The Impact of Augmentative and Alternative Communication Intervention on the Speech Production of Individuals With Developmental Disabilities: A Research Review

Janice C. Light The Pennsylvania State University, University Park Ralf W. Schlosser Northeastern University, Boston, Massachusetts Contact author: Diane C. Millar, who is now at the Department of Communication Sciences and Disorders, Radford University, P.O. Box 6961, Radford, VA 24142. Email: dcmillar{at}radford.edu PURPOSE: This article presents the results of a meta-analysis to determine the effect of augmentative and alternative communication (AAC) on the speech production of individuals with developmental disabilities. METHOD: A comprehensive search of the literature published between 1975 and 2003, which included data on speech production before, during, and after AAC intervention, was conducted using a combination of electronic and hand searches. RESULTS: The review identified 23 studies, involving 67 individuals. Seventeen of these studies did not establish experimental control, thereby limiting the certainty of evidence about speech outcomes. The remaining 6 studies, involving 27 cases, had sufficient methodological rigor for the "best evidence analysis" (cf. R. E. Slavin, 1986). Most of the participants (aged 2–60 years) had mental retardation or autism; the AAC interventions involved instruction in manual signs or nonelectronic aided systems. None of the 27 cases demonstrated decreases in speech production as a result of AAC intervention, 11% showed no change, and the majority (89%) demonstrated gains in speech. For the most part, the gains observed were modest, but these data may underestimate the effect of AAC intervention on speech production because there were ceiling effects. CONCLUSIONS: Future research is needed to better delineate the relationship between AAC intervention and speech production across a wider range of participants and AAC interventions. KEY WORDS: augmentative and alternative communication, speech production, developmental disabilities, effectiveness, meta-analysis, systematic review CiteULike     Connotea     Del.icio.us     Digg     Facebook     Reddit     Technorati     Twitter     What's this?.

Medienart:

Artikel

Erscheinungsjahr:

2006

Erschienen:

2006

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Journal of speech, language, and hearing research - 49(2006), 2, Seite 248-264

Sprache:

Englisch

Beteiligte Personen:

Millar, Diane C [VerfasserIn]
Light, Janice C [Sonstige Person]
Schlosser, Ralf W [Sonstige Person]

Links:

Volltext
jslhr.asha.org
www.ncbi.nlm.nih.gov
search.proquest.com

Themen:

Adolescent
Adult
Autistic Disorder: complications
Autistic Disorder - complications
Care and treatment
Child
Child, Preschool
Child development deviations
Communication
Communication Aids for Disabled
Developmental Disabilities: complications
Developmental Disabilities - complications
Developmental disabilities
Effectiveness studies
Female
Humans
Intellectual Disability: complications
Intervention
Language
Language Development Disorders: rehabilitation
Language Development Disorders - rehabilitation
Language acquisition
Male
Mental Retardation - complications
Meta-analysis
Methods
Middle Aged
National Library of Medicine
Research
Speech
Speech Production Measurement
Vocabulary development

doi:

10.1044/1092-4388(2006/021)

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1984066803