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The disability experience conference
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  1. The disability experience conference Sarah Holmes RERC on Telerehabilitation UPMC Center for Assistive Technology University of Pittsburgh

  2. 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.

  3. What is AAC? • Augmentative & Alternative Communication • Means of speaking and writing for anyone who has difficulty communicating • Can be high- or low-tech

  4. Types of Devices Low Tech: Eye Gaze Communication Board High Tech: Speech Generating Device

  5. Who Can Benefit from Device Use?

  6. 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

  7. 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)

  8. Client Profile (contd) • Persistent weakness on right side • Has regained use of arms and hands • Working on transitioning from wheelchair to walker

  9. Speech Diagnosis: Severe Flaccid Dysarthria • Characteristics: • Breathiness • Short Phrases • Imprecise Consonants • Hoarse Vocal Quality • Monopitch • Monoloudness • Intelligibility= < 50%

  10. 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

  11. Nova chat 60

  12. 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

  13. “The one question asked if I felt more 'in charge'. I wanted to expand on that a bit. 'Very much so.' would be my reply. I think for years I have depended on my Mom to do things for me. • Now, I can, and do, speak for myself.”