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AAC-RERC Research Project R2
www.aac-rerc.com

The Study of Organizational Strategies for Adult AAC Users

Lead Institution: University of Nebraska, Lincoln
PURPOSE
This project investigates the ways that adults with severe communication disorders organize "cognitive-linguistic space" as they use AAC technology.
TARGET POPULATION
Individuals with primary language impairments (aphasia following stroke); physical and cognitive impairments (traumatic brain injury), and elderly persons (over 65 years of age) without disability
PROBLEM

Dynamic display-based AAC systems such as the Dynavox, Dynamyte, Vanguard™, Speaking Dynamically®, and Talking Screen™ typically use a menu-based system organized by categories. For example, items on a home page may include family, social, food, school, play, and needs. When you select the food page, choices that display may include drinks, desserts, snacks, and meals. When you select meal, the choices may include breakfast, lunch, dinner, and special occasion. When you select dinner, a page containing actual food choices such as "I want pizza" become available to the user. Information pertaining to specific meals is four levels removed from the home page and requires good knowledge of the conceptual grouping of items on each page to effectively access the desired message.

At present, little is known about how to best organize the categories of information in AAC devices so that users can quickly retrieve a particular message. Often organizational structure is based on the perceived needs of the AAC user and the creative, sometimes haphazard, organization skills of the person programming words and messages into the AAC device. Category membership and boundaries are frequently unclear. As a result, keeping the AAC system organized so that the user can readily locate any given word or message may be problematic, particularly since an unlimited number of messages can be stored in the system. Understanding the organizational preferences and optimal number of steps to reach the intended object would help in developing a system that makes it easier to retrieve the intended message - thus, making it easier to communicate.

PROGRESS

A computer-based interface has been developed to support this research. The interface uses a dynamic screen strategy and allows for the presentation of orthographic and iconic information according to various organization strategies. Participants are not required to learn to operate the computer and they respond to project tasks by touching the screen to indicate their response choices.

  • Elderly - We completed a study investigating the accuracy and speed with which words were selected using three organization strategies (by topic, location and alphabet) of elderly non-disabled adults (over 75 years of age). The manuscript reporting this research was submitted for publication in April 2002.
  • Traumatic brain injury - Using procedures identical to those described above, 12 persons with traumatic brain injury have completed the same protocol. Data has been collected, measured, and analyzed, and a draft of the manuscript has been written.
  • Aphasia - A project with very similar procedures is underway with persons who have severe language disorders (aphasia) due to stroke. At this time, the stimulus materials (digital photographs) have been completed and a pilot subject has completed the protocol. Data collection for the remaining participants will begin in June 2002.
  • Aphasia - A new study intended to develop a novel interface for persons with severe aphasia is ongoing. This interface makes use of digital photography on a touch screen. Photos can be provided and selected by persons with a disability, giving them greater influence in the development and design of the interface strategies that they use. The photos support conversation and navigation to other screens and images. In addition, speech and printed cues are provided to support residual speech and AAC-based communication.
KEY FINDINGS
  • Elderly and TBI - Despite being the least preferred method, message retrieval is significantly more accurate and efficient with alphabet cues than with topic or location cues.
  • Aphasia- Project is in progress.
  • New AAC Interface Development - The prototype software has been completed and implemented. Two persons with aphasia are able to operate the interface to support their communication and one is still learning. The research strategy appears effective in pilot work to answer the development questions.
PARTNERS

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FOR MORE INFORMATION
David Beukelman, Ph.D. (Principal Investigator): dbeukelman1@.unl.edu
Janice Light, Ph.D.: JCL4@psu.edu