J Dev Phys Disabil (2015) 27:637–660 DOI 10.1007/s10882-015-9440-6 O R I G I N A L A RT I C L E Art Educators’ Use of Adaptations, Assistive Technology, and Special Education Supports for Students with Physical, Visual, Severe and Multiple Disabilities Mari Beth Coleman 1,2 & E. Stephanie Cramer 1 & Yujeong Park 1 & Sherry Mee Bell 1 Published online: 21 June 2015 # Springer Science+Business Media New York 2015 Abstract The purpose of this study was to examine art educators’ use of adaptations, including assistive technology, and their reported supports from special education personnel to meet the needs of students with physical, sensory, severe, and multiple disabilities in the art classroom. Seventy-seven P-12 art teachers responded to an online survey items consisting of perceived knowledge and preparedness and strategies and resources, including assistive technology, used in the art classroom. Results showed that (a) neither years of teaching experience nor number of students with disabilities taught were related to frequency of use of assistive technology; (b) respondents agreed/ strongly agreed that it is important for students with significant disabilities to participate in artmaking (96 %); (c) in response to a list of assistive technology devices, over half reported using most of them rarely or never. Those most commonly reported were large-handled writing or painting tools, adapted scissors, and devices for stabilization; and (d) one-fourth of the respondents reported Bnever^ working collaboratively with a special education teacher and most reported collaboration happens only Bsometimes.^ Findings suggest the need for more preservice and inservice preparation for art teachers to most effectively engage students with significant disabilities as well as more preparation for special education teachers and paraeducators in both collaboration and specific assistive technology expertise. Keywords Art . Assistive technology . Physical disabilities . Visual impairments . Multiple disabilities . Severe disabilities * Mari Beth Coleman mbc@utk.edu 1 University of Tennessee, Knoxville, TN, USA 2 416 Bailey Education Complex, Knoxville, TN 37996-3442, USA 638 J Dev Phys Disabil (2015) 27:637–660 All students, including those with disabilities that result in motor limitations, visual impairments, limited verbal speech, or severe cognitive delays have the legal right to access the general curriculum (Pugach and Warger 2001). Research suggests that students with significant disabilities can benefit from being included in general education classes (Copeland et al. 2004; Ryndak and Billingsley 2004) and can access the general education curriculum if classrooms are designed to foster this access (Browder et al. 2006; Ryndak et al. 2009). Of course, successful inclusion and curriculum access require general education teachers to become more aware of and proficient in using adaptations in academic subjects (Alquraini and Gut 2012; Carey and Sale 1994). For many students to access the general curriculum, adaptations will include the use of assistive technology (AT) devices and services. Since the 1990s, there has been an increase in research addressing the effects of AT for students with disabilities used in diverse educational settings (Derer et al. 1996; Ree and Kanny 1993). In 1997, the Individuals with Disabilities Education Act (now Individuals with Disabilities Education Improvement Act of 2004) began requiring every individualized education plan team to address whether a child needs AT devices to maximize accessibility to inclusion classroom settings. Access to AT for these students, however, does not always guarantee increased access to learning tasks. Students with disabilities represent a range of abilities and limitations; the successful use of adaptations, including accommodations, modifications, and AT devices, depends on whether adaptations meet an individuals’ learning needs (Copley and Ziviani 2004). Finding the most effective combinations of adaptations and teaching strategies for students with physical, visual, severe, or multiple disabilities to access to the general curriculum can be especially difficult for teachers. Though true for all inclusive environments, this especially applies for art classrooms where curriculum access relies heavily on physical, visual, and abstract problem solving abilities (Coleman and Cramer 2015)—skills that are increasingly more connected to all subject areas in the Common Core State Standards. Inclusion in Art Education Although not always placed as a high priority by lawmakers, art education is a vital part of P-12 education (Bolin 2006). Students of all ages and ability levels can benefit from expressing their thoughts, ideas, and emotions through the multiple modes of learning (intuitive, kinesthetic, etc.), creative processes, graphic narratives, and social experiences of an art classroom (e.g., working with shared materials, learning how to critique constructively, participating in group art projects). Developing Bcreative and expressive capabilities^ (Nyman and Jenkins 1999, p. 5) is important for all students and can offer a way for the differences experienced by individuals with disabilities to be valued as part of the human experience (Penketh 2014). For students with disabilities, art education can provide ways to practice fine motor skills, enhance opportunities to engage in multiple forms of mastery, and increase the ability to problem solve (Loesl 2012). Additionally, art education can raise awareness of disability-related issues and offer students Bvisual literacy and the development of practical and aesthetic skills and competencies with which to create powerful alternative images^ (Taylor 2005a, p. 767). Despite the many benefits of art education, education reform has led to its devaluation—something shared by special education. According to Hourigan (2014), J Dev Phys Disabil (2015) 27:637–660 639 Arts education and special education within public schools have faced similar challenges in the wake of school reform. Services and programming have been reduced, leaving a larger gap in resources and accessibility. Because of loopholes in policy, new reform initiatives such as vouchers and charter schools will continue to marginalize students with exceptionalities, minorities, and students in poverty, as well as arts and humanities programs. (p. 35) Ideally, to help ensure that the full benefits of artmaking are available to all students, including those with disabilities that require numerous adaptations for full participation (e.g., physical, visual, severe, and multiple disabilities), funding would be available for school systems to employ art therapists to support art teachers. Art therapists and art educators share the goal of Bfacilitating the process of self-discovery that occurs in the special relationship between the student, his or her mental images, and the use of media to express these ideas^ (p. 181), but differ in their approaches. The focus of art education is to teach about art processes, expression, and artistic culture with the focus of art therapy being to assist individuals in utilizing artmaking as a tool of communicating and coming to greater emotional understanding. Unfortunately, most school systems do not employ art therapists; thus leaving the onus of providing full access to the art curriculum for all students solely upon art teachers—sometimes with support from special education personnel. Art teachers often serve students with significant disabilities for limited amounts of time and have limited disability-specific knowledge while special education teachers understand individual students’ needs but have little knowledge about the art curriculum. Therefore, the issue becomes, Bwhose responsibility is it for ensuring that all adaptations which might improve access to artmaking are maximized in the art classroom for a student with a disability?^ Ideally, close collaboration between the special educator, art educator, and paraeducator, if applicable, would occur and all of these professionals would be experts in adapting the art classroom to meet each student’s particular needs. Based on the paucity of research in this area and broader literature on inclusion, it is speculated that this type of collaboration and expertise is not predominant in art classrooms and may result in significantly limited access to the art curriculum for students with significant disabilities. In her classic study, Guay (1994) found that 85 % of art teachers in K-12 classrooms were working with students who have Ball but the severest disabilities^ (p. 54). Of 212 art teachers surveyed, 70 % felt unprepared or minimally prepared to teach students with disabilities in an integrated art setting. Guay speculated this was, in part, related to minimal training requirements (usually one special education course and some content about working with students who have disabilities infused into art methods courses). No newer studies comprehensively addressing art teacher preparation for working with students who have severe disabilities were located; however, the current study was part of a larger study (Cramer et al. 2015) in which findings suggest that great strides to improve art teacher preparation for working with individuals who have disabilities that limit physical, visual, and cognitive access to art have not occurred in the past 20 years. Taylor (2005a, b) examined the relationship between visual arts education and selfidentity for young adults with physical and/or sensory impairments who were attended or had