Augmentative and alternative communication training with a nonspeaking adult: lessons from MH

Abstract

A response-guided case study documented changes in a nonspeaking adult's ability to communicate using three trained augmentative communication modes. The three trained modalities were: (1) spelling with an electronic communication aid, (2) use of pre-stored messages with an electronic communication aid, and (3) use of gestures. Data was collected in videotaped interaction sessions between the nonspeaking adult and a series of adult speaking partners. Frequency of use for each trained communication modality was analyzed across each phase of the study. The subject quickly learned to use spelling modes of communication within interactions. Use of pre-stored messages was not successful until a concrete symbol system for recalling pre-stored words and sentences was developed. Use of gestures did not improve until they were specifically trained.

• adults
• aided communication
• case study
• gestures
• intervention
• multimodal approach
• unaided communication