Texas State University, San Marcos, TX, USA.
University of North Carolina at Charlotte, Charlotte, NC, USA.
J Autism Dev Disord. 2024 Dec;54(12):4496-4514. doi: 10.1007/s10803-023-06173-6. Epub 2023 Nov 29.
The purpose of this review was to assess the effectiveness of tablet-based speech-generating devices (SGDs) in improving communication skills for individuals with autism spectrum disorder (ASD). A total of 31 single-case design intervention studies involving 84 individuals with ASD were reviewed and included in the analysis. We calculated Tau-U to evaluate the impact of interventions involving tablet-based SGDs on four different communication responses: specifically, mands, intraverbals, tacts, and vocalizations. To explore potential moderating variables for mand outcomes, we used the Kruskal-Wallis one-way test. The analysis revealed that interventions utilizing tablet-based SGDs led to improvements in communication responses. Specifically, large to very large changes were observed in mand and intraverbal responses, whereas moderate changes were noted in tact responses and vocalizations. The findings of this review underscore the potential of tablet-based SGDs in enhancing communication among individuals with ASD. We discuss the findings and provide implications for future research and practice.
本次综述的目的在于评估基于平板电脑的言语生成设备(SGD)在提高自闭症谱系障碍(ASD)个体的沟通技能方面的有效性。共回顾了 31 项涉及 84 名 ASD 个体的单案例设计干预研究,并将其纳入分析。我们计算了 Tau-U 值,以评估基于平板电脑的 SGD 干预对四种不同沟通反应的影响:即需求、内言语、符号和发声。为了探索 mando 结果的潜在调节变量,我们使用了 Kruskal-Wallis 单向检验。分析结果表明,基于平板电脑的 SGD 干预可改善沟通反应。具体而言,在 mando 和内言语反应方面观察到了从大到极大的变化,而在符号和发声反应方面则观察到了中等变化。本综述的结果强调了基于平板电脑的 SGD 在增强 ASD 个体之间沟通方面的潜力。我们讨论了研究结果,并为未来的研究和实践提供了启示。