part 2 - atia · 2020. 11. 3. · (asah knowledge and skills for aac service delivery, 2001)...

7/26/2013

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Follow us on Twitter: @ATBootcamp

Part 2

August 1, 2013

Kirk Behnke

and

Mike Marotta


Welcome!

Positioning

Access

AAC

Mobile Devices

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Please use the chat window to share questions / comments


Positioning for Function

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Proper Positioning

Facilitates Function

Improves Comfort

Provides Stability

Reduces occurrence of secondary disabilities

Follow us on Twitter: @ATBootcamp 6

Positioning for Function:Workstation

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Seating options for tasks

Which chair is better for your body over a longer period of time?

or


Seating options for tasks

Students with ADHD

Improved Behavior

Legible word productivity

(American Journal of OT 2003)

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Features of Ergonomic Chairs Seat Height

Seat Width / Depth

Lumbar Support

Backrest

Armrests

Swivel Base


Workstation

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Positioning for Function:Mobility Devices


Types of Mobility

Dependent

Independent

Manual

Power

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Positioning Supports


Something to think about….

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Access

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Built into OS


Access: Touch Devices

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The New Normal?


The Touch Screen

◦ Doesn’t require pressure, only contact.

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The Touch Screen

◦ Requires ability to use gestures


Access: Switches

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Why Uses Switches?

Physical

impairment

with ANY

cognitive level

1st Choice =

Direct

Selection


Switches: Consideration

Switch Types

Access Method

Access Site

Mounting

Function

◦ Direct Select

◦ Scanning

Interface to other AT

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Switch Sites

◦ What do you want the person to be able to do?

◦ What have they already tried?

◦ Where are they accessing switch?

◦ Observation

◦ Consistent / reliable movement


Scanning

Automatic Scanning

Step Scanning

Inverse Scanning

Auditory Scanning

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Remember… Focus on positioning

Pick motivating activities

WAIT for their response

LOTS and LOTS of practice


Mounting What is it

attached to?

Velcro

Adjustability?

Custom

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Consider:

Connections: USB; Wireless; Bluetooth

What software will you be using?

Interface to AT: Computer


Consider:

Wheelchair

electronics

Training

needs

Interface to AT: Mobility Device

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Interface to AT: Mobile Devices

Access to:

Menus?

Apps?

◦ Access to?

◦ Control of functions?

Control of device?


iOS 7 Switch / Head Control???

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Access: Computers

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Modifications to Standard Keyboard

Sticky Keys Slow Keys Rearrange Keys

Large Print Letters Slant Boards Splints, Sticks, etc. Keyguards

Physical Adjustments

Electronic Adjustments

ZoomCaps


Onscreen Keyboards

Click N Type

Pix Writer

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Ergonomic Keyboards

Brown Computer Science

http://cs.brown.edu/system/ergo/


Keyboard Alternatives

Kinesis Keyboard

Comfort Type

Big Keys

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Keyboard Alternatives

Frog Pad Keyboard (R)OrbiTouch Keyboard

BAT Keyboard


Consideration: Keyboard Layouts

QWERTYABC

Dvorak

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When was the first mouse developed?

1960s

1970s

1980s

Mouse

Altern

atives


Mouse Options

Ergonomic Mice

Trackball

http://www.quillmouse.com/buy/http://www.quillmouse.com/buy/

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Mouse Options

Joystick

Head Mouse


Mouse Options

Eye Gaze

Foot Mouse

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Consideration: Mouse Alts

◦ What does the person need to do?

◦ What have they already tried?

◦ Observation

◦ Consistent / reliable movement

◦ Where are they accessing computer?


Other Considerations….

Equipment size

Positioning

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AAC

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Four Functions of Communication

Expressing Needs and Wants

Exchanging Information

Social Closeness

Social Etiquette


What is AAC?

All forms of communication that enhance or supplement speech and writing

(ASAH Knowledge and Skills for AAC Service Delivery, 2001)

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No Tech or Unaided AAC

Sign language

Gestures

Pointing

Facial Expression

Partner Assisted Scanning

Others?


Partner Assisted ScanningCourtesy of Cincinnati Children’s Perlman Center

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Low Tech Systems

Aided modalities

No Tech solutions

Displays (books, boards, etc.)

No Speech output


High Tech Systems

Single Message or Multiple Message

Text-to-speech

Dynamic Display

Touch Screen

Synthesized speech or digitized speech

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The iPad! (and other mobile devices)


Dedicated AAC vs. the iPad

Many are based on years of research

Technical Assistance

Warranties

Can be paid for by Medicaid/insurance/Medicare

Most come with a wide variety of access methods

Durability

Regional Sales Rep

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Cost, cost, cost.

