The Picture Exchange Communication System
The Picture Exchange Communication System (PECS) is a commonly implemented procedure to teach individuals with autism spectrum disorder how to communicate with other individuals in their environment. The procedure consists of having the learner use pictures/icons to express their needs and to communicate with others. There is over 30 years of empirical research on PECS showing its effectiveness for teaching learners to communicate. This chapter will describe how PECS meets the definition of evidence-based practice, describe key areas of the research conducted to date, provide suggestions for future research, and outline clinical recommendations.
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References
- Al-dawaideh, A. M., & Al-Amayreh, M. M. (2013). The effectiveness of Picture Exchange Communication System on learning request skills and the development of speech in Arabic-Speaking children with autism. Life Science Journal, 10(2), 2139–2148. Google Scholar
- Ali, E., MacFarland, S. Z., & Umbreit, J. (2011). Effectiveness of combining tangible symbols with the Picture Exchange Communication System to teach requesting skills to children with multiple disabilities including visual impairment. Education and Training in Autism and Developmental Disabilities, 46(3), 425–435. http://www.jstor.org/stable/23880596Google Scholar
- Alsayedhassan, B. T., Banda, D. R., & Griffin-Shirley, N. (2020). Training parents of children with autism to implement the picture exchange communication intervention. Clinical Archives of Communication Disorders, 5(1), 31–41. https://doi.org/10.21849/cacd.2019.00171ArticleGoogle Scholar
- Angermeier, K., Schlosser, R. W., Luiselli, J. K., Harrington, C., & Carter, B. (2008). Effects of iconicity on requesting with the Picture Exchange Communication System in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 2(3), 430–446. https://doi.org/10.1016/j.rasd.2007.09.004ArticleGoogle Scholar
- Bondy, A. (2001). PECS: Potential benefits and risks. The Behavior Analyst Today, 2(2), 127–132. https://doi.org/10.1037/h0099924. https://doi.org/10.1055/s-2008-1064055ArticleGoogle Scholar
- Bondy, A. (2012). The unusual suspects: Myths and misconceptions associated with PECS. Psychological Record, 62(4), 789–816. https://doi.org/10.1007/BF03395836ArticleGoogle Scholar
- Bondy, A. (2019). Issues related to AAC and SGD use by adolescents and adults with autism spectrum disorder. Advances in Neurodevelopmental Disorders, 3, 351–362. https://doi.org/10.1007/s41252-019-00127-9ArticleGoogle Scholar
- Bondy, A. S., & Frost, L. A. (1994). The picture exchange communication system. Focus on Autistic Behavior, 9(3), 1–19. https://doi.org/10.1177/108835769400900301ArticleGoogle Scholar
- Bondy, A., & Frost, L. (2001). The picture exchange communication system. Behavior Modification, 25(5), 725–744. https://doi.org/10.1177/0145445501255004ArticleGoogle Scholar
- Bracken, M., & Rohrer, N. (2014). Using an adapted form of the Picture Exchange Communication System to increase independent requesting in deafblind adults with learning disabilities. Research in Developmental Disabilities, 35(2), 269–277. https://doi.org/10.1016/j.ridd.2013.10.031ArticleGoogle Scholar
- Brand, D., Henley, A. J., DiGennaro Reed, F. D., Gray, E., & Crabbs, B. (2019). A review of published studies involving parametric manipulations of treatment integrity. Journal of Behavioral Education, 28, 1–26. https://doi.org/10.1007/s10864-018-09311-8ArticleGoogle Scholar
- Carr, D., & Felce, J. (2007). The effects of PECS teaching to phase III on the communicative interactions between children with autism and their teachers. Journal of Autism and Developmental Disorders, 37(4), 724–737. https://doi.org/10.1007/s10803-006-0203-1ArticleGoogle Scholar
