One of the most well known methods for working with students who are non-verbal is the Picture Exchange Communication System, or PECS. According to the PECS website, “PECS was developed in 1985 as a unique augmentative/alternative communication intervention package for individuals with autism spectrum disorder and related developmental disabilities.” As the name suggest, PECS begins by having students exchange pictures to request a desired item from a communication partner.
Recently a meta-analysis was conducted by Flippin, Reszka and Watson (see full citation below) to examine the effectiveness of PECS for students with autism spectrum disorders. Overall they found that “ Results indicated that PECS is a promising but not yet established evidence-based intervention for facilitating communication in children with ASD ages 1–11 years.” Specifically, here are a few things I took away from the article:
- The publication mentions several reports that suggest that PECS has increased functional communication in students with ASD in a relatively short time period. While this is good to note, the article makes the point that while positive, these reports lack evidence.
- There are enough articles mentioned throughout the publication that will keep any researcher busy for some time, but the most common outcome from referenced studies was the success in increasing students’ ability to request items. While this is far from what one would consider to be proficient communication skills, it is never the less a positive result that data clearly indicates is capable with PECS.
- Some studies referenced did demonstrate an increase in communication. Some of these were said to have treatment fidelity (meaning that it was clearly demonstrated that PECS was implemented correctly) while others did not.
- Data is limited for the maintenance phase (ability to continue effectively using PECS after training) and the generalization phase (using PECS effectively in other settings).
Anyone using PECS or working with students with ASD and communication delays should read this article. It is titled “Effectiveness of the Picture Exchange Communication System (PECS) on Communication and Speech for Children With Autism Spectrum Disorders: A Meta-Analysis” by Flippin, Reszka and Watson in the American Journal of Speech-Language Pathology, May 2010.
It is important that classroom teachers as well as AT specialists and other related service providers are familiar with what the research says. While this article demonstrates the effectiveness of PECS for requesting items, it gives concern for having expectations past this, or for assuming that a student will maintain progress once training stops.