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Active Learning approach was developed by Dame Lilli Nielsen, sibling of and teacher to individuals with visual impairments and deafblindness in Denmark.  Her approach has been widely used throughout Texas, the nation and the world to address learning for children who are developmentally under the age of four years old regardless of their chronological age. Her approach is used with many students who in addition to visual impairments and blindness have additional disabilities such as hearing loss, fine and gross motor issues, and social or emotional delays.