Saturday, May 2, 2015

Alternative Augmentative Communication Devices

Research critiques (pro and con) and future perspectives associated with your topic of study. What are the down sides to your particular topic?
Alternative augmentative communication devices are defined as being, “all forms of communication (other than speech) that are used to express thoughts, needs, wants, and ideas.” (American Speech-Language-Hearing Association, n.d.). There are many different types of AAC systems. For example AAC systems can include unaided communication systems such as sign language as well as aided communication systems such as simple paper and pencil and more complex systems of “communication books or boards to devices that produce voice output” (American Speech-Language-Hearing Association, n.d.).  

Article Review
Another example of an aided communication system is the MINISPEAK. (Mathisen, Kelly, Kidd, & Nissen, 2009, p. 379).
The MINISPEAK is similar to a picture exchange system (PECS) but the MINISPEAK is more complex in that it uses, “a small set of pictures to represent a large number of words in a communication device” (Semantic Compaction Systems, 2009). Mathisen, Kelly, Kidd, and Nissen (2009) point out in their case study of a preschool child with complex communication needs that the MINISPEAK is a, “sophisticated linguistically based AAC system that uses semantic compaction” that encourages and strengthens language development and beginning literacy skills (p. 379). They also identify two key advantages. MINISPEAK’s icons are, “small and stable that represent words and phrases” as well as that it does not require literacy skills before a user can begin using it.

AAC systems are amazing in that they provide ways for those with complex communication needs (CCN) to be able to communicate with the world around them and improves their quality of life. It is challenging however that most of these AAC systems are expensive and can require extensive training that makes them less accessible to those that need them (Mathisen, Kelly, Kidd, & Nissen, 2009, p. 376).

What does the research say about its effectiveness?
In one case study using MINISPEAK researchers found that the participant, “demonstrated increased assertiveness with the beginning of conversational repair strategies, her communicative forms developed from one word responses up to five word responses, and she demonstrated less frustrations with communication breakdown” (Mathisen, Kelly, Kidd, & Nissen, 2009, p. 379). Even though the results looked very promising for this one particular case study the researchers point out that, “the system has received little scientific investigation in terms of its efficacy” and also emphasize that further research is needed (Mathisen, Kelly, Kidd, & Nissen, 2009, p. 378).

What does the future hold?
The future for this type of instructional technology is uncertain. The same issues of the technology being too complicated and too expensive continue to make it less accessible to the greater population that desperately needs it. Without this technology being more readily available to a larger population further research will continue to be difficult to conduct. Another factor to consider is that the successful use and implementation of this type of technology also depends heavily on each individual child which also makes the study of the effectiveness of such technologies difficult.



What new advances do the experts predict for your professional area?
As technology advances AAC systems continue to become more, “portable and durable” (MDA, 2015). Excitingly Brain-Computer Interface (BCI) is a new development in the AAC world that would make input methods such as keyboards and switches obsolete. One company, Thought-Wired, is in the process of developing a BCI system called NOUS, “a solution that enables an entirely physical free access method for communication and other applications” that is neuro-transmitted through messages from the brain (Coyne, 2014, p. 58).



What implications do these hold for you as a professional?
As a professional the advances and development of AAC systems will require that I make sure that I am current with the latest advances and research related to AAC systems. I know that there is no one system that meets all the needs of those with complex communication needs. And the consideration of any AAC system requires that we look at the specific needs of each individual and personal preferences when it comes to determining the best AAC system.

How will you use this information to be a better informed professional?
I will continue to make sure that I am a well-informed professional by making connections with local universities and organizations that focus on my areas of interest. By doing so I will hopefully stay abreast of the latest AAC developments and advances. Attending seminars and trainings will also assist me in my pursuit of continuous professional development.  

Questions
Can you think of any other type of technology that could assist those with complex communication needs?

Do you know of any other developments in the alternative augmentative communication field?





