“…In addition, effect sizes (percentage of data points exceeding the median [PEM]) were calculated for each variable to provide further information regarding the effectiveness of the VSM intervention. PEM as a method of analysis was found to be reliable with visual analyses (Ma, 2006) and has a relatively small confidence interval (Chen, Hyppa-Martin, Reichle, & Symons, 2016), which are two indicators of usability for single subject research. Scruggs, Mastropieri, Cook, and Escobar (1986) suggest that an intervention is highly effective if greater than 90% of the data exceeds the median, moderately effective when 70-90% of the data points exceed the median, and mildly effective when 50-70% of the data exceeds the median.…”