Recent developments in multimedia and hypermedia have simplified the creation of high-quality presentations so that they are becoming a viable instructional option for both teachers and students. One potential use of integrated media technology is in student-created programs. To demonstrate this point, novice student programmers, who used simple authoring tools and were trained using a modified form of instructional scaffolding, constructed integrated media programs to develop or adapt instructional materials appropriate for use with students with learning disabilities. An overview of simple hypermedia tools suitable for teacher and student presentation creation is presented, including images, sound and text. The following examples of instructional programs are provided: HyperCard; Hyperstudio; and SemNet Academic. All three examples include program descriptions, comments from student programmers, and suggestions for classroom use. An appendix includes a table of software sources and costs, and two figures illustrate sample content maps. (Contains 12 references.) (MAS)