2. SET BC AAC Technology
Provincial workshop
May 16th, 2017

3. Person 1 and Person 2 Speech and Language Pathologist
Occupational Therapist

4. Welcome! Quick reminders before starting Session materials Bathrooms
Breaktimes (10:30)
Cell phones
Handouts
Session materials
Insert after share url

5. What are your goals today?
On a piece of paper write down 1 thing you are hoping to learn today Make a paper airplane with the paper.
Tis is not part of the power point but rather a handout. They can then throw the airplane at someone in the room and everyone picks up a paper air plane and read out a goal.
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6. Goals for the Day
1. Learn about the many modes of Augmentative Alternative Communication (AAC).
2. Become familiar with some of the basic features of the AAC systems that SET BC has available: both software and hardware.
3. Gain some hands on experience and understand feature matching to help make decisions on which Speech Generating Devices (SGD) to trial and request for students.
4. Learn the different ways to borrow/trial AAC systems for students.
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7. Who are you?
Level of comfort with AAC and with participating in a group (1-10)
1 = Please don’t look at me, direct eye contact is bad
2-3 = Look at me, but I am not going to say anything
3-6 = I know stuff, but you need to mine for info (like diamonds)
6-8 = Man I want to tell you what I know, I fly doing this
8-9 =This is like breathing effortless
9-10 = Sit down, I need to talk

9. Agenda:
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10. Augmentative and Alternative Communication (AAC)?
No Tech
Low Tech
High Tech
Augmentative Alternative Communication
-Add to or alternative form of communication
-Includes all form of communication (modes) other than speech
-facial expressions, body gestures, tone of voice, objects, pictures, technology
Assistive technology are objects that are often engineer created, things or tools that allow people access their environment: wheelchair, mouse, pen.
Augmentative Alternative Communication (Augmentative (to add to) alternative (another form of) communication)- children that are partly verbal needs augmentative communication children that are non -verbal needs alternative communication.
it is a form of communication other than speech. how we use body, voice, pictures, objects, gestures and technology.
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11. Assistive Technology (AT)?
-Any object or system designed for the purpose of increasing or maintaining capabilities of people with disabilities.
Assistive technology are objects that are often engineer created, things or tools that allow people access their environment: wheelchair, mouse, pen.
Augmentative Alternative Communication (Augmentative (to add to) alternative (another form of) communication)- children that are partly verbal needs augmentative communication children that are non -verbal needs alternative communication.
it is a form of communication other than speech. how we use body, voice, pictures, objects, gestures and technology.
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12. Core vs Fringe Vocabulary
Core Vocabulary
Most commonly words that can be used in all environments with all topics and makes up 80% of the words we use
Fringe Vocabulary
Category or topic based words that occur infrequently and consists of mostly nouns. They make up 20% of the words we use
Verbal permission given by Caroline Musselwhite
The most important thing to consider in choosing the right equipment in trialing for our students is called- Feature Matching. Essentially we need to know our students. I cannot emphasize this more. We need to take into consideration their learning needs. What is it that we want them to achieve at school, keep in mind the IEP goals ( we need to think about academic goals, social goals, their current fine motor skills or any other health conditions, such as sensory, vision or hearing issues) We need to take a look what worked in the past and what didn’t and why? After, we do a thorough student profiling then we consider software and hardware features that will best support the academic, social, emotional goals of our students. We need to think which software matches our students learning goals but finding the appropriate hardware that can support it meeting the access options. For examples, iPads are a popular choice for most teams, however some software that does not have built in Switch Access or environmental controls which makes using the iPad a nightmare, for switch kids, if the software is not switch friendly. In those cases we need to look at other Hardware operating system that has swtich accessibility and also built in environmental controls.

14. Break

16. Video Support “How to start”

17. The importance of using a combo of no/low/high tech AAC systems
-Get into groups of 2 and talk about situations and reasons why you would need to maintain a no/low tech system after a student has started using a high tech system.
Carla

18. Cont’d Why use no/low tech? Some of our answers: -
1. Using one AAC system at the detriment of the child (Canadian regulations). One method is not Normative.
2. While learning/trialing new system: need to maintain a previously used AAC system to maintain level of communication (esp. if developing operational competency)
3. Use as a back up system if new system breaks down
4. In infective situations (hospital/ bathroom), in nature (swimming/camping/ rain), waking at night/ battery dead…
Carla
One method is not normative – ACTIVTY TIME
Choose one method – gestures, pictures, objects or technology – not verbal (you can choose if you want – but only speech sounds eg apraxic sounds), and have a conversation about what you did on the weekend, and what are you doing this week?
Time for 5 mins
(normally 3 mins, laughing, 4 mins quiet)
- How frustrated were you (cognitively average with strong speech skills) (sad, mad, frdutated) Is not typical to only have one mode of AAC to communicate.

