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Decision-making processes in augmentative communication.

R E Owens, L I House

    The Journal of Speech and Hearing Disorders
    |February 1, 1984
    PubMed
    Summary
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    Clinicians can now objectively assess augmentative communication needs using systematic matrices. These tools aid in selecting appropriate augmentative communication strategies and devices for non-speaking individuals.

    Area of Science:

    • Augmentative and Alternative Communication (AAC)
    • Speech-Language Pathology
    • Assistive Technology

    Background:

    • A significant population could benefit from augmentative communication (AC).
    • Current assessment methods for AC lack objective criteria.
    • Clinicians require structured tools for AC decision-making.

    Purpose of the Study:

    • To introduce a systematic, matrix-based approach for AC assessment.
    • To provide clinicians with objective procedures for evaluating non-speaking clients.
    • To facilitate informed decision-making regarding AC implementation.

    Main Methods:

    • Development of three matrices for AC assessment.
    • Matrix 1: Appropriateness of AC (primary vs. complementary).

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  • Matrix 2: Modes of AC (manual systems, boards, electronic devices).
  • Matrix 3: Code information (visual and manual codes).
  • Main Results:

    • Matrices offer a systematic decision-making procedure for AC.
    • Provides comprehensive information on AC modes and codes.
    • Enables objective evaluation and organization of client data.

    Conclusions:

    • The matrices offer an objective framework for AC assessment.
    • Facilitates effective implementation of AC strategies.
    • Improves clinical decision-making for non-speaking clients.