探索功能性语言和运动技能有限的儿童的增强型和替代性沟通评估实践:利用AAC的参与模型进行范围审查
Juno Coan-Brill1, Gail Teachman2, F Aileen Costigan1,3
1School of Communication Sciences & Disorders, Western University, London, Ontario, Canada.
Disability and rehabilitation. Assistive technology
|February 1, 2025
概括
目前对神经发育疾病儿童的增强型和替代性沟通 (AAC) 评估主要集中在儿童的能力上. 需要更多的研究来开发可访问的实践,评估环境和机会因素,以便更好地进行AAC干预.
科学领域:
- 康复医学 康复医学 康复医学
- 辅助技术 辅助技术 辅助技术
- 发育儿科 发育儿科
背景情况:
- 患有神经发育障碍的儿童通常言语和运动功能有限,需要增强型和替代型沟通 (AAC).
- 对这些儿童进行AAC干预的评估是复杂的,原因是显著的异质性和许多需要考虑的因素.
- 优化AAC提供需要更好地了解当前的评估实践.
研究的目的:
- 进行对儿童 (出生至18岁) 由于神经发育状况而言言语和运动功能受限的评估实践的范围审查.
- 在AAC的参与模型框架内确定评估实践.
主要方法:
- 进行了全面的范围审查.
- 在AAC的参与模型的背景下,分析了确定的评估实践.
- 重点关注的是由于神经发育条件导致的言语和运动功能受限的儿童.
主要成果:
- 确定了171种评估实践,主要侧重于儿童能力和访问支持/障碍.
- 很少有方法针对儿童参与模式,沟通需求或机会支持/障碍的评估.
- 23%的正式评估需要修改,10%的儿童参与者无法完全完成.
结论:
- 现有的评估实践过度强调儿童的能力,忽视了关键的外部因素,如环境和机会支持.
- 由于修改要求,目前的评估程序可能不准确地衡量严重语言和运动障碍儿童的能力.
- 发展更容易获得和更全面的评估实践,与有效的AAC干预措施的参与模式保持一致,是非常必要的.
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