Department of Speech, Language and Hearing Sciences, San Francisco State University, CA.
Am J Speech Lang Pathol. 2024 Sep 18;33(5):2266-2279. doi: 10.1044/2024_AJSLP-24-00101. Epub 2024 Aug 7.
Caregivers play a critical role in their children's development and serve as their primary communication partners. Family interactions provide the most naturally occurring opportunities for children with complex communication needs to learn language in the context of family routines. A growing body of research suggests that caregivers can effectively support their children's use of augmentative and alternative communication (AAC) systems when provided with appropriate training and coaching through caregiver-implemented interventions (CIIs). However, the efficacy of these interventions remains untested among culturally and linguistically diverse caregivers. Given the increasing diversity in the United States, there is a pressing need to develop CIIs that align with the cultural and linguistic preferences of diverse families.
Using the Ecological Validity Framework and the Checklist for Cultural Adaptations, this tutorial explores considerations for culturally adapting caregiver-implemented AAC interventions for Latinx caregivers of children with AAC needs. The aim is to ensure that interventions are relevant, meaningful, and respectful of cultural and linguistic practices. Through carefully crafted cultural adaptations, interventions can achieve greater acceptance by caregivers.
This tutorial suggests a series of cultural adaptations to ensure accessibility, sustainability, and success of caregiver-implemented AAC interventions for Latinx caregivers of children with AAC needs. By incorporating cultural and linguistic considerations into the intervention design, we can enhance its acceptability among Latinx caregivers. This, in turn, can lead to improved outcomes in AAC implementation within the home environment.
照顾者在儿童的发展中起着至关重要的作用,是他们主要的沟通伙伴。家庭互动为有复杂沟通需求的儿童提供了最自然的机会,让他们在家庭日常生活的背景下学习语言。越来越多的研究表明,当照顾者通过照顾者实施的干预措施(CII)获得适当的培训和指导时,他们可以有效地支持孩子使用增强和替代沟通(AAC)系统。然而,这些干预措施的效果在文化和语言多样化的照顾者中尚未得到检验。鉴于美国的多样性不断增加,迫切需要开发符合不同家庭文化和语言偏好的 CII。
本教程使用生态有效性框架和文化适应检查表,探讨了为有 AAC 需求的拉丁裔儿童的照顾者进行文化适应的照顾者实施的 AAC 干预措施的考虑因素。目的是确保干预措施与文化和语言实践相关、有意义且尊重文化和语言实践。通过精心设计的文化适应,干预措施可以得到照顾者的更多认可。
本教程提出了一系列文化适应措施,以确保针对有 AAC 需求的拉丁裔儿童的照顾者实施的 AAC 干预措施具有可及性、可持续性和成功性。通过将文化和语言因素纳入干预设计,我们可以提高拉丁裔照顾者对干预措施的接受程度。这反过来又可以提高家庭环境中 AAC 实施的效果。