References
American Speech-Language-Hearing Association. (n.d.). Augmentative and Alternative Communication (AAC). Retrieved May 1, 2015, from http://www.asha.org/public/speech/disorders/AAC/

Coyne, D. (2014). Augmentative and Alternative Communication (AAC) Guidelines for speech pathologists who support people with a disability. Retrieved from http://www.adhc.nsw.gov.au/__data/assets/file/0011/302402/Augmentative-and-Alternative-Communication-Practice-Guide.pdf

Mathisen, B., Arthur-Kelly, M., Kidd, J., & Nissen, C. (2009). Using MINSPEAK: a case study of a preschool child with complex communication needs. Disability & Rehabilitation: Assistive Technology4(5), 376-383. doi:10.1080/17483100902807112

MDA. (2015). Chapter 6: Speech and Communication | Everyday Life with ALS: A Practical Guide | MDA. Retrieved May 1, 2015, from http://www.mda.org/publications/everyday-life-als/chapter-6

Semantic Compaction Systems. (2009). Minspeak Augmentative Alternative Communication (AAC) Device, Core Vocabulary, Autism & Augmentative Speech Generating System. Retrieved May 1, 2015, from http://www.minspeak.com/


4 comments:

  1. Thanks for continuing my education about alternative means of communication via technology, Amber!

    To respond to your question…

    According to the Center for AAC & Autism (2009), “Any communication other than verbal speech is considered augmentative/alternative communication” (¶ 2). Consequently, I think the AAC most familiar to many of us is American Sign Language (ASL). There are assistive technologies in existence and in development for the future that could help mediate communication between people with limitations such as those with autism (like those we discussed in your previous post regarding PECS) or those with hearing and speech impairments related to other disorders and challenges.

    For people who utilize ASL, specifically people who are deaf or have significant hearing impairments, it has been difficult in the past to communicate with those who only speak English, others with whom they interact each day. However, according to Belt (2014), Microsoft has developed a device called Kinect that “uses multiple cameras and infrared lights in order to track body movement and recognize gestures” (¶ 2). Using adaptive or assistive software, technologies like Kinect may help to bridge the communication gap that individuals with hearing impairments and related disabilities encounter regularly. “The translation software uses the power of Kinect [to] translate body movements from the ASL signer and turn it into written or spoken English [and to] take written or spoken English, translate it, and sign ASL using an avatar on screen” (Belt, 2014, ¶ 2). The Kinect translation software can work both with Windows and Xbox platforms, making the technology accessible to anyone who already owns or who can easily access such hardware (Belt, 2014). “Imagine the possibilities for connecting everyone—whether we’re working, chatting, or playing a video game” (Belt, 2014, ¶ 2).

    Other technologies that may assist deaf people and those with hearing impairments include video calling applications available on today’s smartphones (Belt, 2014). Because ASL is a “visual language,” video calling applications familiar to most of us (e.g., Skype, FaceTime, Hangouts) have the possibility of revolutionizing communication, allowing for “rich and meaningful conversations” that “can show context, gestures, facial expressions, and even the speed of human motion—all of the brilliant elements of ASL” (Belt, 2014, ¶ 6).

    Those are just some of the technologies that I found that relate to AAC, Amber. Are you familiar with any of those types of AAC, or are there any other advancements in those areas that I didn’t find in my research?

    Thanks again for engaging my interest in such technologies. I look forward to seeing what the future holds in this area!

    ~ Terresa








    References

    Belt, C. M. (2014). Connected: How new technologies are transforming deaf communication. Retrieved from http://www.lifeprint.com/asl101/topics/technology-deaf-communication.htm

    The Center for AAC & Autism. (2009). AAC and autism. Retrieved from http://www.aacandautism.com/why-aac

    ReplyDelete
    Replies
    1. Hi Terresa-
      I had not heard of the Kinect but it sounds very interesting. Unfortunately I am most familiar with PECS and Proloquo for AAC devices mainly because families mostly have to pay for the devices. These two at least insurance has helped with some of the cost but insurances are reluctant to pay for devices that are so new or that don't have the long history of research to support its effectiveness.

      Thank you for sharing. I will be sure to do some more research about the suggested devices.

      Amber G.

      Delete
  2. Hi Amber, on a side note to Terresa's response to your blog, I think the brain technology is very advanced and it could be useful to quadraplegics, or ALS patients, anyone who is paralyzed from the neck down that has brain function but cannot communicate normally. There are a number of diseases or other malfunctions that this new technology could help those individuals, the future holds many possibilities for sure. I think you did a good job of researching this topic, I'm sure there is more research out there, but you will find it. Thanks for your very informed blog.

    ReplyDelete
    Replies
    1. Hi Cindy-
      I agree. Can you imagine how the lives of those that have been unable to communicate due to physical limitations but are completely cognizant. Not only for them but for their loved ones. Thank you for sharing.

      Take care.
      Amber G.

      Delete