Babb Salena, Jung Sojung, Ousley Ciara, McNaughton David, Light Janice
Department of Educational Psychology, Counselling, and Special Education, The Pennsylvania State University.
Department of Communication Sciences and Disorders, The Pennsylvania State University.
Top Lang Disord. 2021;41(3):232-248.
Many adults with Down syndrome (DS) experience difficulty with speech production, and intelligibility challenges and communication breakdowns are common. Augmentative and alternative communication (AAC) intervention can provide important supports for persons with these complex communication needs, but must be customized to address the goals, strengths, and needs of the individual. This article provides a description of a personalized AAC intervention for a young adult with DS whose speech was frequently unintelligible. The AAC intervention made use of a video visual scene display (VSD) approach, and was investigated in two separate studies in two key community settings: An inclusive post-secondary education program (a single-case reversal ABAB design), and a community shopping activity (a non-experimental AB case study design). The participant demonstrated sharp increases in successful communication and participation in both settings following the introduction of the video VSD, and both the participant and key stakeholders viewed the intervention positively. The results provide preliminary evidence that personalized AAC intervention, including the use of a video VSD approach, can provide important supports for communication and participation in community settings for adults with DS and complex communication needs.
许多唐氏综合征（DS）成年患者在言语表达方面存在困难，可懂度问题和沟通障碍很常见。辅助和替代沟通（AAC）干预可为有这些复杂沟通需求的人提供重要支持，但必须根据个人的目标、优势和需求进行定制。本文描述了针对一名言语常难以理解的DS青年成人的个性化AAC干预。该AAC干预采用了视频视觉场景显示（VSD）方法，并在两个关键社区环境中的两项独立研究中进行了调查：一个包容性的高等教育后项目（单病例反转ABAB设计）和一次社区购物活动（非实验性AB案例研究设计）。在引入视频VSD后，参与者在这两种环境中的成功沟通和参与都大幅增加，参与者和关键利益相关者对该干预都给予了积极评价。结果提供了初步证据，表明包括使用视频VSD方法在内的个性化AAC干预可为有复杂沟通需求的DS成年患者在社区环境中的沟通和参与提供重要支持。
