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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.

Augmentative and Alternative Communication (Baltimore, Md. : 1985)
|May 21, 2023
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
Augmentative and alternative communicationcapability approachdevice abandonmentframework

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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.