A survey of augmentative and alternative communication used in an inner city special school

This study surveyed staff use of augmentative and alternative communication (AAC) within a large inner city special school for children with complex needs and learning disabilities. A questionnaire asked 72 staff members about the range of AAC strategies they typically used during the working day and how often they used it; training they had received about AAC; and which AAC approaches they found easy to use and those they found difficult. A range of AAC approaches were identified by staff. Participant confidence and understanding of the reasons for using identified AAC strategies was reported to be one of the key barriers to implementing AAC effectively. The implications in relation to how children with complex needs receive support for their receptive and expressive communication within an education environment are discussed.     

Rethinking family (dis)engagement with augmentative & alternative communication

Augmentative and Alternative Communication (AAC) is a core component of special education for many children with learning disabilities and/or autism who have minimal or no speech. Much literature focuses on implementation of AAC in the classroom or therapy setting, but less is known about how AAC is used in the family home. Few studies are authored by an AAC parent/researcher with reflection on positionality, power and the advantages conferred by ‘insider’ status. This paper addresses this gap by exploring the perspectives of five families of minimally verbal children on the place of AAC in their child’s home communication. Semi-structured family interviews were transcribed and subjected to Thematic Analysis. Formal AAC practices such as Picture Exchange Communication System (PECS) and Makaton were found to play a limited role in the children’s home communication. Findings indicate three possible explanations: the emotional and relationship-building dimensions of family communication; the competing priorities of family life with a disabled child; and the child’s existing multimodal communication strategies including the use of household objects. These findings offer a preliminary starting point for understanding the emic perspectives of AAC families and reasons for their convergence/divergence with professional attitudes to AAC, and warrant further investigation in larger-scale studies.     

An alternative framework for conceptualizing and analysing special education research

People with severe disabilities (SD) communicate in complex ways, and their teachers, parents and other involved professionals find it difficult to gain knowledge and share their experiences regarding the person with SD’s communication methods. The purpose of this study is to contribute to our understanding of how parents and professionals share learning about communication and augmentative and alternative communication (AAC) for people with SD by participating in blended learning networks (BLNs). Thirty-six parents and professionals participated in online web-based BLNs according to a prepared format; four groups were formed, and all of the groups participated in four discussion sessions and an evaluation session. Detailed minutes from the 16 BLN sessions, an evaluation session and course evaluation data were thematically analysed. The theoretical frameworks were different perspectives on disability within communication research and special education research, and theories about shared learning in networks. The analyses revealed themes that focused on communication partners’ knowledge, attitudes and strategies regarding communicating with people with SD; the importance and power of using multimodal AAC; and the universality, user-friendliness and empowering aspects of iPads and apps. The findings suggest that participants perceive communication and AAC with people with SD from relational, dialogical and interactional perspectives, whereas the categorical perspective was less pronounced. In accordance with other professional competence research, the use of online web-based BLNs with mixed groups that was described in this paper yielded positive evaluations from the participants. The opportunity for meeting others involved in caring for people with SD, the actual blended groups and the sharing of technology and AAC experiences in particular were highlighted.     

Can mimetics,a theatre‐based practice,open possibilities for young people with learning disabilities? A capability approach

While the significance of the social model of disability for articulating inclusive approaches in education is recognised, the application of capability theory to education is less well developed. This article by Jo Trowsdale of the University of Warwick and Richard Hayhow of Open Theatre considers how a particular theatre‐based practice, here described as ‘mimetics’, can alter and extend the aspirations and achievements of children and young people with learning disabilities, and might be understood as applied capability theory or ‘capability practice’. Mimetics has been crafted from experimental psycho‐physical actor‐training processes by Open Theatre Company working in collaboration with actors with learning disabilities, and adapted to support the learning and development of young people with learning disabilities. This study draws upon an action research project set up by Creative Partnerships with Open Theatre Company and a special school, where children demonstrated increased motivation and capacity for communication and socialisation, improved well‐being, learning and wider achievement. To illustrate the process, we offer a case study of one child with an autistic spectrum disorder.     

