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Augmentative Alternative Communication

Elena Dukhovny, YanYan Zhou
Increasing speed and accuracy of communication via a speech-generating device (SGD) is an important clinical goal in augmentative and alternative communication (AAC). The current study, conducted with adults without disabilities using a within-subject experimental design, compared the effects of two different SGD trainings on speed and accuracy of locating words via an SGD interface. During size-centered training, participants were introduced to six large icons that completely filled an SGD screen. During location-centered training, participants were introduced to six small icons on a 40-location screen where other icons were hidden...
October 20, 2016: Augmentative and Alternative Communication: AAC
Mareike Kroll, Revati Phalkey, Sayani Dutta, Sharvari Shukla, Carsten Butsch, Erach Bharucha, Frauke Kraas
BACKGROUND: Despite the rising impact of non-communicable diseases (NCDs) on public health in India, lack of quality data and routine surveillance hampers the planning process for NCD prevention and control. Current surveillance programs focus largely on communicable diseases and do not adequately include the private healthcare sector as a major source of care in cities. OBJECTIVE: The objective of the study was to conceptualize, implement, and evaluate a prototype for an urban NCD sentinel surveillance system among private healthcare practitioners providing primary care in Pune, India...
2016: Global Health Action
S Ten Hoorn, P W Elbers, A R Girbes, P R Tuinman
BACKGROUND: Ventilator-dependent patients in the ICU often experience difficulties with one of the most basic human functions, namely communication, due to intubation. Although various assistive communication tools exist, these are infrequently used in ICU patients. We summarized the current evidence on communication methods with mechanically ventilated patients in the ICU. Secondly, we developed an algorithm for communication with these patients based on current evidence. METHODS: We performed a systematic review...
October 19, 2016: Critical Care: the Official Journal of the Critical Care Forum
Ensa Johnson, Juan Bornman, Kerstin M Tönsing
Children with significant communication difficulties who experience pain need appropriate means to communicate their pain in order to receive appropriate treatment. Augmentative and alternative communication (AAC) strategies could be used to enable children to self-report pain. The aim of this research study was to identify the common vocabulary children with typical development use to describe physical pain experiences and develop and socially validate an appropriate pain-related vocabulary list for children who use or could benefit from using AAC...
October 7, 2016: Augmentative and Alternative Communication: AAC
Teresa Iacono, David Trembath, Shane Erickson
BACKGROUND: Augmentative and alternative communication (AAC) interventions are used for children with autism, often as stand-alone communication interventions for those who are minimally verbal. Our aim was to synthesize the evidence for AAC interventions for children (up to 21 years), and then consider the role of AAC within established, comprehensive, evidence-based autism interventions targeting learning across multiple developmental domains. DESIGN: We completed a systematic search of three databases (OVID Medline, PsycINFO, ERIC) as well as forward citation and hand searches to identify systematic reviews of AAC intervention efficacy research including children with autism, published between 2000 and March 2016 in peer-reviewed journals...
2016: Neuropsychiatric Disease and Treatment
Joe Reichle, Kathryn Drager, Jessica Caron, Quannah Parker-McGowan
This article examines the growth of aided augmentative and alternative communication (AAC) in providing support to children and youth with significant communication needs. Addressing current trends and offering a discussion of needs and probable future advances is framed around five guiding principles initially introduced by Williams, Krezman, and McNaughton. These include: (1) communication is a basic right and the use of AAC, especially at a young age, can help individuals realize their communicative potential; (2) AAC, like traditional communication, requires it to be fluid with the ability to adapt to different environments and needs; (3) AAC must be individualized and appropriate for each user; (4) AAC must support full participation in society across all ages and interests; and (5) individuals who use AAC have the right to be involved in all aspects of research, development, and intervention...
November 2016: Seminars in Speech and Language
Jessica Caron
BACKGROUND: Communicative interactions, despite the mode (e.g., face-to-face, online) rely on the communication skills of each individual participating. Some individuals have significant speech and language impairments and require the use of augmentative and alternative communication (AAC) (i.e., signs, speech generating devices) to maximize their communication participation across a variety of on and offline contexts. Use of social media has brought about changes to communication environments, contributing new contexts for engagement...
