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Rethinking device abandonment: a capability approach focused model
Andy Smidt1, Roxanna N Pebdani1
1Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia.
Millions with complex communication needs can use alternative and augmentative communication (AAC). Reframing "device abandonment" as informed choice empowers users, promoting self-determination and multimodal communication strategies.
Area of Science:
- Augmentative and Alternative Communication (AAC)
- Rehabilitation Science
- Disability Studies
Background:
- Approximately 97 million individuals worldwide have complex communication needs.
- Alternative and augmentative communication (AAC) is an evidence-based intervention, yet device abandonment is prevalent.
- Current AAC prescription models often involve lengthy assessments and funding negotiations.
Purpose of the Study:
- To introduce the Communication Capability Approach (CCA) for AAC prescription.
- To reframe the concept of AAC device abandonment.
- To promote a user-centered perspective emphasizing agency and self-determination.
Main Methods:
- Integration of Amartya Sen's Capability Approach with the established Participation Model.
- Analysis of AAC prescription processes through the lens of individual decision-making.
- Conceptual reframing of device abandonment to informed communication choices.
Main Results:
- The CCA model supports viewing individual communication choices as valid decisions.
- Reframing abandonment shifts the narrative towards user competence and agency.
- AAC use can be context-dependent, involving a range of multimodal communication strategies.
Conclusions:
- The Communication Capability Approach offers a new framework for understanding AAC prescription.
- Viewing AAC use as a choice empowers individuals with complex communication needs.
- This approach fosters self-determination and recognizes the dynamic, context-specific nature of communication.
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