Measures for Comparing an Augmentative and Alternative Communication Application for Use within a Kindergarten Curriculum

The purpose of this study was to measure the influence of augmentative and alternative communication (AAC) with symbol-supported communication applications (apps) on stimulating kindergarten students to increase expressive language in the general education setting in an elementary school located in Washington, DC. The study sample size was 31 students. The research aimed to identify these tools as an effective strategy to assist kindergarten students in using more verbal language, thereby lowering the risk of communication frustration and increasing the expression of learned knowledge. Language data usage was collected by viewing speech acts as operators in a planning system, then integrating speech acts into plans by comparing the independent variable of the use of the symbol-supported communication app to the dependent variables of knowledge of words and word combinations, knowledge of grammar, supralinguistics (inferencing), pragmatics, and practical use without exposure to the AAC device with a dynamic display and symbolic symbols. The Comprehensive Assessment of Spoken Language tool measured expressive language growth. A quantitative quasi-experimental, pretest-posttest, nonequivalent comparison group design and a multivariate analysis of covariance using the pretests as the covariates measured the outcome. There was a statistically significant difference in the growth of posttest scores in the areas of knowledge of words and word combinations and knowledge of grammar. However, the students’ performance in the areas of supralinguistics and pragmatics did not experience any measurable growth. Future research should continue to validate and build upon the results of this investigation

Speech-Language Pathologists\u27 Practices and Attitudes Toward App Use in Therapy

Numerous national surveys have established that Americans of all ages are using mobile technologies (e.g. cell phones, smartphones, and tablets) more than ever before (Pew Research Center, 2018; American Academy of Pediatrics, 2016a; American Academy of Pediatrics, 2016b; Reid-Chassiakos et al., 2016; Tsetsi & Rains, 2016; Kabali et al., 2015). In the same vein, Morris, Jones, and Sweatman (2016) found that Americans with visual, hearing, motor, learning, and speech disabilities area also engaging with apps on smartphone and tablet technologies for vocational, educational, and social purposes. Developers of the iOS and Android operating systems have prioritized user-friendly design and accessibility features to improve access of mobile technologies to the greatest number of users (“Android Accessibility Help,” 2017; Apple, 2017). Rehabilitation professionals are interested in changing or modifying behaviors to help their clients meet therapy goals and access high quality of life outcomes. Multiple resources have supported that people form new behaviors and habits related to use of their smartphones (Peters, 2009; Wood & Neal, 2008; Oulasvirta, Rattenbury, Ma, & Raita, 2012); therefore, smartphone apps could possibly assist rehabilitation professionals when providing treatment to people with disabilities. Other survey-based studies of Occupational Therapists (OTs) (Kyaio, 2015) and Speech-Language Pathologists (SLPs) (Zajc, Istenic-Starcic, Lebenicnik, & Gacnik, 2018) have confirmed that app-based interventions and therapy tools have already infiltrated the field of rehabilitation (Peters, 2009; Wood & Neal, 2008; Oulasvirta et al., 2012), despite the lack of evidence establishing the efficacy of many app-based interventions (Newmann, 2017; Papadakis, Kalogiannakis, & Zaranis, 2017b; Schoen-Simmons, Paul, & Shic, 2016; Erickson, 2015; Stone-MacDonald, 2014). Collectively, these studies highlight the urgency of integrating evidence-based practice (EBP) into an SLP’s service delivery decisions related to app use, especially now that apps and mobile technologies are being developed and available for purchase by the public at unprecedented rates. The purpose of this study was to survey practicing, certified SLPs in the U.S.A. to examine current attitudes and opinions toward the use of apps for purposes related to speech-language therapy. This survey was conducted utilizing the Qualtrics survey platform to maximize data security, access data, and perform data analysis. The web-based survey consisted of 48 questions which were designed to (1) examine common trends in demographic features of SLPs who use apps in therapy, (2) examine the purposes for which apps were used and which skills SLPs targeted when using apps in therapy, (3) examine the variety of barriers which SLPs may face when using apps or mobile technologies in therapy, and (4) examine the factors which SLPs consider when purchasing apps. There were 228 SLPs who participated in the study. All had their certificate of clinical competence (CCC-SLP) or were currently in their clinical fellowship year (CFY-SLP) and practiced in the United States of America. Results of the study indicate that therapists of varying demographic features who see patients across pediatric and adult settings are using apps to target therapy goals. Clinical implications and directions for future research are discussed

