week 3 Flashcards

disabilities

1
Q

When does AAC come into the picture?

A
  • Delay in speech development 

  • Communication behaviours are difficult to interpret 

  • Child is at risk of learned helplessness 

  • Person needs more decipherable communication 

  • Quality and quantity of participation in activities/routines is reduced due to an individual’s communication impairment 

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2
Q

What is a developmental disability?

A
  • Permanent cognitive and or physical impairment 

  • Usually occurs in early years of life but can occur anytime 
before 18 years 

  • Results in reduced capacity in multiple major life activities 
– Communication – Learning
– Decision making – Mobility 
– Independent living – Self care 

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3
Q

what are the three language stages.

A
  1. pre-intentional ( Do not deliberately communicate with others through planned actions. 
Others may assign meaning to facial expression, eye gaze, body movement and vocalisations)
  2. intentional (Behaviours are intentional and directed towards another person 
Can make someone in their environment do something through behaviours such as pointing, looking, reaching)
  3. symbolic (- Symbolic communication (usually spoken language) emerges following a period of language modelling).
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4
Q

Pre intentional stage

A
  • Support understanding of environment. 

  • Help others to understand how to communicate with the individual. 

  • Develop foundation skills (attention, cause effect, imitation, social, visual etc.) 

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5
Q

intentional stage

A
  • Support understanding of environment. 

  • Help others to understand how to communicate with the individual. 

  • Model use of AAC system to shape communication behaviours and support progress towards symbolic communication. 

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6
Q

symbolic stage

A
  • Support emerging use of sign or AAC as alternative or additional form of symbolic communication.
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7
Q

AAC Assessment for Individuals with Developmental Disabilities considerations.

A
  • Positioning and seating 

  • Motor capabilities 

  • Cognitive abilities 

  • Access 

  • Symbol assessment 

  • Language 

  • Communication needs 

  • Literacy 

  • Sensory/perceptual 

  • Environments 

  • System considerations
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8
Q

selecting an AAC System Factors to consider?

A
  • No, low or high tech 

  • Auditory & visual features 

  • Access options 

  • Durability & Reliability 

  • Type of output 
Symbols or text (or both) 

  • Vocabulary selection & 
organising 

  • Portability 
/ Flexibility
  • Dynamic or Static Display
  • Speech Options (recorded versus synthesised)
  • Programming & support requirements
  • Training
  • Additional Functions
  • Environmental Control
  • Telecommunications
  • Computer access

  • Links with other technology
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9
Q

Aided Language Stimulation.

A
  • Input before Output 

  • The communication partner uses the symbols to 

  • Vocabulary is first introduced receptively through symbols to facilitate comprehension, interaction and participation communicate too!
  • Communication is embedded into everyday activities 

  • Repetitive modeling in a wide variety of communication functions & contexts supports learning
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10
Q

AAC intervention.

A
  • Set up the environment for communication
– ensure communication system is available
– use multiple modes of communication to support interactions – sabotage 

  • Encourage genuine communication in real situations 

  • Provide opportunities for errorless communication activities 

  • Create communication routines 

  • Have a chat, greet others, be social, crack a joke 

  • Talk about things around you (photos, new watch) or things you are both familiar with (today’s outing)
  • Follow the AAC user’s lead 

  • Expand the variety of communication functions used 

  • Ask open ended questions 

  • Plan for scaffolds, supports or prompts as needed 

  • Offer choices 

  • Expect communication 

  • ……………. WAIT!!!!!! 

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11
Q

Providing models * Imitate, Expand, Extend, Correct… Respond

A
  • Model in daily routines and natural environments where the 
context can add meaning 

  • Try to model use of the communication as much as possible 
throughout the day 

  • Model in context (e.g. comment on what the person 
is doing or expecting or talk about what you are doing as 
you do it) 

  • Plan for ‘teachable’ moments 

  • Assume all communication is deliberate and intentional! 

  • Acknowledge and respond to communication attempts 

  • Actively look for meaning and/or attribute meaning to all communication attempts 

  • Provide natural feedback 

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12
Q

Summary and information sheets.

