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Brittlebank S, Light JC, Pope L. A scoping review of AAC interventions for children and young adults with simultaneous visual and motor impairments: Clinical and research Implications. Augment Altern Commun 2024; 40:219-237. [PMID: 38578299 DOI: 10.1080/07434618.2024.2327044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 01/23/2024] [Accepted: 02/29/2024] [Indexed: 04/06/2024] Open
Abstract
Individuals with multiple disabilities are among the most challenging to serve and AAC teams often lack direction in determining effective interventions. The purpose of this scoping review was to summarize the research evidence on AAC interventions for individuals with complex communication needs and simultaneous motor, and visual impairments as part of their multiple disabilities; to consider implications for practice; and to determine gaps and directions for future research. A total of 27 studies were identified and reviewed, involving 55 unique participants with multiple disabilities. Most studies focused on direct intervention to increase requesting or choice-making, with little focus on social communication. Only two studies focused on training communication partners. Results indicated that AAC interventions can be highly effective to increase communication for individuals with multiple disabilities. However, there is an urgent need for increased rigor and more detailed participant information in future AAC intervention research with this population. Future research should investigate AAC intervention to improve social communication and increase language development, not just expression of needs and wants. Future research should focus on the needs of individuals with multiple disabilities from culturally and linguistically diverse backgrounds and on implementation of AAC within natural environments.
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Affiliation(s)
- Savanna Brittlebank
- Communication Sciences and Disorders, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Janice C Light
- Communication Sciences and Disorders, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Lauramarie Pope
- Speech, Language and Hearing Sciences, Auburn University, Auburn, Alabama, USA
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Piekema L, Ten Brug A, Waninge A, van der Putten A. From assistive to inclusive? A systematic review of the uses and effects of technology to support people with pervasive support needs. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2024; 37:e13181. [PMID: 38369310 DOI: 10.1111/jar.13181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 10/27/2023] [Accepted: 11/15/2023] [Indexed: 02/20/2024]
Abstract
BACKGROUND Although particular technologies can enhance the quality of life (QoL) of people with profound intellectual and multiple disabilities (we use the term pervasive support needs), their objectives and outcomes are understudied. A systematic literature review was therefore conducted to explore this topic. METHOD A search of four databases yielded 64 studies. Data were extracted on their general characteristics, methods and sample characteristics as well as the technology types, QoL domains and application within ecological systems. A narrative synthesis was subsequently developed. RESULTS Most of the studies applied assistive technology (AT) and focused on personal development and self-determination on an individual level. CONCLUSIONS Technology can enhance the QoL of people with pervasive support needs. There are indications that although MT and UD-based technology are used in practice, few studies have examined these technologies. Therefore, there is a knowledge gap regarding the kinds of technology that are used in practice.
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Affiliation(s)
- Lotte Piekema
- Department of Inclusive and Special Needs Education, University of Groningen, Groningen, The Netherlands
| | - Annet Ten Brug
- Department of Inclusive and Special Needs Education, University of Groningen, Groningen, The Netherlands
| | - Aly Waninge
- Hanze University of Applied Sciences Groningen, Research Group Healthy Ageing, Allied Health Care and Nursing, Groningen, The Netherlands
- Health Psychology Research, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Annette van der Putten
- Department of Inclusive and Special Needs Education, University of Groningen, Groningen, The Netherlands
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Pedrozo Campos Antunes T, Souza Bulle de Oliveira A, Hudec R, Brusque Crocetta T, Ferreira de Lima Antão JY, de Almeida Barbosa RT, Guarnieri R, Massetti T, Garner DM, de Abreu LC. Assistive technology for communication of older adults: a systematic review. Aging Ment Health 2019; 23:417-427. [PMID: 29451399 DOI: 10.1080/13607863.2018.1426718] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
OBJECTIVE Describe the use of assistive technology to enhance communication opportunities for older adults. METHODS A systematic review was conducted in two databases, PubMed and Web of Science, by using two different searches in each. The search was limited to original articles, in English language, including people aged 60 years and older that used any type of assistive technology for communication. The articles found in the initial search were filtered by title, abstracts and the remaining articles were fully read. RESULTS Eighteen studies were included in this review after the reading of full-texts. Most of the studies included apparently healthy participants with communication limitations due to aging related changes and the others included people with some pathology that prevent them from normal communication. CONCLUSION Four categories of assistive technology were identified: assistive technology for people with speech problems; robot or videoconferencing systems; Information and Communication Technologies and, other types of assistive technology for communication, such as hearing aids and scrapbooks. Assistive technology for communication of older adults is not only used by people with disabilities that prevent them from usual communication. They are mostly for older adults without a pathological communication problem.
