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AAC-RERC Research Project R3
www.aac-rerc.com

R3: Improving AAC Technologies for Young Children with Significant Communication Disorders

Lead Institution: Pennsylvania State University
PURPOSE
This initiative responds to the urgent need for improved AAC technologies and instructional methodologies that meet the needs of toddlers and young children with significant communication disorders. The initial plan focused primarily on strategies to reduce the learning demands of AAC technologies for young children. Given results of studies completed to date, however, the project has been expanded to include a focus on strategies to increase the appeal of AAC technologies for young children as well.
TARGET POPULATION
Typically developing children (ages 2-5) will be recruited who have no prior experience with AAC technologies and have no known disability.
Research studies will also be conducted to validate the results from the developmental studies and determine their generality to toddlers and young children who have significant communication disabilities, including children with mental retardation, cerebral palsy, and autism.
PROBLEM
The concerns listed below are a sample of the shortcomings that exist with current AAC devices that are available to children. This series of projects will address these topics and other factors that relate to design characteristics.
  • Current AAC technologies have been developed by adults without disabilities; they reflect how an adult would represent, organize, select, and output language. As a result, AAC devices are difficult for young children to learn to use because the designs do not consider young children's cognitive and linguistic development.
  • The current AAC devices available do not attract young children or sustain their interest over long periods of time. Children value systems that are highly colorful and decorative, that are "fun," and that incorporate play activities.
  • Most current AAC symbol sets use the ideas of white middle class adults to represent language. These ideas may not be meaningful to young children, especially those from different cultural backgrounds.
PROGRESS

Project R3-1: Learning demands for 2-year-old children of three different approaches to the organization and presentation of language concepts in AAC technologies. This study investigated the learning demands of three different approaches to the organization of language in AAC systems: vocabulary presented in a grid organized taxonomically (i.e., concepts grouped in categories such as people, actions, places); vocabulary presented in a grid organized schematically (i.e., concepts grouped in events such as snack time, circle time); and vocabulary presented in an integrated scene organized schematically (i.e., concepts embedded under "hotspots" in an integrated scene). The children were introduced to 12 target vocabulary items in a series of four learning sessions. Each session was structured around a play context involving a birthday party for a teddy bear (Bobby) who could not talk and used an AAC system to communicate. In each session, children were presented with a play situation and asked to help the teddy bear locate target vocabulary on the AAC system (e.g., Bobby wants to call his Mommy. Find "Mommy.") Feedback was provided for all incorrect selections during the learning sessions. Data were collected on the accuracy of the children's responses. After three learning sessions, the children participated in a generalization session in which 12 novel words were introduced. As with the learning sessions, children were asked to locate these target concepts in the context of a play scenario.
A total of 30 typically developing 2-year-old children participated in the study. Data analysis was completed on the accuracy of the children's responses using a mixed ANOVA; error analyses were completed to derive insights into the cognitive processing demands.

Project R3-2: Learning demands for 3-year-old children of four different approaches to the organization and presentation of language concepts in AAC technologies. This study investigated the learning demands for 3-year-old children of four different approaches to the organization of language in AAC systems - taxonomic grid, schematic grid, schematic scene organizations, and a variation on the schematic grid condition. The traditional schematic grid condition uses an index page with a single symbol representing each of the dynamic pages of vocabulary available. This approach fails to make the design of the system transparent to young children since the pages are "hidden" to the user when the system is on the index page. To make the design more transparent to young children and reduce the memory demands of the system, screen shots of the actual pages were used on the index page to represent the vocabulary pages. In this study, the same procedures as in R3-1 were used except the children were introduced to 18 target vocabulary items (instead of 12) in a series of four learning and testing sessions. Data collection and analysis was recently completed.

Project R3-3: Learning demands for four and five-year-old children of four different approaches to the organization and presentation of language concepts in AAC technologies. This study investigated the learning demands for 4- and 5-year old children of four different approaches to the organization of language in AAC systems: taxonomic grid, schematic grid, schematic scene organizations, and iconic encoding or Minspeak. Procedures were similar to Projects R3-1 and R3-2 except that the children were introduced to 24 items (4-year-olds) or 30 items (5-year-olds) in a series of 4 learning sessions. Data collection and analyses is complete for 80 children over 4 learning sessions and a generalization session.
This study was recently expanded to include a spin off study designed to compare the performance of 5-year-old children using iconic encoding with icon prediction to their use of iconic encoding without icon prediction. This follow up study is intended to provide a measure of the impact of icon prediction on easing the learning demands of iconic encoding systems for young children. Data collection and analyses were recently completed.

