Identifying Implementation Strategies to Increase Augmentative and Alternative Communication Adoption in Early Childhood Classrooms: A Qualitative Study.

IF 2.2 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Emily D Quinn, Kim Kurin, Kristi L Atkins, Alexandria Cook
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引用次数: 0

Abstract

Purpose: The goal of this study was to identify promising implementation strategies that may increase teachers' and speech-language pathologists' (SLPs) adoption of augmentative and alternative communication (AAC) during routine classroom activities.

Method: A grounded theory approach was used to collect and code online, semistructured interviews with six special education teachers and 14 SLPs who taught children aged 3-8 years who used AAC in inclusive and self-contained special education classrooms. Interviews were transcribed and coded verbatim using the constant comparative method. During a member checking process, six participants (n = 30%) confirmed their transcripts and commented on emerging themes.

Results: Participants shared a range of implementation strategies to increase AAC use during typical classroom activities, which were organized into seven themes: distribute modern AAC equipment, provide foundational training, share video examples, develop a systematic plan for adoption, deliver practice-based coaching, alter personnel obligations to provide protected time, and connect with professionals. A preliminary thematic map was created to link implementation barriers, strategies, and potential outcomes.

Conclusions: AAC interventions effective in clinical research can be difficult to translate into routine practice unless investigators directly explore the needs of and demands on educational professionals. Future research should define implementation strategies clearly, solicit feedback from school-personnel, and match implementation strategies to the needs of local schools to support the uptake of AAC interventions in routine classroom settings.

Supplemental material: https://doi.org/10.23641/asha.23699757.

确定在幼儿课堂中增加强化和替代沟通采用的实施策略:一项定性研究。
目的:本研究的目标是确定有希望的实施策略,这些策略可能会增加教师和言语语言病理学家在日常课堂活动中采用增强和替代沟通(AAC)的能力。方法:采用扎根理论的方法收集和编码对6名特殊教育教师和14名SLP的在线半结构访谈,这些教师在包容性和独立的特殊教育课堂上教3-8岁使用AAC的儿童。访谈采用持续比较法逐字转录和编码。在成员检查过程中,六名参与者(n=30%)确认了他们的成绩单,并对新出现的主题发表了评论。结果:参与者分享了一系列实施战略,以在典型的课堂活动中增加AAC的使用,这些战略分为七个主题:分发现代AAC设备,提供基础培训,分享视频示例,制定系统的采用计划,提供基于实践的辅导,改变人员义务以提供受保护的时间,并与专业人士建立联系。创建了一个初步的主题图,将实施障碍、战略和潜在成果联系起来。结论:除非研究人员直接探讨教育专业人员的需求和需求,否则临床研究中有效的AAC干预措施可能很难转化为常规实践。未来的研究应明确定义实施策略,征求学校工作人员的反馈,并将实施策略与当地学校的需求相匹配,以支持在常规课堂环境中采用AAC干预措施。补充材料:https://doi.org/10.23641/asha.23699757.
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来源期刊
Language Speech and Hearing Services in Schools
Language Speech and Hearing Services in Schools Social Sciences-Linguistics and Language
CiteScore
4.40
自引率
12.50%
发文量
165
期刊介绍: Mission: LSHSS publishes peer-reviewed research and other scholarly articles pertaining to the practice of audiology and speech-language pathology in the schools, focusing on children and adolescents. The journal is an international outlet for clinical research and is designed to promote development and analysis of approaches concerning the delivery of services to the school-aged population. LSHSS seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of audiology and speech-language pathology as practiced in schools, including aural rehabilitation; augmentative and alternative communication; childhood apraxia of speech; classroom acoustics; cognitive impairment; craniofacial disorders; fluency disorders; hearing-assistive technology; language disorders; literacy disorders including reading, writing, and spelling; motor speech disorders; speech sound disorders; swallowing, dysphagia, and feeding disorders; voice disorders.
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