attended a college art program. She notes the lack of literature examining the Blevel, consistency and coherence of … support^ (p. 326) for students in art education 640 J Dev Phys Disabil (2015) 27:637–660 programs. Given such a limited literature base, a murky area exists in the literature for identifying who is responsible for ensuring adaptations are implemented in the art classroom and what types of adaptations and supports in the art classroom increase meaningful participation for students with significant disabilities. Although not discussed in the context of art, Fisher et al. (2013) discussed a Btriangle of supports^—three dimensions of support that can lead to successful access to the general education curriculum for students with disabilities: personal supports, accommodations and modifications, and instructional and assistive technologies. These adaptations are also essential in the art classroom in order to create an environment that is universally designed (i.e., accessible to all people; Center for Applied Special Technology n.d.) in order to result in meaningful outcomes for all learners. Further exploration of personal supports provided by paraeducators in the art classroom and support through the use of technology to access the art curriculum follows. Paraeducators in Art Classrooms Personal supports often are provided by paraeducators and peers within the general education environment (Fisher et al. 2013). Having assistance from another person, adult or child, frees the art teacher from providing assistance such as collecting and readying materials for art activities for a student who is not able to perform independently in the classroom due to a disability. Although not thoroughly documented in the literature, it is likely that many teachers who have worked with students who have severe disabilities have noted that these students return from art class with art projects that are more attractive and well-constructed than those of peers (i.e., made by an adult). The authors of the current study have witnessed this situation first-hand and acknowledge that paraeducator support in the art classroom is necessary, though problematic. Burdick and Causton-Theoharis (2012) acknowledge that the number of paraeducators supporting students with disabilities in the art classrooms has increased while research examining how this support can be utilized in the most beneficial way remains scarce. Based on case analysis, these authors suggest that art teachers can play a vital role in supporting students with disabilities in the art classroom if respectful teaming and empowerment through knowledge takes place. Unfortunately, this does not seem to be common practice in research surrounding the use of paraeducators. Giangreco and Broer (2005) surveyed 737 special educators, administrators, general education teachers, paraeducators, and parents involved in the education of students with disabilities served in general education classrooms. Their findings indicated that many students with disabilities receive a Bsubstantial amount^ (p. 22) of instruction from paraeducators despite numerous issues that impede quality education in paraeducator-supported instructional settings. Giangreco and Broer found that a large percentage of paraeducators reported spending most of their time within close proximity (3 ft) to students with disabilities and indicate this proximity can inhibit socialization between students with disabilities and their peers who do not have disabilities. In an art classroom which relies on social engagement and communication-skill building, this type of Bsupport^ can be a detriment to students with severe disabilities. Other issues pointed out included students’ over-dependence on paraeducator support and J Dev Phys Disabil (2015) 27:637–660 641 paraeducator autonomy for making instructional decisions. Although this study was not specifically about art classrooms, these issues are applicable to art education. Paraeducators generally are not trained in art education methodology and do not have the background to make instructional decisions in the art classroom. Often, they do not understand that art is more about process than product. Taylor (2005b) explains, BThere may be a well-meaning if misguided commitment by the assistant to enabling the [child with a disability] to produce ‘conventional’ artwork in order that the perceived gap in competence between them and their non-disabled peers is narrowed by producing tangible evidence that they are ‘just like everybody else’^ (p. 330). She suggests that this over-manipulation of a child’s artwork sends the message that the child’s efforts are not adequate and limits the child’s ability to express creativity through artmaking. Guay (2003) conducted a qualitative analysis of instructional and managerial interactions within 12 art classrooms. She concurs that, BIn many art classrooms the use of paraeducators continues to marginalize students with disabilities, creating the antithesis of inclusion^ and that, Bwell-meaning but untrained and unsupervised paraeducators usurp opportunities for students with disabilities to interact, work with cooperative others, and in the end, learn through interaction^ (p. 36–37). Although there were some positive findings, Guay’s study sheds light on the fact that merely having Banother pair of hands^ in the art classroom is not always beneficial in maximizing art education for students with significant disabilities. Guay and Gerlach (2006), art educator and special educator respectively, stress that art teachers recognize that the presence of a paraducator in the art classroom challenges art teachers to become active leaders; leadership skills such as this only come with adequate training and collaboration/cooperation of all involved. It is evident that further research is needed to determine how paraeducators interact in art classrooms with students who have severe disabilities and to explore how paraeducators can be employed in useful ways to provide meaningful art experiences for these students. Another type of support that needs further examination is the use of adaptations, including AT, in art classrooms. Adaptations in Art Classrooms In addition to personal supports, adaptations, including accommodations, modifications, and AT, often are a necessary part of providing access to curriculum for students with disabilities. Accommodations are adaptations such as decreased workload, increased time, alternate response methods (e.g., using word processing software or augmentative communication devices), etc. which do not alter or lower expectations toward meeting the standards while modifications are adaptations which do decrease the level or number of standards addressed for a student (Coleman and Heller 2009). Accommodations and modifications may be used during instruction and practice of content and/or during assessment of acquired knowledge and skills within the content area. Given the standard, BInterpret intent and meaning in artistic work^ (National Core Visual Arts Standards 2014), accommodations might include the use of graphic organizers and word processing software to write about art elements, personal perspective and context; modifications might include having a student identify art elements by pointing to one or two elements, thereby missing out on the opportunity to describe or 642 J Dev Phys Disabil (2015) 27:637–660 give feedback on the personal meaning of a work of art, theirs or others (Wexler and Derby 2015). In traditional academic situations, modifications generally are reserved for students with decreased cognitive abilities who cannot learn all standards in their entirety. Unfortunately, in an art classroom, modified instruction may be used more frequently because solutions that would allow greater independence in participation are not considered. This may be due to lack of familiarization. Wexler and Derby (2015) advocate that innovative communication techniques need to be Bformalized^ in the art classroom in order to provide opportunities for all (p. 138). Recognizing this, art and special educators alike need to seek ways on how to provide these opportunities. A final dimension of support that can increase meaningful participation in art experiences for students with significant disabilities is technology (Fisher et al. 2013; Loesl 2010). The Individuals with Disabilities Education Improvement Act defines an AT device as, B…any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve the functional capabilities of a child with a disability^ [20 U.S.C. § 1401 (1); 1401 (2)]. The Bany^ portion of this definition can be taken very literally in that something as simple as scotch tape used to hold the corner of a piece of paper down while a student with hemiplegia (i.e., one-sided paralysis) writes with her hand that has controlled movement. As is the case with technology used to support learning of traditional academics, AT used to access the art curriculum may range from very simple, inexpensive, nonelectronic devices (i.e., low tech) to battery-operated art tools (i.e., mid tech) to computerized software (i.e., high tech). For students with visual impairments, AT might include high contrast colors, tactile materials such as sandpaper and cotton instead of 2D materials like paint, battery-operated lighted magnification devices, or computers to view works of art on a screen with bright backlighting or to listen to descriptions of art on a museum website. For students with poor fine motor control, AT might include adapted implements such as large-handled