Education and Training in Developmental Disabilities, 2003, 38(1), 32– 61 © Division on Developmental Disabilities Can Students with Mental Retardation Teach their Peers? Vicky G. Spencer Giulia Balboni George Mason University University of Padua Abstract: This review provides an updated synthesis on peer tutoring research focusing on school-age students with mental retardation serving as tutors and/or tutees. The focus included peer tutoring implementations in the areas of academic, social, and daily living/self-help skills. Results of the 52 studies were categorized and discussed according to elementary or secondary level. Use of peer tutoring with students with mental retardation is not a new instructional approach. With the research spanning over a period of 30 years, students with varying levels of mental retardation have been serving as tutors and/or tutees in order to teach their peers a variety of academic, social, and self help skills (Almond, Rodgers, & Krug, 1979; Brown, Fenrick, & Klemme, 1971; Koury & Browder, 1986; Vacc & Cannon, 1991). Research has shown that increasing student opportunities to respond, individualizing instruction, increasing time on-task and opportunity for practice, and providing frequent and immediate feedback are all correlated with increased academic achievement (Maheady, Harper, & Sacca, 1988). Therefore, it is not surprising that peer tutoring continues to be an effective instructional arrangement that is used in both regular and special education settings (Fuchs, Fuchs, & Kazdan, 1999; Maheady et al.; Maher, 1982). Within these settings, a variety of peer tutoring models and configurations exist. Peer tutoring involves pairing students of similar age or grade levels to work together, while cross-age tutoring involves using an older or younger student as the “expert” to provide assistance in the tutoring dyad (Scruggs & Osguthorpe, 1986). Reciprocal tutoring gives both students in the dyad the opportunity to serve as the tutor and the tutee. In classwide peer tutoring (CWPT) all students within a Correspondence concerning this article should be addressed to Vicky G. Spencer, George Mason University, Kellar Institute for Human disAbilities, 4400 University Dr., MS1F2, Fairfax, VA 22030-4444. 32 / single class participate in tutoring and typically include a reciprocal component (Fuchs et al., 1999; Mastropieri, Spencer, Scruggs, & Talbott, 2000; Mortweet et al., 1999). Effectiveness of students with disabilities teaching their peers has been clearly documented in the literature (see Cook, Scruggs, Mastropieri, & Casto, 1985-1986; Osguthorpe & Scruggs, 1986 for reviews). More recently, Mastropieri et al. (2000) examined previously conducted research involving students with disabilities serving as tutors and/or tutees. Their review included school-age students with any identified disability. Therefore, the purpose of this review was to replicate and extend previous reviews by providing an updated synthesis on peer tutoring research focusing on school-age students with mental retardation serving as tutors and/or tutees. Method Studies were included in the synthesis if the primary purpose was to examine efficacy of peer tutoring involving school-age students with mental retardation as tutors and/or tutees. If the sample did not specifically identify students with mental retardation the study was not included (e.g., Haisley, Tell, & Andrews, 1981). Furthermore, if the primary purpose was to examine non-handicapped tutors or the classroom teachers and data was not provided on the students with mental retardation the study was excluded (e.g., Brummel, 1984; Fenrick & McDonnell, 1980; Wise, 1999). Computer assisted searches for relevant literature were conducted in the Educational Resources Information Center (ERIC), PsycInfo, and Education and Training in Developmental Disabilities-March 2003 Dissertation Abstracts International databases using the following descriptors: special education, peer tutoring, and students with mental retardation. Previous peer tutoring reviews were acquired and examined, along with the reference lists of all obtained articles. In addition, recent issues of all major special education journals were examined for relevant articles. These procedures resulted in a pool of 50 research studies that included students with mental retardation as tutors and/or tutees to be reviewed. dents with mental retardation serving as tutors and/or tutees and 19 studies with high school students with mental retardation serving as tutors and/or tutees. Research Designs Twenty-nine studies employed single subject methodology. Twenty-one studies used group research designs including 11 experimentalcontrol group designs, six pre-post designs, and two post-test only designs. Two studies were qualitative. Overall Characteristics of the Data Set Fifty studies were identified during the period from 1971 to 2001; however, one study (Lancioni, 1982b) included three experiments, so data is reported on 52 studies. Journals included were American Educational Research Journal, Behavioral Disorders, Education and Training in Mental Retardation, Education and Training of the Mentally Retarded, Education and Training in Mental Retardation and Developmental Disabilities, Education and Treatment of Children, Exceptional Children, Journal of Applied Behavior Analysis, Journal of Behavioral Education, Journal of Learning Disabilities, Mental Retardation, Journal of Research and Development in Education, Learning Disabilities Research & Practice, Reading, Writing, and Learning Disabilities, Remedial and Special Education, Psychology in the Schools, School Psychology Review, Teaching Exceptional Children, and The Elementary School Journal, unpublished dissertations, and one book chapter. Table 1 contains a summary of each study’s individual characteristics. Sample Four hundred and thirty-nine students who were classified with varying degrees of mental retardation served as tutors and/or tutees based on the studies reporting this information. Specifically, 125 students acted as tutors while another 179 students served as tutees. Additionally, 135 students were included in reciprocal roles in which they participated as tutor and tutee. Students with learning disabilities, behavioral or emotional disorders, atrisk, and average achieving students also served as tutors and/or tutees. The sample included 31 studies with elementary age stu- Tutoring Configurations Fifteen studies implemented cross-age tutoring in which older students tutored younger students, while two studies had younger students tutor older students. Ten studies implemented same-age peer tutoring while twelve studies implemented same-age peer tutoring with a reciprocal component in that all students assumed roles of both tutor and tutee during the tutoring sessions. Eleven studies incorporated mixed ages with a wide variation in the ages of students serving as tutor and/or tutee. Although students with mental retardation were included in each of these studies, their role varied depending on the study. Content of Tutoring Sessions A wide variety of academic, social, and daily living/self-help skills were used during tutoring interventions. The majority of studies used peer tutoring to teach reading (N ⫽ 13) such as identifying sight words, reading cooking labels, or identifying community signs. Four studies focused on daily living skills while fifteen studies examined pre-academic and social/interaction skills. Peer tutoring was also used to teach math (N ⫽ 5), spelling (N ⫽ 7), social studies (N ⫽ 1), written language skills (N ⫽ 2), sign language (N ⫽ 2), or combinations of reading, spelling, and math (N ⫽ 3). Length, Duration, and Intensity of Tutoring For those reporting, length, duration, and intensity of tutoring interventions data were averaged together to provide a summary of the articles reviewed. Tutoring sessions ranged in Students Teaching Peers / 33 Design Multiple Baseline Qualitative Multiple Baseline Agran, Fodor-Davis, Moore, & Martella (1992) Almond, Rodgers, & Krug (1979) Bell, Young, Salzberg, & West (1991) Education and Training in Developmental Disabilities-March 2003 Driving skills: backing right and proceeding sequentially to turning left and passing as learner met criterion on the previous maneuver Pre-academic skills Preparing sack lunches Subject Cross-age tutoring Tutors N ⫽ 4, reg. ed. 17 and 18 yr. olds Tutees N ⫽ 4, 16 yr. olds, (1 LD, 2 reg. ed., 1 mild MR) Mixed ages Tutors N ⫽ 2, Mild MR (14 & 15 yr. old high school students) Tutees N ⫽ 3, SMR (Two 14 yr. old middle school students; One 16 yr. old high school student) Mixed ages Volunteer supervisors N ⫽ 78 nonhandicapped, elementary K–6th N ⫽ 12, EMR, elementary Students