PMID- 36248576
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221019
IS  - 1664-1078 (Print)
IS  - 1664-1078 (Electronic)
IS  - 1664-1078 (Linking)
VI  - 13
DP  - 2022
TI  - A trained communication partner's use of responsive strategies in aided 
      communication with three adults with Rett syndrome: A case report.
PG  - 989319
LID - 10.3389/fpsyg.2022.989319 [doi]
LID - 989319
AB  - PURPOSE: To explore and describe a trained communication partner's use of 
      responsive strategies in dyadic interaction with adults with Rett syndrome. 
      INTRODUCTION: Responsive partner strategies facilitate social, communicative, and 
      linguistic development. The common feature is that the communication partner 
      responds contingently to the other's focus of attention and interprets their acts 
      as communicative. Research on responsive partner strategies that involves 
      individuals with significant communication and motor disabilities remains sparse. 
      The same applies to if, and how, the use of communication aids impacts on the 
      partner's use of responsive strategies. MATERIALS AND METHODS: A therapist, 
      trained in responsive partner strategies and aided communication interacted 
      during 14 sessions with each of three participants. The participants were adults 
      with Rett syndrome. A gaze-controlled device and responsive strategies were used 
      during all sessions. The Responsive Augmentative and Alternative Communication 
      Style scale (RAACS) was used to assess the partner's responsiveness. RAACS 
      consists of 11 items including ratings of to what extent the partner is being 
      attentive to, confirms, and expands the individual's communication. During eight 
      of the 14 sessions, aided AAC Modelling was also used, i.e., the communication 
      partner pointed at symbols on the gaze-controlled device while interacting. In 
      addition to RAACS, each time the communication partner confirmed or expanded on 
      communication when (a) the participants used the gaze-controlled device and (b) 
      the participants did not use the gaze-controlled device was counted. Descriptive 
      statistics were used to present the results. Non-parametric tests were used to 
      compare means between the two conditions and between participants. RESULTS: 
      Inter-rater agreement for the different RAACS items ranged from 0.73 to 0.96 and 
      was thus found to be fair to excellent. The communication partner's use of 
      responsive strategies varied when communicating with different participants and 
      the scores were higher when aided AAC modeling was used. The communication 
      partner's number of responses and use of responsive strategies were higher when 
      the participants communicated through a gaze-controlled device. CONCLUSION: The 
      communication partner's use of responsive and scaffolding strategies is not a 
      fixed construct but varies in interactions with different non-speaking persons. 
      The same is true whether the non-speaking person uses a gaze-controlled device 
      with digitized speech or not.
CI  - Copyright (c) 2022 Wandin, Lindberg and Sonnander.
FAU - Wandin, Helena
AU  - Wandin H
AD  - Disability and Habilitation, Department of Public Health and Caring Sciences, 
      Uppsala University, Uppsala, Sweden.
AD  - National Center for Rett Syndrome and Related Disorders, Froson, Sweden.
FAU - Lindberg, Per
AU  - Lindberg P
AD  - Clinical Psychology, Department of Psychology, Uppsala University, Uppsala, 
      Sweden.
FAU - Sonnander, Karin
AU  - Sonnander K
AD  - Disability and Habilitation, Department of Public Health and Caring Sciences, 
      Uppsala University, Uppsala, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20220929
PL  - Switzerland
TA  - Front Psychol
JT  - Frontiers in psychology
JID - 101550902
PMC - PMC9559184
OTO - NOTNLM
OT  - Rett syndrome
OT  - augmentative and alternative communication (AAC)
OT  - gaze-controlled device
OT  - intervention
OT  - responsive augmentative and alternative communicative style scale (RAACS)
OT  - responsive strategies
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2022/10/18 06:00
MHDA- 2022/10/18 06:01
PMCR- 2022/09/29
CRDT- 2022/10/17 05:08
PHST- 2022/07/08 00:00 [received]
PHST- 2022/09/09 00:00 [accepted]
PHST- 2022/10/17 05:08 [entrez]
PHST- 2022/10/18 06:00 [pubmed]
PHST- 2022/10/18 06:01 [medline]
PHST- 2022/09/29 00:00 [pmc-release]
AID - 10.3389/fpsyg.2022.989319 [doi]
PST - epublish
SO  - Front Psychol. 2022 Sep 29;13:989319. doi: 10.3389/fpsyg.2022.989319. eCollection 
      2022.