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Thirty-one children with and without autism spectrum disorder were asked to draw the meaning of 10 basic concepts. Following each drawing, children explained their drawing to the experimenter. Transcripts of the drawing task were coded for children's use of personal pronouns and internal state terms. Children's use of on- and off-task comments while explaining each drawing was examined. Both groups of children had a longer mean length of utterance when prompted to explain their drawings than while they were drawing. Analyses revealed no significant differences between children with and without autism in their use of internal state terms, pronouns, or their use of on- and off-task language during the drawing task. Clinical implications for the use of drawings as expressive language supports for children with autism are discussed.

Young children who cannot use their natural speech to communicate their daily wants, needs, thoughts, and opinions often rely on augmentative and alternative communication (AAC) strategies that frequently use graphic symbols to assemble messages. Early intervention strategies typically focus on visual scene displays (VSDs) to place target messages in familiar contextualized scenes. However, there are currently no bridging strategies to assist children in moving from VSDs to displays incorporating discrete graphic symbols. The use of contextualized video vignettes is a potential bridge. This preliminary study implemented an intervention using video and play activities paired with a direct instruction approach to teach 10 graphic symbols of important early concepts to children with complex communication needs (CCN). A single-subject multiple baseline across subjects research design was used. Results indicated that the intervention was effective in teaching the target concepts.

The Internet is a source of many resources for graduate speech-language pathology (SLP) students. It is important to understand the resources students are aware of, which they use, and why they are being chosen as sources of information for therapy activities. A national online survey of graduate SLP students was conducted to assess their awareness, use, and value of social networking and online resources. Participants also viewed original interface designs created to support the use of current literature in the development of therapy activities. A total of 683 students (348 first-year and 335 second-year) representing the national population in terms of region, ethnicity, and sex completed the survey. Students were highly aware of and active in social networking. High overall awareness was associated with high overall use. First-year students reported using online resource sites when unsure what to do more than second-year students. Students reported implementing activities obtained from social networking or online resource sites (92%) but few provided feedback (14%) or contributed materials (11%). Students supported integrations between social networking and research articles that created links between activities and the evidence base. Results of this survey have implications for clinical education and academic instruction in the era of digital technologies. Integrative features of online resources may help students to bridge the gap between evidence and daily therapy activities by supporting connections to research literature.

Although sibling relationships are significant and enduring throughout the lifespan, research concerning relationships among young adults and their autistic siblings is scarce. The goal of this study was to gain a deeper understanding of multiple features of the sibling relationship from the perspectives of young adults with autistic siblings. Eleven participants completed a semi-structured interview focused on sibling communication, shared activities, family impact, benefits, and personal influence of having an autistic sibling. Qualitative analysis of participant perspectives yielded themes including Personal Qualities and Perspectives, Barriers to Communication, and Family Challenges and Limitations. Over half of the participants shared that their sibling influenced their chosen career path. Results are discussed in relation to previous literature, with an emphasis on the importance of acknowledging and supporting relationships between autistic individuals and their siblings. [ABSTRACT FROM AUTHOR]

Children with complex communication needs often have multiple disabilities including visual impairments that impact their ability to interact with aided augmentative and alternative communication (AAC) systems. Just as the field benefited from a consideration of visual cognitive neuroscience in construction of visual displays, an exploration of psychoacoustics can potentially assist in maximizing the possibilities within AAC systems when the visual channel is either (a) not the primary sensory mode, or (b) is one that can be augmented to ultimately benefit AAC outcomes. The purpose of this paper is to highlight background information about psychoacoustics and present possible future directions for the design of aided AAC system technologies for children with visual impairments who rely on auditory information to learn and utilize AAC. [ABSTRACT FROM AUTHOR]

In contrast to the traditional grid-based display, visual scene displays (VSDs) offer a new paradigm for aided communication. For individuals who cannot select items from an AAC display by direct selection due to physical impairments, AAC access can be supported via methods such as item scanning. Item scanning sequentially highlights items on a display until the individual signals for selection. How items are highlighted or scanned for AAC access can impact performance outcomes. Further, the effectiveness of a VSD interface may be enhanced through consultation with experts in visual communication. Therefore, to support AAC access for those with physical impairments, the aim of this study was to evaluate the perspectives of experts in visual communication regarding effective methods for highlighting VSD elements. Thirteen participants with expertise related to visual communication (e.g., photographers, artists) completed semi-structured interviews regarding techniques for item highlighting. Study findings identified four main themes to inform how AAC items may be highlighted or scanned, including (1) use of contrast related to light and dark, (2) use of contrast as it relates to colour, (3) outline highlighting, and (4) use of scale and motion. By identifying how compositional techniques can be utilized to highlight VSD elements, study findings may inform current practice for scanning-based AAC access, along with other selection techniques where feedback or highlighting is used (e.g., eye-gaze, brain-computer interface). Further, avenues for just-in-time programming are discussed to support effective implementation for those with physical impairments. Findings identify multiple potential techniques to improve scanning through items in a photograph for individuals with severe motor impairments using alternative access strategies. Study findings inform current practice for scanning-based AAC access, along with other selection techniques where feedback or highlighting is used (e.g., eye-gaze, brain-computer interface). Avenues for just in time programming of AAC displays are discussed to decrease programming demands and support effective implementation of study findings. [ABSTRACT FROM AUTHOR]

There is a need for further research to understand the potential uses of asynchronous electronic discussions in higher education courses. Electronic discussion boards were conducted with two different graduate speech-language pathology student cohorts to supplement in-class instruction regarding assistive technology. One year's discussions were done as a single large group while the second year's were done in multiple-small groups. These discussion boards were analyzed for emerging themes. Students' opinions of the discussion board, along with their suggestions for improvement, were also requested and analyzed. Results indicated that the discussion boards were a successful tool in maximizing the potential for knowledge acquisition outside the classroom and that several enhancements could be added to improve the overall experience. In particular, instructor involvement was more easily incorporated into large groups and small groups had fewer students reporting about redundancy of posts. Practical applications and future research directions are discussed.

