AAC Flashcards

1
Q

What is AAC?

A

A group of methods, strategies and/or techniques that support the use of functional and effective communication

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2
Q

Who uses AAC?

A
  • People whose speech is not meeting their communication needs.
  • May have little or no speech or speech is not a reliable means in all situations.
  • People who have a developmental disability - e.g. cerebral palsy, autism, intellectual disability,
  • People who have an acquired disability – e.g. motor neurone disease, stroke, traumatic brain injury
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3
Q

Different types of AAC:

A
  • Manual signing: Lámh or Makaton
  • Symbol books and boards
  • Alphabet boards
  • Objects of reference
  • High tech communication aids
  • Phones and tablets with or without
    specialized software
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4
Q

Electronic Communication Aids

A

Communication Devices:
Most devices are touchscreen computers with integrated speakers.
Keyboards on these devices use onscreen alphabet or symbol-based software to create messages.

Accessibility Features:
Individuals with limited hand function can use various methods, such as switch control by hand, head, foot, or vibrations from the throat.
Computer scans through options until one is selected by the switch.

Eye Gaze Technology:
Some devices employ eye gaze technology, where communication is controlled by eye movements tracked by a calibrated camera.

Versatility:
Synthesized voice technology extends beyond communication, as it can be utilized in various aspects of life, such as grocery shopping from home.

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5
Q

Objects of reference

A
  • Communication system that associates objects with events/activities
  • another way of using visuals - easy to understand
  • objects give more sensory info, concrete, permanent
  • sponge = bath time
  • benefits
    • help deliver the message if struggling to understand the message
    • signal what is about to happen - reduce anxiety
    • prompt to aid memory - once familiar, can help make choices, timetable, show sequence of events
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6
Q

3 groups that use AAC

A
  1. Expressive language group
  2. Supportive language group
  3. Alternative group
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7
Q

expressive language group

A
  • good comprehension
  • typically motor impairment
  • AAC typically permanent alternative
  • OUTPUT
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8
Q

supportive language group

A
  • Expected to develop speech
  • Non-speech system to kick-start the process, promote language development
  • Learning disability, severe articulatory disorders
  • Output +/- input
  • And those using strategies to support unclear speech
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9
Q

alternative group

A
  • AAC for input and output purposes
  • May have little understanding of speech
  • Non-speech system replaces speech for all purposes
  • Individuals with learning disability, autism
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10
Q

augmentative vs alternative communication

A

Augmentative
- enhance existing communication abilities
- gestures, communication boards, picture symbols, electronic devices

Alternative
- substitute for natural speech/writing when traditional forms not possible
- sign language, communication devices that generate speech output, other non-verbal forms

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11
Q

AAC system

A

an integrated group of components, including the symbols, aids, strategies and techniques used by individuals to enhance communication

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12
Q

AAC symbol

A

the visual, auditory and/or tactile representation of conventional concept e.g. photographs, objects, line drawn symbols, words

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13
Q

AAC aid

A

a physical object or device used to transmit or receive messages e.g. communication book, board, chart, electronic device

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14
Q

AAC strategy

A

a specific way of using AAC aids, symbols and/or techniques more effectively for enhanced communication

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15
Q

AAC technique

A

a method of transmitting messages e.g. signing

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16
Q

no tech (unaided)

A
  • Eye pointing
  • Facial expressions
  • Gesture
  • Manual signing e.g. Lámh or ISL (important: ISL is language itself with own community)
  • pointing
17
Q

Low/light tech

A
  • Communication board/ book
  • Alphabet board
  • Communication passport
18
Q

Mid tech

A
  • Generally battery operated
  • Single message- Big Mac
  • Sequenced message- Step by Step
  • Static device- Go Talk
19
Q

High tech

A
  • Computer-based Voice Output Communication Aids (VOCAs)
  • Dynamic display
  • Wide range available
  • Wide range of software packages- core words, phrases, alphabet based etc.
20
Q

aided vs unaided AAC

A

aided
- use of external tools or devices to support communication.
- communication boards, picture symbols, speech-generating devices (SGDs), or tablets with communication apps.

unaided
- using one’s body to communicate without the use of external tools or devices
- natural gestures, facial expressions, body language, and other non-verbal means of communication.

