Abstract
Objectives
Many countries throughout the world have achieved significant advances in Augmentative and Alternative Communication, whereas in Cyprus the evidence suggests that it is still in its early stages of development. The focus of this study was on assessment methods, which are the foundation for a successful intervention.
Methods
For the study objectives, aspects from the participation model relating to opportunity and access barriers and existing literature on AAC assessment were used to create a questionnaire with multiple-choice answers. A total of 89 speech and language therapists working in a public school setting participated in the study.
Results
The results show that AAC assessment is mainly for pupils with autism spectrum disorder. During the evaluation process, participants used various stimuli, but mostly hearing and visual, whilst using touch, smell, and taste to a much lesser extent. As part of the evaluation process, the participants reported that they focused on whether the individual could express yes/no and voice their basic needs, whereas language domains were not thoroughly assessed. Lastly, the participants focused on the ability of pupils to follow instructions, with other behaviors being assessed to a lesser extent.
Conclusion
Various ideas have emerged regarding how to improve AAC assessment practices in schools.
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References
Agius, M. M., & Vance, M. (2016). A comparison of PECS and iPad to teach requesting to pre-schoolers with autistic spectrum disorders. Augmentative and Alternative Communication, 32(1), 58–68.
Alzrayer, N. M., Banda, D. R., & Koul, R. K. (2019). The effects of systematic instruction in teaching multistep social-communication skills to children with autism spectrum disorder using an iPad. Developmental Neurorehabilitation, 22(6), 415–429.
American Speech-Hearing and Language Association (ASHA), (2018). Available from: http://find.asha.org/asha/#q=complex%20communication%20needs%20in%20school%20&sort=relevancy&f:@publicationyear=[2018]. Accessed June 21
Ayres, B. J., Meyer, L. H., Erevelles, N., & Park-Lee, S. (1994). Easy for you to say: Teacher perspectives on implementing most promising practices. Journal of the Association for Persons with Severe Handicaps, 19(2), 84–93.
Baxter, S., Enderby, P., Evans, P., & Judge, S. (2012). Barriers and facilitators to the use of high-technology augmentative and alternative communication devices: A systematic review and qualitative synthesis. International Journal of Language & Communication Disorders, 47(2), 115–129.
Beukelman, D., & Light, J. (2020). Augmentative and alternative communication for children and adults (5th ed.). Paul H. Brookes.
Beukelman, D., & Mirenda, P. (2005). Augmentative and alternative communication: Management of severe communication disorders in children and adults (3rd ed.). Paul H. Brookes.
Beukelman, D. R., & Mirenda, P. (2013). Augmentative & alternative communication: Supporting children and adults with complex communication needs. Paul H. Brookes.
Binger, C., Ball, L., Dietz, A., Kent-Walsh, J., Lasker, J., Lund, S., & Quach, W. (2012). Personnel roles in the AAC assessment process. Augmentative and Alternative Communication, 28(4), 278–288.
Byiers, B. J., & Reichle, J. E. (2015). Toward behavior analytic practice in augmentative and alternative communication (AAC). Clinical and organizational applications of applied behavior analysis, 273–301.
Charalambous, M., & Kambanaros, M. (2021). The importance of aphasia communication groups. In D. C. Jianu, & D. F. Muresanu (Eds.), Aphasia Compendium. IntechOpen.
Cook, A. M., & Hussey, S. M. (2002). Assistive technologies. Principles and practice (2nd Ed). Mosby.
Dada, S., Murphy, Y., & Tönsing, K. (2017). Augmentative and alternative communication practices: A descriptive study of the perceptions of South African speech-language therapists. Augmentative and Alternative Communication, 33(4), 189–200.
Dietz, A., Quach, W., Lund, S. K., & MCKeLvey, M. (2012). AAC assessment and clinical-decision making: The impact of experience. Augmentative and Alternative Communication, 28(3), 148–159.
Dodd, J., Schaefer, A., & Rothbart, A. (2015). Conducting an augmentative and alternative communication assessment as a school-based speech-language pathologist: A collaborative experience. Perspectives on School-Based Issues, 16(3), 105–117.
Douglas, S. N., West, P., & Kammes, R. (2020). The training experiences of augmentative and alternative communication practitioners in one Midwestern State. Perspectives of the ASHA Special Interest Groups, 5(1), 219–230.
Enderby, P., Judge, S., Creer, S., & John, A. (2013). Examining the need for and provision of AAC methods in the UK. Advances in Clinical Neuroscience & Rehabilitation, 13, 20–23.