- Carré, A., Le Grice, B., Blampied, N., & Walker, D. (2009). Picture Exchange Communication (PECS) training for young children: Does training transfer to school and to home? Behaviour Change, 26, 54–65. https://doi.org/10.1375/bech.26.1.54ArticleGoogle Scholar
- Charlop, M. H., Malmberg, D. B., & Berquist, K. L. (2008). An application of the Picture Exchange Communication System (PECS) with children with autism and a visually impaired therapist. Journal of Developmental and Physical Disabilities, 20(6), 509–525. https://doi.org/10.1007/s10882-008-9112-xArticleGoogle Scholar
- Charlop-Christy, M. H., Carpenter, M., Le, L., LeBlanc, L. A., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: Assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior. Journal of Applied Behavior Analysis, 35(3), 213–231. https://doi.org/10.1901/jaba.2002.35-213ArticleGoogle Scholar
- Chompoobutr, S., Potibal, P., Boriboon, M., & Phantachat, W. (2013). Perception and multimeaning analysis of graphic symbols for Thai picture-based communication system. Disability and Rehabilitation: Assistive Technology, 8(2), 102–107. https://doi.org/10.3109/17483107.2012.737531ArticleGoogle Scholar
- Couper, L., van der Meer, L., Schӓfer, M. C. M., McKenzie, E., McLay, L., O’Reilly, M. F., Lancioni, G. E., Marschik, P. B., Sigafoos, F., & Sutherland, D. (2014). Comparing acquisition of and preference for manual signs, picture exchange, and speech-generating devices in nine children with autism spectrum disorder. Developmental Neurorehabilitation, 17(2), 99–109. https://doi.org/10.3109/17518423.2013.870244ArticleGoogle Scholar
- Dogoe, M. S., Banda, D. R., & Lock, R. H. (2010). Acquisition and generalization of the Picture Exchange Communication System behaviors across settings, persons, and stimulus classes with three students with autism. Education and Training in Autism and Developmental Disabilities, 45(2), 216–229. Google Scholar
- Doherty, A., Bracken, M., & Gormley, L. (2018). Teaching children with autism to initiate and respond to peer mands using picture exchange communication system (PECS). Behavior Analysis in Practice, 11(4), 279–288. https://doi.org/10.1007/s40617-018-00311-8ArticleGoogle Scholar
- Dukhovny, E., & Kelly, E. B. (2015). Practical resources for provision of services to culturally and linguistically diverse users of AAC. Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations, 22(1), 25–39. https://doi.org/10.1044/cds22.1.25ArticleGoogle Scholar
- Frost, L., & Bondy, A. (2002). The picture exchange communication system training manual (2nd ed.). Pyramid Educational Products. Google Scholar
- Ganz, J. B., & Simpson, R. L. (2004). Effects on communicative requesting and speech development of the picture exchange communication system in children with characteristics of autism. Journal of Autism and Developmental Disorders, 34(4), 395–409. https://doi.org/10.1023/b:jadd.0000037416.59095.d7ArticleGoogle Scholar
- Ganz, J. B., Davis, J. L., Lund, E. M., Goodwyn, F. D., & Simpson, R. L. (2012). Meta-analysis of PECS with individuals with ASD: Investigation of targeted versus non-targeted outcomes, participant characteristics, and implementation phase. Research in Developmental Disabilities, 33(2), 406–418. https://doi.org/10.1016/j.ridd.2011.09.023ArticleGoogle Scholar
- Ganz, J. B., Goodwyn, F. D., Boles, M. M., Hong, E. R., Rispoli, M. J., Lund, E. M., & Kite, E. (2013). Impacts of a PECS instructional coaching intervention on practitioners and children with autism. AAC: Augmentative & Alternative Communication, 29(3), 210–221. https://doi.org/10.3109/07434618.2013.818058ArticleGoogle Scholar
- Gerencser, K. R., Akers, J. S., Becerra, L. A., Higbee, T. S., & Sellers, T. P. (2020). A review of asynchronous trainings for the implementation of behavior analytic assessments and interventions. Journal of Behavioral Education, 29(1), 122–152. https://doi.org/10.1007/s10864-019-09332-xArticleGoogle Scholar