19. Video: Use of no/low tech options
  SET-BC also supports no/low tech options
Picture communication
AAC vs Sign vs Speech
Object based communication in the home
Carla

20. Low Tech Communication Systems
Big Macks (with levels, step by step)
Cheaptalk (2, 4, 8)
Switches
Carla
1. Highest motivators eg bubbles, dancing
2. Core vocabulary – more and all done
3. social conversations/socials circles or controlling the environment eg time to sit for circle, teacher wants us to be quiet shhh shh,
4. core/fringe for circle time – for any predictable daily routine
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21. Discussion Question:
 Do you think that a prerequisite to using/trialing a high tech system is use of another AAC mode?
Stacey
No problem with going straight to high tech, but you absolutely NEED to be developing multimodal forms of AAC.
Psychological detriment
Tech breaks.

22. Feature Comparison Chart
Computer hardware:
physical parts of a computer system.
computer case, monitor, keyboard, mouse, disk drive, motherboard, video card,  
is what you can physically touch. Wikipedia Sep 4, 2014
Software:
generic term for…computer data and instructions
broken into two major categories: system software…application software 
accomplish specific tasks.
Carla

23. High Tech Communication Systems: Hardware
carla
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24. AAC Hardware feature considerations
Operating System: Windows, iOS (apple), Android
Size: screen size
Software/Apps/communication page sets available
Access Options
Environmental control options
Memory available: (can other software titles be added and effectively used on the hardware)
Carla

25. AAC software (windows) and Apps (Android and iOS)
Stacey
Just in time versus apps for language
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26. AAC Software/App feature considerations:
Communication page sets available
Operating systems available for
Symbol sets available
Availability of Editing software
Programming options for Environmental controls
Availability of Visual Scenes
Keyboard options

27. Lunch Break

28. Discussion
Case study sharing

29. Exploration time
11:00

30. What AAC system should be trialed and chosen
What AAC system should be trialed and chosen? Considerations: Feature Matching
Consider Student profile:
Communication/language and cognitive level and goals,
Student academic level and goals
Literacy level and goals
Gross and fine motor skills/current access method
Vision/hearing/sensory issues
Current communication system
Consider AAC device features:
System software Features: appropriate communication page sets and keyboards, ability to modify how things are presented to suit issues with access and vision, access to curriculum and leisure activities and software, option for environmental control and leisure programming. What is software
System Hardware features : can the system handle all the software needs, how portable does it need to be, do the available sizes meet visual and other needs, availability of access options, environmental controls and other options
The most important thing to consider in choosing the right equipment in trialing for our students is called- Feature Matching. Essentially we need to know our students. I cannot emphasize this more. We need to take into consideration their learning needs. What is it that we want them to achieve at school, keep in mind the IEP goals ( we need to think about academic goals, social goals, their current fine motor skills or any other health conditions, such as sensory, vision or hearing issues) We need to take a look what worked in the past and what didn’t and why? After, we do a thorough student profiling then we consider software and hardware features that will best support the academic, social, emotional goals of our students. We need to think which software matches our students learning goals but finding the appropriate hardware that can support it meeting the access options. For examples, iPads are a popular choice for most teams, however some software that does not have built in Switch Access or environmental controls which makes using the iPad a nightmare, for switch kids, if the software is not switch friendly. In those cases we need to look at other Hardware operating system that has swtich accessibility and also built in environmental controls.

31. AAC Stations: 5. 6 iPads with iApps
6. Low Tech AAC devices, SET BC no tech AAC kit
7. Windows laptops with communication editing software
 1. Accent 800, Accent 1400
2. Nova chat 7, Nova chat 10
3. Tobii Dynavox I- 12, I-15 with Communicator and/or Compass
4. Tablet with Communicator 5 software
We will add visuals to these: 15 minutes per station 4 before lunch and 3 after lunch Bring feature comparison chart with them.

