ISAAC On-Line Journal Club Presenter:

BeataBatorowicz,Queen’sUniversity,Kingston,CanadaModerators:

MartineSmith,TrinityCollege,Dublin,IrelandPaulAndres,PrentkeRomichDeutschland

May6,2019

ISAAC On-Line Journal Club Participants

• Internationalconnectionandco-learning• Jointgoal:PositivechangeinlivesofpeoplewhouseAAC

Fundamentals of the ImPAACT Program

2013

Perspectives on Augmentative and Alternative Communication, 22 (1), 51-58.

Published by: American Speech-Language- Hearing Association (ASHA)

AUTHORS:JenniferKent-Walsh&KathyBinger

Communication partners

The real-world interactions

Practice

GOAL:Positivechangeincommunication/socialinteractionsofpeopleusingAAC

STRUGGLE:Howtoinfluencepositivechangeincommunicationpartners?

Difference WHATWEKNOW

(knowledge)

• Manypartner-relatedissuesininteraction:• Domination• Askingyes/noquestions•  Takingmajorityturns•  Interrupting•  Focusingonaids/technology

WHATWEDO(action/behaviour)

• HowdoweCHANGEwhatpartnersactuallydo?

Needtobuiltpartners’SKILLS

Skills=abilityTODOsomething…

HOW?

ImPAACT

Improving Partner Applications for Augmentative Communication Techniques

(CathyBinger&JenniferKent-Walsh)

ImPAACT

• Aim:toCHANGESKILLSinpartners

• HOWtodoit

• EmergingevidenceonbenefitsofImPAACT

ImPAACT

5skillstochange(targetskills)

5techniquestoteach(instruction)

8-stepstoexecute(structure/sequence)

ImPAACT

5TargetCommunicationSkills•  4prompts:•  AidedAACModeling•  ExpectantDelay•  AskingWh-questions•  Verbalprompting

•  1response:•  Toreinforce

5TeachingTechniques• Videoreview• Modeling• Roleplay• Verbalrehearsal• Coachedpractice

Donein8steps

Target Skills

ChildTargets:Forexample,

IncreaseinturntakingIncreaseincombiningsymbols

(multisymbolmessages)

PartnerTargets:PromptingResponding

Example 1

•  Targetskillforachild:turntaking•  Activity:bookreading•  Partner:aparent

•  Whenturningpage…

•  READ(+model)•  ASK(+model)

•  ANSWER(+model)

•  Expectantdelay(WAIT)

Example 2

•  Targetskillforachild:multisymbolmessages•  Activity:bookreading•  Partner:educationalassistant

•  READ(+model)•  ASK(+model)

•  ANSWER(+model)•  PROMPT(e.g.say:“showme”)

•  ExpectantDelay(WAIT)5sec.

8 Steps

• pre&postvideosofanotherchildPre-test

•  targetedskillsandstrategyStrategydescription

•  roleplayStrategydemonstration

• namingstepsVerbalpracticeofstrategy

•  roleplayPractice

•  lifeinteractioninnaturalenvironmentAdvancedpractice

•  reviewpre&postownvideosPost-test

•  lifeinteractionindifferentactivities;fadefeedbackGeneralization

Emerging Evidence

7Studies:

• 34child-partnerdyads• ChildrenusingAAC:age3-13• Partners:21parents,8professionals,and5peers•  Instructions:1.5to5hoursover1-6sessions• Results:• Partners:abletousethetargetedstrategy• ChildrenusingAAC:moreturn-taking,morediversevocabulary,longerandmorecomplexmessages

What is not clear / addressed?

• Whatwasimproved/changedinpartners?

• Transfertodifferent:•  agegroup/peopleusingAAC•  communicationpartners•  targetskills•  contexts

What does it mean?

• SomepositiveresultsreportedforchildrenwhouseAAC• Furtherresearchisneeded

Reflect …

• HowImPAACTprogrammightbeusedinyourpractice?

• Whatdoyouneedtoknowbeforeyouimplementtheprogram?

Thank you!