The Intersection of Speech-Language Pathologists’ Beliefs, Perceptions, and Practices and the Language Acquisition and Development of Emerging Aided Communicators

This dissertation discusses the convergence of aided augmentative and alternative communication (AAC) systems, the language acquisition and development of young children who are minimally verbal or nonverbal who acquire their native language while simultaneously learning to use an aided AAC system, and explicit and implicit elements that influence language outcomes. Factors investigated include those related to language acquisition universals, the AAC system, the young aided AAC user, and practices, philosophies, and beliefs of speech-language pathologists (SLPs). Further examined were: (a) language acquisition parallels in atypical populations who do not possess the full range of senses who have been shown to develop language, and (b) analogies between the linguistic structures of pidgins, interlanguages, and the syntax of young aided AAC users. This dissertation employed a survey methodology to capture the practices and beliefs of SLPs as a means of identifying potential contributing factors to the reduced linguistic outcomes of these children. Quantitative findings revealed statistically significant differences in SLPs’ perceptions of confidence and qualification with the two populations of children with language impairments who use an oral modality and young aided AAC users. Descriptive trends across all constructs measured suggested differences in SLPs’ practices, belifes, and perspectives in their work with these two populations. The analysis of the syntactic structures of the language of young aided AAC users revealed definitive parallels with the construct of interlanguages

A Formative Evaluation Of Augmentative And Alternative Communication Approaches To Promote Literacy In Young Children With Severe Speech And Physical Impairments

This thesis describes an educational intervention with three children with severe speech and physical impairments. The intervention focused on storybook reading experiences for early literacy development through the use of Augmentative and Alternative Communication technologies and methods. The review of literature focused on the main aspects relating to children with SSPI, and in particular on the difficulties they experience in developing emergent literacy skills. This review suggests the hypothesis that the use of AAC Techniques in storytelling achievement can provide emergent literacy experiences, which can promote the development of literacy in children with SSPI. In particular the study set out to enquire whether AAC techniques can be used to enhance participation with SSPI in storytelling activities, and whether such activities improve a pupil’s opportunities to become emergent readers. A six-month intervention was designed which included strategies proposed for increasing the children’s participation during storybook reading sessions, like repeated readings of the same story, abundant use of graphic symbols and access to AAC techniques. Qualitative data were gathered from the professionals at the Centre, and from the mothers. Storybook reading sessions with the teacher at school and with the mothers or significant other at home were videotaped, at the beginning and at the end of the intervention. Quantitative data were collected by videotape analysis. Communicative acts of children and adults were divided into communication categories, and their meaning was discussed as to form, use and content. One of the main conclusions of the study was that the use of stories promoting communication and language learning in storybook reading sessions can develop literacy skills if carried out in conjunction with AAC techniques, including graphic symbols and the technology to generate them. A second conclusion is that there is no automatic transfer of the improvement of communicative skills in the classroom to the interaction with the mothers

Preliminary Study of Validating Vocabulary Selection and Organization of A Manual Communication Board in Malay.

