Authors: Mishra A
Title: A Randomized Controlled Trial Comparing Face-to-Face Versus Remote Delivery of Low-Tech Augmentative and Alternative Communication in Nonspeaking Children With Autism Spectrum Disorder
Source: Journal of Speech, Language, and Hearing Research 2024 67(5): 1478-1489
Year: 2024
Research Design: Randomised Controlled Trial
Rating Score: 05/10
This rating is confirmed
Eligibility specified - Yes
Random allocation - Yes
Concealed allocation - Yes
Baseline comparability - No
Blind subjects - No
Blind therapists - No
Blind assessors - No
Adequate follow-up - Yes
Intention-to-treat analysis - No
Between-group comparisons - Yes
Point estimates and variability - Yes
Abstract:

PURPOSE: Thirty percent of children diagnosed with autism spectrum disorder (ASD) do not develop spoken language. To provide a means of communication for this subset of the population, augmentative and alternative communication (AAC) systems are often utilized. Low-tech options have traditionally been delivered through the in-person modality. However, due to the COVID-19 pandemic, changes to service delivery models have been required. This randomized controlled trial was conducted in order to assess the efficacy of low-tech AAC delivered face-to-face versus remotely on communication outcomes in nonspeaking children with ASD. CONCLUSIONS: Both participant groups demonstrated similar gains in AAC proficiency, number and type of nonspeaking acts, and number of spoken communication acts. Remote delivery of low-tech AAC treatment is a viable alternative to face-to-face instruction.
Access: Paywall