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Use of Augmentative and Alternative Communication by Individuals with Rett Syndrome Part 1: Page-Linking.

Shawn N Girtler¹, Emily K Unholz-Bowden¹, Alefyah Shipchandler¹

¹University of Minnesota, Department of Educational Psychology, 56 E River Rd., Minneapolis, MN 55455, USA.

Journal of Developmental and Physical Disabilities

|March 7, 2024

Summary

Systematic instruction effectively taught page-linking skills for individuals with Rett syndrome (RTT) using both high-tech and low-tech alternative and augmentative communication (AAC) devices. This research supports improved communication for complex needs.

Keywords:

Alternative and augmentative communication Complex communication needs Page-linking Rett syndrome Telehealth

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Area of Science:

Neuroscience
Speech and Language Pathology
Developmental Disabilities

Background:

Rett syndrome (RTT) presents complex communication needs.
Individuals with RTT can benefit from alternative and augmentative communication (AAC) strategies.
Effective teaching procedures for AAC component skills in RTT are not well-established.

Purpose of the Study:

To evaluate systematic individualized instruction for page-linking skills in individuals with RTT.
To assess the efficacy of teaching expressive communication using AAC devices.
To investigate the impact of tailored instructional procedures on AAC use in RTT.

Main Methods:

A nonconcurrent multiple baseline design across three participants with RTT.
Utilized both high-tech and low-tech AAC devices.
Employed behavior chaining, differential reinforcement, and delayed prompting via telehealth.

Main Results:

Individualized instruction procedures were effective for all three participants.
Participants demonstrated independent and accurate page-linking skills.
Success was achieved with both high-tech and low-tech AAC devices.

Conclusions:

Systematic, individualized instruction is effective for teaching AAC page-linking skills in RTT.
Behavior chaining, reinforcement, and prompting are key components of successful intervention.
Telehealth delivery is a viable method for supporting AAC interventions in RTT.