発話できない子どもたちとの意思疎通を支援(Unlocking communication for children with little or no speech)

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2025-05-22 ミシガン大学

ペンシルベニア州立大学の研究チームは、発話が困難な子ども向けに新しい識字指導法を開発し、効果を実証しました。脳性まひの4歳児に視線入力型のAACデバイスを使い、文字と音の対応(LSC)を教えた結果、全てのLSCを習得。従来は困難とされた指導が適切な支援で可能になると示されました。研究成果を基に、言語聴覚士や教育者向けのオンライン研修も進行中で、識字教育の普及が期待されています。

<関連情報>

AAC視線を使用する脳性麻痺児の文字音対応習得に対する明示的読み書き指導の効果 Effect of explicit literacy instruction on letter-sound correspondence acquisition for a child with cerebral palsy who uses AAC eye gaze

Jessica G. Caron,Nicole Ryan,Salena Babb,Christine Holyfield & Meghan O’Brien
Augmentative and Alternative Communication  Published:27 Feb 2025
DOI:https://doi.org/10.1080/07434618.2025.2466166

発話できない子どもたちとの意思疎通を支援(Unlocking communication for children with little or no speech)

Abstract

This pilot study examines the effectiveness of an adapted literacy intervention focused on the acquisition of seven letter-sound correspondences (LSC) with a child with cerebral palsy who uses high-tech eye-gaze to communicate. A single case multiple probes across letter-sounds design was used. The independent variable was explicit instruction with materials that were adapted on the participant’s AAC device. Instruction was provided by a trained graduate student. The dependent variable was the child’s accuracy in identifying the correct letter from a high-tech eye-gaze grid of four letters, when provided with the letter-sound by the graduate student. Results indicated that the implementation of the literacy instruction by the graduate clinician was effective in teaching seven LSCs to the child with cerebral palsy who uses high-tech eye-gaze to communicate and participate in instruction. The participant demonstrated gains for all targeted LSCs and positive trends continued after the intervention was introduced through replications of each new LSC. Average gain scores ranged from +60% to +90%. Calculation of IRD was 1.0 across all LSCs, indicative of a very large effect. The student’s gains in this pilot study indicate the promise of adapted literacy instruction for individuals with severe speech and motor impairments, who use alternative access to participate in literacy instruction. More literacy research is needed for learners who use AAC and alternative access methods.

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