Part 2. Welcome! Positioning Access AAC Mobile Devices. August 1, 2013 Kirk Behnke and Mike Marotta 7/26/2013. Follow us on

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1 Part 2 August 1, 2013 Kirk Behnke and Mike Marotta Welcome! Positioning Access AAC Mobile Devices 1

2 Please use the chat window to share questions / comments Positioning for Function 2

3 Proper Positioning Facilitates Function Improves Comfort Provides Stability Reduces occurrence of secondary disabilities Positioning for Function: Workstation 6 3

4 Seating options for tasks Which chair is better for your body over a longer period of time? or 7 Seating options for tasks Students with ADHD Improved Behavior Legible word productivity (American Journal of OT 2003) 8 4

5 Features of Ergonomic Chairs Seat Height Seat Width / Depth Lumbar Support Backrest Armrests Swivel Base Workstation 5

6 Positioning for Function: Mobility Devices 11 Types of Mobility Dependent Manual Independent Power 6

7 Positioning Supports Something to think about. 7

8 Access 8

9 Built into OS Access: Touch Devices 9

10 The New Normal? The Touch Screen Doesn t require pressure, only contact. 10

11 The Touch Screen Requires ability to use gestures Access: Switches 11

12 Why Uses Switches? Physical impairment with ANY cognitive level 1 st Choice = Direct Selection Switches: Consideration Switch Types Access Method Access Site Mounting Function Direct Select Scanning Interface to other AT 12

13 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 13

14 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 14

15 Consider: Interface to AT: Computer Connections: USB; Wireless; Bluetooth What software will you be using? Interface to AT: Mobility Device Consider: Wheelchair electronics Training needs 15

16 Interface to AT: Mobile Devices Access to: Menus? Apps? Access to? Control of functions? Control of device? ios 7 Switch / Head Control??? 16

17 Access: Computers 17

18 Modifications to Standard Keyboard Electronic Adjustments Sticky Keys Slow Keys Rearrange Keys ZoomCaps Physical Adjustments Large Print Letters Slant Boards Splints, Sticks, etc. Keyguards Onscreen Keyboards Click N Type Pix Writer 18

19 Ergonomic Keyboards Brown Computer Science Keyboard Alternatives Big Keys Comfort Type Kinesis Keyboard 19

20 Keyboard Alternatives BAT Keyboard OrbiTouch Keyboard Frog Pad Keyboard (R) Consideration: Keyboard Layouts QWERTY ABC Dvorak 20

21 Mouse Alternatives 7/26/2013 When was the first mouse developed? 1960s 1970s 1980s Mouse Options Ergonomic Mice Trackball 21

22 Mouse Options Joystick Head Mouse Mouse Options Eye Gaze Foot Mouse 22

23 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 23

24 AAC 24

25 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) 25

26 No Tech or Unaided AAC Sign language Gestures Pointing Facial Expression Partner Assisted Scanning Others? Partner Assisted Scanning Courtesy of Cincinnati Children s Perlman Center 26

27 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 27

28 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 28

29 Dedicated AAC vs. the ipad Cost, cost, cost. Cost of traditional synthesized speech device is approximately $8,000. Traditional digitized: approximately $2,500. Weight Appearance Availability Others? AAC Apps Consideration Cost Pre-loaded Content Editing Symbols Support 29

30 AAC Consideration AAC Consideration Current Communication Skills Cognitive Abilities Vision and Hearing Skills Physical Abilities Behavioral Considerations 30

31 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) 31

32 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 32

33 I Want Go More That You Like Stop All Done Here It Mine What Help Away 15 symbols core AAC Symbols Objects Photographs Realistic Pictures Color Black and White 33

34 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 34

35 AAC Implementation and Resources DynaVox Implementation Toolkit n-toolkit/ Prentke-Romich AAC Language Lab 35

36 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 36

37 Don t Forget SETT!!!! Hardware Options 37

38 Hardware Options All Smartphones built-in Apps Calendar with alarm To Do List Voice Recorder Contacts Photos Videos Hardware Options 38

39 Hardware Options Hardware Options E Readers Tablet vs. E Ink File Formats 39

40 Access Aides Speakers 79 Apple Camera Connection Kit Apple VGA Adapter Apple Digital AV adapter Apple TV Apple Composite AV Cable. AV Accessories 80 40

41 Cases Mounts 81 Implementation 41

42 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 42

43 Do you want to learn more about AT? Consider Attending an AT Bootcamp! Follow us on Twitter to learn about upcoming us with more questions 43

44 Mike Marotta, ATP Assistant Director, ATS Dept. Advancing Kirk Behnke, M.Ed., ATP Senior Education Specialist, Special Education, Region 4 ESC Hope to see you: Part 3 August 14th 44