This article provides a review of the empirical literature on a number of topics related to augmentative and alternative communication (AAC) and assistive technology as they have been used to support communication and learning in individuals with autism/PDD-NOS. The review is presented in six main topic areas: Assessment, Staff/ Family Training, Supports for Augmented Input, Supports for Augmented Input + Output, Supports for Augmented Output, and Assistive Technology for Communication and Learning. Finally, recommendations for future research are provided.
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References
1.
Adamson, L., Romski, M.A., Deffebach, K., & Sevcik, R. (1992). Symbol vocabulary and the focus of conversations: Augmenting language development for youth with mental retardation. Journal of Speech and Hearing Research, 35, 1333-1343.
2.
Berkowitz, S. (1990). A comparison of two methods of prompting in training discrimination of communication book pictures in autistic students. Journal ofAutism and Developmental Disorders,20, 255-262.
3.
Beukelman, D., & Mirenda, P. (1998). Augmentative and alternative communication: Management of severe communication disorders in children and adults (2nd ed.). Baltimore: Brookes.
4.
Bird, F., Dores, P., Moniz, D., & Robinson, J. (1989). Reducing severe aggressive and self-injurious behaviors with functional communication training. American Journal of Mental Retardation, 94, 37-48.
5.
Bondy, A., & Frost, L. (1994). The Delaware Autistic Program. In S. Harris & J. Handleman (Eds.), Preschool education for children with autism (pp. 37-54). Austin, TX: PRO-ED.
6.
Bondy, A., & Frost, L. (1998). The Picture Exchange Communication System. Topics in Language Disorders, 19, 373-390.
7.
Cafiero, J. (1995). Teaching parents of children with autism Picture Communication Symbols as a natural language to decrease levels of family stress. Unpublished doctoral dissertation, University of Toledo .
8.
Campbell, R., & Lutzker, J. (1993). Using functional equivalence training to reduce severe challenging behavior: A case study. Journal of Developmental and Physical Disabilities,5, 203-216.
9.
Chen, S.H.A., & Bernard-Opitz, V. (1993). Comparison of personal and computer-assisted instruction for children with autism. Mental Retardation, 31, 368-376.
10.
Colby, K. (1973). The rationale for computer-based treatment of language difficulties in non-speaking autistic children. Journal of Autism and Childhood Schizophrenia, 3, 254-260.
11.
Day, H.M., Horner, R., & O'Neill, R. (1994). Multiple functions of problem behaviors: Assessment and intervention. Journal of Applied Behavior Analysis, 27, 279-290.
12.
Dexter, M. (1998). The effects of aided language stimulation upon verbal output and augmentative communication during storybook reading for children with pervasive developmental disabilities. Unpublished doctoral dissertation , The Johns Hopkins University.
13.
Dunlap, G., & Fox, L. (1999). A demonstration of behavioral support for young children with autism. Journal of Positive Behavior Interventions , 1, 77-87.
14.
Durand, V.M. (1999). Functional communication training using assistive devices: Recruiting natural communities of reinforcement. Journal of Applied Behavior Analysis, 32, 247-268.
15.
Elder, P., & Goosens', C. (1994). Engineering training environments for interactive augmentative communication: Strategies for adolescents and adults who are moderately/ severely developmentally delayed. Birmingham, AL: Southeast Augmentative Communication Conference Publications.
16.
Flannery, B., & Horner, R. (1994). The relationship between predictability and problem behavior for students with severe disabilities. Journal of BehavioralEducation, 4, 157-176.
17.
Forsey, J., Raining-Bird, K., & Bedrosian, J. (1996). The effects of typed and spoken modality combinations on the language performance of adults with autism. journal of Autism and Developmental Disorders,26, 643-649.
18.
Frost, R.E. (1984). Computers and the autistic child. In D. Peterson (Ed.), Intelligent schoolhouse (pp. 246-250). Reston, VA: Prentice-Hall.
19.
Frost, L., & Bondy, A.S. (1994). PECS: The Picture Exchange Communication System Training Manual. Cherry Hill, NY: Pyramid Educational Consultants.
20.
Fuller, D., Lloyd, L.L., & Stratton, M. (1997). Aided AAC symbols. In L. L. Lloyd, D. Fuller, & H. Arvidson (Eds.), Augmentative and alternative communication: A handbook of clinical principles and practices (pp. 48-79). Boston : Allyn & Bacon.