- Greenberg, A. L., Tomaino, M. A. E., & Charlop, M. H. (2012). Assessing generalization of the picture exchange communication system in children with autism. Journal of Developmental and Physical Disabilities, 24(6), 539–558. https://doi.org/10.1007/s10882-012-9288-yArticleGoogle Scholar
- Greenberg, A., Tomaino, M., & Charlop, M. (2013). Adapting the Picture Exchange Communication System to elicit vocalizations in children with autism. Journal of Developmental and Physical Disabilities. https://doi.org/10.1007/s10882-013-9344-2
- Hanley, G. P. (2010). Toward effective and preferred programming: A case for the objective measurement of social validity with recipients of behavior-change programs. Behavior Analysis in Practice, 3, 13–12. https://doi.org/10.1007/BF03391754ArticleGoogle Scholar
- Hill, D. A., Flores, M. M., & Kearley, R. F. (2014). Maximizing ESY services: Teaching pre-service teachers to assess communication skills and implement picture exchange with students with autism spectrum disorder and developmental disabilities. Teacher Education and Special Education, 37(3), 241–254. https://doi.org/10.1177/0888406414527117ArticleGoogle Scholar
- Homlitas, C., Rosales, R., & Candel, L. (2014). A further evaluation of behavioral skills training for implementation of the picture exchange communication system. Journal of Applied Behavior Analysis, 47(1), 198–203. https://doi.org/10.1002/jaba.99ArticleGoogle Scholar
- Hu, X., & Lee, G. (2019). Effects of PECS on the emergence of vocal mands and the reduction of aggressive behavior across settings for a child with autism. Behavioral Disorders, 44(4), 215–226. https://doi.org/10.1177/0198742918806925ArticleGoogle Scholar
- Hughes-Lika, J., & Chiesa, M. (2020). The picture exchange communication system and adults lacking functional communication: A research review. European Journal of Behavior Analysis. https://doi.org/10.1080/15021149.2020.1815507
- Ivy, S., Hatton, D., & Hooper, J. (2014). Using the Picture Exchange Communication System with students with visual impairment. Exceptional Children, 80(4), 474–488. https://doi-org.umasslowell.idm.oclc.org/10.1177/0014402914527239ArticleGoogle Scholar
- Jurgens, A., Anderson, A., & Moore, D. W. (2009). The effect of teaching PECS to a child with autism on verbal behaviour, play, and social functioning. Behaviour Change, 26(1), 66–81. https://doi-org.umasslowell.idm.oclc.org/10.1375/bech.26.1.66ArticleGoogle Scholar
- Jurgens, A., Anderson, A., & Moore, D. W. (2012). Parent-implemented picture exchange communication system (PECS) training: An analysis of YouTube videos. Developmental Neurorehabilitation, 15(5), 351–360. https://doi.org/10.3109/17518423.2012.692125ArticleGoogle Scholar
- Kodak, T., Paden, A., & Dickes, N. (2012). Training and generalization of peer-directed mands with non-vocal children with autism. Analysis of Verbal Behavior, 28, 119–124. https://doi.org/10.1007/BF03393112ArticleGoogle Scholar
- LaRue, R. H., Pepa, L., Delmolino, L., Sloman, K. N., Fiske, K., Hansford, A., Liebross, S., & Weiss, M. J. (2016). A brief assessment for selecting communication modalities for individuals with Autism Spectrum Disorders. Evidence-Based Communication Assessment and Intervention, 10(1), 32–43. https://doi.org/10.1080/17489539.2016.1204767ArticleGoogle Scholar
- Lim, N., O’Reilly, M. F., Sigafoos, J., & Lancioni, G. E. (2018). Understanding the linguistic needs of diverse individuals with autism spectrum disorder: Some comments on the research literature and suggestions for clinicians. Journal of Autism and Developmental Disorders, 48(4), 2890–2895. https://doi.org/10.1007/s10803-018-3532-yArticleGoogle Scholar
- Lorah, E. R. (2016). Comparing teacher and student use and preference of two methods of augmentative and alternative communication: Picture exchange and a speech-generating device. Journal of Developmental and Physical Disabilities, 28(5), 751–767. https://doi.org/10.1007/s10882-016-9507-zArticleGoogle Scholar