Purpose: The aim of the study was to gather the perspectives and lived experiences of 10 adults who use augmentative and alternative communication (AAC) and participate in active recreation. Active recreational participation includes individual sports such as adaptive skiing, surfing, and cycling, as well as unified team sports such as soccer, bocce, and basketball. Method: This research involved a qualitative study with two separate asynchronous online focus groups each conducted over a 6-week span. The focus groups included literate individuals who use AAC and engage in active recreational pursuits across the United States. One focus group included five individuals with acquired conditions, and the other group included five individuals with developmental disabilities. Results: Thematic analysis of the data from both focus groups revealed five primary themes with corresponding subthemes: barriers (intrinsic and extrinsic), supports (intrinsic and extrinsic), benefits (intrinsic and extrinsic), communication (methods), and recommendations for communication partners and people who use AAC. Conclusions: This study provides important information to individuals who use AAC and their communication partners about the benefits of active recreation and the supports needed to make these experiences successful. As a result of this study, speech-language pathologists, related professionals, and caregivers will gain a better understanding of how they can support recreational participation for people who use AAC with a specific focus on enhancing communication and expanding social networks. [ABSTRACT FROM AUTHOR]

There is increasing interest in exploring the benefits of music in rehabilitation settings. In the field of speech-language pathology, an ultimate goal for individuals with communication disorders is to foster participation across multiple contexts. The goal of this systematic review was to explore social and participation outcomes for individuals with communication disorders who received arts-based interventions. A systematic search of the literature yielded 86 studies, which were coded and summarized in terms of participants, arts-based intervention, social and participation variables, outcome, and quality of evidence. The majority of identified studies (N = 71) utilized music. Results indicated that music-based interventions can improve social and participation outcomes, such as frequency of responses, initiation of communication, turn-taking, joint attention, and group participation for children and adults with autism spectrum disorder and developmental and acquired communication disorders; however, future research is needed to expand the use of varied arts-based interventions targeting a larger breadth of social and participation outcomes. [ABSTRACT FROM AUTHOR]

Many individuals who require augmentative and alternative communication (AAC) cannot directly select items on computer-based displays. Individuals who also have visual impairments may need to rely on sequential announcement of array choices in auditory scanning. The method is challenging and there is a lack of research to improve this access method. Two potential solutions were tested: using environmental sounds to represent items (e.g., the sound of a clock ticking for a clock) and providing spatial cues regarding the organization of items (e.g., presenting auditory information and altering temporal and spectral features so that sounds are heard as left, right, up, or down relative to each other). The individual and combined effects of these cues were tested with typically developing 3-year-old children. After collecting and validating a set of stimulus sounds, 24 children participated in a within-subjects design with four conditions (spoken word label only, associated environmental sound only, spoken word label with spatial information, associated environmental sound plus spatial information). Dependent measures included reaction time (RT) and accuracy. Results indicated that the use of sounds without any spatial cues revealed slower RTs than any other conditions. Also, sounds regardless of spatial cues led to less accurate scores than words. [ABSTRACT FROM AUTHOR]

Although recent evidence suggests learning demands for children can be reduced by organizing augmentative and alternative communication (AAC) displays in contextual scenes, there is little evidence on how such scenes could be made accessible for children who cannot use direct selection. Using a line drawn scene of a living room, a traditional traveling cursor (a green outline of objects within the scene) was compared with sequential animation—logically matching the function of items in the scene (e.g., hands of a clock moving, a lamp turning on and off, etc.). After three learning sessions, only the matched function animation condition revealed a significant increase in accuracy scores from session 1 to session 3. Age-related trends suggested the mean scores in the cursor-based condition were associated with older children consistently performing at high levels and younger children remaining at low levels, while trends in the animated group were associated with children learning the interface in a way not associated with age. Findings support that enhanced presentations of scanning can increase the transparency of the scanning interface for some children and suggest that contextual scene displays could benefit from animations and sound for children not using direct selection. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to gain insight from speech-language pathologists (SLPs) and parents of children with autism spectrum disorder (ASD) regarding appealing features of augmentative and alternative communication (AAC) applications.Method: Two separate 1-hour focus groups were conducted with 8 SLPs and 5 parents of children with ASD to identify appealing design features of AAC Apps, their benefits and potential concerns. Participants were shown novel interface designs for communication mode, play mode and incentive systems. Participants responded to poll questions and provided benefits and drawbacks of the features as part of structured discussion.Results: SLPs and parents identified a range of appealing features in communication mode (customization, animation and colour-coding) as well as in play mode (games and videos). SLPs preferred interfaces that supported motor planning and instruction while parents preferred those features such as character assistants that would appeal to their child. Overall SLPs and parents agreed on features for future AAC Apps.Conclusion: SLPs and parents have valuable input in regards to future AAC app design informed by their experiences with children with ASD. Both groups are key stakeholders in the design process and should be included in future design and research endeavors. Implications for Rehabilitation AAC applications for the iPad are often designed based on previous devices without consideration of new features.Ensuring the design of new interfaces are appealing and beneficial for children with ASD can potentially further support their communication.This study demonstrates how key stakeholders in AAC including speech language pathologists and parents can provide information to support the development of future AAC interface designs.Key stakeholders may be an untapped resource in the development of future AAC interfaces for children with ASD. [ABSTRACT FROM AUTHOR]