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VSD를 활용한 AAC 중재가 CCN을 지닌 사람의 의사소통 능력에 미치는 영향에 대한 메타분석 연구

Effects of Augmentative and Alternative Communication (AAC) Intervention with Visual Scene Displays (VSD) on the Communication Ability of People with Complex Communication Needs: A Meta-Analysis

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초록

연구목적: 본 연구는 메타분석을 통해 Visual Scene Displays(이하 VSD)를 활용한 보완대체의사소통(이하 AAC) 중재가 복합적인 의사소통 요구(이하 CCN)를 지닌 사람의 의사소통 능력 향상에 대한 효과를 알아보고자 하였다. 연구방법: 2010년부터 2022년 5월까지 출판된 논문을 검색하고, 연구 선정 기준에 부합하는 19편의 단일대상연구설계 논문을 선정하였다. 각 회기당 자료점을 수치화하여 Tau-U 효과크기를 산출하였고, R studio version 4.2.0를 통해 메타분석을 실시하였다. 연구결과: VSD를 활용한 AAC 중재를 통해 CCN을 지닌 사람의 의사소통 능력 향상은 큰 효과크기(Tau-U=0.9426)를 보였고, 통계적으로 유의한 결과로 나타났다. 조절효과 분석 결과, 중재목표별 효과크기는 유의한 차이를 보였으며, 연령 및 또래 참여여부별 효과크기는 유의한 차이가 없었다. 결론: VSD를 활용한 AAC 중재는 전 연령대 CCN을 지닌 사람의 의사소통 능력 향상에 효과가 있는 것으로 나타났다.

Abstract

Purpose: The purpose of this study was to investigate the effect of Augmentative and Alternative Communication(AAC) intervention using Visual Scene Displays(VSD) on improving the communication skills of people with Complex Communication Needs(CCN). Method: 19 single-subject design research papers from 2010 to May 2022 were selected for a meta-anlysis. The researchers quantified the data points of the selected studies per session to calculate the Tau-U effect size. R studio version 4.2.0. was utilized for the analysis. Results: The improvement of the communication function of CCN through AAC intervention using VSD represented a large effect size (Tau-U=0.9426) and showed statistically significant results. As a result of analyzing the moderating effect, there was a significant difference in the intervention target effect size, and there was no significant difference between age and peer participation. Conclusion: The AAC intervention utilizing VSD could improve the functional communication ability of CCN of all ages.

참고문헌 (79)