21.
Garrison-Harrell, L., Kamps, D., & Kravits, T. (1997). The effects of peer networks on social-communicative behaviors for students with autism. Focus on Autism and Other Developmental Disabilities,12, 241-254.
22.
Goossens', C., Crain, S., & Elder, P. (1995). Engineering the preschool environment for interactive, symbolic communication. Birmingham, AL: Southeast Augmentative Communication Conference Publications.
23.
Gray, C. (1995). Teaching children with autism to "read" social situations. In K. Quill (Ed.), Teaching children with autism: Strategies to enhance communication and socialization (pp. 219-242). New York: Delmar Publishers.
24.
Hagiwara, T., & Smith Myles, B. (1999). A multimedia social story intervention: Teaching skills to children with autism. Focus on Autism and Other Developmental Disabilities,14, 82-95.
25.
Hall, L., McClannahan, L., & Krantz, P. (1995). Promoting independence in integrated classrooms by teaching aides to use activity schedules and decreased prompts. Education and Training in Mental Retardation and Developmental Disabilities , 34, 208-217.
26.
Hamilton, B., & Snell, M. (1993). Using the milieu approach to increase spontaneous communication book use across environments by an adolescent with autism. Augmentative and Alternative Communication, 9, 259-272.
27.
Hedbring, C. (1985). Computers and autistic learners: An evolving technology . Australian Journal of Human Communication Disorders, 13, 169-188.
28.
Heimann, M., Nelson, K., Gillberg, C., & Kärnevik, M. (1993). Facilitating language skills through interactive micro-computer instruction: Observations on seven children with autism. Scandinavian Journal of Logopedics and Phoniatrics, 18, 3-8.
29.
Heimann, M., Nelson, K.E., Tjus, T., & Gillberg, C. (1995). Increasing reading and communication skills in children with autism through an interactive multimedia computer program. Journal of Autism and Developmental Disorders, 25(5), 459-480.
30.
Hodgdon, L. (1995). Solving social-behavioral problems through the use of visually supported communication. In K. Quill (Ed.), Teaching children with autism: Strategies to enhance communication and socialization (pp. 265-286). New York: Delmar Publishers.
31.
Hodgdon, L. (1996). Visual strategies for improving communication . Troy, MI: Quirk-Roberts.
32.
Horner, R., & Budd, C. (1985). Acquisition of manual sign use: Collateral reduction of maladaptive behavior and factors limiting generalization. Education and Training of the Mentally Retarded, 20, 39-47.
33.
Horner, R., & Day, H.M. (1991). The effects of response efficiency on functionally equivalent competing behaviors. Journal of Applied Behavior Analysis, 24, 719-732.
34.
Koegel, R., O'Dell, N., & Koegel, L. (1987). A natural language paradigm for teaching nonverbal autistic children. Journal of Autism and Developmental Disorders , 17, 187-199.
35.
Kozleski, E. (1991). Visual symbol acquisition by students with autism . Exceptionality,2, 175-194.
36.
Krantz, P., MacDuff, M., & McClannahan, L. (1993). Programming participation in family activities for children with autism: Parents' use of photographic activity schedules. Journal of Applied Behavior Analysis, 26, 137-138.
37.
Kuttler, S., Smith Myles, B., & Carlson, J. (1998). The use of social stories to reduce precursors to tantrum behavior in a student with autism. Focus on Autism and Other Developmental Disabilities,13, 176-182.
38.
Lancioni, G. (1983). Using pictorial representations as communication means with low-functioning children. Journal of Autism and Developmental Disorders, 13, 87-105.
39.
Laski, K., Charlop, M., & Schreibman, L. (1988). Training parents to use the natural language paradigm to increase their autistic children's speech . Journal of Applied Behavior Analysis, 21, 391-400.
40.
LaVigna, G. (1977). Communication training in mute autistic adolescents using the written word. Journal ofAutism and Childhood Schizophrenia,7, 135-141.
41.
Light, J., Roberts, B., Dimarco, R., & Greiner, N. (1998). Augmentative and alternative communication to support receptive and expressive communication for people with autism. Journal of Communication Disorders, 31, 153-180.
42.
MacDuff, G., Krantz, P., & McClannahan, L. (1993). Teaching children with autism to use photographic activity schedules: Maintenance and generalization of complex response chains. Journal of Applied Behavior Analysis , 26, 89-98.