32. Last thoughts and questions

33. Feedback form

34. Accent : Basic Features https://www.prentrom.com/
Windows operating system
Sizes: 8 inch (800), 10 inch (1000), 14 inch (1400)
Nuvoice communication software: large number of page sets available including unity and word power available.
Access options: touch, 1 & 2 switch options, headpointing (Nupoint) add-on, Eyegaze (Nueye) add-on for 1000 & 1400.
Keyguards/touchguides available
Environmental controls options
Can access other software and the internet
From this point on these are all enlarged signs that are taped above each of the stations.
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35. Tobii Dynavox I series: Basic Features http://www.tobiidynavox.com/
Windows operating system
Sizes: 12 inch (I-12), 15 inch (I-15)
Software options:
Communicator 5 (communication and activity based page sets)
Compass/Compass w/PODD (communication page sets)
Access Options: touch, 1 & 2 switch options, headpointing (add- on), eyegaze /gaze interaction (add-on)
Environmental Controls options
Can access other software and the internet
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36. Nova Chat: Basic Features https://saltillo.com/
Android operating system
Sizes: 5, 8, 10 and 12 inch
Android App options:
Novachat app (touch chat equivalent: including word power as an add- on)
Lamp words for Life (84 location unity page set)
Access options: direct touch, 1 and 2 switch scanning options
Can access the internet and other android apps
Keyguards available
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37. Ipad: basic features http://www.apple.com/ca/
iOS
Sizes: ipad 10 inch, ipad mini, ipad pro
iApp options:
Compass w/ PODD, Lamp Words for Life, Touch chat, Proloquo2go, Predictable, Go Talk Now etc. (large number of communication apps)
Access options: basic switch function dependent on the iApp
Keyguards available dependent on iApp and ipad case chosen
Can access the internet and other iApps
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38. Tablets:Basic features
Windows operating system (Windows 7)
Sizes: currently SET BC only offering one size 11 inches
Communication Software options:
Communicator 5
Compass (windows version)
Access options: touch/ mouse, 1 and 2 switch (switch interface and appropriate software required), eyegaze (PCEye Go or PC Eye mini required)
Can access the internet and other software
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39. Nuvoice software Available for windows on the Accent
Nuvoice windows editing software available (free download) not a full user version. software/pass-2/software-update/download-nuvoice-pass-software- installation-all-accent-products-2
Symbols sets: Unity (minspeak), PCS/Boardmaker, Symbol stix (add on), Clarity symbols (add on), photos
Environmental controls programming options
7 different Keyboard options including scanning, all have the option for word prediction.
Visual scenes available
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40. Nuvoice software: visual scene
Visual scenes are available within some of the pages sets such as:
Unity (minspeak)
Word Power
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41. Nuvoice software: page sets available
Click to add content
Essence: Text based
Page Based: 4, 8, 15, 45 location
Core Scanner: 1, 8, 23, 25, 108, 190 location
Lamp Words for Life: 84 location
Unity: 28, 36, 45, 60, 84, 144 location
Word Power (Unity & PCS): 45, 60, 84 location.
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42. Communicator 5 software
Available for tablets/laptops (windows) and Tobii I series (windows)
Editing software: free trial version, free full version for SLPs:
Symbol sets: PCS (boardmaker), photos
Visual scenes available
Environmental controls programming options
Access options: Touch/mouse, Gaze Interaction, Switch scanning, mouse dwell.
Keyboard options: several keyboard layouts including Qwerty, abc, scan, pointer and dwell free option. Customizable with word prediction and phrase prediction.
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43. Communicator 5 software: page sets available
3 levels of page sets
Emerging Communication:sono primo 32 location with visual scenes
Symbol Communiction: my words, my visual scenes, sono flex (35 location), Sono lexus (35, 54, 108 location), LiterAACy (35, 54, 108 location)
word power (add-on)
Text Communiction: sono scribe (letters, words, phrases), Sono key(social media)
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44. Compass
Available for tablet/laptop (windows), Tobii I series (windows), ipad (iOS), T series (Android)
Editing software: free trial version, free full version for SLPs for windows and ios versions./ Page set wizard