Erickson, K. A., & Geist, L. A. (2016). The profiles of students with significant cognitive disabilities and complex communication needs. Augmentative and Alternative Communication, 32(3), 187–197.
Fuller, D. R., & Pampoulou, E. (2022). Opinion: Revisiting the means to select and transmit of the AAC model. Journal of Enabling Technologies, 16(1), 321–339.
Geytenbeek, J. J., Heim, M. M., Vermeulen, R. J., & Oostrom, K. J. (2010). Assessing comprehension of spoken language in nonspeaking children with cerebral palsy: Application of a newly developed computer-based instrument. Augmentative and Alternative Communication, 26(2), 97–107.
Glennen, S. L. (1997). Augmentative and alternative communication systems. In S. Glennen & D. DeCoste (Eds.), Handbook of augmentative and alternative communication (pp. 59–96). Singular Publishing.
Harold, M. (2019). The research translation problem: A modest proposal. The ASHA Leader, 24, 52–61.
Hetzroni, O. E., & Roth, T. (2003). Effects of a positive support approach to enhance communicative behaviors of children with mental retardation who have challenging behaviors. Education and Training in Developmental Disabilities, 38(1), 95–105.
Joginder Singh, S., Diong, Z. Z., & Mustaffa Kamal, R. (2020). Malaysian teachers’ experience using augmentative and alternative communication with students. Augmentative and Alternative Communication, 36(2), 107–117.
Johnson, R. K., & Prebor, J. (2019). Update on preservice training in augmentative and alternative communication for speech-language pathologists. American Journal of Speech-Language Pathology, 28(2), 536–549.
Johnston, S. S., O’Keeffe, B. V., & Stokes, K. (2018). Early literacy support for students with physical disabilities and complex communication needs. Teaching Exceptional Children, 51(2), 91–99.
Karnezos, J. L. B. (2018). The effect of a checklist on school teams’ plans for augmentative and alternative communication assessment (Unpublished Doctoral dissertation). Pennsylvania State University.
Kovacs, T. (2021). A survey of American speech-language pathologists’ perspectives on augmentative and alternative communication assessment and intervention across language domains. American Journal of Speech-Language Pathology, 30(3), 1038–1048.
Light, J. (1997). “Let’s go star fishing”: Reflections on the contexts of language learning for children who use aided AAC. Augmentative and Alternative Communication, 13(3), 158–171.
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), 1–18.
Lloyd, L., Quist, R., & Windsor, J. (1990). A proposed augmentative and alternative communication model. Augmentative and Alternative Communication, 6(3), 172–183.
Logan, K., Iacono, T., & Trembath, D. (2017). A systematic review of research into aided AAC to increase social-communication functions in children with autism spectrum disorder. Augmentative and Alternative Communication, 33(1), 51–64.
Lund, S. K., Quach, W., Weissling, K., McKelvey, M., & Dietz, A. (2017). Assessment with children who need augmentative and alternative communication (AAC): Clinical decisions of AAC specialists. Language, Speech, and Hearing Services in Schools, 48(1), 56–68.
Mavrou, K. (2011). Assistive technology as an emerging policy and practice: Processes, challenges and future directions. Technology and Disability, 23(1), 41–52.
McCall, F., & Moodie, E. (1998). Training staff to support AAC users in Scotland: Current status and needs. Augmentative and Alternative Communication, 14(4), 228–238.
McNaughton, D., Giambalvo, F., Kohler, K., Nazareth, G., Caron, J., & Fager, S. (2018). “Augmentative and alternative communication (AAC) will give you a voice”: Key practices in AAC assessment and intervention as described by persons with amyotrophic lateral sclerosis. Seminars in Speech and Language, 39(05), 399–415.
Muharib, R., & Alzrayer, N. M. (2018). The use of high-tech speech-generating devices as an evidence-based practice for children with autism spectrum disorders: A meta-analysis. Review Journal of Autism and Developmental Disorders, 5(1), 43–57.
Pampoulou, E. (2019). Speech and language therapists’ experiences supporting adults with acquired communication disorders. Disability Rehabilitation Assistive Technology, 14(5), 471–478.
Pampoulou, E., & Fuller, D. R. (2021). Introduction of a new AAC symbol classification system: The multidimensional quaternary symbol continuum (MQSC). Journal of Enabling Technologies., 16(1), 28–37.