43.
Mayer-Johnson Co. (1994). The Picture Communication Symbols Combination Book. Solana Beach, CA: Author.
44.
McClannahan, L., & Krantz, P. (1999). Activity schedules for children with autism: Teaching independent behavior. Bethesda, MD: Woodbine House, Inc.
45.
Mirenda, P. (1997). Functional communication training and augmentative communication: A research review. Augmentative and Alternative Communication, 13, 207-225.
46.
Mirenda, P., MacGregor, T., & Kelly-Keough, S. (in press). Teaching communication skills for behavior support in the context of family life. In J. Lucyshyn, G. Dunlap, & R. Albin (Eds.), Families and positive behavioral support: Addressing the challenge of problem behaviors in family contexts. Baltimore: Brookes.
47.
Mirenda, P., & Mathy-Laikko, P. (1989). Augmentative and alternative communication applications for persons with severe congenital communication disorders: An introduction. Augmentative and Alternative Communication , 5,3-13.
48.
Mirenda, P., & Santogrossi, J. (1985). A prompt-free strategy to teach pictorial communication system use. Augmentative and Alternative Communication, 1, 143-150.
49.
Mirenda, P., & Schuler, A. (1989). Augmenting communication for persons with autism: Issues and strategies. Topics in Language Disorders, 9, 24-43.
50.
Nakamura, K. (1997). Use of VOCA in children with intellectual disabilities and/or autistic tendencies: Observations of VOCA play settings and speech abilities in two special schools. JapaneseJournal of Special Education, 35, 33-41.
51.
Nelson, K., & Prinz, P. (1991). Alpha interactive language series/Gator super sentences [Computer software]. Warriors Mark, PA: Super Impact Images.
52.
Norris, C., & Dattilo, J. (1999). Evaluating effects of a social story intervention on a young girl with autism. Focus on Autism and Other Developmental Disabilities,14, 180-186.
53.
Panyan, M. (1984). Computer technology for autistic students. Journal of Autism & Developmental Disorders,14, 375-382.
54.
Parsons, C., & La Sorte, D. (1993). The effect of computers with synthesized speech and no speech on the spontaneous communication of children with autism. Australian Journal of Human Communication Disorders, 21, 12-31.
55.
Peterson, S., Bondy, A., Vincent, Y., & Finnegan, C. (1995). Effects of altering communicative input for students with autism and no speech: Two case studies. Augmentative and Alternative Communication, 11, 93-100.
56.
Pierce, K., & Schreibman, L. (1994). Teaching daily living skills to children with autism in unsupervised settings through pictorial self-management . Journal of Applied Behavior Analysis, 27, 471-482.
57.
Pleinis, A., & Romanczyk, R. (1985). Analyses of performance, behavior, and predictors for severely disturbed children: A comparison of adult vs. computer instruction . Analysis & Intervention in Developmental Disabilities,5, 345-356.
58.
Prizant, B.M., & Wetherby, A. (1998). Understanding the continuum of discrete-trial traditional behavioral to social-pragmatic developmental approaches in communication enhancement for young children with autism. Topics in Language Disorders, 19, 329-354.
59.
Quill, K. (1997). Instructional considerations for young children with autism: The rationale for visually cued instruction. Journal of Autism and Developmental Disorders, 27, 697-714.
60.
Reichle, J., & Brown, L. (1986). Teaching the use of a multipage direct selection communication board to an adult with autism. Journal of the Association for Persons with Severe Handicaps,11, 68-73.
61.
Reichle, J., York, J., & Sigafoos, J. (1991). Implementing augmentative and alternative communication: Strategies for learners with severe disabilities. Baltimore : Brookes.
62.
Romanczyk, R., Weiner, T., Lockshin, S., & Ekdahl, M. (1999). Research in autism: Myths, controversies, and perspectives. In D. Berkell Zager (Ed.), Autism: Identification, education, and treatment, 2nd ed. (pp. 23-61). Mahwah, NJ: Lawrence Erlbaum Associates.
63.
Romski, M.A., & Sevcik, R.A. (1992). Developing augmented language in children with severe mental retardation. In S. F. Warren & J. Reichle (Eds.), Causes and effects in communication and language intervention (pp. 113-130). Baltimore: Brookes.