paintbrushes or spring-open scissors, switchcontrolled battery-operated devices such as adapted SpinArt, or an adapted joystick used to control computerized drawing software (Cramer et al. 2015). Loesl (2010) proposes that adaptive art tools should be standard equipment and available for use by all students. She points out that many art tools are adaptive by nature, though not specifically designed for use by individuals with disabilities. Despite acceptance of adaptive tools by some art professionals, there may not be a clear understanding of the empowerment AT can provide individuals with severe disabilities. Penketh (2014) objects to some researchers (Taylor 2005a; Young 2008) describing individuals with disabilities as Busers of assistive technology^ stating, BThe discussion of technology in this context offers a reductive view of the student and a limited concept of art education as a series of technical solutions with little consideration given to the creative potentialities of the subject or the student^ (p. 296). Conversely, the authors of the current study feel that AT has tremendous power to increase creative potential for individuals with disabilities. This is especially true for individuals with visual impairments, physical disabilities, and severe/multiple disabilities because of decreased access to traditional artmaking activities. Despite the possibilities opened to individuals with disabilities through AT, surprisingly little research exists demonstrating effective AT interventions for providing curriculum access for students with low incidence disabilities. No studies were located J Dev Phys Disabil (2015) 27:637–660 643 examining access to the art curriculum through AT. A few case reports are available that demonstrate the effectiveness of AT at improving independence in creating art for individuals with disabilities. Young (2008) examined the outcomes of a program where art tutors and computer tutors collaborated to support computerized artmaking by adults with physical disabilities. Although technological problems occurred, data from observations and interviews of participants who completed a 10-week course revealed that art software combined with adaptive computer input devices allowed greater autonomy in the creation of art. Taylor (2005a) found that college students with physical disabilities increased in their use of technology for scanning and manipulating images over several years; however, the students did not report using technology in art and design in a Bcreative and meaningful way^ (p. 327). She likens art education for children with disabilities to a lottery, stating that children with disabilities may or may not encounter art educators who are committed to the use of technology to support access to art and have the appropriate training and equipment to do so. For students with the most significant disabilities, this could mean missing out on vital experiences. For students with physical disabilities, visual impairments, or severe and multiple disabilities, AT may play an even greater role in allowing increased independence and providing more meaningful participation in school experiences. With regard to individuals with physical disabilities, Stumbo et al. (2009) stated that Bappropriately chosen and implemented assistive technology^ (p.108) is crucial for increasing the level of participation in education for individuals to reach levels similar to peers without disabilities. This can be especially true for art which relies heavily on physical manipulation of materials. Similarly, students with visual impairments may rely heavily on AT to access information other students acquire through visual means (Heller 2000; Heller et al. 2002; Shih and Chao 2010). For students with severe or multiple disabilities, being able to activate a switch to complete an art project can reach beyond participation in curriculum to enhancement of quality of life allowing students to gain control over some aspects of their environment (Coleman and Cramer 2015). Unfortunately, there is not a strong literature base to demonstrate how AT is being used in the art classroom. Purpose of Study Although there are a lot of possible ways to adapt art instruction through personal supports, accommodations and modifications, and technology, it is unclear whether there is wide-range use of such adaptations by teachers—special educators and art educators alike—to make art instruction more accessible and more meaningful for students with disabilities. Given the unique needs of students with visual, motor, speech and/or cognitive limitations in the art classroom, a survey was developed to examine art teachers’ preparedness, perceived knowledge, skills, and attitudes and use of adaptations, including AT, in the art classroom. Although students with high incidence disabilities (e.g., specific learning disabilities) may have difficulties in art, their needs differ from students with more significant disabilities; thus, the focus of the survey was on students who have physical, visual, severe, and multiple disabilities. Results about general preparedness, knowledge, and skills have been reported elsewhere (Cramer et al. 2015) while findings specific to the use of adaptations, AT, and supports from 644 J Dev Phys Disabil (2015) 27:637–660 special education personnel are reported here. To be specific, the following research questions were used: 1. What types of accommodations and modifications do art teachers report using in their classrooms for students with physical, visual, severe, or multiple disabilities? 2. What is the frequency of usage of certain AT devices in art classrooms for students with physical, visual, severe, or multiple disabilities? 3. Do art teachers report feeling prepared to use AT to increase art capabilities for students with physical, visual, severe, or multiple disabilities? 4. What are the reported barriers to the use of AT in art classroom for students with physical, visual, severe, or multiple disabilities? 5. What is the reported frequency of support from special education teachers and paraeducators when art teachers have students with physical, visual, severe, or multiple disabilities in their classrooms? 6. What attitudes are expressed by art teachers regarding teaching students with physical, visual, severe, or multiple disabilities and regarding interest and willingness to receive more training for working with these students? Method The study involved development of survey items addressing students with physical, visual, severe, and multiple disabilities in art classrooms. The survey was distributed to art teachers through a national art educators’ association. Survey Development Survey Item Development An expert in art education and two experts in special education participated in developing draft survey protocols in a way that would allow responses to match the research questions. The original survey targeted art teachers and art teacher educators in the United States. A paper version of the survey was distributed at a state conference for art educators and 17 art educators responded. In addition to the survey items, participants were asked to provide feedback on the survey instrument (e.g., appropriateness of questions and length). Based on these responses, the survey was revised to (a) separate the instrument into two separate instruments addressing P-12 teachers and teacher educators separately, (b) reduce the survey length, and (c) refine several questions for clarity and adequacy in soliciting participant responses. Survey items addressed in the final teacher instrument reported in this paper include nine questions about demographics (e.g., number of years teaching, type of school); six questions about the types of accommodations used in the art classroom; two questions about specific types of AT used in the art classroom; one question addressing attitudes about working with students with physical, visual, severe, or multiple disabilities; and three questions about supports from special education personnel. Upon the development of an initial set of survey questions, a research methodologist was invited to elaborate the survey questions and make the items precise in accordance with the proposed research questions. The final set of survey questions was constructed consisting of items addressing the following J Dev Phys Disabil (2015) 27:637–660 645 constructs: (a) demographic information, (b) levels of perceived knowledge and preparedness and sources of preparedness for teaching students with physical, visual, severe, or multiple disabilities in the art classroom, and (c) strategies and resources, including AT, used for teaching students with physical, visual, severe, or multiple disabilities in the art classroom. Several types of questions were used in the survey: multiple choice (one question statement with several choices from which to choose one answer), fill-in-the-blank (fill in the number of years of teaching or state in which employed), open-ended responses (space to enter lengthier answers such as additional comments), and grid questions (one question with several sub-questions requiring Likert-type scale responses such as BNever,^ BSometimes,^ BRegularly,^ BVery Often^ and BAll the time.