5 Under-Used Strategies in AAC
1.
Partner-assisted scanning
(PAS) offers great flexibility and spontaneity. Don’t want to take your
SGD to the beach? A print-out of the screens and PAS is a great option.
Missing key messages for the trip to the doctor’s office? A minute of
brainstorming and the use of PAS may just save the day. No way for your
client to access her device once she’s in bed? A communication
board/book and PAS just might do the trick.
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2.
Voice banking:
For people are likely to lose their speech due to a degenerative
disease, like ALS, the option of saving samples of their speech and
having it digitized for future use seems to hold great appeal. We’d love
to see more SLPs familiarize themselves with
this strategy and
the tools to implement it, so that this option is more widely used about individuals whose speech is deteriorating.
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3.
Qualitative rating scales to express opinions and indicate gradations in feelings. (This free app,
Autism Help 4 Me,
is a good example of a scale to indicate pain or discomfort in
emergency situations.) Make your own for an easy way for a client to
express opinions and preferences.
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4.
Aided language input
is a powerful way to build language in people learning AAC. If we had
to name a top strategy for AAC clinicians to master, this would be it.
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5.
Task analysis:
SLPs are language teachers but we don’t always get the in-depth
training we need in general teaching methods. The skill of breaking down
a task to its component steps is helps us be clearer in our instruction
and gives us the option of teaching through
backward chaining or
forward chaining.
5 Ways to Use Rating Scales to Enhance Communication with AAC
In an earlier post,
we lamented the under-utilization of a quick and effective strategy:
qualitative rating scales. You may not know them by that name, but we
all know them. Also called Likert-type scales, we’ve seen these a
multitude of times when we were asked to give an opinion. Strongly agree
to Strongly Disagree. Excellent to Poor. Always to Never.
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There are only a few guidelines to using these with AAC folks. One is to
make sure to use appropriate visual supports. Literate AAC users may
be very comfortable with text-only options, but for other learners, we
need to add images so it makes sense to them. Another suggestion is to
stick with an odd number of options: 5 seems to be the norm in clinical
practice, but you can certainly adjust to fit the learner’s needs. For
some a 3-point scale would be best. Others may want more detail and use a
7-point scale. Finally, once you have the scale, create a short
activity to teach the AAC learner how to use it. For example, you might
have a stack of pictures of foods, some of which are wonderful and
others which are awful. Going through those one-by-one and placing them
on a scale (e.g., Love It/Okay/Hate It, Yummy/OK/Yucky, Great/Not
Sure/Awful) give the learner a better understanding of what to do.
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Here are some ideas for how to use rating scales in your AAC therapy.
1. Express opinions: We can create scales to help clients give an opinion.
- Possible Anchor Points: Love it/Hate it, Wonderful/Terrible, Beautiful/Ugly, Cool/Geeky, Awesome/Boring
-2. Choose topics to be included in their vocabulary: Involve the learner in selecting vocabulary for his/her device by presenting options and getting their input on content.
- Possible Anchor Points: Essential/Not Essential, Keep it/Toss It, Absolutely/Never, Love It/Hate It, Perfect/Perfectly Awful
-3. Choose wording for the messages: Once the learner
has rated the content you suggested for vocabulary, you can use rating
scales again to have them give input on the specific wording of the
message. For example, a client who needs messages to be able to
interrupt others might be given these options to rate using the scale
you made for # 2: Excuse me; Pardon me; May I tell you something?; Need
you for a second; I have something to tell you; Do you have a minute?
etc.-

4. Quick way of indicating pain:
Pain scales are becoming more popular in hospitals, but they’re also
useful at home and in school. If you’ve ever had a migraine, you know
how important it would be to differentiate that from a regular headache.
Our AAC learners need these options, too.
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5. Inviting the opinion of others: Use rating scales to
give the AAC learner a way to engage partners in dialogue. Some years
ago, we had campers in our AAC & Literacy Camp do daily surveys on
topics of interest and have people around the clinic rate things such as
how well they liked a song, movie, or book. These scales can be used to
invite people to rate things like current events, hobbies, foods,
vacation spots, pets, outfits, places to eat, etc.
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We’d love to hear more ideas of how you’re using rating scales with people who are learning AAC. Send a comment to Praactical AAC and Carole by clicking HERE.