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Affiliation(s)
- Thaiany Pedrozo Campos Antunes
- a Laboratório de Delineamento de Estudos e Escrita Científica da Faculdade de Medicina do ABC. Santo André , Sao Paulo , Brazil.,b Faculty of Electrical Engineering, Department of Multimedia and Information-Communication Technology, University of Zilina, Zilina , Slovakia
| | | | - Robert Hudec
- b Faculty of Electrical Engineering, Department of Multimedia and Information-Communication Technology, University of Zilina, Zilina , Slovakia
| | - Tania Brusque Crocetta
- a Laboratório de Delineamento de Estudos e Escrita Científica da Faculdade de Medicina do ABC. Santo André , Sao Paulo , Brazil.,d Faculty of Management Science and Informatics, Department of Mathematical Methods and Operations Research, University of Zilina, Zilina , Slovakia
| | | | - Renata Thais de Almeida Barbosa
- a Laboratório de Delineamento de Estudos e Escrita Científica da Faculdade de Medicina do ABC. Santo André , Sao Paulo , Brazil
| | - Regiani Guarnieri
- a Laboratório de Delineamento de Estudos e Escrita Científica da Faculdade de Medicina do ABC. Santo André , Sao Paulo , Brazil
| | - Thais Massetti
- e Departamento De Pós-graduação em Ciências da Reabilitação , Universidade de São Paulo , Brazil
| | - David M Garner
- f Faculty of Health and Life Sciences, Cardiorespiratory Research Group, Department of Biological and Medical Sciences, Oxford Brookes University , Oxford , United Kingdom
| | - Luiz Carlos de Abreu
- a Laboratório de Delineamento de Estudos e Escrita Científica da Faculdade de Medicina do ABC. Santo André , Sao Paulo , Brazil.,g Faculty of Public Health , University of Sao Paulo , Sao Paulo , Brazil.,h Department of Environmental Health, Harvard T.H. Chan School of Public Health , Boston , USA
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Lancioni GE, O’Reilly MF, Singh NN, Sigafoos J, Boccasini A, La Martire ML, Perilli V, Spagnuolo C. Technology to support positive occupational engagement and communication in persons with multiple disabilities. ACTA ACUST UNITED AC 2016. [DOI: 10.1515/ijdhd-2015-0023] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AbstractPersons with multiple (intellectual and sensory-motor) disabilities can have serious difficulties managing their independent engagement in leisure activities and communication, particularly with partners not present in their immediate environment.This study assessed two versions of a technology-aided program (involving a computer system to present leisure and communication options and a microswitch to choose among them) with four participants with multiple disabilities. Two participants used the first version of the program, which allowed them to choose among leisure (music) options. The other two participants used the second version of the program, which allowed them to choose among leisure (music and videos) and communication (telephone calls) options. Each program version was implemented according to a non-concurrent multiple baseline design across participants.Data showed that both program versions were successful in helping the participants achieve the objectives pursued, that is, choose and access leisure or leisure and communication options independently.Technology-aided programs can enable persons with multiple disabilities to manage positive occupational engagement and communication.
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Chang ML, Shih CH, Lin YC. Encouraging obese students with intellectual disabilities to engage in pedaling an exercise bike by using an air mouse combined with preferred environmental stimulation. RESEARCH IN DEVELOPMENTAL DISABILITIES 2014; 35:3292-3298. [PMID: 25181361 DOI: 10.1016/j.ridd.2014.08.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Revised: 08/06/2014] [Accepted: 08/12/2014] [Indexed: 06/03/2023]
Abstract
This study extended research into the application of high-tech products in the field of special education, using a standard air mouse with a newly developed pedal detection program (PDP) software. PDP is a new software program used to turn a standard air mouse into a pedal detector in order to evaluate whether two obese students with intellectual disabilities (ID) would be able to actively perform the activity of pedaling an exercise bike in order to control their preferred environmental stimulation. This study was performed according to an ABAB design. The data showed that both participants had more willingness to engage in the pedaling activity to activate the environmental stimulation in the intervention phases than in the baseline phase. The practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Man-Ling Chang
- Department of Special Education, National Taiwan Normal University, Taipei, Taiwan, ROC
| | - Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien, Taiwan, ROC.
