":"2009","journal-title":"Educ Train Dev Disabil"},{"key":"ref71","doi-asserted-by":"publisher","DOI":"10.1007\/s40617-022-00710-y"},{"key":"ref72","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2018.1467972"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.3233\/tad-180216"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.1080\/07317107.2019.1659544"},{"key":"ref75","doi-asserted-by":"publisher","DOI":"10.1007\/S10864-018-9299-6"},{"key":"ref76","first-page":"2020","author":"Kazdin, AE","year":"2020","journal-title":"Single-case Research Designs: Methods for Clinical and Applied Settings. 3rd edition"},{"key":"ref77","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocab049"},{"key":"ref78","doi-asserted-by":"publisher","DOI":"10.1038\/S43586-024-00312-8"},{"key":"ref79","doi-asserted-by":"publisher","DOI":"10.1007\/s40617-020-00547-3"},{"key":"ref80","unstructured":"DatasetsFondazione Blog2025-09-29https:\/\/fondazionelfo-my.sharepoint.com\/:x:\/g\/personal\/alberti_g_legadelfilodoro_it\/EW4kEdI8J3pMihg62r_mmUoBNuLjfeWvevOq3ARXavYEZg?e=yO4k3l"}],"container-title":["JMIR Rehabilitation and Assistive Technologies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/rehab.jmir.org\/2025\/1\/e82596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:16:35Z","timestamp":1782843395000},"score":1,"resource":{"primary":{"URL":"https:\/\/rehab.jmir.org\/2025\/1\/e82596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,15]]},"references-count":80,"URL":"https:\/\/doi.org\/10.2196\/82596","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.82596","asserted-by":"object"}]},"ISSN":["2369-2529"],"issn-type":[{"value":"2369-2529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,15]]}}}