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Professionals' decision-making in recommending communication aids in the UK: competing considerations
Janice Murray1, Yvonne Lynch1, Stuart Meredith1
1a Faculty of Health, Psychology and Social Care, Manchester Metropolitan University , Manchester , UK.
Specialized professionals in the UK prioritize access features over language when recommending high-tech augmentative and alternative communication (AAC) devices for children with complex communication needs.
Area of Science:
- Augmentative and Alternative Communication (AAC)
- Clinical Decision-Making
- Assistive Technology
Background:
- Children with complex communication needs can benefit significantly from communication aids.
- The clinical decision-making process for recommending high-tech AAC devices is not well-documented.
- Limited research exists on the provision of these essential aids.
Purpose of the Study:
- To explore factors influencing UK-based AAC professionals' recommendations for high-tech communication aids.
- To understand the decision-making process in real-time assessment scenarios.
Main Methods:
- Six focus groups were conducted with specialized AAC professionals in the UK.
- Purposive sampling ensured relevant team participation.
- Thematic network analysis was employed to interpret focus group data.
Main Results:
- Professionals considered child characteristics, access features, and device attributes.
- A key finding indicates a prioritization of access features over language considerations.
- An explanatory model was developed to depict decision-making interactions.
Conclusions:
- Clinical practice guidelines for AAC recommendations may need refinement.
- Further research is needed to evaluate the impact of AAC provision.
- Understanding decision-making factors can improve AAC service delivery.
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