Logan Kristy, Iacono Teresa, Trembath David
a La Trobe Rural Health School, La Trobe University , Bendigo , Victoria , Australia.
b Menzies Health Institute Queensland, Griffith University , Southport, Queensland , Australia.
Augment Altern Commun. 2017 Mar;33(1):51-64. doi: 10.1080/07434618.2016.1267795. Epub 2016 Dec 31.
Augmentative and alternative communication (AAC) interventions have been shown to be effective in supporting children with autism spectrum disorder (ASD) to communicate, particularly to request preferred items and activities. The aim of this systematic review was to examine the effectiveness of AAC interventions in supporting children to produce a broader range of communicative functions and determine the extent to which these interventions have been evaluated beyond immediate effectiveness to address maintenance, generalization, and social validity. A systematic search and application of inclusion criteria yielded 30 interventions that focused on communication functions beyond object requests. In many of the studies, flaws detracted from the certainty of evidence, and maintenance, generalization, and/or social validity were not addressed. Further research is needed to evaluate the extent to which AAC interventions can support children with ASD to communicate using a variety of communication functions, as well as to demonstrate sustained, transferable, and meaningful change.
辅助与替代沟通（AAC）干预已被证明在支持自闭症谱系障碍（ASD）儿童进行沟通方面是有效的，尤其是在请求偏好物品和活动时。本系统评价的目的是检验AAC干预在支持儿童产生更广泛沟通功能方面的有效性，并确定这些干预在即时有效性之外，在维持、泛化和社会效度方面的评估程度。通过系统检索和应用纳入标准，得到了30项专注于除物品请求之外沟通功能的干预措施。在许多研究中，缺陷降低了证据的确定性，且未涉及维持、泛化和/或社会效度。需要进一步研究来评估AAC干预在多大程度上能够支持ASD儿童使用多种沟通功能进行沟通，以及证明持续、可转移和有意义的变化。
