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THE DISABILITY EXPERIENCE CONFERENCE
S A RA H H O L M E SR E R C O N T E L E R E H A B I L I T A T I O N
U P M C C E N T E R F O R A S S I S T I V E T E C H N O L O G Y
U N I V E R S I T Y O F P I T T S B U R G H
REMOTE EVALUATION & AAC USE: A CASE STUDY
Special thanks to Andy Jinks, MA CCC-SLP , Dr. Richard Simpson and the University of Pittsburgh RERC on Telerehabilitation for their kind assistance on this project.
WHAT IS AAC?
• Augmentative & Alternative Communication
• Means of speaking and writing for anyone who has difficulty communicating
• Can be high- or low-tech
TYPES OF DEVICESL O W T E C H :
E Y E G A Z E C O M M U N I C A T I O N
B O A R D
H I G H T E C H :
S P E E C H G E N E R A T I N G
D E V I C E
GOING HIGH TECH
• Acceptance of device use has expanded as technology has become an integral part of daily life• Increases in acceptance have been
documented in adults with TBI1,2
CLIENT PROFILE
• 40-year-old female • Lives in rural Pennsylvania (3
hours from clinic)• B.A. in Equestrian Science;
English minor, began M.B.A.• Closed head injury in 1995
(MVA)
CLIENT PROFILE (CONTD)
• Persistent weakness on right side
• Has regained use of arms and hands
• Working on transitioning from wheelchair to walker
SPEECH DIAGNOSIS: SEVERE FLACCID DYSARTHRIA
Characteristics:• Breathiness• Short Phrases• Imprecise Consonants
• Hoarse Vocal Quality• Monopitch• Monoloudness
Intelligibility= < 50%
CHOOSING A DEVICE: REMOTE EVALUATION
• Graduate Student Assistant travels to client’s home
• Sets up remote evaluation session with expert clinician at Center for Assistive Technology
FOLLOW –UP EVALUATIONS
• Psychosocial Impact of Assistive Device Scale (PIADS)•Quality of Life outcome measures
• Proficiency Probe for Competence Levels of AAC Users•Measure of skill level in 4 domains