supervised N ⫽ 16, autistic students Tutors/Tutees Intervention lasted daily 10-minute sessions Intervention lasted 9 months with at least one daily contact w/ a student volunteer Intervention lasted once a day, three days a week for 50 sessions (includes baseline) Duration of Intervention Findings from Empirical Studies Involving Students with Mental Retardation and Peer Tutoring / Study TABLE 1 34 Number of correct and incorrect responses per minute Anecdotal records on providing clear directions, praise, & helping —Feedback slips —Evaluation of student supervisors Sack lunch preparation Self-instructions emitted Dependent Measures Appeared to positively affect the daily attitudes of the elementary school community Increase in contacts between handicapped & nonhandicapped students on the playground Success in teaching pre-academic skills All learners met criterion on the maneuvers in the training sessions and passed the classroom driver’s education test Two of the three participants were successful in learning to make sack lunches in the correct sequence & generalizing their responding across novel customers Author Reported Findings Students Teaching Peers / 35 Multiple Baseline Pre-post test Brown, Fenrick, & Klemme (1971) Callan (1984) Social interaction Block building Attitudes Use of tutoring techniques Label words Same age tutors-tutees Tutors N ⫽ 2 Trainable level retarded taught each other, 12 & 14 yr. Tutees N ⫽ 5 Trainable level retarded, 11–14 yr. Cross-age tutoring Phase I Tutors N ⫽ 6, nonhandicapped, 4th & 5th graders Tutees N ⫽ 6, trainable MR, severe MR Phase II Tutors N ⫽ 6, nonhandicapped 4th & 5th graders N ⫽ 6, nonhandicapped 2nd & 4th graders Tutees N ⫽ 6 (students described in Phase I) N ⫽ 3 moderate to severe handicaps, (age range 18 mths.–4.8 years) Thirty words from a standard functional word list Five words from a standard functional word list Tutee social interaction with tutors Tutee use of Leggo blocks Tutor attitude toward severely handicapped students Tutor use of appropriate tutoring techniques Intervention lasted fifteen, 15 minute sessions (9 school days) to teach each other words Intervention lasted ten, 15 minute sessions for tutors to teach 5 peers Phase I lasted 8 weeks; students tutored three times a week for 30 minutes Phase II follow-up data was collected the remainder of the school year Positive social interactions between tutors and tutees Tutees made progress in the use of building block tasks Tutors showed positive attitudes toward severely handicapped students Trained tutors performed at a higher level on use of appropriate tutoring techniques than untrained tutors The two tutors were able to teach each other to label words and were able to teach five of their peers to label five words 36 / Education and Training in Developmental Disabilities-March 2003 Design Subject Tutors/Tutees Duration of Intervention Dependent Measures Collins, Branson, & Multiple Probe Hall (1995) Baseline Reading cooking product labels Mixed ages Tutors N ⫽ 26 (11th gr. Advanced English class) Tutees N ⫽ 4 moderate MR (mean age ⫽ 16.9) Intervention lasted daily Cooking product word with 32 trials per sets session on 16 target words Campbell, Brady, & Multiple Baseline Written Same age tutors-tutees Intervention lasted 17– Percentage of words Linehan (1991) capitalization skills Tutors N ⫽ 4 LD 28 continuous days; capitalized correctly (mean age ⫽ 9.5) daily 15 to 20 Tutees N ⫽ 2 LD, N minutes; maintenance ⫽ 1 MR (mean age probes were ⫽ 11.1) elementary conducted for 3 students weeks following completion Carlton, Litton, & Exp. vs. Control Vocabulary Same age tutor-tutee Intervention lasted 6 Gates-MacGinitie Zinkgraf (1985) N ⫽ 74, MMR weeks; students Reading Test (midpoint age ⫽ 12 tutored 5 times a yrs) week for 20 minutes Control group N ⫽ 62 Intervention lasted 8 Relationship Rating Cole, Vandercook, Experimental Teaching leisure Mixed ages weeks; students met 2 Scales—measuring & Rynders (1988) Peer Tutoring vs. activities (playing Tutors N ⫽ 27, nonto 4 times a week for interpersonal Special Friends with toys) handicapped, 4th, 5th, 6th graders 15 minutes behaviors Tutees N ⫽ 27, severe mental handicaps (mean age ⫽ 9.7) Study Table 1—(Continued) Peer tutoring interactions tended to be lopsided with non-handicapped children watching, teaching, and rendering physical assistance to handicapped peers Positive results with some incidental learning of cooking definitions and generalization across novel materials, persons, and settings Positive gains in reading for both tutors and tutees Positive gains on capitalization accuracy Mixed results on generalization in sentence writing Author Reported Findings Students Teaching Peers / 37 Pre-post test Post-test Multiple Baseline Cooke, Heron, Heward, & Test (1982) Custer & Osguthorpe (1983) Donder (1986) IEP goals Attitudes Social acceptance Sight word recognition Reverse cross-age Tutors N ⫽ 3, nonhandicapped, 6th graders Tutees N ⫽ 3, moderate MR, jr. high students, 13 yr. old (1) & 14 yr. old (2) Same age tutor-tutee Tutor N ⫽ 1, nonhandicapped 1st grader Tutee N ⫽ 1, Down syndrome, 1st grader (age 7.7) —CWPT in a 1st grade classroom with 28 students Same age tutor-tutee Tutors N ⫽ 15, mild MR, 5th–6th graders Tutees N ⫽ 15, non-handicapped 6th graders Modified Acceptance Scale IEP goals Social interaction observations Sign language test (delayed) Student & parent interviews Intervention lasted 8 weeks, 30 minute sessions Intervention lasted 15 consecutive sessions for two different intervention periods with tutoring sessions lasting 20 minutes Dolch Word List Intervention lasted daily for 5 months with 89 sessions for 25–30 minutes Increase in social interactions between handicapped & nonhandicapped students Tutors retained 94% of the signs Tutees retained 99% of the signs Positive reactions from students & parents regarding the peer tutoring program Significant results on target behaviors Increase in positive attitude toward tutees Tutor & tutee increased sight word recognition Tutee identified 77 of 140 words on combined post-test Tutor identified 191 of 215 words on posttest from basal reader 38 / Education and Training in Developmental Disabilities-March 2003 Pre-post test Multiple Probe Design Fenrick & Petersen (1984) Fishbach-Goodman (1996) Tutors/Tutees Duration of Intervention Dependent Measures Reverse cross-age Intervention lasted 34 Data were collected on: Tutors N ⫽ 14 nondays during 30(a) interacting handicapped, 7th minute recess periods appropriately w/ graders including baseline other handicapped Tutees N ⫽ 3, and maintenance students moderate MR, (14– probes (b) interacting 15 yr.) inappropriately with other handicapped students (c) interacting appropriately w/ non-handicapped students (d) interacting inappropriately w/ non-handicapped students Beginning language Cross-age tutoring Intervention lasted 7 Questionnaire Play Tutors N ⫽ 12, nonweeks, 30 minutes 3 examining attitudes Self-help handicapped, 6th times a week toward own classmates Functional academic graders (N ⫽ 51 & handicapped skills served as non-peer students tutors) Social Distance Scale Tutees N ⫽ 6, moderate MR (age range 6–11) Reading functional Cross-age tutoring Intervention lasted 11 Correct response to community-sign Tutors N ⫽ 3, nonweeks community-sign words words handicapped, 10, 16, Follow-up 14 weeks in response to: & 17 yr. olds later —flash cards Tutees N ⫽ 3, multiply —photographs handicapped (MMR —environment & SMR), 11, 14, 18 —comprehension of sign yr. olds words in classroom & community Subject Multiple Baseline Playground skills Design Donder & Nietupski (1981) Study Table 1—(Continued) Tutees showed positive results in learning community-sign words Demonstrations of generalization were inconclusive Tutors showed positive changes in attitudes toward handicapped students Increase in appropriate playground behavior Follow-up showed overall higher percentage of appropriate playground behavior and overall increase in contact between handicapped & nonhandicapped students Author Reported Findings Students Teaching Peers / 39 Exp. vs. Control Alternating treatment design Pre-post testing Fuchs, Fuchs, & Kazdan (1999) Harper, Mallette, Maheady, Bentley, & Moore (1995) Harper, Mallette, Maheady, Parkes, & Moore (1993) Spelling Math Reading Same-age reciprocal CWPT N ⫽ 8, LD, (4) mild MR (mean age ⫽ 9.4) Same age reciprocal CWPT N ⫽ 52, LD, (2) MMR, Remedial, Other high school students in special ed. and remedial classes Same-age reciprocal CWPT N ⫽ 8, LD, ED, (3) mild MR, 3rd–5th graders (mean age ⫽ 10.4) Intervention lasted daily for 10 weeks Intervention lasted 10 minutes three days a week for 10 weeks Intervention lasted 5 times every 2 weeks for 16 weeks Weekly