September 27, 2016: NeuroRehabilitation
Kathy Thiemann-Bourque, Nancy Brady, Sara McGuff, Keenan Stump, Amy Naylor
Purpose: This study was conducted to investigate the effectiveness of a social intervention that integrates peer-mediated approaches and the Picture Exchange Communication System (PECS). Method: Effects were evaluated using a series of A-B designs replicated across 4 children with severe autism and limited verbal skills. Seven peers without disabilities were trained to use PECS and facilitative social skills. Measures of changes included rates of communication behaviors, modes, functions, and engagement...
September 27, 2016: Journal of Speech, Language, and Hearing Research: JSLHR
Perrine Séguin, Annie Moulin, Lesly Fornoni, Jérémie Mattout, Emmanuel Maby, Brice Lapin, Véronique Blandin, Pascal Giraux
OBJECTIVE: Brainstem lesions can cause a locked-in syndrome (LIS). At the initial state, the LIS can be complete (CLIS), without any possibility for the patient to communicate. The main issues are to do the right diagnosis and the recovery of a communication. The delay to the diagnosis of LIS is of about 78 days after the initial injury (León-Carrión, 2002). The aim of this study is to identify possibilities to improve the care of persons with LIS at the initial state. MATERIAL/PATIENTS AND METHODS: An original questionnaire of 33 items, concerning patient's feelings and communication possibilities at the initial state of LIS, was sent to the 274 LIS members of the French association of LIS (ALIS) in November, 2015...
September 2016: Annals of Physical and Rehabilitation Medicine
Theresa H Brunner, Kristyn DiFortuna Kristyn DiFortuna, Michael LeTang Michael LeTang, Jane Murphy, Kara Stemplewicz, Magda Kovacs Magda Kovacs, Antonio P P DeRosa, Donna S Gibson, Pamela K Ginex
For patients with head and neck cancer, altered communication is a frequently occurring and highly upsetting issue that has been associated with psychological distress, fear, and anger among those with temporary or permanent speech impairment postsurgery. Many postoperative patients express that the most terrifying situation is to wake up from surgery and not be able to speak. Mobile devices have become part of everyday life, and augmentative and alternative communication mobile applications have the potential to enhance the healthcare journey of the patient and provider...
October 1, 2016: Clinical Journal of Oncology Nursing
Niklas Norén, Maja Sigurd Pilesjö
Asking a question can be a highly challenging task for a person with multiple disabilities, but questions have not received much attention in research on augmentative and alternative communication (AAC). Conversation analysis is employed to examine an instance of multiparty interaction where a speech and language therapist supports a child with multiple disabilities to ask a question with a communication board. The question is accomplished through a practice where the action is built as a trajectory of interactional steps...
September 9, 2016: Clinical Linguistics & Phonetics
Shakila Dada, Tenille Horn, Alecia Samuels, Ralf W Schlosser
This study examined the attitudes of children with typical development towards an unfamiliar peer with complex communication needs using augmentative and alternative communication (AAC) systems. Specifically, the study aimed to compare attitudes when the peer used mobile technology (i.e., iPad(©) (1) ) with an AAC-specific application (Proloquo2Go™ (2) ) versus a low-technology communication board. A within-group crossover design was utilized involving 78 children. Half of the participants (i.e., Group 1) viewed Video 1 of an unfamiliar peer with complex communication needs in a scripted communication interaction using an iPad with Proloquo2Go followed by Video 2 of the same interaction using a communication board...
August 25, 2016: Augmentative and Alternative Communication: AAC
Ji Young Na, Krista Wilkinson, Meredith Karny, Sarah Blackstone, Cynthia Stifter
PURPOSE: Emotional competence refers to the ability to identify, respond to, and manage one's own and others' emotions. Emotional competence is critical to many functional outcomes, including making and maintaining friends, academic success, and community integration. There appears to be a link between the development of language and the development of emotional competence in children who use speech. Little information is available about these issues in children who rely on augmentative and alternative communication (AAC)...