Pampoulou, E., Theodorou, E., & Petinou, K. (2018). The use of augmentative and alternative communication in Cyprus: Findings from a preliminary survey. Child Language Teaching and Therapy, 34(1), 5–21.
Phtiaka, E. (2007). Preparing and supporting teachers for classroom reality: Diversity. In P. A. Bartolo, A. Mol Lous & T. Hofsäss. Proceedings of the International Conference on Teacher Education for Responding to Student Diversity, Malta (315–352).
Raghavendra, P., Virgo, R., Olsson, C., Connell, T., & Lane, A. E. (2011). Activity participation of children with complex communication needs, physical disabilities and typically-developing peers. Developmental Neurorehabilitation, 14(3), 145–155.
Sanders, E. J., Page, T. A., & Lesher, D. (2021). School-Based speech-language pathologists: Confidence in augmentative and alternative communication assessment. Language, Speech, and Hearing Services in Schools, 52(2), 512–528.
Sheehy, K., & Budiyanto. (2014). Teachers’ attitudes to signing for children with severe learning disabilities in Indonesia. International Journal of Inclusive Education, 18(11), 1143–1161.
Siu, E., Tam, E., Sin, D., Ng, C., Lam, E., Chui, M., & Lam, C. (2010). A survey of augmentative and alternative communication service provision in Hong Kong. Augmentative and Alternative Communication, 26(4), 289–298.
Sutherland, D. E., Gillon, G. G., & Yoder, D. E. (2005). AAC use and service provision: A survey of New Zealand speech-language therapists. Augmentative and Alternative Communication, 21(4), 295–307.
Tarquinio, D. C., Hou, W., Neul, J., Kaufmann, W., Glaze, D. J., Motil, K., Skinner, S. A., Lee, H., & Percy, A. (2015). The changing face of survival in Rett syndrome and MECP2-related disorders. Pediatric Neurology, 53(5), 402–411.
Theodorou, E., & Pampoulou, E. (2022). Investigating the assessment procedures for children with complex communication needs. Communication Disorders Quarterly, 43(2), 105–118.
Theodorou, E., Kambanaros, M., & Grohmann, K. K. (2016). Diagnosing bilectal children with SLI: Determination of identification accuracy. Clinical Linguistics Phonetics, 30, 925–931.
Theodorou, E., Petinou, K., & Kambanaros, M. (2019). National vignette: Cyprus vignette. In J. Law, C. McKean, C.-A. Murphy, & E. Thordardottir (Eds.), Managing children with developmental language disorder: Theory and practice across Europe and beyond (pp. 179–188). Routledge.
Thirumanickam, A., Raghavendra, P., & Olsson, C. (2011). Participation and social networks of school-age children with complex communication needs: A descriptive study. Augmentative and Alternative Communication, 27(3), 195–204.
Thistle, J. J., & Wilkinson, K. M. (2015). Building evidence-based practice in AAC display design for young children: Current practices and future directions. Augmentative and Alternative Communication, 31(2), 124–136.
Zabala, J. S. (2007). The development and evaluation of quality indicators for assistive technology services. University of Kentucky Doctoral Dissertations. Retrieved from http://uknowledge.uky.edu/gradschool_diss/517. Accessed Sept 2021
Acknowledgements
The authors would like to thank the speech and language pathologists for participating in the study. We would also like to thank the Cyprus Ministry of Education, Culture, Youth and Sport for granting permission to access the participants.
Funding
This work was supported by the Cyprus University of Technology (start-up fund: Elena Theodorou).
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ET: conceptualized, designed and managed the study, analyzed the data as well as collaborating in the writing and editing of the manuscript throughout the whole process. EP: collaborated in the design of the study, collected the data, collaborated for the data analysis as well as collaborating in the writing and editing of the manuscript throughout the whole process.
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All procedures involving human participants were in accordance with the ethical standards of the institutional and national research committees and with the 1964 Helsinki Declaration and its later amendments. Approval was granted by the Centre of Educational Research and Evaluation of the Cyprus Ministry Education, Sports and Youth.
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This study was classified as exempt, and informed consent did not apply. Completing and returning the questionnaire to the researchers was an inducement to participate in the survey.
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The authors declare no competing interests.
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Theodorou, E., Pampoulou, E. Augmentative and Alternative Communication Assessment Practices Followed in a School Setting: A Survey of Cypriot-Greek Speech and Language Pathologists. Adv Neurodev Disord 7, 231–243 (2023). https://doi.org/10.1007/s41252-022-00298-y
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DOI: https://doi.org/10.1007/s41252-022-00298-y