Clinician-Perceived Bridges and Barriers to Parental Implementation of Picture Exchange Communication System (PECS): An evaluation.

Picture Exchange Communication System (PECS) is an augmentative and alternative communicative system that improves communication and decreases problem behaviors in children with Developmental Disabilities and Autism. The mediator model is a validated approach that clinicians use to train parents to perform evidence-based interventions. Parental non-adherence to treatment recommendations is a documented problem. This qualitative study investigated clinician-perceived factors that influence parental adherence to PECS recommendations. Three focus groups (n=8) were conducted with Speech Language Pathologists and Behavior Therapists experienced in providing parents with PECS recommendations. Constant comparison analysis was used. In general, clinicians believed that PECS was complex to implement. Thirty-one bridges were identified to overcome complexity. Twenty-two barriers and 6 other factors also impacted parental adherence. Strategies to address these factors were proposed based on a review of the literature. Future research will be performed to validate these findings using parents and a larger sample size.

Illustrations of masonry (1855)

The universal masonic library, a republication, in thirty volumes, of all the standard publications in masonry designed for the libraries of masonic bodies and inviduals…volume III embodying Preston's illustrations of masonry.

Canadian Niagara Power Glass Slide - Sketch Showing Proposed Masonry Lining Near Portal of Tunnel

Drawing by consulting engineer dated October 19, 1901. Scale is noted as 1/4 inch = 1 foot.

Chart of bill of timber in bridges, culverts, cattle-guard and roadways, signed by S.D. Woodruff

Chart of bill of timber in bridges, culverts, cattle-guard and roadways, signed by S.D. Woodruff, Oct. 18, 1855.

Report sent to the President and Director of the Port Dalhousie and Thorold Railway stating that the location of the line extension of the railway is completed

Report sent to the President and Director of the Port Dalhousie and Thorold Railway stating that the location of the line extension of the railway is completed. The distance from Thorold Station to Port Colborne is 20 miles. The estimate provides for construction of a permanent structure across the Chippewa and Welland River. Estimates for building a first class road, culverts and bridges will be of permanent and durable masonry. This includes estimates for various station buildings such as a warehouse in Port Colborne and a warehouse in Port Dalhousie. Surveys and plans are ready and will be registered this week. This is signed by S.D. Woodruff (2 copies) [one appears to be a rough copy] (The rough copy is 5 pages, handwritten and the other copy is 6 pages, handwritten), Apr. 8, 1857.

Receipt from E. Riddle and Sons, Contractors of Masonry, St. Catharines

Receipt from E. Riddle and Sons, Contractors of Masonry, St. Catharines for work done, Mar. 13, 1887.

Letter to W.D. Woodruff from Langley and Rymer, Jobbers in Masonry, St. Catharines

Letter to W.D. Woodruff from Langley and Rymer, Jobbers in Masonry, St. Catharines regarding tenders for the proposed lily pond. This is accompanied by an envelope. May 9, 1916.