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Aided Communication With Individuals Who Have Multiple Disabilities That Include Visual Impairments: A Meta-Analysis.

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Summary
This summary is machine-generated.

Augmentative and alternative communication (AAC) interventions show promise for individuals with multiple disabilities and visual impairments, improving pragmatic language skills. However, more research is needed due to limited studies and participants.

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Area of Science:

  • Assistive Technology
  • Communication Sciences
  • Special Education

Background:

  • Limited research exists on early symbolic communication interventions for individuals with multiple disabilities and visual impairments.
  • Augmentative and alternative communication (AAC) offers potential solutions for this underserved population.

Purpose of the Study:

  • To conduct a meta-analysis examining AAC intervention approaches for individuals with multiple disabilities, specifically including those with visual impairments.
  • To synthesize current knowledge on aided language adaptations for this population.

Main Methods:

  • Systematic search of six relevant databases.
  • Inclusion of eight intervention studies meeting specific design standards for the meta-analysis.

Main Results:

  • Five studies utilized modified Picture Exchange Communication System; three used combined approaches (e.g., partner instruction, environmental arrangement).
  • Low-tech AAC (tangible symbols, photo cues, communication books) was common, primarily targeting independent requesting.
  • Positive findings emerged for pragmatic language skills (requesting, turn-taking, peer interaction), but participant numbers were very low (N=19).

Conclusions:

  • Visual impairment accommodations in aided AAC interventions appear effective.
  • Consultation with visual impairment specialists was inconsistently reported.
  • Further rigorous research is essential to inform clinical practice and develop comprehensive communication strategies beyond basic requesting for individuals with multiple disabilities and visual impairments.