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Journal of Speech and Hearing Research Vol.35 865-875 August 1992.
© American Speech-Language-Hearing Association
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Instructing Facilitators to Support the Communication of People Who Use Augmentative Communication Systems

Janice Light 1
John Dattilo 2
Jane English 1
Lisa Gutierrez 1

Jane Hartz 1
1 Department of Communication Disorders Pennsylvania State University University Park
2 Department of Recreation and Leisure Studies University of Georgia Athens

A single-subject multiple-baseline design, replicated across three dyads, was used to examine the efficacy of instructing facilitators (i.e., significant others) to promote communication with people who use augmentative and alternative communication (AAC) systems. Facilitators were instructed in four 1-hour sessions to decrease their conversational control and provide more opportunities for the participants using AAC systems to communicate. Following instruction, facilitators decreased their rates of turn-taking and initiations and increased the proportion of turns that were responsive. Participants using AAC systems increased the frequency of their initiations. Following intervention, turn-taking and initiation patterns in the dyads were more reciprocal. Generalization occurred to the natural environment. Results suggest that facilitator instruction is an effective and efficient means of promoting greater participation in daily interactions by people who use AAC systems.

KEY WORDS: augmentative communication, partner instruction, severe communication disability, interaction

Submitted on March 1, 1991
Accepted on November 8, 1991


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