^). The survey can be obtained from the first author upon request. Disability Categories in Survey Art teachers’ past experiences were asked with the focus on students with physical, visual, severe, or multiple disabilities. Six types of disabilities covered in the survey included: (a) significant vision loss or blindness, (b) mild physical limitations, (c) severe physical limitations, (d) multiple disabilities which include physical and intellectual disabilities, (e) Severe intellectual disabilities without physical disabilities, and (f) autism resulting in severe disabilities. Survey Implementation After the survey questions were refined, a PDF of the survey was uploaded to the website of one of the researchers. The PDF included instructions for how to mail the survey to the researchers. The questions also were transferred to a web survey format in IBM Statistical Package for the Social Sciences version 21 (SPSS 21) to increase access to the survey, reduce the cost of conducting the research, and increase the response rate. An email with an explanation of the research purpose, directions for completing the survey, and links to the PDF version and the SPSS version were submitted to the National Art Education Association elementary, middle, secondary, special education and higher education distribution listservs. Similar information was sent to each state’s Art Education Association organization website. Due to the difficulty of determining information regarding the total numbers of listserv members and the potential overlap between state and national members, a total count of how many members received the email is difficult to establish. Seventy-seven participants completed the online survey and all the participants were from United States. No respondents sent survey responses via U.S. Mail. Data Analysis Descriptive statistics and frequency analyses generated by SPSS were used to address the six research questions. In addition, in order to examine if art teachers’ years of teaching and numbers of students with disabilities they had influence on their intention to use certain AT device, non parametric Chi square 646 J Dev Phys Disabil (2015) 27:637–660 analyses were used where years of teaching and numbers of student with disabilities were added as fixed factors. Results Descriptive Statistics 2Seventy-seven art teachers completed the survey. Mean age of respondents was 43.2 years and the mean number years of teaching art was 13.5. Most art teachers (58.4 %) reported working with 1–10 students with physical, visual, severe, or multiple disabilities per year. When asked how often they work with students who have certain types of disabilities, higher numbers of art teachers responded regularly, very often, or all the time for students who have autism resulting in severe disabilities (51.9 %), mild physical limitations (48.1 %), severe intellectual disabilities without physical limitations (46.8 %), and students with multiple disabilities that included intellectual and physical limitations (45.5 %). Fewer teachers responded regularly, very often, or all the time to working with students having severe physical disabilities without intellectual disabilities (27.3 %) and students having significant vision loss or blindness (10.4 %). Complete demographic information for respondents is located in Table 1 and information about the types of students taught by respondents is located in Table 2. Adaptations, Including Assistive Technology, in the Art Classroom The first research question addressed the types of accommodations and modifications used by art teachers for students with physical, visual, severe, or multiple disabilities. Table 3 contains complete results of responses. A majority (68.4 %) of art teachers responded that they assign the same projects with accommodations or modifications to students with physical, visual, severe, or multiple disabilities as they assign to students without disabilities. A large number (53.2 %) reported assigning modified art projects while 20.3 % reported assigning modified writing assignments. For assessment, 54.4 % of teachers said they use modified rubrics while 13.9 % said they use the same rubrics for students with and without significant disabilities. Large numbers of teachers reported assessing students with physical, visual, severe, or multiple disabilities based on effort (65.8 %) or participation (70.9 %). The most frequent types of adaptations reported were peer or adult assistance with managing materials (84.8 %), extended time (59.5 %), and peer or adult hand-over-hand or hand-under-hand assistance (54.4 %). Lower percentages of teachers responded that they provide projects partially completed by an adult or peer (44.3 %), modified materials (38.0 %), special equipment (35.4 %), and projects completely done by a peer or adult (8.9 %). Other types of assignments, assessments, or adaptations reported included things such as providing choices, simplifying steps, decreasing amount of time on task required, using washable or safer materials, assigning supplemental activities that build fine J Dev Phys Disabil (2015) 27:637–660 647 Table 1 Art teachers’ demographic information Demographic information Mean age 43.2 years (n=74; 5 preferred not to answer; range 25–64) Mean number of years teaching art 13.5 ;years (n=76; 1 preferred not to answer; range 1–41) Median=16; Bimodal=7 and 8 (7.9 ;% each) Gender Female Ethnicity Highest degree obtained Teaching level Type of school 87.3 ;% (n=69) Male 11.4 ;% (n=9) Other or prefer not to answer 1.3 ;% (n=1) African-American or Black 1.3 ;% (n=1) American Indian, Native American, or Inuit 2.5 ;% (n=2) Caucasian-American, European-American, or White 86.1 ;% (n=68) (n=2) Hispanic or Latino/a 2.5 ;% Prefer not to answer 7.6 ;% (n=6) Bachelor’s 22.8 ;% (n=18) Master’s 62.0 ;% (n=49) Specialist’s 6.3 ;% (n=5) Doctorate 3.8 ;% (n=3) Other 5.1 ;% (n=4) High School 57.0 ;% (n=45) (n=37) Middle School 46.8 ;% Elementary School 65.8 ;% (n=52) Preschool 15.2 ;% (n=12) Urban 40.3 ;% (n=31) Suburban 36.4 ;% (n=28) Rural 20.8 ;% (n=16) Other (e.g., specialized, magnet) 2.6 ;% (n=2) motor skills (e.g., puzzles and Theraputty), and adapting on a case-by-case basis. To address the second research question, participants were provided with a list of AT devices and asked to rate the frequency with which they use each device in their classrooms with students who have physical, visual, severe, or multiple disabilities. These results are located in Table 4. A lot of the devices were reported as being used rarely or never by large percentages of respondents and only a few devices were reported as being used sometimes, often, or almost always by more than 50 % of respondents. AT devices for visual needs were reported as being used sometimes, often, or almost always as follows: 49.4 % use tactile rather than visual materials, 37.7 % use large print materials, 14.3 % use handheld 648 J Dev Phys Disabil (2015) 27:637–660 Table 2 Art teachers’ experiences with students who have physical, visual, severe, or multiple disabilities Experiences with students who have physical, visual, severe, or multiple disabilities Approximate number of students per year with physical, visual, severe, or multiple disabilities (N=79) 0 (this response ended the survey) 2.5 % (n=2) 1–5 31.6 % (n=25) 6–10 25.3 % (n=20) 11–15 7.6 % (n=6) 16–20 11.4 % (n=9) 20–25 5.1 % (n=4) >25 16.5 % (n=13) How often students with certain types of disabilities are taught All the time Very Regularly Sometimes Never or often rarely Significant vision loss or blindness 2.5 % (n=2) 3.8 % (n=3) 3.8 % (n=3) 25.3 % (n=20) 62.0 % (n=49) Mild physical limitations 7.6 % (n=6) 12.7 % (n=10) 26.6 % (n=21) 44.3 % (n=35) 6.3 % (n=5) Severe physical limitations without intellectual disabilities 3.8 % (n=3) 5.1 % (n=4) 17.7 % (n=14) 38.0 % (n=30) 32.9 % (n=26) Multiple disabilities which include physical and intellectual disabilities 6.3 % (n=5) 12.7 % (n=10) 25.3 % (n=20) 30.4 % (n=24) 21.5 % (n=17) Severe intellectual disabilities without physical disabilities 10.1 % (n=8) 15.2 % (n=12) 20.3 % (n=16) 35.4 % (n=28) 16.5 % (n=13) Autism resulting in severe disabilities 12.7 % (n=10) 12.7 % (n=10) 25.3 % (n=20) 32.9 % (n=26) 13.9 % (n=11) magnifiers or other nonelectronic vision devices, and 12.9 % use light boxes (device which provides back lighting for contrast). Three devices which help provide physical access were used sometimes, often, or almost always by more than 50.0 % of respondents: 59.7 % use large-handled writing or painting tools and adaptive scissors while 55.8 % use larger-sized materials. Devices for materials stabilization (e.g., using tape or non-slip material) are used by 46.8 % of respondents. All other devices received less than 30 % responses of sometimes, often, or almost always. Other types of AT listed by art teachers included recorded instructions, interactive white board activities, iPod/iPad devices, student response system / clickers, along with several options which would address hearing loss (e.g., FM system). In order to see if the mean number of years teaching art influences frequency of teacher’s use of each AT device in their classroom, chi-square tests were conducted. A chi-square test of independence was performed to examine the relation between years’ experience and frequency of use. The relation between years of teaching art and the rate J Dev Phys Disabil (2015) 27:637–660 649 Table 3 Types of assignments, assessments, and adaptations provided to students with physical, visual, severe, or multiple disabilities Types % N Same art projects and written assignments with accommodations or modifications 68.4 54 Modified art projects 53.2 42 Modified written assignments 20.3 16 Same art projects and written assignments with NO accommodations or modifications 8.9 7 Assessment based on participation 70.9 56 Assessment based on effort 65.8 52 Modified rubrics 54.4 43 Modified quizzes