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Supporting Children's Communication of Choices During Inpatient Rehabilitation: Effects of a Mobile Training for

Jessica Gormley1, David McNaughton2, Janice Light2

  • 1Speech-Language Pathology Department, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha.

American Journal of Speech-Language Pathology
|February 10, 2023
PubMed

Insights

A brief training improved healthcare providers' ability to support children with complex communication needs using augmentative and alternative communication (AAC) during hospital stays. This enhanced child participation and communication of choices in healthcare settings.

Area of Science:

  • Healthcare communication strategies
  • Augmentative and Alternative Communication (AAC)
  • Pediatric healthcare interventions

Background:

  • Children with complex medical and communication needs often have prolonged hospital stays.
  • Effective communication is crucial for these children's participation in healthcare.
  • Healthcare providers frequently lack training in communicating with children using AAC.

Purpose of the Study:

  • To evaluate a brief mobile training for healthcare providers.
  • To improve provider skills in supporting children with complex communication needs (CCN).
  • To enhance child participation through improved communication of choices.

Main Methods:

  • A pretest-posttest experimental group design was employed.
  • Providers received a brief mobile video training on supporting AAC users.
  • Interactions with children with CCN were assessed before and after training.

Main Results:

  • Providers offered more choices to children post-training.
  • Trained providers implemented the communication procedure with higher accuracy.
  • Children with CCN consistently communicated their choices when given opportunities.

Conclusions:

  • The AAC training was efficient, effective, and socially valid in an inpatient setting.
  • This is the first AAC training to show positive results in promoting child-provider interactions in hospitals.
  • Further development of brief AAC trainings is needed to support children's healthcare participation.
Abstract

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