spelling test Generalization writing task Sight word vocabulary Retention spelling test Student satisfaction survey Weekly math quizzes Retention test (1 week later; 17 days later) Rate of accurate responding Student satisfaction survey Comprehensive Reading Assessment Battery Increase in weekly math scores Positive results on retention tests Improvement in rate of accurate responding Students reported positive evaluation of CWPT & perceived positive social & self-esteem outcomes Increase in weekly spelling scores Positive results on generalization writing task & retention tests Modest improvements in sight word recognition Students reported positive evaluation of CWPT & perceived positive social & self-esteem outcomes Mixed finding between reading comprehension and fluency 40 / Education and Training in Developmental Disabilities-March 2003 Pre-post testing Heward, Heron, & Cooke (1982) Sight words Sight words Pre-post testing Heron, Heward, Cooke, & Hill (1983) Subject Spelling Design Harper, Mallette, & AB Baseline Moore (1991) Study Table 1—(Continued) Same age tutor-tutee CWPT Tutor N ⫽ 2, nonhandicapped, 1st graders Tutee N ⫽ 1, LD N ⫽ 1, Down syndrome, elementary-age (N ⫽ 24 additional participants in 1st grade classroom) Same age tutor-tutee CWPT Tutor N ⫽ 1 nonhandicapped, 1st grader Tutee N ⫽ 1, Down syndrome (N ⫽ 26 additional participants in 1st grade classroom) Same-age reciprocal CWPT N ⫽ 12, mild MR, primary-grade class (mean age ⫽ 11.76) Tutors/Tutees Weekly spelling tests Opportunities to respond Rate of accurate responding Peer Tutoring Evaluation Inventory Dependent Measures Intervention lasted daily Sight words from basal for 5 months reader Student attitudes Intervention lasted daily Sight words from basal for 5 months with reader 25–30 minute sessions Tutoring behaviors Intervention lasted 14 weeks daily for 15 minutes including baseline Duration of Intervention Increase in sight word identification for tutors and tutees Students reported high satisfaction with the peer tutoring program Increase in weekly spelling scores Increase in academic response rate Students reported positive evaluation of CWPT & perceived positive social outcomes Increase in sight word identification for tutors and tutees Author Reported Findings Students Teaching Peers / 41 ABAB Reversal Design ABAB Reversal Design Kohl, Moses, & Stettner-Eaton (1983) Kohl & StettnerEaton (1985) Single subject (Multiple treatment design, 5 experiments) Jenkins, Mayall, Peschka, & Jenkins (1974) Cafeteria skills Attending skills Cafeteria skills 1) word recognition 2) spelling 3) multiplication 4) oral reading 5) multiplication Cross-age tutoring 1) LD, EMR, ages 7–10, N ⫽ 13 2) 3rd graders, LD, N ⫽ 4 3) 4th graders referred to resource room for assistance in multiplication, n ⫽ 5 4) EH or EMH, n ⫽ 5 3rd graders referred for multiassistance, n ⫽ 5 Cross-age tutoring Tutors N ⫽ 7, nonhandicapped, 5th & 6th graders Tutees N ⫽ 8, severely handicapped students (age range ⫽ 5.5–10.1 yrs.) (mean age ⫽ 7.9) Cross-age tutoring Tutors N ⫽ 4, nonhandicapped, 4th graders Tutees N ⫽ 3, severely MR (mean age ⫽ 10.5) Data collected on tutor’s attending behaviors Trainer (tutor) intervention Data collected on tutees performance on the cafeteria instructional sequence Intervention occurred 4 days a week during 30 minute lunch break for 24 sessions including baseline Intervention occurred 4 days a week during 30 minute lunch break Sullivan Programmed Reading Series—number of words read correctly —number of spelling words correct —number of multiplication problems answered correctly Two 10-minute sessions daily for 8 to 10 days 1) 4 to 8 days 2) 4 days 3) 5 days 4) 12 days of group and then 10 days of tutoring not given Tutors showed gains in their ability to attend appropriately to tutees Tutees were successful in increasing or maintaining their cafeteria skills which were taught prior to intervention by a teacher Tutors were taught to use effective instructional techniques Tutees improved on cafeteria skills Positive feedback from tutors regarding tutoring program Children made greater gains in tutorial condition. In Experiment 3 and 5, tutors gained too (reg. ed. 6th graders) 42 / Education and Training in Developmental Disabilities-March 2003 Multiple Baseline Sight words Modified Math Multiple Probe Technique Multiple Baseline Social responses Koury & Browder (1986) Lancioni (1982a) Lancioni (1982b) Experiment #1 Spelling Alternating Treatment Design Koury (1990) Subject Design Study Table 1—(Continued) Mixed ages—reciprocal N ⫽ 9 moderately MR, jr. high students N ⫽ 12, moderately MR, sr. high students Cross-age tutoring Tutors N ⫽ 5, moderately MR, intermediate class (midpoint age ⫽ 10 yrs.) Tutees N ⫽ 6, Moderately MR, primary class (midpoint age ⫽ 7.5 yrs.) Mixed ages Tutors N ⫽ 12 nonhandicapped, 3rd & 4th graders Tutees N ⫽ 6, EMR (mean age ⫽ 10.8) Same age tutor-tutee Tutors N ⫽ 12, nonhandicapped 3rd & 4th graders (mean age ⫽ 9.3) Tutees N ⫽ 3, EMR Tutors/Tutees Intervention lasted approximately 70 days including baseline Four 8–12 minute sessions four times a day Target responses: Tutors were able to —Delayed imitation (ex. teach social responses Hands on head) Training effects —Cooperative play generalized across —Verbalizations of stimulus & response “That’s good” & conditions “Thank you” Skills maintained over time w/in training sessions Sight words chosen from primary students’ reading series Positive results solving simple written math problems Intervention lasted approximately 10–20 minute sessions with one session per day and four to five sessions per week. Intervention lasted daily Written math problems approximately 110 including addition, days including subtraction, baseline multiplication, and division Author Reported Findings Gains on weekly spelling quizzes Increase on opportunities to respond Teachers & students found peer tutoring effective Positive gains on identifying sight words Dependent Measures Weekly spelling quizzes Peer Tutoring Evaluation Inventory 50 minute sessions, daily Duration of Intervention Students Teaching Peers / 43 Multiple Baseline Multiple Baseline Post-test Lancioni (1982b) Experiment #2 Lancioni (1982b) Experiment #3 Lombardo (1975) Picture matching Social responses Social responses Mixed ages Tutors N ⫽ 24, non-handicapped, 4th & 5th graders Tutees N ⫽ 3, MR (mean age ⫽ 12.1) Mixed-cross-age & same age Tutors ⫽ adults & students N ⫽ 33, adults, students 5 yrs.–12 yrs. (mean age ⫽ 8.7) Group I—adult tutored MR student Group II—nonhandicapped student tutored MR student Group III—MR student tutored MR student Mixed ages Tutors N ⫽ 15, non-handicapped, 4th & 5th graders Tutees N ⫽ 3, MR, (mean age ⫽ 10.2) Intervention lasted 3 days; three 15minute sessions Intervention lasted approximately 100 days including baseline Intervention lasted approximately 130 days including baseline Target responses: —Delayed imitation (ex. Hands on head) —Cooperative play —Verbalizations of “That’s good” & “Thank you” Paired-associate task (picture matching) Target responses: —Delayed imitation (ex. Hands on head) —Cooperative play —Verbalizations of “That’s good” & “Thank you” Maintenance on social behaviors taught continue if training is dependent on social contingencies paired with edibles, but social behaviors do not maintain if training is dependent on edibles Direct social contingencies have to be repeatedly paired with edible reinforcement for maintenance to occur Results showed positive results for all tutees Three types of tutors did not have significantly different effects on the performance of the tutees 44 / Education and Training in Developmental Disabilities-March 2003 Multiple Baseline Reading, language arts, math Maher (1984) Reading, writing, math Pre-post Maher (1982) Social studies Subject Single subject Design Maheady, Harper, & Sacca (1988) Study Table 1—(Continued) Duration of Intervention Same age reciprocal Intervention lasted 20 CWPT weeks; number of N ⫽ 20, LD, BD, sessions varied EMR 9th–12th weekly; sessions were graders (mean age 30 minutes ⫽ 16.2) Cross-age tutoring Intervention lasted 10 Tutors N ⫽ 6 ED, weeks; students high school (mean tutored 2 times a age ⫽ 16.2) week for 30 minutes Tutees N ⫽ 6 EMR, elementary (midpoint age ⫽ 9) (N ⫽ 6 tutored by general ed. students; N ⫽ 6 received group counseling—not included in coding) Cross-age tutoring Intervention lasted 10 Tutors N ⫽ 8, ED, weeks; students high school tutored 2 times a (midpoint age ⫽ week for 30 minutes 15.5) Tutees N ⫽ 8 EMR, elementary (midpoint age ⫽ 11 yrs) Tutors/Tutees Positive gains in social science and language arts for tutors Reduced rates of absenteeism and disciplinary referrals for tutors Positive gains on social studies quizzes Author