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Caregiver-Implemented AAC Interventions for Children with Intellectual or Developmental Disabilities: a Systematic

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Summary

Caregiver-implemented augmentative and alternative communication (AAC) strategies effectively improve communication for children with disabilities. However, research must include more diverse families and caregiver factors for better outcomes.

Keywords:
Augmentative and alternative communicationAutismCaregiver-implemented communication interventionsComplex communication needsDevelopment disabilityIntellectual disability

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Area of Science:

  • Speech and Language Pathology
  • Developmental Disabilities
  • Family-Centered Interventions

Background:

  • Children with intellectual/developmental disabilities often require augmentative and alternative communication (AAC) to enhance communication.
  • Caregiver-implemented AAC interventions are recognized as effective for improving child communication outcomes.

Purpose of the Study:

  • To review caregiver-implemented AAC intervention literature.
  • To assess child/caregiver characteristics, intervention types, training methods, and evaluation of caregiver implementation.
  • To identify gaps in the literature, particularly regarding marginalized families.

Main Methods:

  • Systematic literature review of caregiver-implemented AAC interventions.
  • Analysis of study components including child/caregiver factors, intervention details, training approaches, and outcome measures.

Main Results:

  • Families from marginalized backgrounds were underrepresented in the reviewed literature.
  • Functional behavioral interventions and diverse teaching strategies were commonly used.
  • Few studies incorporated caregiver-dependent variables into their design or analysis.

Conclusions:

  • Future caregiver-implemented AAC interventions should prioritize inclusivity and representation of diverse families.
  • Incorporating caregiver-dependent variables is crucial for a comprehensive understanding and improvement of interventions.
  • Enhancing intervention design can lead to more effective communication outcomes for children with disabilities.