- Lund, S. K., & Troha, J. M. (2008). Teaching young people who are blind and have autism to make requests using a variation on the picture exchange communication system with tactile symbols: A preliminary investigation. Journal of Autism and Developmental Disorders, 38(4), 719–730. https://doi-org.umasslowell.idm.oclc.org/10.1007/s10803-007-0439-4ArticleGoogle Scholar
- Malandraki, G. A., & Okalidou, A. (2007). The application of PECS in a deaf child with autism: A case study. Focus on Autism and Other Developmental Disabilities, 22(1), 23. https://doi.org/10.1177/10883576070220010301ArticleGoogle Scholar
- Marckel, J. M., Neef, N. A., & Ferreri, S. J. (2006). A preliminary analysis of teaching improvisation with the picture exchange communication system to children with a autism. Journal of Applied Behavior Analysis, 39(1), 109–115. https://doi.org/10.1901/jaba.2006.131-04ArticleGoogle Scholar
- Martocchio, N., & Rosales, R. (2016). An evaluation of pyramidal training to teach implementation of the picture exchange communication system. Behavioral Interventions, 31(3), 265–282. https://doi.org/10.1002/bin.1448ArticleGoogle Scholar
- Martocchio, N., & Rosales, R. (2017). Video modeling with voice-over instructions to teach implementation of the picture exchange communication system. Behavior Analysis: Research and Practice, 17(2), 142–154. https://doi.org/10.1037/bar0000069ArticleGoogle Scholar
- McCoy, A., & McNaughton, D. (2018). Training education professionals to use the picture exchange communication system: A review of the literature. Behavior Analysis in Practice, 12(3), 667–676. https://doi.org/10.1007/s40617-018-00296-4ArticleGoogle Scholar
- Medina, A. M., & Salamon, J. T. (2012). Current issues in teaching bilingual children with autism spectrum disorder. Journal of the American Academy of Special Education Professionals, 69–75. http://www.eric.ed.gov/?id=EJ1135508
- Nakamura, K., Newell, A., Alm, N., & Waller, A. (1998). How do members of different language communities compose sentences with a picture-based communication system? A cross-cultural study of picture-based sentences constructed by English and Japanese speakers. Augmentative and Alternative Communication, 14(2), 71–80. https://doi.org/10.1080/07434619812331278226ArticleGoogle Scholar
- Odluyurt, S., Aldemir, O., & Kapan, A. (2016). An investigation on the effects of PECS and observational learning in initiating and maintenance of communication among children with Autism. International Journal of Early Childhood Special Education, 8(2), 151–164. https://doi.org/10.20489/intjecse.284658ArticleGoogle Scholar
- Odom, S. L., Collet-Klingenberg, L., Rogers, S. J., & Hatton, D. D. (2010). Evidence-based practices in interventions for children and youth with autism spectrum disorders. Preventing School Failure, 54(4), 275–282. https://doi.org/10.1080/10459881003785506ArticleGoogle Scholar
- Paden, A. R., Kodak, T., Fisher, W. W., Gawley-Bullington, E. M., & Bouxsein, K. J. (2012). Teaching children with autism to engage in peer-directed mands using a picture exchange communication system. Journal of Applied Behavior Analysis, 45(2), 425–429. https://doi.org/10.1901/jaba.2012.45-425ArticleGoogle Scholar
- Park, J. H., Alber-Morgan, S. R., & Cannella-Malone, H. (2011). Effects of mother-implemented picture exchange communication system (PECS) training on independent communicative behaviors of young children with autism spectrum disorders. Topics in Early Childhood Special Education, 31(1), 37–47. https://doi.org/10.1177/0271121410393750ArticleGoogle Scholar
- Parsons, M. B., Rollyson, J. H., & Reid, D. H. (2012). Evidence-based staff training: A guide for practitioners. Behavior Analysis in Practice, 5(2), 2–11. https://doi.org/10.1007/BF03391819ArticleGoogle Scholar
- Pyramid Educational Consultants, Inc. (n.d.). Retrieved from: https://pecsusa.com/
