Finding The Right AAC System For Adults With Acquired Disorders

Transcription

1 Finding The Right AAC System For Adults With Acquired Disorders JULIE GATTS, M.A., CCC-SLP OCTOBER 5, 2018 KANSAS SPEECH AND HEARING ASSOCIATION 2018 CONVENTION

2 Disclosures The University of Kansas pays me an annual salary KSHA paid for one night of my lodging at this conference KSHA provides a small stipend for each presentation at this convention I have no other disclosures to provide

3 Challenges Knowledge base? Access? Comfort? Evidence? Time? Resources/support? Other?

4 AAC and Acquired Disorders Evidence? Individuals with dysarthria (without cognitive or linguistic difficulty) Individuals with aphasia Individuals with cognitive communication disorder

5 Low Tech AAC systems Benefits Readily accessible Affordable SLP's can assess and implement in any setting Limitations Always partner assisted No voice Doesn't support language relearning Not very effective

6 Low Tech or No Tech

7 High Tech Systems Benefits Provides a voice Dynamic Depth of language available Accessible Increased independence Potential to increase auditory/verbal modality Limitations Costly Technology based Time consuming to individualize Impact on mobility

8 High Tech Systems

9 Dedicated vs. Non-dedicated Who? Why? Where? Whats the difference? Access to other computer programs or apps Access to wifi Cost for unlocked may be lower on some devices

10 AAC/SGD System Strengths Durable Covered by insurance Sound quality and loudness Screen/visual quality Variation in size Warranty Limitations More expensive Less portable Visually different than others Communication when system is broken or being repaired

11 App on a Tablet Strengths Affordable Quick and easy to obtain Portablility Accessible for partners and professionals to learn *Now can have the tablet put in a 'carrier' that makes it dedicated Limitations Not as durable The software doesn't integrate across other apps ( , internet, etc..) Sound quality Screen quality

12 Funding Cost Third party payors Rental/trials Billing Assessment Intervention

13 Terminology Hardware Software User or page set Page Accessories Mounting System

14 Hardware Available By Company LC Technologies Forbes AAC Lingraphica Prentke-Romich NovaChat( Saltillo) Tobii-Dynavox Tablet(12") Desktop(15") ProSlate (4", 8", 10", 13") ios-based WinSlate (11 and 12") Windows based AllTalk Touchscreen Laptop(12" screen) TouchTalk 10" tablet MiniTalk 8"tablet Accent 1400 Accent 1000 Accent 800 PRiO PRiO Mini NOVA Chat 5, 8,,10, 12 Chat Fusion 8, 10 TouchChat Express (ipad in a case) Speech Case for ipad (10, 13" nondedicated) SC Tablet (10, 13" dedicated) Indi 7 and 10 (nondedicated) I-110 (dedicated version of Indi) Lightwriter SL40 (keyboard based) I-12+ or I-15+ (portable eyegaze) PCEye Plus (desktop with eyegaze)

15 Software (adult oriented) Available on Devices LC Technologies Forbes AAC Lingraphica Prentke-Romich NovaChat( Saltillo) Tobii-Dynavox Eyegaze Communicator Grid 2 Any App on any tablet Compass TouchChat WordPower Lingraphica Icon based system with 4400 icons representing 9,000 words Essence 8 button page set 15 button page set WordPower and Picture WordPower Communication Journey Aphasia MultiChat 15 My QuickChat WordPower Core First Grid 3 Snap + Core First (app ipad) Essence Spelling TouchChat (app ipad)

16 Eyegaze Edge (LC Technologies) Hardware Tablet (12") or Desktop Image Processing (15") Eyegaze Access Mount Software Eyegaze Communication software Grid 2 Keyboard Phrases Games Keyboard Phrases External computer control

