Many children who require hospitalization in the pediatric intensive care unit (ICU) are unable to or have difficulty communicating through speech, whether because of preexisting or acute conditions. Children who are unable to be heard and understood using only speech benefit from aided augmentative and alternative communication (AAC), including…

Deaf-blindness is a type of dual disability wherein visual and auditory capabilities are significantly impaired. Special communication methods have been developed for the deaf-blind community. Yet, these methods require that both people involved have prior knowledge and training to successfully communicate, limiting deaf-blind people's social…

Purpose: This study compared the performance of three amplification devices hypothesized to improve speech communication in individuals with hypophonia (HP), as well as to identify individuals' device preferences. Method: Twenty-two individuals with HP and their primary communication partners participated in a cross-over design study comparing…

Clinical Question: Do children with complex communication needs show greater improvement in requesting behaviors with the Picture Exchange Communication System® (PECS®) versus a speech-generating device (SGD)? Method: Systematic Review. Sources: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information…

In the present study, we aimed to make an evaluation, conduct comprehensive descriptive analyses, and calculate the effect sizes of studies which compare AAC applications designed according to single-subject research designs and conducted for individuals with ASD. Within the scope of this aim, 21 studies meeting the inclusion criteria were…

Purpose: This study seeks to determine how speech-language impairments relate to the frequency and diversity of communication modes and functions produced by children with cerebral palsy (CP) during interactions with their mothers. Method: We studied 40 children with CP (M[subscript age] = 62 months) comprising three groups--those who were unable…

There has been an increased interest in research evaluating the use of handheld computing technology as speech-generating devices (SGD) for children with autism. However, given the reliance on single-subject research methodology, replications of these investigations are necessary. This study presents a replication with variation, of a method for…

The purpose of this single case A-B-A-B study was to determine if the dependent variables of eye gaze, vocalization, and reaching would increase among students and peers with severe and multiple disabilities and complex communication needs when the independent variable of positioning for communication and socialization (peers facing each other and…

This Action Information Sheet follows a family's process of selecting and using augmentative and alternative communication to help their young son, Max, speak. Max is affected by global dyspraxia, which makes learning new motor skills--especially speech--quite difficult. For the first years of his life, Max could not say words. Before he and his…

This study aimed to contribute to the secondary-tier evidence of the three-tier video modeling intervention model (3TVM), using a group-based generic video, and to explore a new form of augmentative and alternative communication (AAC) intervention using a Chinese-language interface for teaching children with developmental disabilities. A multiple…

Despite enormous improvements in AT devices and services in American classrooms, the number of students with special needs, and the complexity of needs that they and their families experience continues to be sky rocketed nationwide. In response to these urgent needs, more advanced and specialized assistive technologies have been developed that…

We evaluated a program for teaching two adolescents with autism spectrum disorders (ASD) to perform more advanced operations on an iPod-based speech-generating device (SGD). The effects of the teaching program were evaluated in a multiprobe multiple baseline across participants design that included two intervention phases. The first intervention…

Purpose: To determine (a) the effect of fundamental frequency (f0) on speech intelligibility, acceptability, and perceived gender in electrolaryngeal (EL) speakers, and (b) the effect of known gender on speech acceptability in EL speakers. Method: A 2-part study was conducted. In Part 1, 34 healthy adults provided speech recordings using…

Purpose: This investigation examined the effect of repeated exposure to novel and repeated spoken words in typical environments on the intelligibility of 2 synthesized voices and human recorded speech in preschools. Method: Eighteen preschoolers listened to and repeated single words presented in human-recorded speech, DECtalk Paul, and AT&T Voice…

The purpose of this comparative efficacy study was to investigate the Picture Exchange Communication System (PECS) and a speech-generating device (SGD) in developing requesting skills, social-communicative behavior, and speech for three elementary-age children with severe autism and little to no functional speech. Requesting was selected as the…