Do augmentative and alternative communication interventions really make a difference?: the challenges of efficacy research

1999 ◽  
Vol 15 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Janice Light
2008 ◽  
Vol 17 (2) ◽  
pp. 43-49 ◽  
Author(s):  
Marc Fey

Abstract In this article, I propose that, for several reasons, grammar should be an early focus of communication interventions for young children using augmentative and alternative communication (AAC) systems. The basic goals for such programs should be to facilitate the child's comprehension of the language of the community, or the target language, thus leading the way to literacy, and to foster the child's use of symbol combinations that mirror the grammatical patterns of speaking children acquiring the target language, even if they cannot be fully grammatically complete. I introduce five principles that underlie most successful approaches to grammar interventions with children with specific language impairment. My initial attempts to apply these principles to interventions with children with complex communication needs indicate that they may be of considerable value to clinicians planning intervention programs. On the other hand, the challenges posed by the intellectual and physical limitations of many AAC users and their communication systems make it necessary to modify at least Principle 5 if the basic goals of intervention are to be met.


2004 ◽  
Vol 13 (1) ◽  
pp. 5-19 ◽  
Author(s):  
Karen D. Bopp ◽  
Kenneth E. Brown ◽  
Pat Mirenda

Positive behavior support interventions such as functional communication training (FCT) and visual schedules are increasingly being used with individuals with autism and other severe developmental disabilities who engage in problem behavior and use augmentative and alternative communication (AAC). The increasing use of these communication interventions has implications for speech-language pathologists who provide support to these individuals. The purpose of this tutorial is to summarize the research regarding the use of FCT/AAC interventions and visual schedules, and to provide suggestions for the roles that speech-language pathologists can play with regard to assessment, intervention design, and implementation in school and home settings.


Author(s):  
Argia Langarika-Rocafort ◽  
Nahia Idoiaga Mondragon ◽  
Gorka Roman Etxebarrieta

Purpose The purpose of this systematic review was to identify, appraise, and critically synthesize the latest available evidence on the effects of augmentative and alternative communication (AAC)-based interventions on communication skills in children aged between 6 and 10 years with mixed diagnoses. Method MEDLINE (OVID), PsycINFO (EBSCO), ERIC (ProQuest), SCIELO (WOS), Teacher Reference Center (EBSCO), and Education Database (ProQuest) were searched. The studies were independently selected by two reviewers for the purposes of the review. The methodological quality of the included studies was assessed, and characteristics and results of the studies were extracted. Results This review included 14 studies from a total of 1,204 found through an electronic search. The AAC interventions studied were effective at improving various outcomes in children with mixed diagnoses. Interventions that focused on narrative skills were the most common type. When considering the quality of the studies, the independence of assessors, data analysis, replication, and generalization of interventions were the weaker areas. Conclusions Interventions analyzed in this review improve communication skills, including phonological awareness, vocabulary, requesting, and developing narrative skills in children aged between 6 and 10 years with mixed diagnoses. The results of one study also indicate that the acquisition of skills using an AAC method is superior when the child prefers the method. Supplemental Material https://doi.org/10.23641/asha.14462256


2018 ◽  
Vol 10 (2) ◽  
pp. 28
Author(s):  
Narcisa Delia Valentina CHIRVASIU ◽  
Elena SIMION-BLÂNDĂ

Frequently, a child with severe deficiencies is at an early stage of communication development, which symbolizes a disadvantage in comparison to his chronological age. Although the child may display a certain repertoire of incipient communication behavior due to his motor, sensory, cognitive, or another type of deficiency, it is possible that adults may not be able or may not know to respond to these types of behavior. Furthermore, when adults try to answer, it can happen that the child can not understand their signals. As a result, the child is not able to acquire the necessary understanding in order to make the cognitive progress from unintentional communication to an intended one. In the individual therapy sessions, where the parent will participate, the augmentative and alternative communication specialist will implement the individual intervention program in order to develop the child's language functions and the transition to the intentional, symbolic communication in order to achieve a recovery or a compensation of the language function. In Augmentative and Alternative Communication interventions, subjects will be encouraged to use various methods and means in different situations and with different comunication parteners. The Augmentative and Alternative Communication system represents the opportunity for people with a delay in language development to aquire a certain level of indepence, contributing to greater social participation by these people.


2019 ◽  
Vol 4 (6) ◽  
pp. 1482-1488
Author(s):  
Jennifer J. Thistle

Purpose Previous research with children with and without disabilities has demonstrated that visual–perceptual factors can influence the speech of locating a target on an array. Adults without disabilities often facilitate the learning and use of a child's augmentative and alternative communication system. The current research examined how the presence of symbol background color influenced the speed with which adults without disabilities located target line drawings in 2 studies. Method Both studies used a between-subjects design. In the 1st study, 30 adults (ages 18–29 years) located targets in a 16-symbol array. In the 2nd study, 30 adults (ages 18–34 years) located targets in a 60-symbol array. There were 3 conditions in each study: symbol background color, symbol background white with a black border, and symbol background white with a color border. Results In the 1st study, reaction times across groups were not significantly different. In the 2nd study, participants in the symbol background color condition were significantly faster than participants in the other conditions, and participants in the symbol background white with black border were significantly slower than participants in the other conditions. Conclusion Communication partners may benefit from the presence of background color, especially when supporting children using displays with many symbols.


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