August 1, 2016: American Journal of Speech-language Pathology
Karen A Erickson, Lori A Geist
Understanding the characteristics of students with complex communication needs and significant cognitive disabilities is an important first step toward creating the kinds of supports and services required to help them successfully access the general education curriculum, achieve grade-level standards, and improve overall communication competence. The First Contact Survey was designed to collect important information about students with significant cognitive disabilities who were eligible to take the Dynamic Learning Maps™ (DLM(®)) alternate assessment based on alternate achievement standards...
September 2016: Augmentative and Alternative Communication: AAC
Cindy Gevarter, Mark F O'Reilly, Michelle Kuhn, Laci Watkins, Raechal Ferguson, Nicolette Sammarco, Laura Rojeski, Jeff Sigafoos
Five children with autism spectrum disorder were taught to request preferred items using four different augmentative and alternative communication (AAC) displays on an iPad(®)-based speech-generating device. Acquisition was compared using multielement designs. Displays included a symbol-based grid, a photo image with embedded hotspots, a hybrid (photo image with embedded hotspots and symbols), and a pop-up symbol grid. Three participants mastered requesting items from a field of four with at least three displays, and one mastered requesting items in a field-of-two...
July 22, 2016: Assistive Technology: the Official Journal of RESNA
Hyun W Ka, Richard C Simpson
PURPOSE: To evaluate the performance of the circling interface, which is an alternative interaction method for selecting and manipulating on-screen objects based on circling the target, rather than pointing and clicking. METHOD: We conducted empirical evaluations with actual head-mounted mouse emulator users from two different groups: individuals with spinal cord injury (SCI) and individuals with cerebral palsy (CP), comparing each group's performance and satisfaction level on pointing tasks with the circling interface to performance on the same tasks when using dwell-clicking software...
June 13, 2016: Disability and Rehabilitation. Assistive Technology
Kimberly M Espinoza, Lisa J Heaton
People with special health care needs (PSHCN) often have difficulty communicating with providers in health care settings, including dental practices. This difficulty can affect access to care as well as the quality of care received. This article provides practical tips and tools dental professionals can use to facilitate communication for a diverse population of PSHCNs. The article discusses communication needs of patients with communication disorders; augmentative and alternative communication; and communication for patients with intellectual disability, psychiatric conditions; and dental fears...
July 2016: Dental Clinics of North America
P Trevisi, A Ciorba, C Aimoni, R Bovo, A Martini
The aim of this paper is to assess the long-term audiological features and outcomes of hearing rehabilitation in a large group of individuals with CHARGE Syndrome. The study has been conducted retrospectively, on a paediatric patient database, at the Audiology Department of the University Hospitals of Ferrara and Padua. The study sample included 31 children presenting with different degrees of hearing impairment associated with CHARGE syndrome. Hearing was assessed using auditory brainstem responses (ABRs) and/or electrocochleography, or conditioned audiometry (visual reinforcement audiometry [VRA] or play audiometry)...
June 2016: Acta Otorhinolaryngologica Italica
Steven Bloch, Jyrki Tuomainen
BACKGROUND: The Dysarthria-in-Interaction Profile's potential contribution to the clinical assessment of dysarthria-in-conversation has been outlined in the literature, but its consistency of use across different users has yet to be reported. AIMS: To establish the level of consistency across raters on four different interaction categories. That is, how reliable clinicians are when rating a series of videos. A secondary aim was to investigate the relationship between raters' estimates of dysarthric speech intelligibility and their rating of each dyad's overall interaction...
May 17, 2016: International Journal of Language & Communication Disorders
Betts Peters, Aimee Mooney, Barry Oken, Melanie Fried-Oken
Brain-computer interface (BCI) researchers have shown increasing interest in soliciting user experience (UX) feedback, but the severe speech and physical impairments (SSPI) of potential users create barriers to effective implementation with existing feedback instruments. This article describes augmentative and alternative communication (AAC)-based techniques for obtaining feedback from this population, and presents results from administration of a modified questionnaire to 12 individuals with SSPI after trials with a BCI spelling system...
January 1, 2016: Brain Computer Interfaces
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