◦ Cost of traditional synthesized speech device is approximately $8,000.

◦ Traditional digitized: approximately $2,500.

Weight

Appearance

Availability

Others?

Dedicated AAC vs. the iPad


AAC Apps Consideration

Cost

Pre-loaded Content

Editing

Symbols

Support

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AAC Consideration


AAC Consideration

Current Communication Skills

Cognitive Abilities

Vision and Hearing Skills

Physical Abilities

Behavioral Considerations

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AAC Consideration

Communication Environments

Communication Partners

Training Support

Funding Sources

Personal Preferences


Language – Receptive Skills(comprehension)

Following Directions

Identification Skills

Matching Skills

Naming / Labeling

Imitation Tasks

Task Sequencing

Answering Targeted Questions

(Lee, 2011)

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Language – Expressive Skills(relaying thoughts)

Expressing Wants, Needs and Feelings

Directing Tasks

Describing / Commenting

Engaging in Social Routines

Asking Questions

(Lee, 2011)


Vocabulary

Core Vocabulary

Extended Vocabulary

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15 symbols core

I

You

It

Want

Like

Mine

Go

Stop

What

More

All Done

Help

That

Here

Away


AAC Symbols

Objects

Photographs

Realistic Pictures

◦ Color

◦ Black and White

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AAC Symbols

Line Drawings

◦ Color

◦ Black and White

Alphabet / Spelling


AAC Implementation

Environmental Adjustments

Facilitate Interaction Styles◦ Least to Most Prompting

◦ Student Directed Activities

◦ Action Pause Action

◦ Natural Consequences

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AAC Implementation and Resources

DynaVox Implementation Toolkit

http://www.dynavoxtech.com/implementation-toolkit/

Prentke-Romich AAC Language Lab

https://aaclanguagelab.com


http://www.dynavoxtech.com/implementation-toolkit/https://aaclanguagelab.com/

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Mobile Technology


Why use “Everyday Technologies”as Assistive Technology?

Easy access- they are out there

Easier to support- family, other people know the basics

More socially acceptable

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Don’t Forget SETT!!!!


Hardware Options

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All Smartphones –built-in Apps

Calendar with alarm

To Do List

Voice Recorder

Contacts

Photos

Videos

Hardware Options


Hardware Options

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Hardware

Options


Hardware Options

E Readers

Tablet vs. E Ink

File Formats

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Access Aides

79

Speakers


AV Accessories80

Apple VGA Adapter

Apple Composite AV Cable.

Apple Camera Connection Kit

Apple Digital AV adapter

Apple TV

http://rjcooper.com/pointer/co-pointer2.jpghttp://rjcooper.com/pointer/co-pointer2.jpghttp://recs.richrelevance.com/rrserver/click?a=bc93f72255d4cec0&vg=358619d3-72c1-4b4e-8933-264be0cfb6ba&pti=1&pa=content_top&hpi=1030&stn=ClickCP&rti=1&u=&uguid=358519d3-72c1-4b4e-8933-264be0cfb6ba&s=00000006607daa0f3fda7ce2b52c64f83fec5f971dcaa81e&pg=35&p=13339096&ct=http://www.walmart.com/catalog/product.do?product_id=13339096&findingMethod=rrhttp://recs.richrelevance.com/rrserver/click?a=bc93f72255d4cec0&vg=358619d3-72c1-4b4e-8933-264be0cfb6ba&pti=1&pa=content_top&hpi=1030&stn=ClickCP&rti=1&u=&uguid=358519d3-72c1-4b4e-8933-264be0cfb6ba&s=00000006607daa0f3fda7ce2b52c64f83fec5f971dcaa81e&pg=35&p=13339096&ct=http://www.walmart.com/catalog/product.do?product_id=13339096&findingMethod=rr

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Cases

81

Mounts

Follow us on Twitter: @ATBootcampImplementation

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Develop an Effective Technology Plan

Effective Plans are:

◦ Short Term; Not Long Term

◦ Focused on Applications, not Technology

◦ Not Focused on one type of Technology Tool

◦ Focused on Integration

◦ Tied to Staff Development


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Do you want to learn more about AT?


Consider Attending an AT Bootcamp!

Follow us on Twitter to learn about upcoming trainings!

◦ @ATBootcamp

Email us with more questions

◦ [email protected]

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Kirk Behnke, M.Ed., ATPSenior Education Specialist, Special

Education,

Region 4 ESC

[email protected]

@kbehnke

Mike Marotta, ATPAssistant Director, ATS Dept.

Advancing Opportunities

[email protected]

@mmatp

http://MAKtechsolutions.net


Hope to see you:

Part 3 –August 14th

part 2 - atia · 2020. 11. 3. · (asah knowledge and skills for aac service delivery, 2001)...

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