A
  • see their system of communication used interactively by other people to communicate real messages in real situations 

  • have multiple opportunities to practice communicating real messages in real situations – with appropriate scaffolds as required 

  • have their messages expanded by other people to demonstrate more effective communication 

  • receive natural feedback as to the effectiveness of their communication 

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13
Q

Choosing Vocabulary Targets

A
  • Motivating 

  • Meaninful 

  • Functional 

  • Flexible 

  • Frequent (core words) 

  • Individualised 

  • Interesting 

  • Appropriate 

  • Evolving 

  • Individualise fringe vocabulary for motivation and meaning (e.g. football teams, peoples names, jokes) 

  • Use core word lists to work out what words are known and which ones to target next 

  • Choose words relate to meaningful activities – use normal, routine activities that provide predictable vocabulary 

  • Consider vocabulary needed to increase both social and linguistic competence 

  • Allow the AAC user access to a robust vocabulary (less words does not always mean easier to use!!)
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14
Q

Functional scripts.

A

• Encourages the use of AAC
• Can be used in activities conducive to structured intervention

– list words, phrases, sentences to be taught

– create visual supports as teaching aids

– develop scripts for coaching the vocabulary

– have a hierarchy of prompts to support learning
– Encourage a range of communicative functions
• Maximizes teaching opportunities

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15
Q

What might be some of the benefits of specifically learning social chat and compliments?

A
  • Increase self-esteem
  • Allow to make and keep friendships/relationships (sharing and bonding)

  • Improve others perspective of the AAC users
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16
Q

AAC and Literacy.

A

• The research generally indicates that: many students who have physical impairment and severe communication impairment also experience literacy learning difficulties
-many AAC users, even if able to read, continue to experience difficulty with correct grammatical forms and spelling
• AAC systems aren’t just a voice, they also provide access to a “pencil” for children who are learning to write and a means of voice output for children who are learning to read.

17
Q

AAC and literacy skills inhibiting factors

A

Inhibiting factors for literacy learning can be:

  • associated difficulties (eg. vision, cognitive, language impairments)
  • possible effects of developing language using “non- speech” communication modes and AAC symbol systems
  • limited opportunities for learning literacy skill
  • We need to ensure those opportunities are provided!!!! 

18
Q

importance of AAC and literacy

A

In general a child who uses AAC will benefit from the same types of literacy-related activities as all children, although adaptations may be required.
• If we are able to develop literacy skills an AAC user can say anything they want to say, when they want to say it and are not limited by their device’s vocabulary.

19
Q

Scribbling with AAC.

A
  • Typically developing children will have many opportunities to scribble and write letters before we expect them to write words. 

  • Use the spell page of a child’s AAC device or create low tech supports to allow the child to ‘scribble’ without worrying about right and wrong. 

  • Let the student practice writing words and listening back to them. Do they look right? Do they sound right?, How can they be corrected. 

  • Use the device for phonics work- initial and final sounds, syllables, rhyming words. 

20
Q

Evidence Based Practice in AAC.

A

• Evidence in AAC is predominately
- Single case or small group design
- Non randomised studies without control groups
- Systematic reviews 

• Evidence based practice can be implemented even when the evidence base is not extensive

21
Q

Assessment and support should focus on

A

Assessment and support should focus on increasing 
participation and functional outcomes for the individual 

• An individual’s environments, needs and preferences must be 
considered when selecting an AAC system and vocabulary 

• A number of approaches to support AAC can be effective in 
helping individuals achieve communication goals. Therapists are encouraged to be person centred and flexible in their approach.

22
Q

what does AAC EBP call upon

A

As well as evidence from studies, evidence based practice calls on clinical experience and perspectives of the team (particularly the AAC user!) It is crucial to train communication partners in the use of AAC 


23
Q

Outcome measures in AAC. Consider…

A
  • use of AAC system (linguistic, operational, strategic and social competencies)
  • functional communication 

  • self-determination 

  • quality of life 

  • consumer satisfaction 

  • academic/vocational achievement 

  • participation in activities 

  • Augmentative and Alternative Communication Profile
  • The Canadian Occupational Performance Measure -
  • Goal Attainment Scaling – GAS
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