3. The Challenge
• More high-tech AAC users than ever!
• But, does getting an iPad and an AAC app deliver
REAL communication?!
• How do you achieve communicative competence?!
6. Counterproductive Systems
• Provide a system with only a handful of choices!
• Put mainly nouns in the system!
• Focus on adding academic vocabulary to the system!
• Creating custom pages for specific activities!
8. Counterproductive Context
• Demand prerequisite skills!
• Require mastery of every step before moving further!
• Give someone a system without modeling its use!
• Provide a vocabulary without a communication context!
• Limit access to the communication device!
• Starting with simple “beginning” AAC systems!
9. No prerequisites
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“My daughter was started with a BIGmack and advanced to a Go Talk
4+, with the idea she might advance further to a Go Talk 20 and maybe
one day, if all the stars aligned and she was a very good girl, a DynaVox.
Nothing about this changing technology supported her to build a
foundation of language development.”
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Erin Sheldon, QIAT Listserve, 21/03/2013!
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10. Rethinking our own practices
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“WE USED TO THINK: Start with just a few (4-6) picture symbols and add a few
more at a time, as the student with ASD shows that he or she can communicate
appropriately with them usually by requesting.”
“NOW WE THINK: Really? Where is the research that defends this practice? This
is certainly not how other kids learn new words and acquire language”!
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Pat Mirenda, ISAAC Portugal 2014!
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11. Counter-productive practices
• Use the AAC system to quiz or test!
• Ask questions the AAC user knows you already know
the answer to!
• Reward communication with food!
• Require the AAC user to say it ALSO with “their words”!
13. AAC Success
Factors impacting long-term success!
• Person who uses AAC system experiences success 91.76%!
• Degree to which the system is valued by the user and partners
as a means of communication 90.58%!
• System serves a variety of communicative functions 89.85%!
• System is used for communication, not just as a toy or therapy
tool (Real communication) 87.20%!
• Other areas:!
• Appropriate device selected !
• Support for system!
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Johnson, et al. (2006)
14. Productive practices
• Don’t aim too low!
• Provide access to high & low tech!
• Use a well-designed research-
based vocabulary!
• Provide appropriate access!
• Have the device available at all
times!
• Use Aided Language Stimulation!
• Provide specific vocabulary
instruction!
• Teach how to describe words that
are not on the device!
• Create communication
opportunities!
• Allow exploration!
• Work towards literacy and
language!
• Respect multi-model
communication!
15. Remember
• Behavioural issues will decline with REAL
communication!
• Academic goals will follow REAL communication!
• Communication is essential!!
16. References
• Johnson, J.M., Inglebret, E., Jones, C., & Ray, J. (2006). Perspectives
of Speech Language Pathologists regarding success versus
abandonment of AAC. Augmentative and Alternative Communication
22 (2), 85-99.!
• Light, J. (1989). Towards a definition of communicative competence
for individuals using augmentative and alternative communication
systems. Augmentative and Alternative Communication, 5, 137– 144.!
• Light, J. & McNaughton, D. (2014). Communicative Competence for
Individuals who require Augmentative and Alternative
Communication: A New Definition for a New Era of Communication?
Augmentative and Alternative Communication, 30, 1– 18.!
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