The Reported Effects of a Systematic Professional Learning Program on the Knowledge,Skills, and Concerns of Australian Early Childhood Educators who Support Young Children Displaying or at Risk of Challenging Behaviours

High-quality early childhood education is a vital experience for young children with and without disabilities. Social and communication experiences in the context of play represent a core curriculum that sets a foundation for later learning and participation. Using a new self-report instrument, this article describes data collected in a large-scale professional learning project in NSW, Australia, that aimed to support early childhood teachers, paraprofessionals and other personnel who directly work with young children, including individuals who present or are at risk of challenging behaviours. Using a case application model of remote and direct coaching support and intervention centred on the input of expert practitioners, the reports of participants were collected before and after a series of three sequential workshops with embedded action research processes for participants. The program was designed to increase social and communicative exchanges and reduce the likelihood of challenging behaviours, by providing a systematic and practical framework for the introduction of functional behavioural assessment and positive support planning. Respondents indicated significant improvements in knowledge and skills after the program, along with decreased concerns in some areas. The paper concludes by discussing potential areas for an expanded research agenda into the professional learning needs of personnel in this field and more broadly within early childhood support systems and services.     

Moving from opportunism to expediency when introducing action learning into an organisation

During my first year of practice as a new action learning facilitator undertaking an ‘ILM Level 5 Certificate in Action Learning Facilitation’, an innovative Individual Service Fund pilot was launched by ‘Certitude’, the organisation for which I work. The aim of this pilot was to enable people with learning disabilities and mental health needs in London to have more choice and control over their support. By recognising the opportunity that this pilot provided, I was able to design, introduce and facilitate an action learning intervention to develop the confidence of leaders and managers involved in implementing the pilot's project plan and in turn explore my own emerging practice. This paper focuses on my journey from an opportunistic to expedient action learning facilitator; responsible for introducing, planning and establishing a new model of learning and development in Certitude.     

Culturally Relevant Assessment and Support of Grade 1 Students with Mild Disabilities in Tanzania: An Exploratory Study

ABSTRACT

In Tanzania, many people are not aware of the concept of learning disabilities. Parents and teachers often do not realise that children who do poorly in school and do not have visible disabilities, could still have a disability that is causing their poor school performance. This paper presents the results of a research and service project to identify and support students with mild disabilities in an inclusive school in Tanzania during the three-year pilot process. An international NGO implemented a culturally-relevant, curriculum-based assessment for screening grade 1 students with potential delays or disabilities and provided Tier 2 interventions through small group lessons. In this three-year study, 413 students were screened, 108 students received Tier 2 services and six students received Tier 3 services. Students in Tier 2 received small group instruction in mathematics and literacy as a pull-out programme. Students in Tier 3 attended a special school for children with disabilities. Results showed that students who received Tier 2 intervention made statistically significant gains in their assessment scores after six and twelve months of services. This study demonstrated one successful assessment and intervention model in a typical Tanzanian school to support young children with disabilities to improve their academic outcomes.     

‘So,how does one define a friendship?’: Identifying friendship among students using AAC in inclusive education settings*

The characteristics of friendships among children who use augmentative and alternative communication (AAC) are not well understood. Research on friendships among children without disabilities has identified similarity to each other as a key characteristic among friends. The aim of this study was to identify and describe the friendships between students using AAC and fellow students in Norwegian mainstream public schools. Participants were students using AAC in first to fourth class, fellow students, parents, and staff. Data were analysed using a constructive grounded theory approach. The participants provided diverse reports about the friendships, although all students using AAC reported having friendships at school. The friendships were described by parents and staff as superficial and students using AAC were seldom perceived as playmates by fellow students. The results indicated that friendships between students using AAC and fellow students were often unilateral. The results are discussed along with the implications for future research.     

Acquisition,Preference and Follow-up Comparison Across Three AAC Modalities Taught to Two Children with Autism Spectrum Disorder

Identifying an augmentative and alternative communication (AAC) method for children with autism spectrum disorder (ASD) might be informed by comparing their performance with, and preference for, a range of communication modalities. Towards this end, the present study involved two children with ASD who were taught to request the continuation of toy play by: (a) signing MORE, (b) exchanging a picture card representing MORE, and (c) touching a MORE symbol from the screen of a speech-generating device. The children were also given opportunities to choose among the three modalities to identify their preferred method of communication. Both children performed better with picture exchange and the speech-generating device than with manual signing, but had variable performance during follow-up. Both children more often chose the speech-generating device, suggesting a preference for that modality. We conclude that concurrent intervention across several communication methods can generate data to inform the selection of an AAC modality.     

Transition planning: how well does it work for young people with learning disabilities and their families?

