Light Janice, Mcnaughton David
Department of Communication Sciences and Disorders , The Pennsylvania State University, University Park, PA , USA.
Augment Altern Commun. 2015 Jun;31(2):85-96. doi: 10.3109/07434618.2015.1036458. Epub 2015 Apr 22.
There is a rapidly growing body of research that demonstrates the positive effects of augmentative and alternative communication (AAC) intervention on the communication of children and adults with complex communication needs. Despite the positive impact of many AAC interventions, however, many individuals with complex communication needs continue to experience serious challenges participating in educational, vocational, healthcare, and community environments. In this paper, we apply the framework proposed by the International Classification of Functioning, Disability and Health (ICF) to illustrate the need to re-think AAC intervention to improve outcomes for individuals with complex communication needs, and to foster a new generation of intervention research that will provide a solid foundation for improved services. Specifically, the paper emphasizes the need to take a more holistic view of communication intervention and highlights the following key principles to guide AAC intervention and research: (a) build on the individual's strengths and focus on the integration of skills to maximize communication, (b) focus on the individual's participation in real-world contexts,
越来越多的研究表明，辅助和替代沟通（AAC）干预对有复杂沟通需求的儿童和成人的沟通有积极影响。然而，尽管许多AAC干预有积极作用，但许多有复杂沟通需求的个体在参与教育、职业、医疗保健和社区环境方面仍面临严峻挑战。在本文中，我们应用《国际功能、残疾和健康分类》（ICF）提出的框架，来说明有必要重新思考AAC干预，以改善有复杂沟通需求个体的干预效果，并推动新一代干预研究，为改进服务提供坚实基础。具体而言，本文强调需要对沟通干预采取更全面的视角，并突出以下指导AAC干预和研究的关键原则：（a）基于个体优势，注重技能整合以实现沟通最大化，（b）关注个体在现实世界环境中的参与，