| | - Yen-Chung Lin
- Department of Special Education, National Dong Hwa University, Hualien, Taiwan, ROC
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Carvalho KECD, Gois Júnior MB, Sá KN. Tradução e validação do Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) para o idioma português do Brasil. REVISTA BRASILEIRA DE REUMATOLOGIA 2014; 54:260-7. [DOI: 10.1016/j.rbr.2014.04.003] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2013] [Accepted: 04/14/2014] [Indexed: 11/30/2022] Open
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Assistive Technology for People with Acquired Brain Injury. AUTISM AND CHILD PSYCHOPATHOLOGY SERIES 2014. [DOI: 10.1007/978-1-4899-8029-8_2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Shih CH, Wang SH, Chang ML, Kung SY. Assisting patients with disabilities to actively perform occupational activities using battery-free wireless mice to control environmental stimulation. RESEARCH IN DEVELOPMENTAL DISABILITIES 2012; 33:2221-2227. [PMID: 22820062 DOI: 10.1016/j.ridd.2012.06.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2012] [Accepted: 06/12/2012] [Indexed: 06/01/2023]
Abstract
The latest studies have adopted software technology to turn the battery-free wireless mouse into a high performance object location detector using a newly developed object location detection program (OLDP). This study extended OLDP functionality to assess whether two patients recovering from cerebral vascular accidents would be able to actively perform occupational activities by controlling their favorite environmental stimulation using battery-free wireless mice and OLDP software. Using an ABAB design we found substantial increases in both participants' target responses (i.e. the performance of occupational activities) to activate the control system to produce environmental stimulation during intervention phrases. The practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien, Taiwan, ROC.
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Shih CH. A finger-pressing position detector for assisting people with developmental disabilities to control their environmental stimulation through fine motor activities with a standard keyboard. RESEARCH IN DEVELOPMENTAL DISABILITIES 2012; 33:1360-1365. [PMID: 22522194 DOI: 10.1016/j.ridd.2012.03.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Revised: 03/06/2012] [Accepted: 03/06/2012] [Indexed: 05/31/2023]
Abstract
This study used a standard keyboard with a newly developed finger-pressing position detection program (FPPDP), i.e. a new software program, which turns a standard keyboard into a finger-pressing position detector, to evaluate whether two people with developmental disabilities would be able to actively perform fine motor activities to control their preferred environmental stimulation. An ABAB design was adopted in this study. The data showed that both participants' target responses (i.e. fine motor activities) significantly increased (i.e. they performed more fine motor activities to activate the environmental stimulation) during the intervention phases. The practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien 970, Taiwan, ROC.
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Shih CH, Chang ML, Mohua Z. A three-dimensional object orientation detector assisting people with developmental disabilities to control their environmental stimulation through simple occupational activities with a Nintendo Wii Remote Controller. RESEARCH IN DEVELOPMENTAL DISABILITIES 2012; 33:484-489. [PMID: 22119696 DOI: 10.1016/j.ridd.2011.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2011] [Accepted: 10/12/2011] [Indexed: 05/31/2023]
Abstract
This study evaluated whether two people with developmental disabilities would be able to actively perform simple occupational activities to control their preferred environmental stimulation using a Nintendo Wii Remote Controller with a newly developed three-dimensional object orientation detection program (TDOODP, i.e. a new software program, which turns a Wii Remote Controller into a three-dimensional object orientation detector). An ABAB design, in which A represented the baseline and B represented intervention phases, was adopted in this study. The data shows that the performance of both participants has significantly increased (i.e. they perform more simple occupational activities to activate the control system to produce environmental stimulation) during the intervention phases. The practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien 970, Taiwan, ROC.
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Shih CH, Yeh JC, Shih CT, Chang ML. Assisting children with Attention Deficit Hyperactivity Disorder actively reduces limb hyperactive behavior with a Nintendo Wii Remote Controller through controlling environmental stimulation. RESEARCH IN DEVELOPMENTAL DISABILITIES 2011; 32:1631-1637. [PMID: 21444191 DOI: 10.1016/j.ridd.2011.02.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2011] [Accepted: 02/09/2011] [Indexed: 05/30/2023]
Abstract
The latest studies have adopted software technology which turns the Wii Remote Controller into a high-performance limb action detector, we assessed whether two persons with multiple disabilities would be able to control an environmental stimulus through limb action. This study extends the functionality of the Wii Remote Controller to the correction of limb hyperactive behavior to assess whether two children with Attention Deficit Hyperactivity Disorder (ADHD) would be able to actively reduce their limb hyperactive behavior through controlling their favorite stimuli by turning them on/off using a Wii Remote Controller. An ABAB design, in which A represented the baseline and B represented intervention phases, was adopted in this study. Result showed that both participants significantly increased their time duration of maintaining a static limb posture (TDMSLP) to activate the control system in order to produce environmental stimulation in the intervention phases. Practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien 970, Taiwan, ROC.
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Shih CH. A standing location detector enabling people with developmental disabilities to control environmental stimulation through simple physical activities with Nintendo Wii Balance Boards. RESEARCH IN DEVELOPMENTAL DISABILITIES 2011; 32:699-704. [PMID: 21159488 DOI: 10.1016/j.ridd.2010.11.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2010] [Accepted: 11/11/2010] [Indexed: 05/30/2023]
Abstract
This study evaluated whether two people with developmental disabilities would be able to actively perform simple physical activities by controlling their favorite environmental stimulation using Nintendo Wii Balance Boards with a newly developed standing location detection program (SLDP, i.e., a new software program turning a Nintendo Wii Balance Board into a standing location detector). This study was carried out using to an ABAB design. The data showed that both participants significantly increased their simple physical activity (target response) to activate the control system to produce environmental stimulation during the B (intervention) phases. The practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien 970, Taiwan, ROC.