Reported Findings Percentage completion Increase for tutors and of assignments tutees in percentage Percentage items correct of completion of on tests & quizzes assignments and Disciplinary referrals items correct on tests & quizzes Decrease in disciplinary referrals for both tutors and tutees Student’s grades Number of disciplinary referrals Percentage of school attendance Weekly social studies quizzes Dependent Measures Students Teaching Peers / 45 Multiple probe design across 4 participants Marchand-Martella, Martella, Agran, Salzberg, Young, & Morgan (1992) Exp. vs. Control Pre-post Mallette, Harper, Maheady, & Dempsey (1991) Mastropieri et al. (2000) Multiple Baseline Maher (1986) Reading First aid skills Spelling Reading language arts, math Same age reciprocal CWPT N ⫽ 9 MMR, N ⫽ 1 non-disabled, elementary (mean age ⫽ 100.13) Mixed ages Tutors N ⫽ 2, moderate intellectual disabilities, elementary Tutees N ⫽ 4 mild intellectual disabilities, elementary Same age reciprocal CWPT N ⫽ 16, LD, MMR, 7th–8th graders Control group N ⫽ 12 Cross-age tutoring Tutors N ⫽ 16, ED, high school students Tutees N ⫽ 16, EMR, elementary students Intervention lasted 5 weeks; students tutored daily for 55 minutes Intervention lasted 3 months Intervention lasted 12 weeks Intervention lasted 10 weeks; twice a week for 30 minutes Reading comprehension test Attitudes toward tutoring Treatment of three injuries: abrasions, burns, and cuts Percentage of completion of assignments (tutors/tutees) Percentage items correct on tests & quizzes (tutors/tutees) Disciplinary referrals (tutors) Attendance (tutors) Reaction of tutoring program (tutors) Weekly Spelling tests Student satisfaction survey Positive gains in reading Positive attitudes toward tutoring Peer teaching resulted in acquisition of first aid skills which generalized to home, novelsimulated injury locations, & to new trainers Positive gains on weekly spelling tests Positive attitudes towards CWPT Increase for tutors and tutees in percentage of completion of assignments and items correct on tests & quizzes Increase in attendance for tutors Decrease in disciplinary referrals for tutors 46 / Education and Training in Developmental Disabilities-March 2003 Exp. vs. Control Exp. vs. Control McCracken (1979) Design Mastropieri et al. (2001) Study Table 1—(Continued) Word recognition Reading comprehension World history Subject Intervention lasted 8 weeks; 2 or 3 times a week for 85 minutes (block scheduling) Duration of Intervention Same age tutor-tutee Intervention lasted 12 weeks; daily Tutors N ⫽ 15 primarily LD, 9th, 10th, 11th Tutees N ⫽ 25, LD, BD, EMR, 9th, 10th, 11th (27 students, LD were tutored by teachers) 4 exp. groups 1) peer tutoring w/o data-based instruction 2) peer tutoring w/ data-based instruction 3) teacher tutor w/o data-based instruction 4) teacher tutor w/ data-based instruction Control group N ⫽ 32, LD Same age tutor-tutee CWPT N ⫽ 1 LD/ED N ⫽ 14 LD N ⫽ 1 MR Tutors/Tutees —Slosson Oral Reading Test —Teacher-made contextual analysis test based on SORT to measure comprehension —Pre-post World History tests —Oral reading fluency —Student satisfaction Dependent Measures Students in peer tutoring class made significant gains over the students in traditional class Positive teacher & student attitudes regarding peer tutoring No significant difference on reading fluency Positive gains in word recognition and reading comprehension when data-based instruction was used; same results reported for teachers Author Reported Findings Students Teaching Peers / 47 Withdrawal treatment design Exp. vs. Control Exp. vs. Control Mortweet, Utley, Walker, Dawson, Delquadri, Reddy, Greenwood, Hamilton, & Ledford (1999) Noll (1985) Olsen (1978) Reading (tutees) Attitudes (tutors) Social initiations Attitudes Money skills Spelling Social interactions Academic behaviors Same age tutor-tutee (4th graders) Tutors N ⫽ 8 nonhandicapped students Tutees N ⫽ 8, (4) SED, (Mean age ⫽ 9.7 yrs.) (4) trainable MR, (mean age ⫽ 10.3) Control group. N ⫽ 12 nonhandicapped students Cross-age tutoring Tutors N ⫽ 28 nonhandicapped, 5th & 6th graders Tutees N ⫽ 29, primary-aged, mild MR Experimental N ⫽ 28 (peer tutoring) Control I Condition N ⫽ 27 (teacher helpers) Control II Condition N ⫽ 27 (no treatment) Same age reciprocal CWPT N ⫽ 4, EMR, 2nd & 3rd graders; N ⫽ 4, non-disabled 2nd & 3rd graders —Stanford Early School Achievement Test —Stanford Achievement Test —What You Think About Special Ed. Kids scale (developed for this study) Intervention lasted 10 weeks; sessions were 30 minutes daily Intervention lasted 8 weeks; sessions were 20 minutes daily —Weekly spelling tests —Code for Instructional Structure and Student Academic Response —Consumer satisfaction surveys —Behavior Observation Scale —Peer Attitudes Toward Handicapped Scale (PATHS) —Money skills data sheet Intervention lasted 6 weeks in one class and 11 weeks in the other. Sessions were 20 minutes 4 times a week Results showed significant gains in reading for the tutees Tutors showed increase in positive attitudes toward tutees compared with control groups Both experimental and control groups increased frequency of social interaction. No statistical significance was found on scores of attitude measures Increase in money skills performance for tutees Students made positive gains in spelling performance; higher rates of academic engagement 48 / Education and Training in Developmental Disabilities-March 2003 Spelling Social Interactions Sideridis (1995) Single Subject Design Language, social behaviors Scruggs, Exp. vs. Control Mastropieri, Veit, & Osguthorpe (1986) Multiple Baseline Functional math skills (money cards) Schloss, Kobza, & Alper (1997) Sign language Subject Exp. vs. Control Design Osguthorpe, Eiserman, & Shisler (1985) Study Table 1—(Continued) Same age tutor-tutee 4th–6th graders Tutors N ⫽ 17, EMR Tutees N ⫽ 17, average-achieving Control group N ⫽ 16 Same age reciprocal tutoring N ⫽ 6 moderately MR junior high, high school (mean age ⫽ 15.7) Same age tutor-tutee 3rd–5th graders Tutors N ⫽ 24, BD Tutees N ⫽ 3, SMH Control group N ⫽ 12 (3 new tutors rotated every 5 weeks, so tutors were also control group) Same age tutor-tutee Tutors N ⫽ 3, nonhandicapped, 6th graders (age range ⫽ 11–12) Tutees N ⫽ 3, LD, EMR, ADD. 6th graders (age range ⫽ 12–13) Tutors/Tutees Tutoring sessions were New Code for 4 times a week for 30 Instructional Structure minutes and Student Academic Response Weekly spelling tests Multiple Option Observation System for Experimental Studies (social interaction) Student & teacher satisfaction surveys Stanford Achievement Test Absence Discipline Attitude Toward School Devereaux Behavior Rating Scale Teacher-made money cards Free Play Interaction Form Sign language tests Intervention lasted 10 weeks; sessions were 15 minutes 3 times a week Intervention lasted approximately 18, 15-minute sessions Follow-up probes one week after completion Intervention lasted for 20 weeks (4-five week tutoring sessions); students tutored 4 times a week for 20 minutes Dependent Measures Duration of Intervention —Increase in spelling accuracy for tutees —Increased academic responding levels —Increase in positive social interactions for tutors & tutees —High satisfaction for students & teachers No behavior changes were noted Positive gains in teaching functional math skills Positive findings in social interactions between tutors and tutees and sign language Author Reported Findings Students Teaching Peers / 49 Qualitative Multiple Baseline Single-Subject Alternating Treatment Design Smith & Pfeiffer (1997) Staub & Hunt (1993) Thomas (1998) Spelling Community, transportation, vocational, & domestic skills Reading Same-age reciprocal CWPT N ⫽ 59 nonhandicapped, middle school students & N ⫽ 1 MR, 2 LD, 3 atrisk Mixed ages Tutors N ⫽ 8, non-handicapped Tutees N ⫽ 4, severe disabilities (Age range ⫽ 15– 20) Cross-age tutoring Tutors N ⫽ 6, EMR, elementary Tutees N ⫽ 6, EMR, elementary (age range ⫽ 7– 10) Intervention (CWPT) lasted 3 weeks; sessions lengths varied Intervention lasted 30 days including baseline “Buddy work” occurred daily for one class period Increase in: —compatibility w/in the classroom —interest in reading & language for both tutors & tutees —self-confidence, selfassurance, & responsibility of tutors Increase in the frequency of initiations of interactions from students without disabilities —Frequency of the social interactive behaviors of the peer tutors toward the tutees —Frequency of the display of targeted social behaviors by tutees Weekly spelling tests Comparisons made Code for Instructional between CWPT and Structure and teacher adapted Student Academic CWPT revealed Response—Mainstream similar finding with Version all resulting in