Symbol Set: PCS, photos
Visual scenes available/ Behaviour supports embedded
Environmental controls: available on the windows Tobii I series only
Access Options: 1 or 2 switch/ auditory/ visual scanning/ eye gaze (only for windows version)
Keyboard options: QWERTY with word prediction (Compass)
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45. Compass with PODD page sets
5 levels within each page set: Level 1 Emergent to level 5 Independent for:
Navabar page set
Master Page
All Access
Core First
Wordpower
PODD (add-on)
Navigator
Stroke and Brain Injury
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46. Nova chat app Available for the NovaChat device/tablet (Android)
Editing software: windows chat editor, free download
Symbol Set: symbol stix, PCS (Boardmaker), photos
Visual scenes available
Access options: direct touch, alternative pointing, 1 and 2 switch access, auditory prompts
Keyboard Options:
Keyguards are available
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47. Nova Chat app page sets Basic 4 location(PCS & SymbolStix)
Multichat: 15 Adolescent, 15 Adult, 15 student (PCS and SS)
My Core: (PCS and SS)
My Quick Chat: 4 child, 8 child, 12 child, 8 adult, 12 adult (PCS & SS)
Spelling: Qwerty keyboard(PCS & SS)
Vocab PC (12 location) Adolescent/ Adult(PCS & SS)
Word (chat) Power: 20 simply, 24, 24 w/phrases, 30, 42 basic, 42, 48, 60 basic, 60, 80, 108 (PCS, SS)
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48. Lamp Words for Life
Available for the ipad (iOS), Nova chat (Android) and Accent (windows Nueye software)
Editing software: only available for windows version (Accent) in the free Nueye windows editing software.
Symbol set: unity (minspeak), PCS only on windows/Accent
Visual scenes:
Environmental controls:
Access Options: direct touch, switch access (only on Accent), headpointing (only Accent), eyegaze (only Accent), auditory prompts (only accent)
Keyguard options available (ipad keyguard options dependent on the case)
Keyboard options
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49. Lamp Words for Life pagesets:
84 location One hit
84 location transition
84 location full
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50. Touch chat app Available for the ipad (iOS)
Editing software: windows chat editor, free download
Symbol set: symbol stix, photos
Visual scenes available
Access options: VoiceOver, Invert Colors, Grayscale, Zoom, Switch Control, and AssistiveTouch
Keyguard options available but dependent on the case
Keyboard options :QWERTY (4 word prediction)
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51. TouchChat page sets: Basic 4 location(SymbolStix)
Communication Journey: Aphasia
Multichat: 15 Adolescent, 15 Adult, 15 student (SS)
My Core: (SS)
My Quick Chat: 4 child, 8 child, 12 child, 8 adult, 12 adult (SS)
Spelling: Qwerty keyboard(SS)
Vocab PC (12 location) Adolescent/ Adult(SS)
Word Power: 20 simply, 24, 24 w/ phrases, 25 touch and scan, 30, 42 basic, 42, 48, 60 basic, 60, 80, 108, 108 w/keyboard (SS) (In App purchase)
i Essence (In App purchase)
Talk about AAC
Pixon 60
Gateway: child 12, 20, 40, 66, Teen 20, 30, 40, 40 text, 66 teen/adult, 66 text, Pro
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52. Proloquo2 go app Available for the ipad (iOS) No editing software
Symbol set: symbolstix, photos
No visual scenes
Access options: direct touch, switch control built into App, 5 scanning modes for 1 and 2 switch scanning.
Keyboard options: custom
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53. Proloquo2go Page sets: 2 Types of Vocabulary page sets:
Core: 9-64 locations per page
Basic: 9-36 locations per page
5 Vocabulary sets
3 vocabulary levels
23 grid sizes
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54. Predictable App Available for the ipad (iOS)/ Android
Text based: Type message with (smart) word predictions and use pre-programmed phrases. Write with finger or stylus.
Symbol set: Widget symbols representing phrases.
Access options: direct touch, Touch anywhere, switch control built into app: one switch auto scan, 2 switch user scan
Keyboard QWERTY/ Lft Rt ABCDEF, save phrases in categories/ FB, twitter, clip board
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55. Go Talk Now App http://www.attainmentfamily.com/PDFs/GoTalkNOW.pdf
Available for the ipad (iOS)
Symbol set: Imagine symbol set, photos
Visual scenes: hot spots
Access options: touch, 1 or 2 switch step or auto scan (can change speed), group scanning option w/ auditory cue. Require Attainment switch or RJ Cooper Bluetooth superswitch.
Keyguard options: custom keygaurds
Keyboard options: QWERTY (custom)
Page sets: 1, 4, 9, 16, 25 locations per page
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56. Exploration time