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The Impact of Augmentative and Alternative Communication Intervention on the Speech Production of Individuals With Developmental Disabilities: A Research Review

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TitleThe Impact of Augmentative and Alternative Communication Intervention on the Speech Production of Individuals With Developmental Disabilities: A Research Review
Publication TypeJournal Article
AbstractPurpose: This article presents the results of a meta-analysis to determine the effect of augmentative and alternative communication (AAC) on the speech production of individuals with developmental disabilities. Method: A comprehensive search of the literature published between 1975 and 2003, which included data on speech production before, during, and after AAC intervention, was conducted using a combination of electronic and hand searches. Results: The review identified 23 studies, involving 67 individuals. Seventeen of these studies did not establish experimental control, thereby limiting the certainty of evidence about speech outcomes. The remaining 6 studies, involving 27 cases, had sufficient methodological rigor for the ‘‘best evidence analysis’’ (cf. R. E. Slavin, 1986). Most of the participants (aged 2–60 years) had mental retardation or autism; the AAC interventions involved instruction in manual signs or non-electronic aided systems. None of the 27 cases demonstrated decreases in speech production as a result of AAC intervention, 11% showed no change, and the majority (89%) demonstrated gains in speech. For the most part, the gains observed were modest, but these data may underestimate the effect of AAC intervention on speech production because there were ceiling effects. Conclusions: Future research is needed to better delineate the relationship between AAC intervention and speech production across a wider range of participants and AAC interventions.
AuthorsMillar, D., Light J. C., and Schlosser R. W.
Year of Publication2006
PublicationJournal of Speech, Language and Hearing Research
Volume49
Pages248-264
ISSN1349-5828 (print) 1349-5828 (online)
Publisher DOIhttp://jslhr.pubs.asha.org/article.aspx?articleid=1767605
Keywords (MeSH)adolescent, adult, autistic disorder, child, communication aids for disabled, developmental disabilities, intellectual disability, language, language development, meta analysis, speech, speech production measurement
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