Waisman Center, University of Wisconsin-Madison.
Department of Communication Sciences and Disorders, Northeastern University, Boston, MA.
J Speech Lang Hear Res. 2024 Nov 7;67(11):4466-4486. doi: 10.1044/2024_JSLHR-24-00210. Epub 2024 Oct 4.
The purpose of this study was to examine the effectiveness of an augmentative and alternative communication (AAC) intervention package consisting of systematic instruction and aided AAC modeling with speech-output technology on the acquisition, maintenance, and generalization of socio-communicative behaviors in four minimally speaking, preschool-aged, autistic children.
A multiple-probe design across behaviors (i.e., initiating a request for a turn, answering questions, and commenting) replicated across participants was implemented to evaluate the effects of the intervention package on socio-communicative behaviors. Furthermore, a pretreatment and posttreatment multiple-generalization-probe design was used to assess generalization across typically developing peers who were not a part of the intervention. Maintenance data were collected 3 weeks post intervention.
Visual analysis, corroborated by nonoverlapping of all pairs statistics, established a strong functional relationship between the AAC intervention package and all targeted socio-communicative outcomes for two participants. For the other two participants, inconsistent intervention effects were observed. In terms of generalization from interacting with the researcher to typically developing peers, a functional relationship between the intervention and generalization outcomes for all targeted behaviors was established for only one participant (i.e., Aiden).
The outcomes of this study suggest that aided AAC modeling and systematic instruction using a speech-output technology may lead to gains in socio-communicative behaviors in some minimally speaking, preschool-aged, autistic children.
本研究旨在检验一个增强和替代沟通(AAC)干预包的有效性,该干预包由系统教学和辅助 AAC 建模与语音输出技术组成,用于提高四名轻度口语、学龄前、自闭症儿童的社会沟通行为的习得、维持和泛化。
采用跨行为(即发起请求、回答问题和评论)的多个探针设计,在参与者之间进行复制,以评估干预包对社会沟通行为的影响。此外,还使用了预处理和后处理的多个泛化探针设计来评估与未参与干预的正常发展同伴的泛化情况。维持数据在干预后 3 周收集。
直观分析,加上所有对的非重叠统计数据,为两名参与者的 AAC 干预包和所有目标社会沟通结果之间建立了强有力的功能关系。对于另外两名参与者,观察到干预效果不一致。就与研究人员互动到与正常发展同伴的泛化而言,只有一名参与者(即 Aiden)的干预和泛化结果之间建立了目标行为的功能关系。
本研究的结果表明,辅助 AAC 建模和使用语音输出技术的系统教学可能会导致一些轻度口语、学龄前、自闭症儿童的社会沟通行为的改善。