A home-based intervention using augmentative and alternative communication (AAC) techniques in rural Kenya: what are the caregivers’ experiences?

Background Caring for a child with complex communication needs associated with a developmental condition frequently adds stress to the caregiver. Furthermore, professional assistance is scarce in low-income rural settings. For such children speech is frequently unachievable. Augmentative and alternative communication provides options for supplementing or replacing speech with other techniques. The current study aimed to examine the experiences of caregivers in Kenya before and after a home-based intervention using augmentative and alternative communication techniques with children with complex communication needs. Methods Caregivers were interviewed pre- and post-intervention. The interviews were digitally recorded, transcribed and translated into English. Content analysis was applied through the stages of text familiarization and topic organization. Emergent themes and their sub-themes were identified and labelled. Connections between themes were established and interpretations made. The procedure was completed by a second researcher independently. Conflicting ideas were jointly discussed until consensus was achieved. Results Four themes emerged from the data: communication process; struggle; normality; and supernatural power. Before intervention, the caregivers acknowledged their expertise in communications with the child, while also revealing their sense of isolation, burden and pain. Normality was present as a source of comparison and also an aspirational goal. Post-intervention more positive language was used to describe the child. There was an ‘opening up’ of communication that recognized the child’s strengths and some social support systems were re-established. The power of the supernatural was recognized before and after intervention. Conclusion Caring of a child with complex communication needs presents many challenges. A home-based intervention using augmentative and alternative communication techniques appears to have been a catalyst for some positive transformations in the caregivers’ experiences, although it is not possible to attribute this change to any one aspect. The potentials of the home-based intervention would benefit from further investigation on a larger scale

Hippotherapy and Therapeutic Riding: Practicing Social Workers and Undergraduate Social Work Students

This study attempted to explore, through the use of surveys, what practicing social workers and undergraduate student social workers know about hippotherapy and therapuetic riding. In addition, this study made an effort to examine what the key means of learning participants had when it came to these alternative methods of therapy. The hypothesis that undergraduate social work students would collectively not be familiar with hippotherapy or therapuetic riding and that practicing social workers would have a better knowledge base in this area, was tested through the use of surveys. These surveys were distributed in a handful of undergraduate social work classes and among a convenience sample of social work agencies in the providence area. A total number of 21 surveys were collected and analyzed using the computer program Statistical Package for the Social Sciences (SPSS). Using percentages that were found by creating frequency tables, it was determined that 44.4% of undergraduate social work students had heard of these alternative therapies compared to 41.7% of professional social workers. These findings were not consistent with the predictions. What was consistent with the study’s predictions was that practicing social workers and undergraduate social work students indicated their community to be their primary means of learning about hippotherapy and therapuetic riding

A single case study of a family-centred intervention with a young girl with cerebral palsy who is a multimodal communicator

Background - This paper describes the impact of a family-centred intervention that used video to enhance communication in a young girl with cerebral palsy. This single case study describes how the video-based intervention worked in the context of multimodal communication, which included high-tech augmentative and alternative communication (AAC) device use. This paper includes the family's perspective of the video intervention and they describe the impact of it on their family. Methods - This single case study was based on the premise that the video interaction guidance intervention would increase attentiveness between participants during communication. It tests a hypothesis that eye gaze is a fundamental prerequisite for all communicative initiatives, regardless of modality in the child. Multimodality is described as the range of communicative behaviours used by the child and these are coded as AAC communication, vocalizations (intelligible and unintelligible), sign communication, nodding and pointing. Change was analysed over time with multiple testing both pre and post intervention. Data were analysed within INTERACT, a computer software to analyse behaviourally observed data. Behaviours were analysed for frequency and duration, contingency and co-occurrence. Results - Results indicated increased duration of mother's and girl's eye gaze, increased frequency and duration in AAC communication by the girl and significant change in frequency [χ2 (5, n = 1) = 13.25, P < 0.05] and duration [χ2 (5, n = 1) = 12.57, P < 0.05] of the girl's multimodal communicative behaviours. Contingency and co-occurrence analysis indicated that mother's eye gaze followed by AAC communication was the most prominent change between the pre- and post-intervention assessments. Conclusions - There was a trend for increased eye gaze in both mum and girl and AAC communication in the girl following the video intervention. The family's perspective concurs with the results

Harnessing AI for Speech Reconstruction using Multi-view Silent Video Feed

Speechreading or lipreading is the technique of understanding and getting phonetic features from a speaker's visual features such as movement of lips, face, teeth and tongue. It has a wide range of multimedia applications such as in surveillance, Internet telephony, and as an aid to a person with hearing impairments. However, most of the work in speechreading has been limited to text generation from silent videos. Recently, research has started venturing into generating (audio) speech from silent video sequences but there have been no developments thus far in dealing with divergent views and poses of a speaker. Thus although, we have multiple camera feeds for the speech of a user, but we have failed in using these multiple video feeds for dealing with the different poses. To this end, this paper presents the world's first ever multi-view speech reading and reconstruction system. This work encompasses the boundaries of multimedia research by putting forth a model which leverages silent video feeds from multiple cameras recording the same subject to generate intelligent speech for a speaker. Initial results confirm the usefulness of exploiting multiple camera views in building an efficient speech reading and reconstruction system. It further shows the optimal placement of cameras which would lead to the maximum intelligibility of speech. Next, it lays out various innovative applications for the proposed system focusing on its potential prodigious impact in not just security arena but in many other multimedia analytics problems.Comment: 2018 ACM Multimedia Conference (MM '18), October 22--26, 2018, Seoul, Republic of Kore

Assistive Technology, Accommodations, and the Americans with Disabilities Act

This brochure on Assistive Technology, Accommodations, and the Americans with Disabilities Act (ADA) is one of a series on human resources practices and workplace accommodations for persons with disabilities edited by Susanne M. Bruyère, Ph.D., CRC, SPHR, Director, Program on Employment and Disability, School of Industrial and Labor Relations - Extension Division, Cornell University. Cornell University was funded in the early 1990’s by the U.S. Department of Education National Institute on Disability and Rehabilitation Research as a National Materials Development Project on the employment provisions (Title I) of the ADA (Grant #H133D10155). These updates, and the development of new brochures, have been funded by Cornell’s Program on Employment and Disability and the Pacific Disability and Business Technical Assistance Center

Use of an agile bridge in the development of assistive technology

Engaging with end users in the development of assistive technologies remains one of the major challenges for researchers and developers in the field of accessibility and HCI. Developing usable software systems for people with complex disabilities is problematic, software developers are wary of using user-centred design, one of the main methods by which usability can be improved, due to concerns about how best to work with adults with complex disabilities, in particular Severe Speech and Physical Impairments (SSPI) and how to involve them in research. This paper reports on how the adoption of an adapted agile approach involving the incorporation of a user advocate on the research team helped in meeting this challenge in one software project and offers suggestions for how this could be used by other development teams