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Related Concept Videos

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The innovation of touch-tone telephony revolutionized the telecommunications industry by replacing the traditional rotary dial with a dual-tone multi-frequency (DTMF) signaling system. This system uses a matrix-style keypad with buttons arranged in four rows and three columns, creating 12 distinct signals each assigned to a pair of frequencies. Each button press results in a simultaneous generation of two sinusoidal tones – one from a low-frequency group (697 to 941 Hz) and one from a...
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Related Experiment Video

Updated: Oct 7, 2025

Assessment and Communication for People with Disorders of Consciousness
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The BCH message banking process™, voice banking, and double-dipping™.

John Costello1, Martine Smith2

  • 1Augmentative Communication Program and Jay S. Fishman ALS Augmentative Communication Program, Boston Children's Hospital, Adjunct Faculty Boston University, Boston, MA, USA.

Augmentative and Alternative Communication (Baltimore, Md. : 1985)
|January 10, 2022
PubMed
Summary

Message Banking preserves communication for neurodegenerative conditions. This approach, including personalized synthetic voices, empowers individuals with ALS and their families.

Keywords:
ALSBCH message banking processaugmentative and alternative communicationdouble-dippingspeech synthesis

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Area of Science:

  • Augmentative and Alternative Communication (AAC)
  • Speech-Language Pathology
  • Neurodegenerative Disease Research

Background:

  • Neurodegenerative conditions significantly impact communication abilities.
  • Maintaining communication is crucial for personhood and quality of life.
  • Boston Children's Hospital (BCH) developed Message Banking as an innovative intervention.

Purpose of the Study:

  • To outline the Message Banking process as implemented at BCH.
  • To introduce the six core principles guiding the BCH Message Banking approach.
  • To highlight the extension of Message Banking to personalized synthetic voice development.

Main Methods:

  • Description of the Message Banking process, including "Double Dipping" for voice synthesis.
  • Evolution of six core principles based on over a decade of clinical experience.
  • Structured introduction of concepts and practices for individuals with ALS and their families.

Main Results:

  • The Message Banking process empowers individuals with ALS and their families.
  • The approach emphasizes ownership and control for participants.
  • Partnerships enable the creation of personalized synthetic voices from banked messages.

Conclusions:

  • Message Banking is a valuable tool for preserving communication in neurodegenerative diseases.
  • The BCH Message Banking process is guided by core principles ensuring empowerment and hope.
  • Personalized synthetic voice development enhances the utility of banked messages.