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Shih CH. An object location detector enabling people with developmental disabilities to control environmental stimulation through simple occupational activities with battery-free wireless mice. RESEARCH IN DEVELOPMENTAL DISABILITIES 2011; 32:818-823. [PMID: 21093216 DOI: 10.1016/j.ridd.2010.10.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2010] [Accepted: 10/20/2010] [Indexed: 05/30/2023]
Abstract
This study assessed whether two persons with developmental disabilities would be able to actively perform simple occupational activities by controlling their favorite environmental stimulation using battery-free wireless mice with a newly developed object location detection program (OLDP, i.e., a new software program turning a battery-free wireless mouse into an object location detector). This study was performed according to an ABAB design, in which A represented the baseline and B represented intervention phases. Data showed that both participants significantly increased their target response (performing simple occupational activities) to activate the control system to produce environmental stimulation during the intervention phases. Practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien 970, Taiwan, ROC.
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Shih CH. Assisting people with attention deficit hyperactivity disorder by actively reducing limb hyperactive behavior with a gyration air mouse through a controlled environmental stimulation. RESEARCH IN DEVELOPMENTAL DISABILITIES 2011; 32:30-36. [PMID: 20864310 DOI: 10.1016/j.ridd.2010.08.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2010] [Accepted: 08/19/2010] [Indexed: 05/29/2023]
Abstract
The latest researches have adopted software technology turning the gyration air mouse into a high performance limb movement detector, and have assessed whether two persons with multiple disabilities would be able to control an environmental stimulation using limb movement. This study extends gyration air mouse functionality by actively reducing limb hyperactive behavior to assess whether two persons with attention deficit hyperactivity disorder (ADHD) would be able to actively reduce their limb hyperactive behavior by controlling their favorite stimulation on/off using a gyration air mouse with a newly developed actively limb hyperactive behavior reducing program (ALHBRP). The study was performed according to an ABAB design, in which A represented the baseline and B represented intervention phases. Data showed that both participants significantly increased their time duration of maintaining a static limb posture (TDMSLP) to activate the control system in order to produce environmental stimulation during the intervention phases. Practical and developmental implications of the findings are discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien, Taiwan, ROC.
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Assisting Two Children with Multiple Disabilities and Minimal Motor Skills Control Environmental Stimuli with Thumb Poke Through a Trackball. Behav Cogn Psychother 2010; 38:211-9. [DOI: 10.1017/s1352465809990683] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Background: Microswitches are the most commonly used input device for people with multiple disabilities to control environmental stimulation. However, little is known about adopting the commercial trackball with a revised trackball driver as a more feasible input device. Aims: To assess whether two children with profound multiple disabilities and minimal motor skills would be able to control environmental stimulation using thumb poke ability through cordless trackballs installed with a newly developed mouse driver (i.e. a new mouse driver replacing a standard mouse driver, turning a trackball mouse into a precise thumb poke detector). Method: An ABAB design and a 2-month post-intervention check were adopted to perform the study. Results: Data showed that the two children improved significantly in their target response (thumb poke) to activate the control system to produce environmental stimuli during the B (intervention) phases. This performance was maintained at the post-intervention check. Conclusions: The use of thumb poke in connection with a trackball allowed the children with multiple disabilities and minimal motor skills to increase their level of response and stimulation control.
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Shih CH, Shih CT. A new movement detector to enable people with multiple disabilities to control environmental stimulation with hand swing through a commercial mouse. RESEARCH IN DEVELOPMENTAL DISABILITIES 2009; 30:1196-1202. [PMID: 19409752 DOI: 10.1016/j.ridd.2009.04.002] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2009] [Accepted: 04/01/2009] [Indexed: 05/27/2023]
Abstract
This study assessed whether two persons with profound multiple disabilities would be able to control environmental stimulation using hand swing and a standard mouse with a newly developed mouse driver (i.e. a new mouse driver replaces standard mouse driver, and turns a mouse into a precise two-dimensional motion detector). The study was performed according to an ABAB design and included a 2-month post-intervention check. Data showed that both participants significantly increased their target response (hand swing) to activate the control system to produce environmental stimulation during the B (intervention) phases. This performance was maintained at the post-intervention check. Practical and developmental implications of the findings were discussed.
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Affiliation(s)
- Ching-Hsiang Shih
- Department of Special Education, National Dong Hwa University, Hualien 970, Taiwan, ROC.
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