17 Eyegaze Edge

18 Eyegaze Edge Grid 2 Main Pages

19 Eyegaze Edge Keyboard (one option) Grid Qwerty Keyboard Grid 'Phrases' Page

20 Grid 'Questions', 'Directing Care', 'Conversation' and 'My Phrases'

21 Eyegaze Edge Main Page - This is gateway into grid 3 and other activities.

22 Eyegaze Edge Phrases Phrases Page Navigate to Personal Needs

23 Forbes Hardware ProSlate WinSlate Software Their proprietary software isn't adult oriented You can put any communication app on an ipad or windows based tablet and put in a Forbes case

24 Forbes ProSlate

25 Lingraphica Hardware AllTalk - Laptop with 12.2" touchscreen and full keyboard and trackpad TouchTalk Tablet with 10.3" touchscreen and onscreen keyboard MiniTalk Tablet with 8.3" touchscreen and onscreen keyboard Software Proprietary to Lingraphica 4400 Icons and animated icons 9000 words represented Drag and drop or click to add to the message

26 Lingraphica

27 Prentke-Romich Hardware Accent in 3 sizes 14 (1400) Software 10 (1000) 8 (800) PRiO 9.6 inch screen (regular tablet) PRiO Mini 8.1 inch screen (mini tablet)

28 Prentke-Romich Hardware

29 Accent Grid Page Sets

30 Accent - Essence

31 Personal, Quick Messages, and Time and Date pages

32 WordPower Multiple grid size, core word based system on various hardware systems (see chart) with various grid sizes (25 shown here)

33 WordPower 45 and 60

34 WordPower Groups and Questions Pages

35 Saltillo Hardware NOVA Chat 5, 8, 10, and 12 (number corresponds to screen size) Chat Fusion 8 and 10 TouchChat Express (ipad in a case) Software Communication Journey Aphasia MuliChat (various grid sizes) My QuickChat WordPower Essence Spelling TouchChat (app) with most of above users

36 Saltillo Hardware

37 Communication Journey Aphasia Main Page About Me

38 Communication Journey Aphasia About Me Timeline

39 Communication Journey Aphasia Maps U.S. Map

40 Communication Journey Aphasia 'Calendar'

41 Communication Journey Aphasia Social Phrases page

42 NOVA Chat Library Menu

43 Page Set's Quick Chat MultiChat 15

44 NOVA Chat Essence

45

46 Tobii-Dynavox Hardware Indi 7 and 10 i-110 (dedicated version of Indi 10) Lightwriter SL40 i-12 and i15 (portable eyegaze) PCEye Plus (desktop with eyegaze) Speech Case for ipad (10 and 13 nondedicated) SC Tablet (10 and 13 dedicated) Software Core First Grid 3 Snap + Core (app ipad)

47 Tobii-Dynavox Hardware

48 Core First ''Quickfires Navigate to 'Questions'

49 Core First 'Topics' Navigate to 'About Me'

50 About Me with different grid size

51 Core First Pages Supported Navigation Core Plus Quick Phrases

52 Core First Questions Page Qwerty Keyboard

53 Core Words 3x4 grid 7x9 grid

54 Process/Steps and Time Frame Obtain order (within 30 days of assessment) Complete Assessment Create Funding Request Complete Client Information Forms for given company Follow up with training and ongoing intervention as appropriate

55 Assessment Components Strong and detailed history with a focus on current skills and needs Feature Matching Trial Devices (single or multiple sessions) Individual and Family Education re AAC/SGD Ascertain Client and Family Commitment Collaboratively Choose Best System Identify Outcomes and Goals

56 References and Resources Forbes LC Technologies Lingraphica Prentke-Romich Russo, M., Prodan, V., Meda, N., Carcavallo, L., Muracioli, A, Sabe, L., Bonamico, L., Allegria, R., and Olmos, L. (2017). High-technology augmentative communication for adults with post-stroke aphasia: a systematic review. Expert Review of Medical Devices, Vol 14, No Saltillo Tobii-Dynavox Vicki Clarke