positive gains in spelling Anecdotal reports 50 / Education and Training in Developmental Disabilities-March 2003 Study #1 Sign Language Exp. vs. Control Attitudes Study #2 Attitudes No treatment was given Whited (1986) Subject Multiple Baseline Math Design Vacc & Cannon (1991) Study Table 1—(Continued) Intervention lasted 6 weeks for one-half hour, 4 days a week Duration of Intervention Intervention lasted for 9 Cross-age tutoring weeks; sessions were Study #1 15 minutes 3 times a Tutors N ⫽ 17, 4 mild week MR, 20 moderate MR, 9 severe MR (Age range 7.1 to 18.4 years) Tutees N ⫽ 51, nonhandicapped students, 2nd–6th graders Control group. N ⫽ 16 handicapped, N ⫽ 51 non-handicapped Study #2 N ⫽ 116, nonhandicapped 4th and 7th graders Cross-age tutoring Tutors N ⫽ 12, nonhandicapped, 6th graders Tutees N ⫽ 4, moderately mentally handicapped, elementary age Tutors/Tutees Study #1 —Arizona Articulation Proficiency Scale: Revised —Expressive One-Word Picture Vocabulary Test —Miller-Yoder Language Comprehension Test —Language Sample —Attitude Questionnaire Study #2 —Revised Attitude Questionnaire Subject Attitude Questionnaire Tutoring Attitude Questionnaire Teacher Attitude Questionnaire Observation of Tutor Performance Number of correct responses (math) Dependent Measures Increase in beginning mathematics skills for tutees Positive attitudes for both tutors & tutees toward each other & the tutoring program Teachers evaluated the program as a positive learning activity for all participants Two-year follow-up showed maintenance of or improvement in mathematics skills varied across subjects Study #1 No significant effects on communication skills for tutees. No significant changes in attitudes toward handicapped students for tutors Study #2 Negative attitudes toward handicapped students in selfcontained classrooms Author Reported Findings length from 10 to 30 minutes with an average of 25 minutes. One additional study had 85 minute tutoring sessions. Duration of tutoring implementations ranged from three days to five months with one study lasting the ninemonth school year. The average tutoring intervention was nine weeks. Number of tutoring sessions per week ranged from twice a week to five times a week with an average of four times a week. Outcomes of Tutoring Students with Mental Retardation as Tutors Across all studies, outcomes reported by authors were generally found to be positive for students with mental retardation serving as tutor to their non-handicapped peers while some studies were reciprocal in that tutor and tutee alternated their roles. Further, some studies involved students with other disabilities as well (e.g., Bell, Young, Salzberg, & West, 1991; Fuchs et al., 1999). For example, Maher (1982; 1984; 1986) implemented three studies in which high school students with emotional disabilities served as the tutor to younger students with mental retardation. In a closer examination of the studies, students with mental retardation successfully taught pre-academic skills (Almond et al., 1979) vocabulary, sight words, and reading (e.g., Carlton, Litton, & Zinkgraf, 1985; Koury, 1990); social studies (Maheady et al., 1988) math (Harper, Mallette, Maheady, Bentley, & Moore, 1995; Schloss, Kobza, & Alper, 1997), spelling (e.g., Harper, Mallette, Maheady, Parkes, & Moore, 1993; Harper, Mallette, & Moore, 1991), and sign language (Custer, & Osguthorpe, 1983; Osguthorpe, Eiserman, & Shisler, 1985; Whited, 1986). In addition, students with mental retardation also successfully assisted each other in learning some basic daily living/self-help skills such as preparing sack lunches (Agran, FodorDavis, Moore, & Martella, 1992) and learning to administer first-aid (Marchand-Martella et al., 1992). Thus, students with mental retardation are clearly able to teach their peers both academic and daily living/self-help skills. Non-handicapped Students as Tutors This review also identified positive benefits for students with varying levels of mental retardation when non-handicapped students served as the “teacher” in the peer tutoring dyad. For example, students with mental retardation made positive academic gains in reading (e.g., Cooke, Heron, Heward, & Test, 1982; Fishback-Goodman, 1996; Olsen, 1978), math (Lancioni, 1982a; Vacc & Cannon, 1991) and spelling (Sideridis, 1995; Thomas, 1998) when tutored by their non-handicapped peers. Other successes were found within investigations that focused on various daily living/selfhelp skills such as teaching driver’s education curriculum (Bell et al., 1991) and improving cafeteria skills (Kohl, Moses, & Stettner-Eaton, 1983; Kohl & Stettner-Eaton, 1985). Additionally, some studies examined effects of non-handicapped students working with students with mental retardation on their social skills. For example, Donder and Nietupski (1981) focused on increasing appropriate playground behavior while Cole, Vandercook, and Rynders (1988) taught leisure activities (e.g., playing with toys). Moreover, other studies focused on social and attitudinal measures resulting in generally positive findings on outcomes that measured the number of contacts between non-handicapped students and students with mental retardation as well as attitudes of the non-handicapped peers towards their tutors (e.g., Almond et al., 1979; Donder, 1986; Donder & Nietupski). Clearly, non-handicapped students have been very successful in teaching students with mental retardation academics, daily living/ self-help skills, and social skills. With the recent re-certification of the Individual with Disabilities Act (IDEA), this growing body of research indicating positive results for nonhandicapped students tutoring students with mental retardation is encouraging. Table 1 presents descriptive findings as reported by the authors. Students with Mental Retardation as Tutors and/or Tutees Although most of the studies were conducted at either the elementary or secondary level, some of the studies include varying ages and Students Teaching Peers / 51 grade levels (e.g., Maher, 1982; 1984; 1986). These studies were identified as either elementary or secondary based on the age or grade level of students with mental retardation that were included. For organizational purposes, studies have been further categorized into three broad areas: academic, social, and daily living skills in order to provide a clearer description of the interventions. Elementary Students with Mental Retardation as Tutors and Tutees Of 52 studies reviewed, 33 interventions included students at the elementary level. Within these studies, students with varying levels of mental retardation taught academic skills such as basic sight word recognition, spelling, math, and sign language. Social skills and student attitudes were also a focus of some investigations along with daily living skills such as cafeteria skills and first-aid. Several studies addressing academic skills, social skills, and daily living skills are described in detail as exemplars to demonstrate the abilities as well as the variations that have been implemented when students with mental retardation work with their peers. Academic Tutoring for Elementary Students Using a cross-age peer tutoring configuration, Maher (1984) examined the efficacy of eight high school students classified as emotionally disturbed tutoring eight elementary students who were classified as educable mentally retarded. The cross-age tutors were responsible for conducting two 30-minute tutoring sessions a week with their tutee assisting with math, reading, and language arts assignments. As part of the session, tutors were responsible for discussing the knowledge or skills to be acquired with their tutee, answering their questions, assisting the tutee with written work, and socially reinforcing the tutee for discussion and work completion. Results showed an increase for both tutors and tutees in the completion of academic assignments and percentage of items correct on tests and quizzes. Additionally, a decrease in disciplinary referrals for the tutors was noted. Furthermore, teachers of students with mental retardation reported that they considered 52 / the program to be a valuable resource for their students and that gains in academic performance made by students were educationally significant. Another variation of peer tutoring implemented by Cooke et al. (1982) examined efficacy of using a classwide peer tutoring model by integrating a student with Down syndrome into a regular first grade classroom. The peer tutoring program was designed to teach sight word recognition and consisted of four parts: tutor huddle, practice, testing, and maintenance. The classroom teacher chose a first grade classmate to be the tutor for the student with Down syndrome, because