Perspectives of speech language pathologists regarding success versus abandonment of AAC

TLDR

The study employed focus groups followed by a 106‑question survey of 275 ASHA AAC members to identify factors perceived by speech‑language pathologists that affect long‑term success versus abandonment of AAC systems. Factor analysis revealed that Support, Attitude, System characteristics, and Fit promote long‑term AAC success, whereas Not Maintaining/Adjusting, Attitude, Lack of Training, Lack of Support, and Poor Fit predict abandonment, and the authors recommend systematic interventions targeting these constructs.

Abstract

This three-phase investigation used focus groups and a survey to identify factors that perceived by speech language pathologists as being related to long-term success versus inappropriate abandonment of augmentative and alternative communication (AAC) systems. Factors deemed most important by six focus groups were included in a 106-question survey that was returned by 275 ASHA Special Interest Division #12 (AAC) members. Factor analysis indicated the constructs of Support, Attitude, and System characteristics and Fit as most important to the long-term success of AAC systems. The constructs of Not Maintaining/Adjusting the System, Attitude, Lack of Training, Lack of Support, and Poor Fit were most often related to inappropriate abandonment of AAC systems. Systematic implementation of intervention targeting the constructs is recommended.