A systematic quality review of high-tech AAC interventions as an evidence-based practice


Morin K. L., Ganz J. B., Gregori E. V., Foster M. J., Gerow S. L., Genc-Tosun D., ...More

AUGMENTATIVE AND ALTERNATIVE COMMUNICATION, vol.34, no.2, pp.104-117, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 2
  • Publication Date: 2018
  • Doi Number: 10.1080/07434618.2018.1458900
  • Journal Name: AUGMENTATIVE AND ALTERNATIVE COMMUNICATION
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.104-117
  • Keywords: Evidence-based practice, autism spectrum disorder, intellectual disability, augmentative and alternative communication, high-tech AAC, quality of design and evidence, quality of methodology, systematic review, SPEECH-GENERATING DEVICE, COMPLEX COMMUNICATION NEEDS, AUTISM SPECTRUM DISORDERS, SINGLE-SUBJECT RESEARCH, SCHOOL-AGED CHILDREN, ALTERNATIVE COMMUNICATION, PICTURE EXCHANGE, DEVELOPMENTAL-DISABILITIES, COMPARING ACQUISITION, COMPARATIVE EFFICACY
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

Although high-tech augmentative and alternative communication (AAC) is commonly used to teach social-communication skills to people with autism spectrum disorder or intellectual disabilities who have complex communication needs, there is a critical need to evaluate the efficacy of this approach. The aim of this systematic review was to evaluate the quality of single-case experimental design research on the use of high-tech AAC to teach social-communication skills to individuals with autism spectrum disorder or intellectual disabilities who have complex communication needs, to determine if this intervention approach meets the criteria for evidence-based practices as outlined by the What Works Clearinghouse. Additionally, information on the following extended methodological standards is reported on all included studies: participant description, description of setting and materials, interventionist description, baseline and intervention description, maintenance, generalization, procedural integrity, and social validity. The results from 18 multiple-baseline or multiple-probe experiments across 17 studies indicate that using high-tech AAC to teach social-communication skills to individuals with autism spectrum disorder or intellectual disabilities and complex communication needs can be considered an evidence-based practice, although the review of comparison (i.e., alternating treatment) design studies did not indicate that high-tech AAC is significantly better than low-tech AAC.