In honor of Developmental Disabilities Month, NCSER would like to highlight research that supports young children with complex communication needs. Many children with disabilities, including those with autism and other developmental disabilities, may be described as having complex communication needs because they are unable to use speech to meet their needs in daily interactions. Augmentative and alternative communication (AAC) systems provide such individuals a way to communicate that does not require vocal speech. Examples include low-tech systems like manual signs or picture cards and high-tech systems like electronic speech generating devices. For non-speaking children, access to AAC is critical for expressing their needs and wants, developing relationships, and participating in academic instruction. In school settings, paraeducators work frequently with students to support their communication needs.
With a NCSER-funded grant, Dr. Sarah Douglas (Michigan State University) has been developing and piloting an online training program, the POWR System, for paraeducators and their supervising teachers to improve communication skills of children with complex communication needs. We recently caught up with Dr. Douglas to learn more about the POWR System, what led her to conduct this research, and future directions.
What inspired you to conduct this research?
My exposure to children who use AAC began when I was a child myself. In elementary school, a new school was built in my neighborhood. Unlike other schools during the late 80s and early 90s, this school had special education rooms at the center of the school. Each time I went to various activities around school, the children were visible. The teacher in the classroom for children with extensive support needs, Mrs. Smith, was an advocate for inclusion and socialization for her students so each of the children spent time in general education classrooms. She began inviting general education students to spend recess in her classroom playing games and cooking with students. I took her up on this offer and got to interact with them while they used their AAC. I learned that communication could come in many forms—not just through speech. These early experiences led me to become a special education teacher supporting children with complex communication needs. In that class I worked with a lot of paraeducators. When I pursued my PhD, I focused on paraeducators and AAC. My dissertation topic laid the foundation for this NCSER grant project. During my dissertation I implemented an intervention to teach paraeducators how to best support children who use AAC. So, I guess you could say this has been something I’ve been working on for decades. 😊
What do the results from your research say about communication outcomes for young children with complex communication needs? What are the outcomes for educators that support student communication?
We’ve learned so much from this work. Findings from our study indicate that, for children who use AAC, the kinds of support and communication opportunities that paraprofessionals provide really matter. Providing meaningful, motivating opportunities to communicate is critical for young children who use AAC. One of our studies highlighted that young children who use AAC are most likely to respond after being provided with a choice or a question. These results suggest that certain types of supports make it more clear to young children that a response from them is expected. We also learned that waiting for them to communicate is critical. Generally, 5-7 seconds is sufficient wait time, but for children who have motor challenges more time is likely necessary. Also, paraeducators modeling the use of an AAC device can be really supportive, as our research found that children were more likely to communicate after a model of AAC by paraeducators. We all need models when we are learning new skills and children who use AAC are no different. We also learned that most paraeducators we worked with were very responsive to child communication, so teachers should continue to support and encourage that. Teachers can provide great supervision and support to paraeducators as they implement AAC strategies.
Based on these results, what are the implications for practice and policy?
Districts could do more to support teachers in knowing how to oversee and provide feedback to paraeducators. Not all teachers were comfortable with this role at first. We also feel strongly that, based on this work, more team members should be involved in interventions focused on AAC strategies. Perhaps the teacher and paraeducator are the main implementers, but speech-language pathologists (SLPs) and district level personnel have important roles in supporting this work and should also be involved in understanding these interventions and guiding implementation.
What are the next steps in your research on AAC for children with developmental disabilities?
We continue to do a lot of work to know how to best support child communication through communication partners such as siblings, parents, SLPs, teachers, and paraeducators. We recently obtained a new grant from IES to develop a professional development and training intervention for school-based SLPs to support family member implementation of communication strategies with children who use AAC. We are really excited about this project. It is only the first year, but we already have most of the intervention developed and are conducting focus groups with SLPs and family members to get feedback and make revisions.
How can educators find more information about the POWR system and implementing augmentative and alternative communication (AAC) systems in their classrooms?
The intervention is available and can be accessed by reaching out to me at sdouglas@msu.edu.
Is there anything else you would like to add?
I am just so grateful for the early experiences I had that led me to this important work and excited to support all the children, families, and educational teams.
A special thanks to Dr. Douglas and the POWR research team for all their hard work supporting communication for students using AAC. We look forward to seeing the impact your current project will have on the field!
This blog was written by Shanna Bodenhamer, virtual student federal service intern at NCSER and doctoral candidate at Texas A&M University. Emily Weaver, NCSER PO, monitors a portfolio of grants that covers both paraeducators and students with autism.