Evaluating Therapeutic Engagement and Expressive Communication in Immersive Multimedia Environments

Purpose The purpose of this study was to characterize social communication and structural language of school-age girls with high-functioning autism spectrum disorder (HF-ASD) compared to a matched group of girls who are typically developing (TD). Method Participants were 37 girls between 7;5 and 15;2 (years;months)—18 HF-ASD and 19 TD. Children completed the Test of Pragmatic Language–Second Edition (TOPL-2) and Clinical Evaluation of Language Fundamentals–Fifth Edition. Parents completed the Children's Communication Checklist–2 United States Edition (CCC-2) and Receptive and Expressive Communication subdomains of the Vineland Adaptive Behavior Scales–Second Edition. Results In the area of social communication, girls with HF-ASD earned significantly lower scores and were more often classified as having an impairment on the TOPL-2 and the CCC-2. However, 28% and 33% earned average scores on the TOPL-2 and the CCC-2, respectively. In the area of structural language, no significant differences were found between groups on Clinical Evaluation of Language Fundamentals–Fifth Edition indexes. In contrast, girls with HF-ASD earned significantly lower scores and were more often classified as having an impairment on the Vineland Adaptive Behavior Scales–Second Edition. Sixty-one percent and 83% scored below average on the Receptive and Expressive Communication subdomains, respectively. Conclusions It has been argued that girls with HF-ASD, when compared to boys with HF-ASD, may have advantages for social communication and structural language that mask their impairments. However, when compared to girls who are TD, girls with HF-ASD demonstrated impaired social communication and structural language. Clinicians should include and carefully examine multiple sources of information when assessing girls with HF-ASD.

Download Full-text

Developing an Effective Framework for the Augmentative and Alternative Communication Evaluation Process

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac23.2.91 ◽

2014 ◽

Vol 23 (2) ◽

pp. 91-98 ◽

Cited By ~ 1

Author(s):

Celeste R. Helling ◽

Jamila Minga

Keyword(s):

Augmentative And Alternative Communication ◽

Evaluation Process ◽

Assessment Process ◽

Diagnostic Tools ◽

Alternative Communication ◽

Complex Communication Needs ◽

Expressive Communication ◽

Communication Evaluation ◽

Communication Needs

A comprehensive augmentative and alternative communication (AAC) evaluation is critical to providing a viable means of expressive communication for nonverbal people with complex communication needs. Although a number of diagnostic tools are available to assist AAC practitioners with the assessment process, there is a need to tailor the evaluation process to the specific communication needs of the AAC user. The purpose of this paper is to provide a basis for developing an effective and clinically driven framework for approaching a user-tailored AAC evaluation process.

Download Full-text

A Review of 21 iPad Applications for Augmentative and Alternative Communication Purposes

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac21.2.60 ◽

2012 ◽

Vol 21 (2) ◽

pp. 60-71 ◽

Cited By ~ 24

Author(s):

Ashley Alliano ◽

Kimberly Herriger ◽

Anthony D. Koutsoftas ◽

Theresa E. Bartolotta

Keyword(s):

Augmentative And Alternative Communication ◽

Cost Effective ◽

Alternative Form ◽

Alternative Communication ◽

Text To Speech ◽

Reference Guide ◽

Expressive Communication ◽

Communication Needs ◽

User Friendly ◽

Ipad Applications

Abstract Using the iPad tablet for Augmentative and Alternative Communication (AAC) purposes can facilitate many communicative needs, is cost-effective, and is socially acceptable. Many individuals with communication difficulties can use iPad applications (apps) to augment communication, provide an alternative form of communication, or target receptive and expressive language goals. In this paper, we will review a collection of iPad apps that can be used to address a variety of receptive and expressive communication needs. Based on recommendations from Gosnell, Costello, and Shane (2011), we describe the features of 21 apps that can serve as a reference guide for speech-language pathologists. We systematically identified 21 apps that use symbols only, symbols and text-to-speech, and text-to-speech only. We provide descriptions of the purpose of each app, along with the following feature descriptions: speech settings, representation, display, feedback features, rate enhancement, access, motor competencies, and cost. In this review, we describe these apps and how individuals with complex communication needs can use them for a variety of communication purposes and to target a variety of treatment goals. We present information in a user-friendly table format that clinicians can use as a reference guide.

Download Full-text