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Communicative Interaction with and without Eye-Gaze Technology between Children and Youths with Complex Needs and
Yu-Hsin Hsieh1, Maria Borgestig2, Deepika Gopalarao3
1Department of Special Education, Stockholm University, Se-106 91 Stockholm, Sweden.
Eye-gaze assistive technology (EGAT) enhances communication for children with severe impairments. EGAT use increased child initiations and information sharing, promoting more balanced interactions.
Area of Science:
- Assistive Technology
- Communication Sciences
- Human-Computer Interaction
Background:
- Eye-gaze assistive technology (EGAT) enables communication for children with severe motor and speech impairments.
- Limited knowledge exists on EGAT's impact on dyadic communication and interaction dynamics.
Purpose of the Study:
- To investigate the impact of EGAT on dyadic communicative interaction compared to a non-EGAT condition.
- To analyze changes in communication behaviors and interactional structures during EGAT use.
Main Methods:
- Video-coding of dyadic interaction sequences involving six children/youths (4-19 years) with severe physical disabilities.
- Systematic coding of dyadic communication behaviors (functions, structure) in 12 communication activity clips (with/without EGAT).
- Three-tiered data analysis combining group and individual analyses.
Main Results:
- Children/youths using EGAT showed increased communicative initiations and information provision.
- Communication partners exhibited fewer turns, initiations, and requests when EGAT was used.
- Factors like communication activities, eye-control, and abilities influenced dyadic interaction.
Conclusions:
- EGAT use has potential to enhance communicative interactions for children with severe impairments.
- EGAT can increase child initiations and intelligibility, fostering more symmetrical communication.
- EGAT facilitates more balanced and effective communication exchanges within dyads.
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