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Do’s and Don’ts of implementing
REAL communication through AAC
AGOSCI 2015!
David Niemeijer!
AssistiveWare!
Jane Farrall!
Jane Farrall Consulting!
Overview
•  The challenge!
•  Counterproductive!
•  systems!
•  context!
•  practices!
•  Productive practices!
The Challenge
•  More high-tech AAC users than ever!
•  But, does getting an iPad and an AAC app deliver
REAL communication?!
•  How do you achieve communicative competence?!
Communicative Competence
• Linguistic Competence !
• Operational Competence !
• Social Competence !
• Strategic Competence!
!
(Light, 1989; Light & McNaughton, 2014)
Counterproductive Practices
Counterproductive Systems
•  Provide a system with only a handful of choices!
•  Put mainly nouns in the system!
•  Focus on adding academic vocabulary to the system!
•  Creating custom pages for specific activities!
Too Many Nouns!
Wants page!
Home page!
Counterproductive Context
•  Demand prerequisite skills!
•  Require mastery of every step before moving further!
•  Give someone a system without modeling its use!
•  Provide a vocabulary without a communication context!
•  Limit access to the communication device!
•  Starting with simple “beginning” AAC systems!
No prerequisites
!
“My daughter was started with a BIGmack and advanced to a Go Talk
4+, with the idea she might advance further to a Go Talk 20 and maybe
one day, if all the stars aligned and she was a very good girl, a DynaVox.
Nothing about this changing technology supported her to build a
foundation of language development.”
!
Erin Sheldon, QIAT Listserve, 21/03/2013!
!
!
!
!
!
!
!
Rethinking our own practices
!
!
“WE USED TO THINK: Start with just a few (4-6) picture symbols and add a few
more at a time, as the student with ASD shows that he or she can communicate
appropriately with them usually by requesting.”
“NOW WE THINK: Really? Where is the research that defends this practice? This
is certainly not how other kids learn new words and acquire language”!
!
Pat Mirenda, ISAAC Portugal 2014!
!
!
!
!
!
!
!
Counter-productive practices
•  Use the AAC system to quiz or test!
•  Ask questions the AAC user knows you already know
the answer to!
•  Reward communication with food!
•  Require the AAC user to say it ALSO with “their words”!
Productive practices
AAC Success
Factors impacting long-term success!
•  Person who uses AAC system experiences success 91.76%!
•  Degree to which the system is valued by the user and partners
as a means of communication 90.58%!
•  System serves a variety of communicative functions 89.85%!
•  System is used for communication, not just as a toy or therapy
tool (Real communication) 87.20%!
•  Other areas:!
•  Appropriate device selected !
•  Support for system!
!
Johnson, et al. (2006)
Productive practices
•  Don’t aim too low!
•  Provide access to high & low tech!
•  Use a well-designed research-
based vocabulary!
•  Provide appropriate access!
•  Have the device available at all
times!
•  Use Aided Language Stimulation!
•  Provide specific vocabulary
instruction!
•  Teach how to describe words that
are not on the device!
•  Create communication
opportunities!
•  Allow exploration!
•  Work towards literacy and
language!
•  Respect multi-model
communication!
Remember
•  Behavioural issues will decline with REAL
communication!
•  Academic goals will follow REAL communication!
•  Communication is essential!!
References
•  Johnson, J.M., Inglebret, E., Jones, C., & Ray, J. (2006). Perspectives
of Speech Language Pathologists regarding success versus
abandonment of AAC. Augmentative and Alternative Communication
22 (2), 85-99.!
•  Light, J. (1989). Towards a definition of communicative competence
for individuals using augmentative and alternative communication
systems. Augmentative and Alternative Communication, 5, 137– 144.!
•  Light, J. & McNaughton, D. (2014). Communicative Competence for
Individuals who require Augmentative and Alternative
Communication: A New Definition for a New Era of Communication?
Augmentative and Alternative Communication, 30, 1– 18.!