Project R3-4: Investigation of the semantic organization patterns of young children. Results of projects 1-3 suggest that young children have significant difficulty learning the layouts and organizations of current AAC technologies. This project investigated how young children organize language concepts to better understand the gap between the organizations used in AAC technologies currently and those of young children. This study employed a graphic symbol arrangement task to investigate how 20 children between the ages of 4;0 and 5;11 organized a variety of linguistic concepts. The children were asked to organize 42 pictures depicting various familiar vocabulary items including nouns, verbs, descriptors, prepositions, pronouns, and question words. During and after the sorting task, the children were asked to talk about the rationales for their arrangements. Data collection and analysis are complete.

Project R3-5: The identification of desired features for auditory scanning technology. We have worked with rehabilitation professionals and AAC product developers to design and initiate a research project to investigate design issues in the development of effective auditory scanning technologies. Twelve participants, including both experienced clinicians and product developers with major AAC manufacturers, contributed to in an internet-based discussion to identify the learning demands of auditory scanning technologies and to determine key design features for these technologies. Data analysis is currently in progress. We anticipate that this project will result in significant new recommendations for the development of auditory scanning.

Project R3-6: Children's designs for AAC technologies (an exploration of participatory design). Five 7-year-old children without disabilities (3 boys and 2 girls) and two young adults who were not familiar with AAC were recruited to participate in designing an AAC system for children. The group was asked to design ways that would help a preschooler with significant physical disabilities to communicate using low-tech prototyping materials (e.g., chalk, blackboard, scissors, clay, tape, poster board, paper, pencils, cardboard boxes, rubber bands, construction paper, markers, crayons, glue, and Legos). Data collection and analysis are complete. The interactions during the design and presentation phases were videotaped, transcribed, and coded to identify design features. The notes, drawings, and the actual prototypes constructed by the participants were also analyzed according to their design features. This project explored a very interesting methodology that may have important applications in the field for future research and development - participatory design. In this methodology, end users are involved early in the design process. Having children act as reviewers of AAC technologies after they are developed is "too little, too late." Participatory design includes the end-users of the technology working collaboratively with researchers from the very beginning to develop low-tech prototypes and implement them as technologies.

Project R3-7: Improving the appeal of AAC technologies for young children: Lessons from the toy manufacturers. Observations suggest that the current generation of AAC technologies do not attract young children or sustain their interest over long periods of time. Results from project R3-6 suggest that children value systems that are highly colorful and decorative, are "fun", and incorporate play activities. Toy manufacturers have been successful in designing products that attract young children and that sustain interest over a long period. A new study was initiated to determine strategies to increase the appeal of AAC technologies for young children. The goals of the study were: (1) to conduct a systematic review of award winning toys to determine features that may be used to attract young children and sustain their interest; (2) to compare these features to those of existing AAC technologies; and (3) to consider ways to incorporate features into AAC technologies to increase the appeal for young children. Award winning toys were selected for each age group and were described according to a feature analysis (e.g., color, shape, moveable parts). Current AAC technologies were also described using the feature analysis. Results were summarized across popular toys for each age group and across AAC technologies. Features were compared across toys and AAC technologies. Focus groups were held to brainstorm application of toy features to AAC technologies to enhance appeal and use by young children. Data analysis is currently in progress.

Project R3-8: Graphic representations of language concepts of children from diverse cultural backgrounds. For young children who are preliterate, the vocabulary stored in AAC technologies must be depicted using graphic representations. Most current AAC symbol sets use the ideas of white, middle-class adults to represent language. These ideas may not be meaningful to young children, especially those from different cultural backgrounds. The goals of this study are to (1) investigate children's graphic representations (drawings) of early emerging language concepts; (2) compare these representations to those of current AAC symbols; and (3) investigate children's understanding of current AAC symbols. Fifty typically-developing children from diverse cultural backgrounds were recruited: 10 African American children; 10 Hispanic children; 10 white children; 10 children from families who had recently immigrated from Russia; and 10 children from families who were from India. The children were provided with paper and markers and were asked to draw 10 early emerging language concepts (e.g., more, all gone, what?). They were then asked to describe their drawings. Finally the children were shown AAC symbols representing early emerging language concepts and asked to name the symbols. Data collection is currently in progress.

