Abstract

BackgroundAugmentative and alternative communication (AAC) can assist persons with complex communication needs to communicate competently with a variety of communication partners in a variety of contexts. However, AAC systems and intervention often do not take multilingual aspects into consideration.ObjectiveThis small-scale exploratory study had three aims, namely: (1) to describe the self-reported language skills of multilingual South African adults using AAC, (2) to describe the languages and communication modalities they used in interaction and (3) to obtain their views regarding access to various languages.MethodsTwenty-seven adults using AAC were recruited via an empowerment programme, as well as an email list for persons interested in AAC, and provided responses to a questionnaire. To compensate for access and written language challenges, the questionnaire was administered with help and/or as a face-to-face interview where needed. Responses were analysed using mostly descriptive statistics.ResultsParticipants generally could not express themselves in all the languages they understood and were regularly exposed to. Speech-generating devices specifically gave access almost exclusively to English. Participants expressed a desire to increase their expressive language repertoire, and mentioned both limitations of communication technology as well as their own literacy skills as barriers to overcome in this regard.ConclusionIn order for multilingual South African adults using AAC to express themselves in multiple languages, appropriate AAC systems and interventions as well as literacy learning opportunities need to be developed and provided.Keywordsadult, augmentative and alternative communication; multilingualism; complex communication needs, language and communication skills; self-report, views.

Highlights

  • Augmentative and alternative communication (AAC) encompasses techniques, symbols, strategies and aids that can be used by persons with complex communication needs whose speech is too limited to meet all their communication needs (American Speech-Language-Hearing Association 2018)

  • Orthography-based AAC methods allow for the composition of novel messages, but persons using them need to be literate in the appropriate natural languages

  • In the absence of literacy skills, picture symbol-based AAC systems may be used, whereby vocabulary items in one or more languages are represented by picture symbols or picture symbol sequences, and made available on communication boards or SGDs

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Summary

Introduction

Augmentative and alternative communication (AAC) encompasses techniques, symbols, strategies and aids that can be used by persons with complex communication needs whose speech is too limited to meet all their communication needs (American Speech-Language-Hearing Association 2018). The focus of this article is on persons who need AAC long term for primarily expressive purposes (i.e. their ability to comprehend spoken language is relatively intact). For this group, a linguistic method of expression that allows the generation of self-composed novel utterances is typically desirable, as this allows true autonomy in communication (Light & McNaughton 2012). Orthography-based AAC methods allow for the composition of novel messages, but persons using them need to be literate in the appropriate natural languages. Augmentative and alternative communication (AAC) can assist persons with complex communication needs to communicate competently with a variety of communication partners in a variety of contexts. AAC systems and intervention often do not take multilingual aspects into consideration

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