they “got along well.” At the beginning of each peer tutoring session, tutors met with three or four other tutors for five minutes to make sure they all knew the words on the word cards, which were taken from the Dolch (1955) list. Next, tutors met with their tutees and practiced the Dolch words from the GO side of the student folder for five minutes. If the tutee made a mistake, the tutor was to say, “Try again.” If the tutee still did not respond correctly, the tutor prompted the tutee to say the correct word (e.g., say yellow). Tutors used intermittent verbal praise to reinforce correct responses. At the conclusion of the practice period, tutors tested the tutees using word cards. Criterion for moving a word from the GO to the STOP side of the folder was a correct response during testing on three consecutive tutoring sessions. Tutors were also taught to use a cumulative graph to record number of words learned. After one week, students were asked to identify the words again. If any words were missed, they were put back into the GO side of the folder to be re-learned. Results indicated that the student with Down syndrome was able to successfully participate in a classwide peer tutoring program in the regular first grade classroom. The student’s sight word recognition increased from 4 words on the pretest to 77 words on the final posttest. The tutor also showed significant gains on the final posttest identifying 191 of the 215 words. In both studies, students with mental retardation served as the tutee; however, tutors in the first study were students with emotional disabilities. The second study described a Education and Training in Developmental Disabilities-March 2003 classwide peer tutoring model with the student with mental retardation included in the regular first grade class and tutored by a nonhandicapped peer. Academic gains were reported for tutors and tutees. Social Skills Training for Elementary Students Studies that focused on social skills training for students with mental retardation were frequently combined with an academic or preacademic skill in order to implement the peer tutoring program. For example, Custer and Osguthorpe (1983) conducted a study to assess effects on social acceptance by training students with mental retardation to tutor their non-handicapped peers in sign language. Tutors included 15 fifth and sixth grade students with mild mental retardation while fifteen non-handicapped sixth grade students participated as the tutees. Prior to the tutoring intervention, students were observed for three consecutive days during their 45-minute lunch break to record contact time between handicapped and nonhandicapped students. Following the pre-observation period, students with mental retardation were trained as sign language tutors four days a week. On the fifth day, tutors met with their tutees to teach them what they had learned. Over the eight- week period, tutors taught the tutees the manual alphabet, numbers, conversational phrases, and two songs. At the end of the eight week period, postobservations were made during the 45-minute lunch break to assess student interactions between tutors and tutees. In addition, students and parents were interviewed and a delayed sign-language test was administered. Results showed a mean percentage increase of interaction time between non-handicapped and handicapped students from 5% pre-observation to 46% post-observation. Non-handicapped students expressed that making friends with their tutor was easy and that tutors were “fun to be with.” Parents’ perceptions of the program were also positive. They felt that not only had they observed an increase in their child’s self-confidence, but also their own confidence in their child’s ability to learn had increased. Results of the delayed sign language test showed that tutors retained an average of 94% of signs they had learned during the project. In another study examining social interactions between students with and without disabilities, Cole et al. (1988) implemented a peer tutoring program and a special friends program to facilitate the social integration of non-handicapped fourth, fifth, and sixth grade students and students with severe or profound mental retardation. Fifty-three dyads consisting of one non-handicapped student and one student with severe or profound retardation participated. Twenty-six of the dyads were in the Special Friends program and 27 dyads were in the peer tutoring program. Students met with their partner two to four times per week over an eight-week period, for 15-minute sessions. During the Special Friends sessions, peers signed in, greeted their partner and jointly chose a toy or an activity to play with during the session. During peer tutoring sessions, tutors reviewed a task analysis of the leisure activity they were teaching, greeted the tutee, taught steps of the leisure activity until all steps were taught, and used verbal reinforcement, modeling, and physical assistance to assist the tutee in following the steps. Data were collected using a traditional timesampling technique in order to code interactions of the peers. Behaviors included appropriate and cooperative play; watching (peer) play; requesting, offering, and rejecting toys; assisting/teaching peer; tolerating and rejecting assistance from peer; care-taking; and expressing positive and negative emotions. Results indicated that interactions occurring during peer tutoring and Special Friends varied greatly. In the peer tutoring dyads, tutors exhibited less appropriate and cooperative play and more play watching and assisting. Conversely, the non-handicapped partner in the Special Friends dyad exhibited more appropriate play and toy requesting and offered less assistance to the tutee. In other words, peer tutors were teaching and Special Friends were playing. The authors suggested that although peer tutoring is not competitive in nature, the tutor and tutee clearly lacked equal status. The tutor’s job was to teach and the tutee’s job was to learn. With the unequal status of these roles, peer tutoring may not lead to lasting relationships. The authors were Students Teaching Peers / 53 cautious in suggesting that the Special Friends relationships might outlast relationships that emerge from peer tutoring programs. Daily Living Skills/Self-Help Skills for Elementary Students With movement toward more integrative and age-appropriate classrooms and schools, the practice of using peer trainers to assist students with severe disabilities is becoming more of a reality (Certo, Haring, & York, 1984). For example, Kohl and Stettner-Eaton (1985) was interested in knowing if non-handicapped students could be trained to attend appropriately to students with severe disabilities and teach them cafeteria skills. Four nonhandicapped fourth grade students were trained to assist the tutees through the cafeteria line, to eat their lunch, and to cleanup. Data were collected on appropriate attending by the tutor which was defined as reinforcing the student for a correct response, correcting inappropriate social behavior, requiring the student to use his/her communication book, conversing with the student, or observing the student in anticipation of a correct or incorrect response. Inappropriate attending consisted of any behavior that did not directly involve the student with disabilities. Additional data were collected on the performance of the tutee. Results of the study indicated that the tutors were taught to attend appropriately to the tutees while performing cafeteria skills. Although findings revealed that severely handicapped students either maintained or increased their performance of cafeteria skills when the fourth graders monitored and reinforced their behavior, most students had acquired a majority of the cafeteria skills prior to intervention. Another essential daily living skill for students with disabilities is first aid training. Marchand-Martella et al. (1992) examined the effects of having four students with mild intellectual disabilities teach first aid skills to four students with moderate intellectual disabilities. Data were collected on the participants’ treatment of three injuries: abrasions, burns, and cuts. Training sessions were conducted in a kitchen area of a building near the school. Tutors had been previously trained to treat 54 / these three injuries. Peer instruction consisted of modeling, participant practice with corrective feedback and praise, and a retest. First, the tutor told the participant that he or she was injured and was going to take care of it (e.g., “I scraped myself. I will show you how to take care of it”). The peer tutor modeled each treatment step on his own injury. Next, the tutor provided the instructional