Aac Test

Front 1

Types of Selection Displays

Back 1

Fixed
Dynamic
Hybrid

Front 2

Fixed Display

Back 2

Any device where the symbols are fixed in a specific location

Front 3

Dynamic display

Back 3

Computer screen displays that automatically change when the individual selects a set

Front 4

Hybrid Displays

Back 4

Electronic fixed displays with a dynamic component such as indicator lights to tell individual which items are available for selection

Front 5

Selection Techniques

Back 5

Direct Selection
Indirect Selection

Front 6

Direct Selection

Back 6

Indicates the desired item directly from the device
Physical Pressure, Physical contact
Pointing, eye gaze

Front 7

Indirect Selection

Back 7

Scanning - for those individuals who are unable to directly select from the selection set - due to lack of motor control

Front 8

Scanning Patterns

Back 8

Linear
Circular
Group Item

Front 9

Circular Scanning

Back 9

Least complicated - placed items in a circle and scans them electronically

Front 10

Linear Scanning

Back 10

Light moves across each row (item by item) until desired item is selected.

Front 11

Group Item Scanning

Back 11

A group of items is selected then each item in the group is eliminated until choice is made

Front 12

Synthesized Speech

Back 12

Produced from stored within the speech generating device
Text to speech, digitized speech, combination of each

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Text-to-Speech

Back 13

Written message transferred into synthesized speech by an electronic device

Front 14

Digitized Speech

Back 14

Natural speech that has been recorded or stored

Front 15

Participation Model Assessment

Back 15

Guides AAC decision making process
Clinicians consider:
interactions among the person who requires AAC, the activity to be completed and context which activity is performed

Front 16

Access Barriers

Back 16

Capabilities, attitudes and resource limitations of individuals who use AAC - these barriers interfere with their participation

Front 17

Opportunity Barriers

Back 17

Practice Barriers
Knowledge barriers
Skill barriers
Attitude bariers

Front 18

Practice Barriers

Back 18

procedures common in family, school or workplace that contradict official policies
ex: Principal does not allow AAC device to go home on weekends eventhough in IEP.

Front 19

Knowledge barriers

Back 19

lack of information on the part of someone other than the person using AAC

Front 20

Skill barriers

Back 20

team members have trouble with the implementation of the AAC intervention plan

Front 21

Attitude barriers

Back 21

attitudes that restrict or prevent communication participation - culture of service delivery agency may not promote AAC

Front 22

What are the purposes of communicative interaction? (4)

Back 22

Expression of Needs/Wants

Information Transfer

Social Closeness

Social Etiquette

Front 23

2 important factors in vocab selection for pre literate

Back 23

1. Chosen from a functional, rather than developmental perspective

2. Age appropriate e.g. smily face symbol might mean happy for a child, but awesome for a teenager

Front 24

Developmental vocab

Back 24

- Words that individual doesn't know yet

- Selected to encourage language growth

- E.g. if a child is going to the circus for the first time clown, tiger, funny might be included

- Should include words or messages that encourage use of various structures and combinations

Front 25

What are the three phases of AAC intervention in adults (progressive disorders)?

Back 25

Phase I: Monitor, prepare & support

Phase II: Assessment, recommendations and implementation

Phase III: Adapting & accomidating

Front 26

AAC for Bulbar ALS

Back 26

Direct selection

No fatigue & endurance issues

Independent with personal and healthcare needs

Formulate on letter-by-letter or word-by-word basis

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AAC for mixed bulbar & spinal ALS

Back 27

Scanning or head pointing

Fatigue +++

Extensive personal and healthcare needs

Predominantly whole-word message strategies

Front 28

If an adult had adequate speech, adequate hand function....

Back 28

Monitor communication status

provide information, prepare

Front 29

If an adult has adequate speech, poor hand function....

Back 29

Alternative writing and keyboard access

Provide information & prepare

Front 30

If an adult has poor speech, adequate hand function....

Provide options for both adequate and poor mobility

Back 30

Alphabet supplementation

Alternative writing

Portable direct selection (low and high tech)

Attention getting devices

AAC options can be mounted depending on mobility

Front 31

If an adult has poor speech, poor hang function, good mobility....

Back 31

Alternative access

May need some AAC options to be portable

May need AAC and other AT to be integrated

Front 32

If an adult has poor speech, poor hand function, poor mobility....

Back 32

Alternative access

AAC options don't need to be lightweight as can be wheelchair mounted

May need AAC and other AT to be integrated

Front 33

What are some common apps used with adults?

Back 33

Predictable

Assistive chat

TouchChat

Proloquo2Go

Clarocom

Front 34

Most effective measure in ALS for predicting need for AAC

Back 34

Speaking rate

Intelligibility NOT sensitive enough

- Too little time between loss of intelligibility and loss of speech

- Recommend AAC referral when rate 100-125 wpm on the speech intelligibility test

Front 35

Communication breakdown resolution for an adult

Back 35

Describe AAC user's strategy to resolve the breakdown e.g. "one more time"

Restate or revise original message

Instruct listener as to how to resolve breakdown (e.g. "please read the message from the screen on my communication system")

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Special considerations for progressive conditions

Back 36

Ongoing assessment

Consider disease progression (e.g. MS = decreasing cog-comm skills).

Flexibility in vocab

Simplicity in operation

Ease of maintenance

Access using a variety of motor selection techniques

Front 37

What needs to be assessed in an adult with AAC in the ICU?