or worksheets 17.7 14 Same rubrics for all students 13.9 11 No assessment of these students 7.6 6 Quizzes or worksheets same for all students 6.3 5 Peer or adult assistance with materials management 84.8 67 Extended time 59.5 47 Peer or adult hand-over-hand or hand-under-hand assistance 54.4 43 Assignments Assessment Adaptations Projects partially completed by peer or adult 44.3 35 Modified materials 38 30 Special equipment 35.4 28 Projects completely done by peer or adult 8.9 7 of frequency was not significant, X 2 (6, N=77)=4.1, p<.19. Similarly, the number of students with disabilities they taught was not significantly related to the frequency to use AT, X 2 (6, N=77)=2.1 p<.29. Because the researchers predicted low rates of AT use would be reported, the third research question addressed art teachers’ perceived preparedness for using AT and the fourth question addressed reasons for low uses of AT in the art classroom. As previously mentioned, data reported here are part of a larger data set. Findings from the larger study (Cramer et al. 2015) indicated that art teachers felt prepared to teach art, but not well prepared to teach students with physical, visual, severe, or multiple disabilities. This holds true for knowledge and preparedness for using AT (see Table 5). Over half of the participants responded somewhat minimal or extremely minimal to their perceived knowledge of types of AT (52.0 %) and their perceived abilities to select and use AT devices to increase capabilities in art (57.1 %) for students with physical, visual, severe, or multiple disabilities. When asked if they felt their university coursework or training and support from their school system had adequately prepared them with knowledge and 650 J Dev Phys Disabil (2015) 27:637–660 Table 4 Frequency of usage of assistive technology devices Assistive technology devices Almost Often always Sometimes Rarely Never Vision Tactile rather than visual materials 3.8 ;% (n=3) 16.5 ;% 27.8 ;% (n=13) (n=22) 11.4 ;% 36.7 ;% (n=9) (n=29) Large print materials 0 ;% (n=0) 6.3 ;% (n=5) 30.4 ;% (n=24) 19.0 ;% 41.8 ;% (n=15) (n=33) Handheld magnifier or other nonelectronic vision device 0 ;% (n=0) 0 ;% (n=0) 13.9 ;% (n=11) 13.9 ;% 67.1 ;% (n=11) (n=53) Light box 1.3 ;% (n=1) 3.8 ;% (n=3) 7.6 ;% (n=6) 12.7 ;% 72.2 ;% (n=10) (n=57) Large-handled writing or painting tools 2.5 ;% (n=2) 27.8 ;% 27.8 ;% (n=22) (n=22) 13.9 ;% 25.3 ;% (n=11) (n=20) Adaptive scissors 12.7 ;% 17.7 ;% 27.8 ;% (n=10) (n=14) (n=22) 7.6 ;% (n=6) 30.4 ;% (n=24) Larger-sized materials (e.g., larger shape cutouts) 1.3 ;% (n=1) 29.1 ;% 24.1 ;% (n=23) (n=19) 8.9 ;% (n=7) 31.6 ;% (n=25) Materials stabilization (e.g., tape or Dycem) 1.3 ;% (n=1) 17.7 ;% 26.6 ;% (n=14) (n=21) 12.7 ;% 36.7 ;% (n=10) (n=29) Internet pictures or clipart instead of drawing 1.3 ;% (n=1) 10.1 ;% 16.5 ;% (n=8) (n=13) 10.1 ;% 61.0 ;% (n=8) (n=47) Stamps instead of writing or drawing 0 ;% (n=0) 6.3 ;% (n=5) 19.0 ;% (n=15) 13.9 ;% 58.2 ;% (n=11) (n=46) Slant board 0 ;% (n=0) 8.9 ;% (n=7) 13.9 ;% (n=11) 10.1 ;% 60.8 ;% (n=8) (n=48) Computerized drawing or painting programs 0 ;% (n=0) 8.9 ;% (n=7) 11.4 ;% (n=9) 8.9 ;% (n=7) Communication devices 3.8 ;% (n=3) 3.8 ;% (n=3) 7.6 ;% (n=6) 12.7 ;% 69.6 ;% (n=10) (n=55) Student uses alternate body part (e.g., brush held in mouth) 1.3 ;% (n=1) 3.8 ;% (n=3) 6.3 ;% (n=5) 11.4 ;% 74.7 ;% (n=9) (n=59) Battery-operated painting device (e.g., Spinart) or similar 0 ;% (n=0) 1.3 ;% (n=1) 5.1 ;% (n=4) 6.3 ;% (n=5) 84.8 ;% (n=67) Single switch computer activity 0 ;% (n=0) 0 ;% (n=0) 6.3 ;% (n=5) 8.9 ;% (n=7) 79.7 ;% (n=63) Physical 67.1 ;% (n=53) Other: recorded instructions, projectors, interactive white board activities, iPod/iPad, student response system, (several listed devices for hearing loss) strategies for using AT 71.4 % disagreed or strongly disagreed for university preparation and 68.8 % for training or support from the school system. Only a few participants (n=4; 5.1 %) indicated they have taken a university course on AT in addition to other courses which prepared them to work with students who have physical, visual, severe, or multiple disabilities. Participants were asked to select from a list all reasons that AT is not used more often in their classroom. The most frequent responses, as displayed in Table 6, were (a) limited availability of AT or limited funds to purchase AT (65.8 %), (b) limited J Dev Phys Disabil (2015) 27:637–660 651 Table 5 Art educators’ perceived knowledge and skills and reported preparation for using types of Assistive Technology (AT) Levels of perceived knowledge and preparedness for using AT to increase art capabilities for students with physical, visual, severe, or multiple disabilities Extremely Somewhat Medium extensive extensive Somewhat Extremely minimal minimal Knowledge of types of AT available for students with PVSMD 5.1 % (n=4) 10.1 % (n=8) 31.6 % (n=25) 34.2 % (n=27) 16.5 % (n=13) Ability to select and use AT devices to increase student capabilities in art 5.1 % (n=4) 2.5 % (n=2) 34.2 % (n=27) 32.9 % (n=26) 22.8 % (n=18) Level of agreement regarding preparedness by university and LEA Strongly agree Agree Disagree Neither agree or disagree Strongly disagree Felt university coursework adequately prepared for knowledge and strategies for implementing AT 2.5 % (n=2) 15.2 % (n=12) 10.1 % (n=8) 31.6 % (n=25) 38.0 % (n=30) Felt training or support from school system adequately prepared for knowledge and strategies for implementing AT 5.1 ;% (n=4) 13.9 ;% (n=11) 11.4 ;% (n=9) 32.9 ;% (n=26) 34.2 ;% (n=27) 5.1 ;% of respondents (n=4) said they have taken an AT course knowledge about AT (51.9 %), (c) limited time to learn and implement AT (31.6 %) followed by limited personnel to support the use of AT (29.1 %) and limited need for AT (29.1 %). Supports from Special Education Personnel The survey contained questions about the frequency of support from special education personnel to address the fifth research question (see Table 7). Regarding support from special education teachers, 76.6 % of art teachers reported sometimes, often, or almost Table 6 Reasons AT is not used Reason % N Limited availability of AT or limited funds to purchase ATa 65.8 52 Limited knowledge about AT 51.9 41 Limited time to learn and implement AT 31.6 25 Limited personnel to support the use of AT 29.1 23 Limited need for AT 29.1 23 Limited space to store AT 15.2 12 OTHER: culture at school of assistant doing work for student, no student has needed AT for ceramic projects a AT Assistive Technology 652 J Dev Phys Disabil (2015) 27:637–660 Table 7 Supports from special education personnel Frequency of support from special education personnel Almost always Often Sometimes Rarely Never Frequency of collaboration with special education teacher about students with PVSMD 11.4 ;% (n=9) 20.3 ;% (n=16) 41.8 ;% (n=33) 20.3 ;% (n=16) 3.8 ;% (n=3) Frequency of receiving IEP or accommodation/ modification information 35.4 ;% (n=28) 22.8 ;% (n=18) 16.5 ;% (n=13) 17.7 ;% (n=14) 5.1 ;% (n=4) Frequency of support/training on use of AT from special educators 1.3 ;% (n=1) 2.5 ;% (n=2) 16.5 ;% (n=13) 26.6 ;% (n=21) 50.6 ;% (n=40) Frequency of support/training on use of AT from other personnel (e.g., AT specialist, PT, OT) 1.3 ;% (n=1) 2.5 ;% (n=2) 12.7 ;% (n=10) 27.8 ;% (n=22) 51.9 ;% (n=41) Support from paraprofessionals Almost always Often Sometimes Rarely Never Paraprofessionals assist art teacher in gaining knowledge of how to adapt projects 5.1 ;% (n=4) 10.1 ;% (n=8) 24.1 ;% (n=19) 19.0 ;% (n=15) 17.7 ;% (n=14) Paraprofessionals assist art teacher in gaining knowledge of AT devices and implementation of devices 1.3 ;% (n=1) 7.6 ;% (n=6) 15.2 ;% (n=12) 17.7 ;% (n=14) 35.4 ;% (n=28) Paraprofessionals provide the amount of support needed to make art meaningful for students with PVSMD 15.2 ;% (n=12) 15.2 ;% (n=12) 24.1 ;% (n=19) 13.9 ;% (n=11) 8.9 ;% (n=7) Paraprofessionals provide too much support and undermine my instructional strategies 3.8 ;% (n=3) 3.8 ;% (n=3) 19.0 ;% (n=15) 16.5 ;% (n=13) 34.2 ;% (n=27) Paraprofessionals make the art project with little input from student with PVSMD 5.1 ;% (n=4) 5.1 ;% (n=4) 25.3 ;% (n=20) 22.8 ;% (n=18) 19.0 ;% (n=15) Paraprofessionals make their own art projects while in my classroom 6.3 ;% (n=5) 1.3 ;% (n=1) 21.5 ;% (n=17) 13.9 ;% (n=11) 34.2 ;% (n=27) always receiving students’ IEPs or information about accommodations and modifications and 75.3 % said they sometimes, often, or almost always collaborate with the special education teacher. As for receiving support and training about AT, only 20.8 % responded sometimes, often, or almost always from the special education teacher and 16.9 % from other special education personnel (e.g., AT specialist, occupational therapist). Art teachers also were asked to rate the frequency of certain types of support from paraeducators or teaching assistants. Over half of art teachers (55.8 %) reported that paraeducators sometimes, often, or almost always provide the amount of support needed to make art meaningful for students with physical, visual, severe, or multiple disabilities while 27.3 % said that paraeducators sometimes, often, or almost always provide too much support and undermine the teacher’s instructional strategies. Paraeducators were reported 40.3 % as sometimes, often, or almost always assisting the art teacher in gaining knowledge about how to adapt projects and 24.7 % about knowledge and implementation of AT devices. About one third of art teachers said that paraeducators sometimes, often, or almost always make art projects with little input from students with