An integral component of a language-based augmentative and alternative communication (AAC) system is providing vocabulary typical of fluent native language speakers. In the absence of reliable and valid research on Malay vocabulary for AAC, this descriptive study explored the validation process of vocabulary selection and organization for a 144-location manual communication board. An hour of aided language samples (talking while pointing to a prototype display) followed by self-administered surveys were gathered from four typical native Malay speakers (n=4), aged between 22 to 36 years at the University of Pittsburgh. Vocabulary frequency analysis, word commonality, and overall perceptions and feedback on the prototype display were compiled and analyzed. A total of 1112 word tokens and 454 word types were analyzed to support preliminary validation of the selected vocabulary and word organization of the prototype. Approximately 40% of the words on the display were used during the interview and the top 20 words were reported. Findings also suggest the importance of morphology and syntax considerations at early design stages. The positive overall perception of the display including vocabulary selection, the cultural and ethnicity appropriateness, and suggestions for system improvement were confirmed by the usability survey. Minimal rearrangement of the icon display needs to be performed to improve the usability of the system. Thus, the study findings support the early Malay manual communication board for AAC intervention. However, the limitation of the sample size and additional research is required to support a final display that optimizes vocabulary and morphosyntactic organization of a manual communication board in Malay

Conflict Resolution Behaviors and the Affect of Identity Standards and Empowerment Needs on Individuals Using External Augmentative and Alternative Communication Devices

Individuals with communication impairments (CI) are at a distinct disadvantage when attempting to interact through more traditional conversational means. Although their intentions may be similar to peers, physical limitations make verbal articulation of thoughts and feelings a more laborious undertaking. For some, the use of external augmentative and alternative communication (AAC) has offered an otherwise unavailable communicative opportunity. However, this type of communication requires more of the non-AAC using conversation partner and, unlike traditional forms of communication, may increase the likelihood of miscommunication. Although there is agreement as to the importance of understanding the experience of individuals using external AAC, there is limited research in the area of miscommunication, conflict, and conflict resolution. This phenomenological study explored the experiences of six individuals who use external AAC devices. The purpose of this study was to address the following research questions:1) What are the conflict behaviors, beliefs, values, or thoughts of individuals using external AAC devices? 2) Does miscommunication between AAC and non-AAC users contribute to conflict? 3) Do identity standards and empowerment needs contribute to the development of conflict? and 4) For those using external AAC devices, what is the impact of, and what do successful resolutions mean? This study finds similarities in the interpersonal conflict experience of external AAC users and non-users. However there were differences in their experience with larger societal-level conflict. Understanding these areas of similarity and difference is beneficial to anyone who endeavors to support the interpersonal and societal level conflict resolution of this unique population

Perspectives of Augmentative-Alternative Communication Users Regarding Their Experiences and Perceived Barriers to Engagement in Higher Education

This research investigated the higher education experience of students who communicate via augmentative-alternative communication (AAC) due to having severe speech impairments. Research questions addressed how the students interact with others in the higher education setting, and the presence and nature of any barriers to full participation in academic and nonacademic activities. Using a qualitative case study design, data obtained from personal interviews and questionnaires were analyzed and interpreted based on the theoretical perspectives of critical disability theory and Astin’s model of student involvement. Key themes included issues with communication; challenges associated with disability; and policy and practice, specifically the role and nature of disability services in student success. Findings were further interpreted relative to implications for higher education leadership, specifically policy and practices related to students with disabilities

AAC Device Use in School-Aged Special Education Students

This investigation analyzes how often AAC users typically utilize their devices throughout their day in their school setting. A survey method was implemented where elementary school educators were asked to report on their special education students use of their device during their school day. To identify special education educators\u27 perceptions regarding the use of AAC devices in the public-school system, special education educators in the public-school system were contacted via email to conduct a survey in regard to current practice in their school setting regarding AAC use. A letter of consent was obtained from the University of Texas Rio Grande Valley (UTRGV) Communication and Sciences Disorders program to access email from special education educators. Competency is a vital key in providing effective service delivery. A majority of participants indicated that they felt moderately competent in supporting learners who use communication devices (47.83% n=11), followed by 26.09% (n=6) of participants who said they feel slightly competent in supporting learners who use communication devices. A return rate of 5% which is a glimpse of what is taking place in the world of AAC and AAC educators. Many special education educators have tried AAC but don\u27t follow through with it because there\u27s a lack of education/training and a lack of support from administration, teachers, and parents. A high percentage of participants (39.13%) indicated that the device was very useful in allowing the student to socialize with peers