如何选择AAC:来自自闭症谱系障碍和复杂沟通需求的儿童的进一步证据
Lesley A Shawler1, Juhi Kidwai2, Valerie Boyer2
1School of Psychological and Behavioral Sciences, Southern Illinois University Carbondale, Carbondale, IL, USA.
概括
许多自闭症儿童使用增强型和替代型沟通 (AAC) 进行沟通. 这项研究发现,将儿童和护理人员的偏好与客观数据相结合,可以为具有复杂沟通需求的自闭症儿童提供更好的AAC选择.
科学领域:
- 发展心理学 发展心理学
- 语音和语言病理学 语言病理学
- 辅助技术 辅助技术 辅助技术
背景情况:
- 大约30%的自闭症儿童可能不会发展出自然语言.
- 增强型和替代性沟通 (AAC) 对具有复杂沟通需求 (CCN) 的儿童的功能和象征性沟通至关重要.
- 选择适当的AAC模式对于改善沟通成果至关重要.
研究的目的:
- 评估CCN的幼儿自闭症儿童对各种AAC模式的熟练程度和偏好.
- 探索跨学科协议的整合和以家庭为中心的评估,以选择AAC模式.
- 通过考虑儿童和护理人员的投入,为个性化的AAC干预提供信息.
主要方法:
- 八名患有CCN的幼年自闭症儿童使用多种高技术和低技术的AAC模式进行了评估.
- 一个单一的多元件设计评估了模式熟练程度.
- 一个并发操作设计测量了参与者和护理人员的偏好.
主要成果:
- 所有参与者都表现出至少有一种AAC模式的熟练程度.
- 儿童和护理人员的偏好通常是一致的.
- 客观数据和参与者偏好是AAC选择的关键.
结论:
- 一种结构化,跨学科的方法,包括儿童和护理人员的投入,提高了AAC干预的个性化.
- 整合客观数据与参与者偏好,改善了自闭症儿童的沟通成果.
- 对正式的护理者偏好评估进行进一步的研究可以促进长期的坚持和结果.
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