physical, visual, severe, or multiple disabilities (36.4 %) or make their own art projects during art class (29.9 %) (Table 8). J Dev Phys Disabil (2015) 27:637–660 653 Table 8 Attitudes toward students with physical, visual, severe, and multiple disabilities and toward further training Strongly agree Agree Neither agree or disagree Disagree Strongly disagree 74.7 % (n=59) 19.0 % (n=15) 2.5 % (n=2) 0% (n=0) 1.3 % (n=1) 58.2 % It is important for students with (n=46) PVSMD to participate in the social aspects of an art class 32.9 % (n=26) 5.1 % (n=4) 0% (n=0) 1.3 % (n=1) It is important for students with PVSMD to create art that is attractive and looks the same as peers’ work 6.3 % (n=5) 6.3 % (n=5) 24.1 % (n=19) 31.6 % (n=25) 29.1 % (n=23) Self-efficacy for teaching students with PVSMD about art 10.1 % (n=8) 41.8 % (n=33) 36.7 % (n=29) 7.6 % (n=6) 1.3 % (n=1) Enjoy working with students who have PVSMD 38.0 % (n=30) 41.8 % (n=33) 13.9 % (n=11) 2.5 % (n=2) 1.3 % (n=1) It is important for students with PVSMD to participate in the process of creating art Interest and willingness to acquire additional training / implement other strategies Very Willing / Somewhat willing/ interwilling / interestested interested ed Minimally willing / interested Not at all willing / interested Willing / interested in learning more 39.2 % strategies and accommodations to (n=31) allow greater participation by students with PVSMD 43.0 % (n=34) 11.4 % (n=9) 2.5 % (n=2) 1.3 % (n=1) Willing to implement new strategies or accommodations 43.0 % (n=34) 40.5 % (n=32) 8.9 % (n=7) 2.5 % (n=2) 2.5 % (n=2) Willing / interested in learning more 34.2 % (n=27) about AT that would allow greater participation by students with PVSMD 41.8 % (n=33) 17.7 % (n=14) 2.5 % (n=2) 1.3 % (n=1) Willing to implement new AT solutions 40.5 % (n=32) 12.7 % (n=10) 5.1 % (n=4) 2.5 % (n=2) 35.4 % (n=28) In the optional space to provide comments about supports from special education, 68.8 % of the art teacher participants responded. Many of the comments were reflective of a passion for working with students who have disabilities; e.g., BMy special education kids are some of my most fulfilling moments as a teacher.^ Some of the comments reflect positive experiences with collaboration such as, BI collaborate with the [special education] teacher at my school on a near daily basis. We bounce ideas off one another as to how to effectively teach her students when they come to art class.^ However, many of 654 J Dev Phys Disabil (2015) 27:637–660 the comments reflected dissatisfaction with the way students with disabilities are served in the art classroom; some reasons cited include large overall class sizes, lack of time and support for collaboration, and lack of enough support for students within the art classroom. Attitudes The final research question addressed attitudes of art teachers toward teaching students with physical, visual, severe, or multiple disabilities and their interest and willingness to receive more training for working with these students. Large percentages of art teachers agreed or strongly agreed that (a) they enjoy working with students who have physical, visual, severe, or multiple disabilities (81.8 %), (b) they believe it is important for these students to participate in the process of creating art (96.1 %), and (c) they believe it is important for these students to participate in the social aspects of an art class (93.5 %). About 60 % (62.3 %), disagreed or strongly disagreed that it is important for the art projects created by students with physical, visual, severe, or multiple disabilities to be attractive and look the same as the work of their peers without disabilities. Although not about attitude, per se, a question about self-efficacy was included in the same section of questions. About half (53.2 %) agreed or strongly agreed that they feel effective in teaching students with physical, visual, severe, or multiple disabilities. Most art teachers (84.4 %) responded that they were willing or very willing to learn more strategies and accommodations to allow greater participation by students with physical, visual, severe, or multiple disabilities in their classrooms with 85.7 % being interested or very interested in receiving more training in this area. For AT, 77.9 % responded they were willing/interested or very willing/interested in learning and implementing new AT solutions that would allow greater participation for these students in the art classroom. Discussion The purpose of this study was to examine art educators’ use of adaptations, including AT, and their reported supports from special education personnel to meet the needs of students with physical, sensory, severe, and multiple disabilities in the art classroom. This study updates and extends Guay (1994) by addressing specific types of adaptations, with an emphasis on AT devices, used by art teachers to support learning the art curriculum for students with significant disabilities. Furthermore, the study supports findings in the broader research on collaborative efforts and general education teachers’ attitudes for inclusion of students with disabilities (Alquraini and Gut 2012; Carter et al. 2009; Copley and Ziviani 2004; Gal et al. 2010; Scruggs and Mastropieri 1996). The first two research questions address types and frequency of use of adaptations, including AT. It is encouraging that almost 70 % of art teachers reported providing projects which are similar to those of peers with accommodations or modifications for students with physical, visual, severe, or multiple disabilities. However, the only accommodation with a high percentage of reported use (>75 % sometimes, often, or almost always) was help with materials management and the only others reportedly used by over half of the respondents were extended time and hand-over-hand/hand- J Dev Phys Disabil (2015) 27:637–660 655 under-hand assistance. It is not surprising that materials for stabilization, large-handled writing or painting tools, and adaptive scissors are used by more of the art teachers who responded than other types of AT, but even these devices were only reported as being used sometimes, often, or almost always by approximately half of the participants. These findings suggest adaptations that might make art more meaningful for this population of students are being underused. This is consistent with research about the use of AT in broader environments for students with physical disabilities (Coleman 2011; Campbell et al. 2006; Østensjø et al. 2005) and severe disabilities (Alquraini and Gut 2012; Carter et al. 2009; Copley and Ziviani 2004; Gal et al. 2010). This is discouraging given the importance of adaptations and AT discussed by Alquraini and Gut (2012): B…accommodations and adaptations can be useful and supportive to collaborative teams in schools to assist students with severe disabilities to access and make progress in the general education curriculum… AT can play a significant role in assisting students with severe disabilities to be successful in inclusive settings^ (p. 54–55). It is also discouraging that approximately 70 % of art teachers report assessing students with physical, visual, severe, or multiple disabilities based on effort or participation while barely more than half use modified rubrics. Although reasons for this cannot be gleaned from these data, higher percentages based on participation and effort rather than more objective assessment methods (e.g., rubrics) might indicate lower expectations and/or lower accountability for the success of these students in the art classroom. Additionally, no relationship was found between the number years of teaching or the number of students with physical, visual, severe, or multiple disabilities art teachers had taught. These findings align with Pianta et al. (2007) in that years of teaching did not guarantee classroom opportunities for students. The third and fourth research questions specifically addressed teachers’ preparedness for using AT and reasons for not using AT. Given the low response rates for AT devices, it is not surprising that art teachers reported not being knowledgeable or feeling prepared about AT. In the larger data set (Cramer et al. 2015), most art teachers reported only taking one introduction to special education class and receiving some instruction about working with students who have physical, visual, severe, or multiple disabilities in an art methods course. Overall, however, it seems reasonable to suggest that art teachers need more training on AT that can increase meaningful participation for students with significant disabilities and/or special education teachers, who often take an AT course, need more training in how to collaborate with art teachers and paraeducators so that AT devices gain more widespread usage in the art classroom. Limited knowledge about AT was stated by over half of the participants, exceeded only slightly by limited availability of AT devices or limited funds to purchase AT. Lack of knowledge and lack of availability seem to work hand-in-hand. If few people are knowledgeable about the types of devices available and how to implement the use of devices, then money will not be prioritized for purchase of AT. These barriers to the use of AT align with previous research. For example, Copley and Ziviani (2004) found lack of training, lack of staff support, negative staff attitudes, inadequate AT assessment, insufficient funding, difficulties procuring and managing equipment, and time constraints to be barriers to AT use for students with multiple disabilities. A related question is which person—art educator or special educator—is responsible for providing adaptations? Ultimately, if a student’s IEP states he or she is to receive AT to 656 J Dev Phys Disabil (2015) 27:637–660 support art instruction, it should be provided, but, by whom? The fifth research question addressed supports from special education. Despite insistence in the literature regarding the importance of collaboration to promote successful inclusion (Carter et al. 2009), about one-fourth of art teachers reported rarely or never collaborating with special education teachers about students with physical, visual, severe, or multiple disabilities with the majority reporting collaboration as happening Bsometimes.