Project R3-9. Applications of personalized integrated scene organizations with young children with significant disabilities. Results of project R3-1 suggested that young typically-developing children performed more accurately using integrated scene layouts in AAC technologies than the grid layouts that have been used traditionally. Integrated scene layouts embed language in meaningful contexts replicating the way that young children learn language. The goal of this study is to investigate the use of integrated scene layouts as realized in personalized digital photos of young children with significant disabilities who require AAC. To date, 3 children with significant speech impairments (ages 2-4) have been recruited. Prototypes of systems using personalized digital photos with vocabulary stored under hot spots are currently being developed for these children.

KEY FINDINGS

Project R3-1

  • The children performed with low levels of accuracy with all systems. Children were more accurate using the schematic scene layout (average 4.1 correct answers) than both the taxonomic grid layout (average 1.6 correct answers) and the schematic grid layout (average 1.9 correct answers).
  • Over the 4 learning sessions, there was a very slight increase in the average gain in vocabulary items.
  • The children learned more concrete vocabulary than abstract across all systems.
  • There was no evidence of generalization of system organization to novel vocabulary.

Project R3-2

  • The children performed with low levels of accuracy with all systems. The averages were 5.7, 7.4, 8.9 items correct out of 18 for the schematic grid, schematic grid with screen shots menu page, and schematic scene conditions respectively.
  • The average gains from session 1 to 4 were 3.4, 5.3, and 7.0 items for the schematic grid, schematic grid with screen shots menu, and schematic scene conditions respectively.
  • Children learned more concrete vocabulary than abstract across all systems and sessions.
  • There was some evidence of generalization to new items, although gains were minimal.

Project R3-3

  • Both the 4-year-old and 5-year old children were more accurate locating target vocabulary in the three dynamic display conditions (taxonomic grid, schematic grid, schematic scene) than in the iconic encoding technique; results were statistically significant.
  • On initial exposure to the systems (session 1), the children averaged 0% and 3% accuracy for the 4- and 5-year-olds respectively with the iconic encoding technique; the children averaged 26% and 33-41% accuracy for the 4- and 5-year-olds respectively across dynamic display systems.
  • All but one child showed gains in accuracy across the learning sessions. The children's rate of learning with the iconic encoding technique was significantly slower than with the three dynamic display systems.
  • The children were more accurate learning concrete vocabulary than abstract vocabulary. The advantage for concrete vocabulary was less pronounced in the iconic encoding technique than in the dynamic display techniques.
  • There was evidence that the children generalized knowledge of system organization to facilitate learning of novel vocabulary. However, the evidence of generalization was not great. The children's performance in the generalization session exceeded that in the initial learning session by an average of 0.2 - 4.2 items across the four systems.

Project R3-4

  • The children performed with low levels of accuracy with both systems.
  • The averages after four learning sessions were 4.6 and 6.6 items correct out of 30 for the iconic encoding without prediction and with prediction respectively.
  • Children showed some evidence of generalization in the iconic prediction condition but the gains were modest (average of 4.7 items); children did not show evidence of generalization in the condition without prediction (average of 0.4 items)
  • Children performed more accurately with the three dynamic display conditions (see R3-3 Part 1) than either of the iconic encoding techniques (with or without prediction).

Project R3-5
Data analysis is in progress.

Project R3-6

  • Systems were highly colorful and decorative.
  • Systems were fun incorporating many play activities.
  • Systems integrated numerous functions e.g., play, communication.

Project R3-7
Data analysis is in progress.

Project R3-8
Data analysis is in progress.

Project R3-9
Project is in progress.

PARTNERS
(the links below will open in a new window)
FOR MORE INFORMATION
Janice Light, Ph.D., (Principal Investigator): JCL4@psu.edu
Kathy Drager, Ph.D., (Co-Investigator): KDD5@psu.edu