21
Q

Access methods

A
  • Direct e.g. finger
  • Switch
  • Eye gaze
  • Two switch scanning
  • Row/column scanning
22
Q

two-switch scanning

A
  • Users are presented with options on a device and can make choices by activating two switches. The system scans through the options, and when the desired one is highlighted, the user activates a switch to select it, facilitating communication.
23
Q

row/column scanning

A
  • a communication device displays a grid of symbols. The system scans through the grid using two patterns: row scanning (highlighting rows) or column scanning (highlighting columns). Users choose by activating a switch when their desired row or column is highlighted. Then, the system scans within the selected row or column, allowing users to make a final selection. This enables communication by generating speech or displaying the chosen word or action.
24
Q

symbol types

A
  • Photographs
  • Symbol sets designed for AAC:
    • Picture Communication Symbols (PCS)
    • Widget Symbols
    • Symbolstix
    • Blisssymbols
  • Choosing a symbol set: what is available on the hardware/software you have, how pictorial, how guessable, how flexible, how consistent, how visually complex, to match the environment (already used to them), or to match the needs of the individual.
25
Q

multi-modal communication

A
  • People often use a mixture of both aided and unaided aids and techniques, e.g.:
  • High tech Accent 1000 with LAMP software in school and other environments
  • Low tech communication board (similar design to the high tech) for times when technology is not suitable – e.g. in the bath, if it is broken, at the swimming pool
  • No tech/ unaided Lámh signs, eye pointing and facial expressions when with people who are very familiar with them e.g. family
26
Q

light’s 4 competencies

A
  1. Linguistic
  2. Operational
  3. Social
  4. Strategic
27
Q

advantages of early introduction

A
  • Potential for development of communication
  • Less associated with failure
  • Less time for negative attitudes to develop
  • Proactive approach to intervention
28
Q

advatages of later introducton

A
  • Allows time for all to grow accustomed
  • May allow time for skill development necessary for effective use
  • Allows carers more input into the final decision
  • May allow more space for harnessing cooperation
29
Q

disadvantages of AAC

A
  • challenges in social reinforcement, as they differ from typical communication methods.
  • Others may be hesitant to accept these systems, fearing a loss of vocal language.
  • difficulties in message reception, understanding signs, and a lack of willingness to invest time in communication.
  • costly due to equipment and training needs.
  • Developing effective systems for individuals can be complex, with competing demands such as motor and cognitive skills.
30
Q

advantages of AAC

A
  • might offer two inputs at the same time, usually auditory and visual.
  • don’t hinder vocal language development; studies indicate they might even improve speech and language skills.
  • These systems are often more stable, with entries lasting longer, allowing for slower communication without distortion.
  • Additionally, AAC systems are usually more responsive to physical prompting
31
Q

vocab should consist of both…

A

core (high-frequency) and fringe (context-specific) words

32
Q

role of SLTs in AAC

A
  • screening, ax, diagnosis, treatment of AAC users
  • provide training, educate professionals and caregivers, assess needs, develop intervention plans, refer to other services etc.
33
Q

symbol display and organisation can be…

A
  • static
  • dynamic
  • hybrid
34
Q

barriers to use of AAC and implementation

A
  1. Barriers to AAC use include lack of knowledge, negative attitudes, stigma, slow communication, equipment issues, lack of relevant vocabulary, and more.
  2. These barriers can be reduced by matching AAC systems to the user’s needs, providing training, and ensuring communication success.
35
Q

increasing AAC awareness

A
  1. Misconceptions about AAC may deter its use; advocacy and counselling efforts are crucial.
  2. Early AAC use can improve speech and language development in children.
  3. Cognitive skills are not always prerequisites for AAC use; it can help develop various skills in children