64.
Romski, M.A., & Sevcik, R.A. (1996). Breaking the speech barrier: Language development through augmented means. Baltimore: Brookes.
65.
Romski, M.A., Sevcik, R.A., & Adamson, L. (1999a). Communication patterns of youth with mental retardation with and without their speech-output communication devices. American Journal on Mental Retardation, 104, 249-259.
66.
Rotholz, D., Berkowitz, S., & Burberry, J. (1989). Functionality of two modes of communication in the community by students with developmental disabilities: A comparison of signing and communication books. Journal of the Association for Persons with Severe Handicaps, 14, 227-233.
67.
Russo, D., Koegel, R., & Lovaas, O.I. (1978). A comparison of human and automated instruction of autistic children. Journal ofAbnormalChild Psychology , 6, 189-201.
68.
Schepis, M., Reid, D., Behrmann, M., & Sutton, K. (1998). Increasing communicative interactions of young children with autism using a voice output communication aid and naturalistic teaching. Journal of Applied Behavior Analysis, 31, 561-578.
69.
Schlosser, R., Blischak, D., Belfiore, P., Bartley, C., & Barnett, N. (1998). The effectiveness of synthetic speech output and orthographic feedback in a student with autism: A preliminary study. Journal ofAutism and Developmental Disorders,28, 309-319.
70.
Schuler, A., & Baldwin, M. (1981). Nonspeech communication and childhood autism. Language, Speech, and Hearing Services in Schools,12, 246-257.
71.
Schwartz, I., Garfinkle, A., & Bauer, J. (1998). The Picture Exchange Communication System: Communicative outcomes for young children with disabilities. Topics in Early Childhood Special Education, 18, 144-159.
72.
Sigafoos, J. (1998). Assessing conditional use of graphic mode requesting in a young boy with autism. Journal of Developmental and Physical Disabilities,10, 133-151.
73.
Sigafoos, J., & Meikle, B. (1996). Functional communication training for the treatment of multiply determined challenging behavior in two boys with autism. Behavior Modification, 20, 60-84.
74.
Simpson, K., Beukelman, D., & Bird, A. (1998). Survey of school speech and language service provision to students with severe communication impairments in Nebraska. Augmentative and Alternative Communication, 14, 212-221.
75.
Stiebel, D. (1999). Promoting augmentative communication during daily routines: A parent problem-solving intervention. Journal of Positive Behavior Interventions, 1, 159-169.
76.
Strickland, D., Marcus, L., Mesibov, G., & Hogan, K. (1996). Two case studies using virtual reality as a learning tool for autistic children. Journal of Autism and Developmental Disorders, 26, 651-659.
77.
Stromer, R., Mackay, H., Howell, S., Mc-Vay, A., & Flusser, D. (1996). Teaching computer-based spelling to individuals with developmental and hearing disabilities: Transfer of stimulus control to writing tasks. Journal of Applied Behavior Analysis, 29, 25-42.
78.
Swaggert, B., Gagnon, E., Bock, S.J., Earles, T.L., Quinn, C., Myles, B.S., & Simpson, R.L. (1995). Using social stories to teach social and behavioral skills to children with autism. Focus on AutisticBehavior , 10(1), 1-19.
79.
Thompson, R., Fisher, W., Piazza, C., & Kuhn, D. (1998). The evaluation and treatment of aggression maintained by attention and automatic reinforcement. Journal of Applied Behavior Analysis, 31, 103-116.
80.
Van Acker, R., & Grant, S. (1995). An effective computer-based requesting system for persons with Rett syndrome. Journal of Childhood Communication Disorders, 16, 31-38.
81.
Vaughn, B., & Horner, R. (1995). Effects of concrete versus verbal choice systems on problem behavior. Augmentative and Alternative Communication , 11, 89-92.
82.
Wacker, D., Steege, M., Northup, J., Sasso, G., Berg, W., Reimers, T., Cooper, L., Cigrand, K., & Donn, L. (1990). A component analysis of functional communication training across three topographies of severe behavior problems. Journal ofAppliedBehavior Analysis, 23, 417-429.
83.
Wood, L., Lasker, J., Siegel-Causey, E., Beukelman, D., & Ball, L. (1998). An input framework for augmentative and alternative communication. Augmentative and Alternative Communication , 14, 261-267.
