ISSN: 2222-6990
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Cerebral Palsy is one of the most prevalent physical handicaps in children. Sensory-motor problems such as communication and cognitive impairment are major symptoms of cerebral palsy. In Pakistan, lack of interventions for cerebral palsy children exists due to low health budget. Consequently, CP children are facing difficulty in having the treatment. The present study aims to implement an augmentative and alternative communication (AAC) approach among nonverbal children with cerebral palsy living in Pakistan. Past research evidence has revealed the co-morbidity of communication problems with behavioral issues among cerebral palsy children. Keeping in view, the present study also aims to examine the behavioral issues of nonverbal children with cerebral palsy. For the said purpose, a pilot study employed the interventional research design (pre and post assessment) which was conducted in Pakistan. 10 nonverbal cerebral palsy children were selected from three different special needs centers by using non-probability sampling technique. Repeated measures, pre and post assessment t-test analysis was conducted to assess the impact of augmentative and alternative communication (AAC) intervention on the communication skills and behavioral problems of the participants. The results showed that AAC intervention has significantly improved the communication skills (t = -11.09, P < .001) and reduced the behavioral problems (t = 2.55, P <.005) of the participants which were nonverbal children with cerebral palsy. Thematic analysis on the open-ended questions from Pragmatic profile reported that participants have started to enjoy indoor and outdoor activities. After the intervention, significant improvement in communication has been observed in participants when they present needs/desire. Thus, this study recommends that implementation of AAC on cerebral palsy population would be effective in improving communication skills and reducing their behavioral problems.
Bondy, A. S., and Frost, L. A. (1994). "The picture exchange communication system." Focus on Autistic Behavior 9:19.
Clarke, M., and Wilkinson, R. (2008). "Interaction between children with cerebral palsy and their peers 2: Understanding initiated VOCA-mediated turns." Augmentative and Alternative Communication 24: 15.
Clarke, M., Price, K., and Griffiths, T. (2016). "Augmentative and alternative communication for children with cerebral palsy." Paediatrics and Child Health 26: 377.
Clarke, P. K. (2012). Augmentative and alternative communication for children with cerebral palsy. Pediatrics and Child Health. 22:367–371.
https://doi.org/10.1016/j.paed.2012.03.002
Cooper, J. (2001). "Diagnostic and Statistical Manual of Mental Disorders (4th edn, text revision) (DSM–IV–TR) Washington, DC: American Psychiatric Association 2000." 943 pp. £39.99 (hb). ISBN 0 89042 025 4. British Journal of Psychiatry 179: 85-85.
Drager, K., Light, J., and McNaughton, D. (2010). "Effects of AAC interventions on communication and language for young children with complex communication needs." Journal of Pediatric Rehabilitation Medicine 3: 310.
Faul, F., Erdfelder, E., and Buchner, A. (2007). "G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences." Behavior. Research Methods: 12-16.
Goodman, R. (1997)."The Strengths and Difficulties Questionnaire; a research note." J Child Psychol Psyc: 12-16.
Gossens, C. (2009). Aided communication intervention before assessment: a case study of a child with cerebral palsy. Augmentative and Alternative Communication: 12-16. https://doi.org/10.1080/07434618912331274926
Geytenbeek, J. (2011). Prevalence of speech and communication disorders in children with CP. Dev Med Child Neurol. 53 0-1. https://doi.org/10.1111/j.1469-8749.2010.03803.x. PMID: 21171218.
Jeffery, H. D., & Kevin, C. (2002). AAC Performance and Usability Issues: The Effect of AAC Technology on the Communicative Process, Assistive Technology, 14:1, 45-57, https://doi.org/10.1080/10400435.2002.10132054
Light, J. C., Beukelman, D. R. and Reichle, J. (2003)."Communicative competence for individuals who use AAC: From research to effective practice."
Light, J., & McNaughton, D. (2012). The Changing Face of Augmentative and Alternative Communication: Past, Present, and Future Challenges. Augmentative and alternative communication (Baltimore, Md.: 1985).197-204.
https://doi.org/10.3109/07434618.2012.737024.
Lund, C. M. (2016). Augmentative and Alternative Communication: Effects on the Disruptive and Aggressive Behaviours of Students with Severe Disabilities. Culminating Projects in Special Education. https://repository.stcloudstate.edu/sped_etds/17
Mackenzie, B. (1984). "The challenge to Skinner's theory of behavior." Behavioral and Brain Sciences 7: 526-527.
Millar, D. C., Light, J. C., and Schlosser, R. W. (2009). The impact of augmentative and alternative communication intervention on the speech production of individuals with developmental disabilities: a research review. J Speech Lang Hear Res. 49:248-64. https://doi.org/10.1044/1092-4388(2006/021). PMID: 16671842.
Morris, E. K., Smith, N. G., and Altus, D. E. (2005)."B. F. Skinner’s contributions to applied behavior analysis". The Behavior Analyst 28: 131.
Moss, J., and Howlin, P. (2009). Autism spectrum disorders in genetic syndromes: implications for diagnosis, intervention and understanding the wider autism spectrum disorder population. Journal of Intellectual Disability Research. 53: 852-873. https://doi.org/10.1111/j.1365-2788.2009.01197.x
Phipps S., Roberts, P. (2012). Predicting the effects of cerebral palsy severity on self-care, mobility, and social function. Am J Occup Ther.4:422-9.
https://doi.org/10.5014/ajot.2012.003921. PMID: 22742690.
Schlosser, R., & Wendt, O. (2008). Effects of Augmentative and Alternative Communication Intervention on Speech Production in Children With Autism: A Systematic Review. American journal of speech-language pathology / American Speech-Language-Hearing Association. 17. 212-30. https://doi.org/10.1044/1058-0360(2008/021).
Snell, M. (2013). "Effects of Augmentative and Alternative Communication on Challenging Behavior: A Meta-Analysis."
Willing, T. (n.d.) (2019). AAC Use in Individuals with Cerebral Palsy. 1.
In-Text Citation: (Niazi & Hassan, 2023)
To Cite this Article: Niazi, A. I., & Hassan, H. (2023). Reduction in Behavior Problems with Increase in Communication Skills Through Augmentative and Alternative Communication among Special Needs Children. International Journal of Academic Research in Business and Social Sciences, 13(2), 1551 – 1561.
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