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An activity systemic approach to augmentative and alternative communication.

Per-Olof Hedvall1, Bitte Rydeman

  • 1Lund University, Lund, Sweden. per-olof.hedvall@certec.lth.se

Augmentative and Alternative Communication (Baltimore, Md. : 1985)
|November 25, 2010
PubMed
Summary

Cultural-Historical Activity Theory (CHAT) helps understand factors influencing augmentative and alternative communication (AAC) use. This research explored user experiences with voice output communication aids (VOCAs) and vocabulary design.

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Area of Science:

  • Human-Computer Interaction
  • Assistive Technology
  • Sociocultural Psychology

Background:

  • Augmentative and Alternative Communication (AAC) systems are crucial for individuals with communication impairments.
  • Understanding the multifaceted factors influencing AAC use is essential for effective design and implementation.
  • Voice Output Communication Aids (VOCAs) are a common form of AAC, but their vocabulary design presents unique challenges.

Purpose of the Study:

  • To explore how Cultural-Historical Activity Theory (CHAT) can illuminate the factors affecting the use of augmentative and alternative communication (AAC).
  • To analyze the activity-based vocabulary design of voice output communication aids (VOCAs) through the lens of CHAT.
  • To identify key themes influencing the user experience with AAC, specifically concerning pre-stored phrases in VOCAs.

Main Methods:

  • A 3-year project involving qualitative data collection.
  • Interviews with four individuals using AAC and their assistants, focusing on shopping activities.
  • Application of the CHAT Activity Diamond model for data analysis.

Main Results:

  • A complex interplay of human, artifactual, and natural factors was identified.
  • Six key themes emerged: Attitude/Preference, Expectation/Trust, Goal/Power, Place/Space, Time/Learning, and Usability/Accessibility.
  • These themes provide a nuanced understanding of AAC use in real-world activities.

Conclusions:

  • Cultural-Historical Activity Theory (CHAT) offers a robust framework for analyzing AAC use.
  • The identified themes highlight critical areas for improving AAC system design and user support.
  • Activity-based vocabulary design, informed by CHAT, can enhance the effectiveness and accessibility of VOCAs.