The legislation and guidance require that transition planning takes place for all children with a Statement of Special Educational Needs. The research reported here was undertaken by Linda Ward, Professor of Disability and Social Policy at the University of Bristol, where she is director of the Norah Fry Research Centre; Robina Mallett, Carer Support Officer at the Home Farm Trust; Pauline Heslop, Research Fellow at the Norah Fry Research Centre; and Ken Simons, Senior Research Fellow at the Norah Fry Research Centre until his untimely death in January 2003, to find out how well this legislation and guidance works in practice from the perspective of young people with learning disabilities and their families. Based on information from questionnaires completed by parents and separate in-depth interviews with youngsters with learning disabilities and their parents, this article reveals that many young people in the study left school without any transition planning, as far as their parents were aware. Where transition planning had occurred, there was a stark mismatch between the topics families wanted to cover and those addressed by the professionals involved. Many of the youngsters who did receive transition planning had little if any involvement in the process; parental involvement was also significantly less than it should have been. In drawing conclusions from their research, the authors review the most positive aspects of the process from the perspective of the young people and their parents; parents' ideas for improving transition planning; and messages from the research for professionals, including those working in education.     

General and Specific Issues for Researchers' Consideration in Applying the Risk and Resilience Framework to the Social Domain of Learning Disabilities

In this article, I discuss several general and specific issues that pertain to the risk and resilience framework. I propose that these issues deserve consideration by researchers using or interested in using the risk and resilience framework to guide their research in the social domain of learning disabilities. General issues discussed include: (1) integrating current research findings with those from prior longitudinal research by Emmy Werner and her associates, and from research in the 1980s and 1990s on problems in social perception and communication in children with learning disabilities; (2) measurement problems; and (3) the need for more differentiation in research regarding gender and the severity of learning disabilities. The specific issues discussed include: the need to continue to search for potential risk and protective factors; the need to research mediating processes or mechanisms that render a factor a risk or a protection; and the nature of intervention research.     

Perspectives of students with autism on their participation in a peer-mediated intervention

The article describes research into the perspectives of students with autism regarding their participation as the target participants in a peer-mediated social communication intervention. Questionnaires were administered to four elementary-aged students with autism before and after their involvement in the intervention. The students' parents and teachers also completed questionnaires about the students' participation in the intervention. Through the use of these questionnaires, we gained an insight into students' experiences with the intervention, which elements of the intervention they found most enjoyable and most effective, and the perceived impacts of the intervention on their social communication behaviours. Qualitative and quantitative analyses of the questionnaire data revealed that all four students with autism enjoyed participating in the peer-mediated intervention sessions, felt that their social communication behaviours had improved as a result of their involvement, and would like to be involved in similar sessions in the future. Implications for parents and educators who support the social communication of children with autism are explored.     

Effectiveness of a Family‐focused Early Intervention Program in the Education of Children with Hearing Impairments Living in Rural Areas

The purpose of this study was to investigate the effectiveness of a family‐focused early intervention program developed to meet the needs of children with hearing loss and their parents. The participants were 12 children with severe and profound hearing loss who lived in a rural area of Turkey. They did not have any additional disabilities. Their ages ranged between 0 to 4 years. These children and their families had not participated in any intervention program before this research was designed. The 12 participants and their families were assigned to either an experimental or a comparison group. The data was collected before and after the implementation of the program, using three instruments; a preliminary information form for parents, a Scale of Parental Needs and an observation form to evaluate verbal communication. After the implementation of the intervention program, statistically significant differences were found between the experimental and comparison groups regarding their verbal communication.     

Increasing inclusion in early childhood: Key Word Sign as a communication partner intervention

The importance of communication partner intervention to support the successful implementation of augmentative and alternative communication (AAC) strategies has been established. Despite this, limited knowledge and use of AAC form serious barriers to inclusion. In this study, 196 pre-service early childhood teachers were taught key word signing (KWS), one common form of AAC, along with approximately 80 Auslan signs. Participants were asked to develop ideas for implementing KWS in early childhood settings. Using participant journal entries, we conducted a thematic analysis to investigate the perceived impact of using KWS in early childhood practice. Participants reported the belief that KWS was beneficial for supporting communication development. Participants identified that using KWS can facilitate inclusive approaches through reducing barriers to participation, valuing diversity, and supporting a sense of belonging. Additionally, participants reported that engaging with inclusive approaches to using KWS formed a catalyst for fostering openness to inclusion more broadly. Overall, the findings demonstrate that approaching KWS as a communication partner intervention holds potential for contributing to the conditions for inclusion in early childhood settings in line with social relational and human rights models of disability. Implications for teacher education and inclusive practice are discussed, as are the limitations of this study.     

