Browsing by Subject "AAC"

Aims: Aided communication has been noted to differ both developmentally and in practise from speaking in many ways, often being significantly more compact, more incomplete and slower. It has also been noted that a speaking listener’s active role as a co-constructive assistant easily reduces the independency of the aided narrative. There is very little research especially of aided narrative skills of children and ad-olescents using a communication book. There is also need for workable evaluation methods.The aim of this case study was to describe the narrative features of a 15-year old boy using a communication book in depicting silent videos, and the things that affected the independency of his aided communication. Methods: The 18 narration tasks with three different communication partners were transcribed. The transcription was then interpreted by tasks and by partners based on the material. The success of the nar-rations was compared to the video events with a four-step assessment scale, and the diversity of the nar-rations was described by counting and classifying the used symbols and sentence structures. The defi-ciency in expression was compared with the vocabulary in the book. The efficiency of the examinee’s symbol expression was also measured. The micro- and macrostructures and the fluency of the independ-ent narration was measured using the Narrative Assessment Profile. The partners’ influence on the narra-tion was observed at a general level. Results: The examined adolescent could quite often get to a result compatible with video events and flexibly use his often insufficient communication book vocabulary. In every task, he was able to stay on topic and correctly sequence the events he expressed. The results supported previous findings about the compact, slow and incomplete expression of the aided communication that is sometimes even disrupted by a partner’s active participation. Especially the amount of extra questions in a co-constructed aided narration supposedly affected its fluency, explicitness and effectiveness as well as the number of inde-pendent utterances. Conclusions: One cannot draw direct conclusions from a single case, and also the other abilities of the examinee had an effect on the performance for their part. Over the analysing process, it was noticed that the aided communicator actively adjust their planned narration on many levels to support their partners’ understanding. Thus, the inappropriate features in speaking may turn out to be appropriate, considering the situation, and vice versa. Narration adjusted to situation and vocabulary may thus, despite its ostensi-ble conciseness, embody the aided narrator’s strategic competence, where the communication partner has a crucial supporting role.

Speech pathologist is in charge of AAC implementation in Finnish health care. A speech impaired person can also be granted additional support from an AAC teacher as adaptation training. This service supports other means of rehabilitation. There is only little research on the teamwork of speech pathologists and AAC-teachers both internationally and in Finland, but it appears so that the teamwork has been rare but there is motivation for increasing the teamwork. This thesis tries to sort out the experiences of speech pathologists and communication teachers working inside the Helsinki metropolitan area regarding teamwork between the two different professional groups. This thesis focuses on what kind of experiances the professionals have, the factors affecting the teamwork and finding out what kind of teamwork is seen as beneficial for each professional´s own work. The subjects of this thesis were 21 speech pathologists and 12 AAC teachers working inside the Helsinki metropolitan area. The subjects worked as entrepreneurs or in private enterprises, basic health care, special health care or organizations. The working experience of the subjects varied between 1 and over 10 years. The data was gathered by a questionnaire and analyzed with inductive content analysis. The teamwork between speech pathologists and AAC teachers appears to not be common and sometimes there is no teamwork ar all. Both the speech therapists and AAC teachers are however motivated in increasing and developing the teamwork. The most important factors affecting the teamwork are challenges in timing, lack of knowledge and the flow of information. Both professional groups felt sharing information, joint goalmaking, setting a division of labour, joint planning and learning from each other to be beneficial. The challenges that hinder the teamwork cand be lessened by for example adding information and education in the matter.

Aims and objectives. The field of speech and language therapy nowadays emphasizes the participation of client’s environments, such as the family. The importance of close environments is highlighted by e.g. the ecological systems theory, the ICF classification and the concept of zone of proximal development. To learn to communicate using a communication aid, a child needs modeling from a more competent interaction partner. Parents are usually essential interaction partners for their children, yet they need guidance and support to be able to model the use of the communication aid for their child. Previous research on parents’ experiences of guidance and support received for aided communication has been scarce. However, it has been noticed that inadequate support for parents can lead to abandonment of the communication aid. The objective of this study was to explore parents’ experiences of guidance and support on using their child’s communication aid. In addition, parents’ experiences of the challenges in the communication aid service delivery were studied, as well as experiences of their own role in the process. The study also examined parents’ views on how the support and guidance practices could be developed. Methods. The data of this study were gathered through semi-structured interviews. From seven different families, nine parents of children who were using a communication aid with an extensive vocabulary participated in the interviews. Data were analyzed using data driven content analysis. Results and conclusions. The results of this study indicated that parents receive guidance and support on using their child’s communication aid from several actors. The guidance and support were mainly considered insufficient in quantity but their content was mostly perceived adequate. Parents had positive experiences of e.g. guidance and support received from their child’s speech therapist, communication instruction, peer support, and technical support provided by the manufacturers and importers of communication aids. One of the main challenges parents had experienced in the process was that the communication aid was not always actively used in the daycare or school settings. Most of the parents had had an active, self-imposed role in the service delivery process, for example in finding services and information. Parents would develop the services provided to families e.g. by offering more guidance and support at the beginning of the process, by training professionals more comprehensively on augmentative and alternative communication, and by informing families more effectively of the services and support that are available. Based on the results of this study, the guidance and support on using a communication aid do not seem to be completely equally available for families, and parent’s own activeness appears to affect the access to services. Practices on providing guidance and support, informing parents of services and training professionals on aided communication may need to be improved and clarified. Parents’ experiences of the guidance and support vary individually, but the results of this study can help professionals develop their practices to support families.