Back 37

Communication skills (immediate and future)

Candidacy for speech methods

Fatigue

Delirium

Motor skills / switch access site

Literacy

Vision and hearing

Vocab and voice banking for planned procedures

Front 38

General communication strategies for an acute adult

Back 38

Use patient's natural communication signals & gestures

Establish reliable yes/no

Provide sensory aids

Get patient's attention first

Establish and maintain eye gaze

Reduce rate and complexity of spoken messages

Provide augmented input

Explain medical procedures before they happen

Front 39

AAC for cognitively intact/motorically impaired patients

Back 39

Alphabet & whole-message communication boards

Partner-dependant scanning

Eye gaze communication

Speech generating devices

Front 40

AAC for Cognitively impaired/motorically intact patients

Back 40

Communication boards

Simple speech generating devices

Written choice conversation

Mouthing with topic narrowing cues from partner

Gestures

Front 41

AAC for cognitively impaired/motorically impaired patients

Back 41

Signal dictionary

Tagged yes/no questions

Partner dependant scanning with simple communication baord

Front 42

What are the 4 phases of assessment?

Back 42

1. Referral for AAC assessment

2. Initial assesment and intervention for today

3. Detailed assessment for tomorrow

4. Follow-up assessment

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Describe assessment phase 3: detailed assessment for tomorrow

Back 43

Develop robust system that will support communication across a variety of contexts (familiar and unfamiliar)

Assessment of current participation patterns

Refinement of current AAC system to accommodate future participation

Involvement of additional AAC facilitators

Front 44

How to assess expressive vocab/semantics

Back 44

Adapted subtests from language assessments

Language samples

Front 45

How to assess receptive vocab/semantic

Back 45

Peabody picture vocabulary test (PPVT)

Test for auditory comprehension of language (TACL-3)

CELF-4

Front 46

How to assess receptive syntax and morphology

Back 46

Standardised tests

Clinical assessment of language comprehension

Other informal assessments

Front 47

How to assess expressive syntax and morphology

Back 47

Language sampling

Structured tasks that target specific structures and provide appropriate vocab

Front 48

How to assess pragmatics

Back 48

Observing interactions

checklists

Interviews

Front 49

What does SETT stand for?

Back 49

Student

Environment

Tasks

Tools

Front 50

What are the 4 steps in SETT?

Back 50

1. Collect the information (student, environment, tasks)

2.Generate solutions (the tools)

3. Implement plan

4. Integrate in IEP

Front 51

Core vocabulary

Back 51

Words and phrases used frequently by a variety of individuals

Makes up around 75% - 80% of the words we use everyday

Primarily pronouns, verbs, descriptors and prepositions. Very few nouns

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Fringe vocabulary

Back 52

Words and phrases used less frequently (20-25% of the time)

Includes personal vocabulary. E.g. names of specific people, locations and activities

From low frequency e.g. mountain to lower frequency e.g. glacier

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Primary sources for vocabulary selection

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Discussion

Observation

Vocabulary lists/questionnaires

Commercial vocabularies

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Selected vocab on device must be:

Back 54

Motivating and fun

Functional

Appropriate to development, culture & personality

Front 55

Operational competence

Back 55

Technical skills to operate the device

Front 56

Social Competence

Back 56

Initiating, Maintaining, Developing and Terminating conversations, Receptive and expressive language skills

Front 57

Linguistic Competence

Back 57

Knowledge of linguistic code of AAC system

Front 58

Strategic competence

Back 58

Understand the spoken language of communication partner–Resolving communication breakdowns–Communication with unfamiliar listeners–Compensating for slow speaking rate

Front 59

AAC can be classified as Unaided and ___________. Unaided communication includes ____________________

Back 59

Aided, Communication without external equipment includes gestures, facial expression, vocalizations, manual sign, eye gaze etc.

Front 60

What are come high tech AAC devices?

Back 60

Dynamic display, touch screen, synthesized speech output, multiple pages such as an iPad or Dynavox.

Front 61

What are some no tech AAC?

Back 61

Non-electronic, no speech output, includes communication books, boards, PECS, eye gaze boards

Front 62

What are some low/mid tech AAC?

Back 62

Simple electronic devices, static display, play a limited amount of pre-recorded messages (digitized speech), includes single message VOCA’s.

Front 63

List and briefly describe the 4 phases of assessment.

Back 63

Referral- A person with a complex communication need is referred for an AAC assessmenInitial Assessment and Intervention- Assess physical access needs, sensory capabilities, cognitive skills, and focus on meeting immediate communication needs.Assessment for the future- Develope an AAC system to use in a variety of contexts, involve additional facilitators, observe the use in a variety of environments, plan and support.Follow up- Maintenance, replacement, repair, update, assess vocabulary needs, make adjustments.

Front 64

Describe the Opportunity and Access barriers related to communication that are assessed when using the Participation Model of Assessment

Back 64

Opportunity barriers include policy, practice, knowledge, and skill. Policy deals with legislative, funding, and instruction. Practice means “the way it’s done”, or common practices. Knowledge refers to a lack of information regarding opportunities. Skill is the actual implementation of AAC intervention.Access barriers include physical, cognitive, literacy, and visual/auditory. Physical barriers include motor abilities, can the client even operate the device. Cognitive refers to the client's abilities to understand what to do. Literacy, can the client understand written text. Visual and auditory, can the client see or hear well enough to operate the device.

Front 65

Define unaided and aided symbols and provide 2 examples for each.

Back 65

Unaided communication means without the use of external equipment to communicate. Some forms of this include gestures, facial expressions, vocalizations, manual sign, and eye gaze.Aided Communication refers to the use of external equipment to communicate. Examples of this would range from no-tech (Pictures, eye gaze board) to high tech (touch screens digitalized voice, Voca, iPad).

Front 66

Aided symbols include the following…

Back 66

real objects, text, line drawings, photographs