^ Most did report receiving IEP or accommodation/modification information, indicating that special educators are not well-prepared to collaborate with art teachers and may feel providing the basic documentation is enough. Overwhelmingly, art teachers reported not receiving support and training about AT from any special education personnel (teachers, paraeducators, related services professionals). The findings regarding paraeducators echo some of the sentiments expressed by Guay (2003). This is disturbing given that one of the primary benefits of collaboration is to increase the meaningfulness and quality of instruction when including students with significant disabilities in general education (Westling and Fox 2009). Though direct comparisons to Guay’s (2003) study are not possible, findings were similar in that some art teachers felt paraeducators provided adequate support and some felt too much support was provided. This is consistent with research regarding the use of paraeducators in inclusive settings in several countries. Over- or under-reliance on paraeducators in inclusive classrooms can yield educational environments that do not provide the best support for students with disabilities (Giangreco and Broer 2005; Giangreco et al. 2011). With the rise in numbers of paraeducators being employed (Giangreco and Broer 2005), it is important to examine the possible benefits and detriments of having paraeducators work in inclusive settings, including art classrooms. Stevenson and Carter (2014) state: Not only may aides not have a positive effect, there are a number of undesirable effects that have been reported from both the US and the UK, such as interference with teacher/student and student/student relationships. The lack of positive impact from the employment of teacher aides may be related to their inadequate preparation and training and related inability to deliver quality instruction, to reduced teacher/student interaction when an aide is present and to the tendency of some teachers to relinquish responsibility for the student to the aide. (p. 146) It is clear that more training is needed for paraeducators, special educators who supervise paraeducators, and for art educators (Causton-Theoharis and Burdick 2008; Giangreco et al. 2011). Ultimately, system-wide planning, optimization of resources, and ongoing evaluation would be used to ensure that students with disabilities are receiving the best supports possible when instructed in inclusive settings (Giangreco et al. 2011). Another issue found in this study is related to production of works of art. About onefourth stated that paraeducators sometimes make art projects without input from students with physical, visual, severe, or multiple disabilities and one-fifth reported that paraeducators sometimes make their own art projects in the art classroom. The comments of art teachers in this study seem to support Causton-Theoharis and Burdick’s (2008) qualitative study of paraeducators in art classrooms, who suggest that paraeducators can close the gate to artmaking by interfering with physical access, J Dev Phys Disabil (2015) 27:637–660 657 interrupting authenticity and altering art production. Derby (2013) suggests art education research on disabilities has revealed issues regarding the paraeducator and warns that the Bproblem has grown with the increase of paraeducators in art classrooms^ (p. 377). The results surrounding supports from special education seem to indicate that more training is necessary for special educators in the area of collaboration with art teachers and preparation of paraeducators specifically to work with students in the art classroom given the importance of Bprocess over product,^ personal perspective and Bmeaning making^ within the artmaking experience. In responses to items addressing the final research question, art teachers overwhelmingly indicated positive attitudes toward students with physical, visual, severe, or multiple disabilities and a willingness to increase their knowledge about and use of additional adaptations including AT. This aligns with previous studies demonstrating generally positive attitudes toward inclusion (Gal et al. 2010; Scruggs and Mastropieri 1996). This bodes well given research demonstrating that teachers’ attitudes toward students with disabilities and toward inclusion are crucial in whether or not inclusion is successful (Chow and Winzer 1992; Gal et al. 2010; Hastings and Oakford 2003; Pivik et al. 2002). Since there were high levels of positive attitudes, it seems that the low usage of appropriate adaptations is not due to art teachers not caring about students with physical, visual, severe and multiple disabilities and their ability to access the art curriculum. Thus, it must be assumed that the problem lies in teacher preparation and training in collaboration as already indicated above. As with any study, there are limitations that may impact applicability of these results. First, by nature, survey research may not reflect actual practices as much as respondents’ beliefs. Second, the survey was distributed online through national or state-wide associations, there was no information available to estimate the original participants or initial respondents; thus, the response rate was not calculable as the total number of eligible individuals was not estimable. Third, although emails were sent to large numbers of listserv participants, only 77 teachers completed the entire survey. The findings may have been different given a larger sample. Finally, the survey was not constructed in a way that clearly demonstrated differences between students based on different types of disabilities. In other words, the survey did not ask teachers to specifically address only issues and technology for students with physical disabilities or only students with visual impairments. Therefore, disaggregation of information by disability type was not possible. More research is needed to determine appropriate adaptations, including personal supports, accommodations and modifications, and AT, that may increase access to the art curriculum for students with physical, visual, severe, or multiple disabilities. Future research may include students with disabilities not specifically addressed in this study. Particularly, research is needed to address collaboration between special educators and art educators and training for paraeducators and how these professionals can best support the needs of students with significant disabilities in the art classroom. Conclusions These findings seem to suggest that students with physical, visual, severe, or multiple disabilities are not always receiving supports that make art class as meaningful as it 658 J Dev Phys Disabil (2015) 27:637–660 could be by allowing them increased independence and participation. Based on these results, teacher training programs in art education need to incorporate more instruction in providing meaningful assignments, assessments, and adaptations. Teacher training programs in special education need to incorporate more instruction on (a) how adaptations, including AT, can be used in the art classroom to make experiences more meaningful, (b) effective practices for collaborating with art teachers, and (c) methods for training paraeducators to provide adequate supports in the art classroom. In addition, more collaborative research needs to take place to develop new ways to ensure that all people may participate in the experience of creating and responding to the world around them. Derby (2013) proposes that, by omission of Bsustained research^ (p. 377) in art education for individuals with disabilities, we are failing to serve. Access to art may provide access to self-expression not otherwise afforded to individuals with physical, visual, severe, or multiple disabilities. Wexler (2011) writes, Making decisions is the ongoing process of artmaking. Out of all the colors on the palette, we choose one. We may not be able to explain why we make that choice, but something pulls us toward one color above another, just as we are pulled toward the people, ideas, and places in our lives. Once the choice has been made, a new response is formed directly from our action on the material…We are motivated to make more choices as each choice adds to the complexity of the evolving schema, and the canvas the meeting place of our internal and external reality. This favoring of one object in the world over another defines who we are. The ability to make such choices and then deal with the consequences of further choices is a key reason that making art promotes awareness of our priorities and intentions, important ingredients in self-knowledge. (p. 23) It is essential that the field of education begins to acknowledge the importance of quality art instruction for students with physical, visual, severe, and multiple disabilities. Efforts