!

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Do's and Don'ts of Implementing Real Communication Through AAC

  • 1. Do’s and Don’ts of implementing REAL communication through AAC AGOSCI 2015! David Niemeijer! AssistiveWare! Jane Farrall! Jane Farrall Consulting!
  • 2. Overview •  The challenge! •  Counterproductive! •  systems! •  context! •  practices! •  Productive practices!
  • 3. The Challenge •  More high-tech AAC users than ever! •  But, does getting an iPad and an AAC app deliver REAL communication?! •  How do you achieve communicative competence?!
  • 4. Communicative Competence • Linguistic Competence ! • Operational Competence ! • Social Competence ! • Strategic Competence! ! (Light, 1989; Light & McNaughton, 2014)
  • 6. Counterproductive Systems •  Provide a system with only a handful of choices! •  Put mainly nouns in the system! •  Focus on adding academic vocabulary to the system! •  Creating custom pages for specific activities!
  • 7. Too Many Nouns! Wants page! Home page!
  • 8. Counterproductive Context •  Demand prerequisite skills! •  Require mastery of every step before moving further! •  Give someone a system without modeling its use! •  Provide a vocabulary without a communication context! •  Limit access to the communication device! •  Starting with simple “beginning” AAC systems!
  • 9. No prerequisites ! “My daughter was started with a BIGmack and advanced to a Go Talk 4+, with the idea she might advance further to a Go Talk 20 and maybe one day, if all the stars aligned and she was a very good girl, a DynaVox. Nothing about this changing technology supported her to build a foundation of language development.” ! Erin Sheldon, QIAT Listserve, 21/03/2013! ! ! ! ! ! ! !
  • 10. Rethinking our own practices ! ! “WE USED TO THINK: Start with just a few (4-6) picture symbols and add a few more at a time, as the student with ASD shows that he or she can communicate appropriately with them usually by requesting.” “NOW WE THINK: Really? Where is the research that defends this practice? This is certainly not how other kids learn new words and acquire language”! ! Pat Mirenda, ISAAC Portugal 2014! ! ! ! ! ! ! !
  • 11. Counter-productive practices •  Use the AAC system to quiz or test! •  Ask questions the AAC user knows you already know the answer to! •  Reward communication with food! •  Require the AAC user to say it ALSO with “their words”!
  • 13. AAC Success Factors impacting long-term success! •  Person who uses AAC system experiences success 91.76%! •  Degree to which the system is valued by the user and partners as a means of communication 90.58%! •  System serves a variety of communicative functions 89.85%! •  System is used for communication, not just as a toy or therapy tool (Real communication) 87.20%! •  Other areas:! •  Appropriate device selected ! •  Support for system! ! Johnson, et al. (2006)
  • 14. Productive practices •  Don’t aim too low! •  Provide access to high & low tech! •  Use a well-designed research- based vocabulary! •  Provide appropriate access! •  Have the device available at all times! •  Use Aided Language Stimulation! •  Provide specific vocabulary instruction! •  Teach how to describe words that are not on the device! •  Create communication opportunities! •  Allow exploration! •  Work towards literacy and language! •  Respect multi-model communication!
  • 15. Remember •  Behavioural issues will decline with REAL communication! •  Academic goals will follow REAL communication! •  Communication is essential!!
  • 16. References •  Johnson, J.M., Inglebret, E., Jones, C., & Ray, J. (2006). Perspectives of Speech Language Pathologists regarding success versus abandonment of AAC. Augmentative and Alternative Communication 22 (2), 85-99.! •  Light, J. (1989). Towards a definition of communicative competence for individuals using augmentative and alternative communication systems. Augmentative and Alternative Communication, 5, 137– 144.! •  Light, J. & McNaughton, D. (2014). Communicative Competence for Individuals who require Augmentative and Alternative Communication: A New Definition for a New Era of Communication? Augmentative and Alternative Communication, 30, 1– 18.! !