Early communication strategies: using video analysis to support teachers working with preverbal pupils

Carolyn Anderson is a speech and language therapist who is currently working as a senior lecturer at the University of Strathclyde. In this article she provides an early account of her ongoing research into communication between teachers and pupils with severe and complex learning disabilities. Video recordings were made of teacher-pupil interactions. The recordings were then analysed in terms of the numbers of turns taken by pupils and teachers; the strategies teachers and pupils used to initiate and respond in interactions; and the numbers of information carrying words teachers used with pupils with different levels of language comprehension. Carolyn Anderson's findings will help teachers who want to develop their own awareness of the role they play in communicating with pupils. This research will also support staff who are trying to encourage pupils with learning difficulties to become more actively involved in interactions and teaching and learning opportunities.     

Exploring the effects of a social communication intervention for improving requests and word diversity in preschoolers with disabilities

This study examined the effects of a multicomponent social communication intervention to promote language learning and peer‐directed social interactions in preschool children with disabilities. Participants were eight children with developmental disabilities who met the specified criteria for the study. The intervention consisted of three components: (a) a planning period for instructional purposes, (b) a play session to practice skills, and (c) a brief reporting period to review skill performance. A multiple baseline design across two dyads replicated across two additional dyads was used. Results indicated an increase in peer‐directed requests, verbal requests, and word diversity for 6 of the 8 participants postintervention. Implications of the results are discussed. © 2008 Wiley Periodicals, Inc.     

Teacher competency testing: what teachers of students with LD need to know

In 1964, North Carolina became the first state to enact a testing program for initial certification of teachers. Today, almost all states and the District of Columbia are actively planning or implementing teacher testing programs; six are administering tests in the specific area of learning disabilities. The objectives and content areas of knowledge included in competency testing programs within this specialized area of teacher competence were analyzed, and comparisons were completed across knowledge areas and among states. In general, much similarity exists in what teachers of students with learning disabilities in different states are expected to know. This information represents a strong foundation for planning, implementing, and evaluating training programs for all teachers.     

The Application of Dynamic Assessment in People Communicating at a Prelinguistic Level: A descriptive review of the literature

Many people with severe disabilities face difficulties communicating with their communication partners and rely primarily on prelinguistic communication. It is accepted that dynamic assessment can play an important role in improving communication and in measuring a person’s ability to learn new communicative skills. Less is known, however, about the application of dynamic assessment in the case of those who communicate at a prelinguistic level. The present article reviewed dynamic assessment procedures that addressed communication abilities in people communicating at a prelinguistic level and young children who communicate using speech, with the aim of identifying key elements of dynamic assessment for persons communicating at a prelinguistic level. The results indicated the need for the identification of contextual variables that support communicative competence, teaching communication partners new skills, and a procedure that is highly individualised. Further research on the validity and reliability of these dynamic assessments is strongly recommended.     

Empowering Culturally Diverse Families of Young Children with Disabilities: The Double ABCX Model

Many culturally diverse families and their young children with disabilities or delays are not provided appropriate early intervention/early childhood special education services, especially not in a culturally sensitive and meaningful context. Families with diverse backgrounds often feel helpless and stressful because their values are not respected, concerns are not identified, and therefore their needs are not met due to the lack of support from appropriate resources. The purpose of this article is to provide a positive strategy to empower families of young children with special needs and who are from culturally diverse backgrounds through a family-centered, strength-focused family system model: Double ABCX model. Procedures of implementing the double ABCX model was described and discussed. Supported by previous research and the current case studies, the double ABCX family adaptation model has found to be an effective approach to serving diverse families of children with disabilities.     

‘I’m more confident now,I was really quiet’: exploring the potential benefits of child-led research

This article explores whether child-led research (CLR) benefits the well-being of the children and young people involved. The article draws upon evaluation data from a pilot CLR programme facilitated by a non-government organisation that supports disadvantaged children, young people and families. Nine participants (aged 10–14 years old) volunteered for the CLR programme, conducted over 18 weeks, which involved learning about and undertaking their own research on a topic of their choosing. The programme was externally evaluated both in terms of process and outcomes so as to gain insights into what is involved in CLR and any potential benefits it might offer for participants. The discussion explores a range of positive benefits for children whilst also signalling the challenges involved in planning, implementing and evaluating such initiatives, not least of which is the difficulty in scaling up this kind of research, given its resource-intensive nature.