must be taken to ensure that art teachers, special education teachers, and paraeducators have adequate training, time for collaboration, and appropriate tools, including assistive technology, so that art instruction yields meaningful benefits for all students. Ethics Statement All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. IRB at University of Tennessee approval #8326B. References Alquraini, T., & Gut, D. (2012). Critical components of successful inclusion of students with severe disabilities: literature review. International Journal of Special Education, 27, 42–59. Bolin, P. E. (2006). Drawing on the past for insight and direction: ten considerations in legislative and policy development for art education. Studies in Art Education, 47, 326–343. J Dev Phys Disabil (2015) 27:637–660 659 Browder, D. M., Spooner, F., Wakeman, S., Trela, K., & Baker, J. N. (2006). Aligning instruction with academic content standards: finding the link. Research and Practices for Persons with Severe Disabilities, 31, 309–321. Burdick, C., & Causton-Theoharis, J. (2012). Creating effective paraprofessional support in the inclusive art classroom. Art Education, 65, 33–37. Campbell, P. H., Milbourne, S., Dugan, L. M., & Wilcox, M. J. (2006). A review of evidence on practices for teaching young children to use assistive technology devices. Topics in Early Childhood Special Education, 26, 3–13. Carey, D. M., & Sale, P. (1994). Practical considerations in the use of technology to facilitate the inclusion of students with severe disabilities. Technology and Disability, 3(2), 77–86. Carter, N., Parter, M. A., Jackson, A., & Marchant, M. (2009). Educators’ perceptions of collaborative planning processes for students with disabilities. Preventing School Failure, 54, 60–70. Causton-Theoharis, J., & Burdick, C. (2008). Paraprofessionals: gatekeepers of authentic art production. Studies in Art Education, 49, 167–182. Center for Applied Special Technology (n.d.). Retrieved from: http://www.cast.org/udl/index.html. Chow, P., & Winzer, C. C. (1992). Reliability and validity of a scale measuring attitudes toward mainstreaming. Educational & Psychological Measurement, 52, 223–229. Coleman, M. B. (2011). Successful implementation of assistive technology to promote access to curriculum and instruction for students with physical disabilities. Physical Disabilities: Education and Related Services, 30, 2–22. Coleman, M. B., & Heller, K. W. (2009). Assistive technology considerations. In K. W. Heller, P. E. Forney, P. A. Alberto, S. J. Best, & M. N. Swartzman (Eds.), Understanding physical, health, and multiple disabilities (2nd ed., pp. 139–153). Upper Saddle River: Pearson Education, Inc. Coleman, M. B., & Cramer, E. S. (2015). Creating meaningful art experiences with assistive technology for students with physical, visual, severe, and multiple disabilities. Journal of Art Education, 68, 6–13. Copeland, S. R., Hughes, C., Carter, E. W., Guth, C., Presley, J. A., Williams, C. R., & Fowler, S. E. (2004). Increasing access to general education: perspectives of participants in a high school peer support program. Remedial and Special Education, 25, 342–352. Copley, J., & Ziviani, J. (2004). Barriers to the use of assistive technology for children with multiple disabilities. Occupational Therapy International, 11, 229–243. Cramer, E. S., Coleman, M. B., Park, Y., Bell, S. M., & Cole, J. (2015). Art educators’ knowledge, attitudes, and experiences working with students who have physical, sensory, severe, or multiple disabilities. Studies in Art Education. (in press) Derby, J. (2013). Nothing about us without us: art education’s disservice to disabled people. Studies in Art Education, 54, 376–380. Derer, K., Polsgrove, L., & Rieth, H. (1996). A survey of assistive technology applications in schools and recommendations for practice. Journal of Special Education Technology, 8(2), 62–80. Fisher, D., Frey, N., & Kroener, J. (2013). High-quality supports for students with disabilities. Principal Leadership, 14, 56–59. Gal, E., Schreur, N., & Engel-Yeger, B. (2010). Inclusion of children with disabilities: teachers’ attitudes and requirements for environmental accommodations. International Journal of Special Education, 25, 89–99. Giangreco, M. F., & Broer, S. M. (2005). Questionable utilization of paraprofessionals in inclusive schools: are we addressing symptoms or causes? Focus on Autism & Other Developmental Disabilities, 20, 10–26. Giangreco, M. F., Broer, S. M., & Suter, J. C. (2011). Guidelines for selecting alternatives to overreliance on paraprofessionals: field-testing in inclusion-oriented schools. Remedial and Special Education, 32, 22–38. Guay, D. M. (1994). Students with disabilities in the art classroom: how prepared are we? Studies in Art Education, 36, 44–56. Guay, B. L. (2003). Paraeducators in art classrooms, issues of culture, leadership, and special needs. Studies in Art Education, 45, 20–39. Guay, B. L., & Gerlach, K. (2006). Clarifying roles for paraeducators in the art room. In B. L. Gerber & D. M. Guay (Eds.), Reaching and teaching students with special needs (pp. 177–188). Reston: National Art Education Association. Hastings, R. P., & Oakford, S. (2003). Student teachers’ attitudes towards the inclusion of children with special needs. Experimental Education Psychology, 23, 87–94. Heller, M. A. (2000). Touch, representation and blindness. Oxford: Oxford University Press. Heller, M. A., Brackett, D. D., & Scroggs, E. (2002). Tangible picture matching by people who are visually impaired. Journal of Visual Impairment & Blindness, 96, 349–953. Hourigan, R. (2014). Intersections between school reform, the arts, and special education: the children left behind. Art Education Policy Review, 115(2), 35–38. 660 J Dev Phys Disabil (2015) 27:637–660 Loesl, S. (2010). Introduction to the special issue on art therapy in the schools: art therapy+schools+ students=? Art Therapy: Journal of the American Art Therapy Association, 27, 54–55. Loesl, S. D. (2012). The adaptive art specialist: An integral part of a student’s access to art. In S. M. Malley (Ed.), The intersection of arts education and special education: Exemplary programs and approaches (pp. 47–68). Washington, DC: The John F. Kennedy Center for the Performing Arts. National Core Visual Arts Standards (2014). http://www.arteducators.org/research/nccas. Nyman, A. L., & Jenkins, A. M. (Eds.). (1999). Issues and approaches to art for students with special needs. Reston: National Art Education Association. Østensjø, S., Carlberg, E. B., & Vøllestad, N. K. (2005). The use and impact of assistive devices and other environmental modifications on everyday activities and care in young children with cerebral palsy. Disability and Rehabilitation, 27, 849–861. Penketh, C. (2014). Putting disability studies to work in art education. International Journal of Art & Design Education, 33, 291–300. Pianta, R. C., Belsky, J., Houts, R., Morrison, F., & NICHD Early Child Care Research Network. (2007). Opportunities to learn in America’s elementary classrooms. Science, 315, 1795–1796. Pivik, J., McComas, J., & LaFlamme, M. (2002). Barriers and facilitators to inclusive education. Exceptional Children, 69, 97–107. Pugach, M. C., & Warger, C. L. (2001). Curriculum matters: raising expectations for students with disabilities. Remedial and Special Education, 22(194–196), 213. Ree, K. G., & Kanny, E. M. (1993). The use of computers in school system practice by occupational therapists. Physical and Occupational Therapy in Pediatrics, 13, 37–55. Ryndak, D. L., & Billingsley, F. (2004). Access to the general education curriculum. In C. H. Kennedy & E. Horn (Eds.), Including students with severe disabilities (pp. 55–56). Boston: Allyn & Beacon. Ryndak, D. L., Margaret, M. A., Orlando, A., & Delano, M. (2009). Access to the general curriculum: the mandate and role of context in research-based practices for students with extensive support needs. Research and Practice for Persons with Severe Disabilities, 33, 199–213. Scruggs, T. E., & Mastropieri, M. A. (1996). Teacher perceptions of mainstreaming/inclusion, 1958–1995: a research synthesis. Exceptional Children, 63, 59–74. Shih, C. M., & Chao, H. Y. (2010). Ink and wash painting for children with visual impairment. British Journal of Visual Impairment, 28, 157–163. Stevenson, J., & Carter, M. (2014). The work of teacher aides in Australia: an analysis of job advertisements. International Journal of Special Education, 29, 145–153. Stumbo, N. J., Martin, J. K., & Hedrick, B. N. (2009). Assistive technology: impact on education, employment, and independence of individuals with physical disabilities. Journal of Vocational Rehabilitation, 30, 99–110. Taylor, M. (2005a). Access and support in the development of a visual language: arts education and disabled students. International Journal of Art & Design Education, 24, 325–333. Taylor, M. (2005b). Self‐identity and the arts education of disabled young people. Disability & Society, 20, 763–778. Westling, D., & Fox, L. (2009). Teaching students with severe disabilities (4th ed.). Upper Saddle River: Merrill Prentice Hall. Wexler, A. J. (2011). Art and disability: The social and political struggles facing education. New York: Palgrave Macmillan. Wexler, A. J., & Derby, J. (2015). Art in institutions: the emergence of (disabled) outsiders. Studies in Art Education, 56, 127–141. Young, G. C. (2008). Autonomy of artistic expression for adult learners with disabilities. International Journal of Art & Design Education, 27, 116–123.
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