care (e.g., “You scraped yourself. Show me how to take care of it”) and the student practiced the skill on his or her own injury. The tutor provided corrective feedback and praise and then practiced again without tutor feedback. After tutees reached 100% correct performance on three re-tests, skills were tested in the kitchen or bathroom of the tutee’s home to check for generalization. Results suggested that students were able to learn first aid skills and the skills generalized to the home, to novel simulated-injury locations, and to different tutors. Summary These six research studies provided an overview of different peer tutoring configurations used with elementary-age students with mental retardation as well as different academic and social areas in which peer tutoring has been implemented. Students with mental retardation served as tutors to non-handicapped students to teach sign language while nonhandicapped students taught cafeteria skills. Students with mental retardation also taught each other first-aid and high school students with emotional disabilities worked with elementary-age students with mental retardation on math, reading, and language arts. Further, Cooke et al. (1982) provided an example of an inclusive setting with a student with Down syndrome while Cole et al. (1988) provided programs to facilitate social integration of non-handicapped students with their handicapped peers. Overall, the review identified 35 studies implementing peer tutoring at the elementary level involving students with varying levels of mental retardation. These students served successfully as tutors and/or tutees in teaching or learning academic, social, and daily living skills. For those reporting, the average length of the peer tutoring sessions was 20 minutes Education and Training in Developmental Disabilities-March 2003 with a range of 10 to 30 minutes. Tutoring sessions occurred an average of four times per week with a range of two to five session per week. Average duration of interventions was 12 weeks with duration of implementations ranging from two to 23 weeks. Results of the thirty-five studies suggest that peer tutoring can be an effective strategy for elementary-age students with mental retardation to use with their non-handicapped and handicapped peers. It has not only been effective in one-to-one settings but also in small groups and inclusive settings. Thus, peer tutoring is a strategy that can be used to successfully address the academic and social needs of a diverse population of students. Secondary Students with Mental Retardation as Tutors and Tutees Of the 52 studies reviewed, 17 interventions included students at the secondary level. Within these studies, students with varying levels of mental retardation taught academic skills such as spelling, social studies, reading, writing, and math. Social skills and student attitudes were also a focus of some investigations along with daily living skills such as making sack lunches and reading cooking labels and functional community signs. Several studies addressing each of these areas are described in detail in order to demonstrate the abilities as well as the variations that have been implemented when secondary students with mental retardation participate in peer tutoring programs. the aide recorded the error and modeled the correct response. The student was asked to repeat the word a second time, and the aide reinforced the correct response with verbal praise. At the end of the twenty-three 25minute sessions, both students had learned 10 words from the functional word list. Next, the instructional aide trained the two students to teach each other to label the different words they had learned. The same procedures were followed as in the individual sessions; however, the two students sat across from each other at a small table with the aide at one end. The aide alternated between the two students to teach the first two words on their list. On the third word, each student was asked to teach the other student the remaining 10 words. Fifteen 15-minute sessions were necessary for the students to teach each other to correctly label 10 words. The next step had the two students teach five of the words they had learned to five other students with moderate mental retardation using the same training procedures. In ten 15minute sessions, two students learned to consistently label all five words correctly, and three students learned to label at least four and sometimes five correctly. In addition, these students were also taught to hold review sessions with their classmates to maintain their skills. Positive gains were noted for all students involved. Not only did students learn the word labels and the teaching technique, but also they were able to teach their peers. The authors suggest that this may be a strategy that can be used to provide students with some minor yet relevant teaching responsibilities. Academic Tutoring for Secondary Students In one of the earliest studies, Brown et al. (1971) investigated the ability of students with moderate mental retardation to teach each other to label functional words. Initially, two students with moderate mental retardation were each taught 10 different words from a functional word list during individual training sessions with the instructional aide. The aide presented the first word and asked, “What does this word say?” If the student responded correctly, the aide recorded the response and offered verbal praise such as, “Great!” or “Good!” If the student responded incorrectly, Social Skills Training for Secondary Students In examining studies that evaluated effects of peer tutoring on social skills training, two studies were identified at the secondary level. In the first study, Donder and Nietupski (1981) evaluated appropriate playground behavior and percentage of contacts between middle school students with moderate mental retardation and their non-handicapped peers. In this study, 14 non-handicapped students whose lunch period coincided with three of the students with moderate retardation were selected as student volunteers. Next, the spe- Students Teaching Peers / 55 cial education classroom teacher trained student volunteers to use instructional techniques such as modeling, shaping, chaining, and positive reinforcement while playing selected activities chosen by the volunteers (i.e., kickball, baseball, catch, frisbee). Volunteers were then given opportunities to role-play the instructional techniques with the teacher for demonstration and feedback purposes. As a follow-up, the teacher observed the volunteers on the playground during the first five days of the program to provide them with suggestions for improving their instruction. Data were collected using a time-sampling procedure. Since the recess period lasted 30 minutes, student behaviors were recorded once a minute for 30 minutes. At each oneminute mark, the recorder noted whether the designated student was (a) interacting appropriately with other students with disabilities; (b) interacting inappropriately with other students with disabilities; (c) interacting appropriate with non-handicapped students; or (d) interacting inappropriately with non-handicapped students. Appropriate interactions included participation in organized games or activities, observation of organized games or activities, and conversation. Inappropriate interactions included behaviors such as, yelling, fighting, chasing, body rocking, or staring at the ground or sky for prolonged periods of time. Following the intervention, all three students exhibited high percentages of appropriate behavior and low percentages of inappropriate behavior. Additionally, a considerable increase in appropriate contact with nonhandicapped students was noted. In two follow-up probes conducted one and two weeks after the program ended, appropriate behavior and percentage of contacts with the nonhandicapped students was lower than during the formal intervention program; however all three students maintained higher overall percentages than during the baseline periods. In the second study, Staub and Hunt (1993) examined effects of social interaction training when eight secondary students without disabilities served as peer tutors to four classmates with severe disabilities. The tutees were working on community, transportation, vocational, and domestic skills at the high school as well as integrated settings. 