- Rosales, R., Stone, K., & Rehfeldt, R. A. (2009). The effects of behavioral skills training on implementation of the picture exchange communication system. Journal of Applied Behavior Analysis, 42(3), 541–549. https://doi.org/10.1901/jaba.2009.42-541ArticleGoogle Scholar
- Rosales, R., Eckerman, D. A., & Martocchio, N. (2018). An evaluation of train-to-code to teach implementation of PECS©. Journal of Organizational Behavior Management, 38(2–3), 144–171. https://doi.org/10.1080/01608061.2018.1454873ArticleGoogle Scholar
- Sam, A. M., Cox, A. W., Savage, M. N., Waters, V., & Odom, S. L. (2020). Disseminating information on evidence-based practices for children and youth with Autism Spectrum Disorder: AFIRM. Journal of Autism and Developmental Disorders, 50, 1931–1940. https://doi.org/10.1007/s10803-019-03945-xArticleGoogle Scholar
- Skinner, B. F. (1957). Verbal behavior. Prentice-Hall. BookGoogle Scholar
- Steinbrenner, J. R., Hume, K., Odom, S. L., Morin, K. L., Nowell, S. W., Tomaszewski, B., Szendrey, S., McIntyre, N. S., Yücesoy-Özkan, S., & Savage, M. N. (2020). Evidence-based practices for children, youth, and young adults with Autism. The University of North Carolina at Chapel Hill, Frank Porter Graham Child Development Institute, National Clearinghouse on Autism Evidence and Practice Review Team. Google Scholar
- Sulzer-Azaroff, B., Hoffman, A., Horton, C., Bondy, A., & Frost, L. (2009). The Picture Exchange Communication System (PECS): What do the data say? Focus on Autism, 24, 89–103. https://doi.org/10.1177/1088357609332743ArticleGoogle Scholar
- Thiemann-Bourque, K., Brady, N., McGuff, S., Stump, K., & Naylor, A. (2016). Picture Exchange Communication System and pals: A peer-mediated augmentative and alternative communication intervention for minimally verbal preschoolers with autism. Journal of Speech, Language, and Hearing Research, 59(5), 1133–1145. https://doi.org/10.1044/2016_JSLHR-L-15-0313ArticleGoogle Scholar
- Tincani, M., Crozier, S., & Alazetta, L. (2006). The picture exchange communication system: Effects on manding and speech development for school-aged children with autism. Education and Training in Developmental Disabilities, 41(2), 177–184. https://doi.org/10.1007/s10882-017-9564-yArticleGoogle Scholar
- Valentino, A. L., LeBlanc, L. A., Veazey, S. E., Weaver, L. A., & Raetz, P. B. (2019). Using a prerequisite skills assessment to identify optimal modalities for mand training. Behavior Analysis in Practice, 12(1), 22–32. https://doi.org/10.1007/s40617-018-0256-6ArticleGoogle Scholar
- van der Meer, L., Didden, R., Sutherland, D., O’Reilly, M. F., Lancioni, G. E., & Sigafoos, J. (2012). Comparing three augmentative and alternative communication modes for children with developmental disabilities. Journal of Developmental and Physical Disabilities, 24(5), 451. https://doi.org/10.1007/s10882-012-9283-3ArticleGoogle Scholar
- Wang, Y., Kang, S., Ramirez, J., & Tarbox, J. (2019). Multilingual diversity in the field of applied behavior analysis and autism: A brief review and discussion of future directions. Behavior Analysis in Practice, 12(4), 795–804. https://doi.org/10.1007/s40617-019-00382-1ArticleGoogle Scholar
- Whitby, P., Kucharczyk, S., & Lorah, E. (2019). Teaching object exchange for communication to a young girl with autism spectrum disorder and visual impairment. Journal of Visual Impairment and Blindness, 113(4), 372–380. https://doi-org.umasslowell.idm.oclc.org/10.1177/0145482X19869521ArticleGoogle Scholar
- Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11(2), 203–214. https://doi-org.umasslowell.idm.oclc.org/10.1901/jaba.1978.11-203ArticleGoogle Scholar
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Authors and Affiliations
- Department of Psychology, University of Massachusetts Lowell, Lowell, MA, USA Rocío Rosales & Yaimarili Marin-Avelino
- Rocío Rosales