56 / The social interaction training focused on teaching students without disabilities general information and appropriate vocabulary to describe people with disabilities, ways in which people with disabilities are alike and unlike themselves, new and old terms used to describe people with disabilities, recognizing that people with disabilities are people first and disabled second, and issues dealing with communication abilities. The two dependent measures in this study focused on frequency of the social interactive behaviors of peer tutors toward the tutees and frequency of the display of targeted social behaviors by students with disabilities when initiations were made (e.g., visually and physically attending, responding with a head nod or a question). During seventeen-minute observations periods, the observer charted peer interactions during 25-second intervals. Results of statistical analysis showed that training increased frequency of initiations of interactions from students without disabilities toward the tutees. Additionally, a significant increase in targeted social behaviors was observed for students with severe disabilities. The authors concluded that training and planned opportunities for social interactions between students with and without disabilities may be necessary in order to increase the interactions. In both studies, non-handicapped students served as tutors primarily to increase the frequency of interactions between themselves and students with mental retardation. Delquadri, Greenwood, Whorton, Carta, and Hall (1986) suggest that interactions between students with and without disabilities may have positive benefits for social and communication abilities for students with disabilities. Furthermore, research suggests that integration with peers with severe disabilities may also benefit the social development of students without disabilities and enhance their sensitivity toward other people’s differences in general (Biklen, Corrigan, & Quick, 1989). Nevertheless, Staub and Hunt (1993) recommend continued research in examining planned opportunities for social interactions and the benefits these interactions offer students with and without disabilities. Education and Training in Developmental Disabilities-March 2003 Daily Living Skills/Self-Help Skills for Secondary Students Using a multiple baseline design, Bell et al. (1991) investigated the application of direct instruction and precision teaching by peer tutors to teach the written maneuvers portion of the driver education curriculum to four students who had scored the lowest on their written driver’s test. During the last 10-minutes of the daily driver education class, four nonhandicapped high school students used the direct instruction format of model, test, and retest to teach four high school peers, including one with intellectual disabilities and one with learning disabilities, three driving maneuvers. Maneuvers included both narrative and diagram sections. Materials included a teaching master and a corresponding student response sheet. Because verbal responses provided more opportunities to respond than written responses, the tutees stated the maneuver before writing it. For example, the tutor would say, “The first step is proper lane 1/2 block” (model). “What is the first step?” (test). The learner should say, “Proper lane 1/2 block.” Correct responses were followed by a verbal praise. Incorrect responses or failure to respond were corrected by “Stop,” and the tutor would model the statement again. The drawing section of the maneuver was taught by asking the tutee to draw one car at a time in the sequence that a car would follow in actual driving. Next, the tutee was asked to connect the cars and add the lines. Then, the teaching master was removed, and the tutee was asked to draw the maneuver without the master. To encourage automatic responding, tutees were timed for one minute to see how quickly they could respond to the direction. Results of the driver education tests showed that all four students passed. In addition, a consumer satisfaction survey revealed that all tutors and tutees indicated that they should continue the program and they would recommend it to others. Agran et al. (1992) examined effects of peer delivered self-instructional training on the work performance of three students with moderate to severe disabilities. Two students with mild mental retardation were trained to teach three students with severe mental retardation to prepare sack lunches using task-specific verbalizations prior to and during the preparation of a sack lunch. Training involved two phases. First, peer tutors were trained to complete the sack lunch preparation using the verbalized self-instructions. This involved learning the order in which the sack lunches were made and what to say to the customer for each task. Next, peer tutors were provided instructions on how to teach the task and the verbalizations to the tutees. They were directed to model each task in sequence using the self-verbalizations. Further, tutors were taught to correct mistakes by remodeling a specific task and to provide verbal praise as each step was completed. Results indicated that two of the three tutees learned to make sack lunches in the correct sequence and were also able to generalize their responses across novel customers. However, one participant needed additional training involving picture cues before generalization occurred in response to novel customers. Nevertheless, the authors concluded that peer-delivered instruction was effective in teaching a relatively complex, multi-step task. Summary These five research studies provided an overview of the different peer tutoring configurations used with secondary students with mental retardation as well as the different academic and social areas in which peer tutoring has been implemented. Students with mental retardation served as tutors to other students with mental retardation to teach functional words and to make sack lunches. Non-handicapped students assisted students with mental retardation in driver’s education class and social skills training on the playground and in integrated settings within the community. Overall, the review included 17 studies implemented at the secondary level involving students with varying levels of mental retardation. These students served successfully as tutors and/or tutees in a variety of peer tutoring configurations. Academic, social, and daily living skills were all addressed as well as student attitudes. For those reporting, average length of the peer tutoring sessions was 30 minutes with a range of 10 to 55 minutes; however, one Students Teaching Peers / 57 study implemented peer tutoring during the 85-minute block-scheduling classes. Tutoring sessions were held an average of five times per week. Average duration of the peer tutoring implementations was nine weeks with a range of two to twenty weeks. Results of the 17 secondary studies suggests that even as students with mental retardation advance through the educational system, peer tutoring continues to provide benefits for students with mental retardation. Compared to studies involving elementary-age students, these studies included a larger number of students with moderate or severe levels of mental retardation as well as settings that moved beyond the classroom not only into simulated settings but also into the actual community. Conclusively, peer tutoring has been shown to be an effective strategy to use with secondary students with mental retardation in academic, social, and daily living skills. Summary and Conclusions This review provided an updated synthesis on peer tutoring research focusing on school-age students with mental retardation serving as tutors and/or tutees. Studies were included in this synthesis if the primary purpose was to examine the efficacy of peer tutoring involving school-age students with mental retardation as tutors and/or tutees. Fifty studies were identified during the period from 1971 to 2001 with one study including three experiments. Thirty-five studies were implemented at the elementary level while 17 studies were implemented at the secondary level. Tutoring configurations included cross-age tutoring in which older students tutored younger students or younger students tutored older students, same-age peer tutoring with and without a reciprocal component, and mixed ages with a wide variation in the ages of students serving as tutor and/or tutee. Although students with mental retardation were included in each of these studies, their role varied depending on the study. On average, peer tutoring was implemented three weeks longer at the elementary level with peer tutoring sessions occurring twenty minutes four times a week. However, average sessions for the secondary studies were thirty minutes five times a week. 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Received: 24 January 2002 Initial Acceptance: 20 March 2002 Final Acceptance: 1 August 2002 Students Teaching Peers / 61
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