  1. Alzrayer, N., "Use of iPad", iPods with individuals with autism and other developmental disabilities : A meta-analysis of communication interventions, 2014, pp.1(3), 179~191
  2. Australian Institute of Health and Welfare, "Disability Prevalence and Trends", AIHW, ~ (2003)
  3. Babb, S., "Enhancing independent participation within vocational activities for an adolescent with ASD using AAC video visual scene displays", Journal of Special Education Technology, 34(2), pp.120~132 (2019)
  4. Babb, S., "Personalized AAC intervention to increase participation and communication for a young adult with Down syndrome", Topics in Language Disorders, 41(3), pp.232~248 (2021)
  5. Babb, S., "“Two friends spending time together”:The impact of video visual scene displays on peer social interaction for adolescents with autism spectrum disorder", Language, Speech, and Hearing Services in Schools, 52(4), pp.1095~1108 (2021)
  6. Babb, S., "Using AAC video visual scene displays to increase participation and communication within a volunteer activity for adolescents with complex communication needs", Augmentative and Alternative Communication, 36(1), pp.31~42 (2020)
  7. Babb, S., "The effects of social skill interventions for adolescents with autism : A meta-analysis", Remedial and Special Education, 42(5), pp.343~357 (2021)
  8. Banda, D. R., "This meta-analysis provides some evidence to support the use of high-tech AAC interventions to improve social-communication skills in individuals with intellectual and developmental disabilities", Evidence-Based Communication Assessment and Intervention, 12(3), pp.73~76 (2018)
  9. Basil, C., "Social interaction and learned helplessness in severely disabled children", Augmentative and Alternative Communication, 8(3), pp.188~199 (1992)
  10. Beukelman, D. R., "Personalization of visual scene displays:Preliminary investigations of adults with aphasia, typical females across the age-span, and young adult males and females", Topics in Language Disorders, 41(3), pp.e1~e11 (2021)
  11. Blackstone, S., "Social Networks: A Communication Inventory for Individuals with Severe Communication Challenges and Their Communication Partners" (2003), Augmentative Communication, Inc
  12. Blackstone, S., "Visual scene displays", Augmentative Communication News, 16(2), pp.1~16 (2004)
  13. Boyle, S., "The effects of shared e-book reading with dynamic text and speech output on the single-word reading skills of young children with developmental disabilities", Language, Speech, and Hearing Services in Schools, 52(1), pp.426~435 (2021)
  14. Camargo, S. P. H., "Behaviorally based interventions for teaching social interaction skills to children with ASD in inclusive settings : A meta-analysis", Journal of Behavioral Education, 25, pp.223~248 (2016)
  15. Caron, J., "“What have you been doing?”:Supporting displaced talk through augmentative and alternative communication video visual scene display technology", Perspectives of the ASHA Special Interest Groups, 3(12), pp.123~135 (2018)
  16. Chapin, S. E., "The effects of AAC video visual scene display technology on the communicative turns of preschoolers with autism spectrum disorder", Assistive Technology, pp.1~11 (2021)
  17. Drager, K. D., "AAC technologies with visual scene displays and"just in time"programming and symbolic communication turns expressed by students with severe disability", Journal of Intellectual & Developmental Disability, 44(3), pp.321~336 (2019)
  18. Duval, S., "Trim and fill : a simple funnel-plot–based method of testing and adjusting for publication bias in meta-analysis", Biometrics, 56(2), pp.455~463 (2000)
  19. Ganz, J. B., "A meta-analysis of single case research studies on aided augmentative and alternative communication systems with individuals with autism spectrum disorders", Journal of Autism and Developmental Disorders, 42(1), pp.60~74 (2012)
  20. Ganz, J. B., "Comparison between visual scene displays and exchange-based communication in augmentative and alternative communication for children with ASD", Research in Autism Spectrum Disorders, 11(3), pp.27~41 (2015)
  21. Ganz, J. B., "Interaction of participant characteristics and type of AAC with individuals with ASD : A meta-analysis", American Journal on Intellectual and Developmental Disabilities, 119(6), pp.516~535 (2014)
  22. Ganz, J. B., "High-technology augmentative and alternative communication for individuals with intellectual and developmental disabilities and complex communication needs : A meta-analysis", Augmentative and Alternative Communication, 33(4), pp.224~238 (2017)
  23. Ganz, J. B., "Augmentative and alternative communication intervention targets for school-aged participants with ASD and ID: A single-case systematic review and meta-analysis", Review Journal of Autism and Developmental Disorders, pp.1~14 (2022)
  24. Ganz, J. B., "Methodology: Systematic review and meta-analysis of the AAC literature for people with autism spectrum disorder or intellectual disabilities who have complex communication needs through 2020", ~ (2020)
  25. Gevarter, C., "Teaching preschoolers with autism to use different speech-generating device display formats during play : Intervention and secondary factors", Language, Speech, and Hearing Services in Schools, 51(3), pp.821~838 (2020)
  26. Gevarter, C., "Comparison of schematic and taxonomic speech generating devices for children with ASD", Education and Training in Autism and Developmental Disabilities, 53(2), pp.222~238 (2018)
  27. 한경근, "의사소통장애 아동을 위한 AAC 중재에시각장면 디스플레이(Visual Scene Display) 적용을 위한 탐색", 지체.중복.건강장애연구, 59(4), pp.213~234 (2016), 한국지체·중복·건강장애교육학회[DOI]
  28. 한윤선, "AAC 중재를 사용한 단일대상연구 메타분석: 로우테크AAC와 하이테크AAC 비교를 중심으로", 특수교육학연구, 51(1), pp.45~72 (2016), 한국특수교육학회
  29. Higgins, J. P. T., "Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0" (2011), The Cochrane Collaboration
  30. Holyfield, C., "Comparative effects of high-tech visual scene displays and low-tech isolated picture symbols on engagement from students with multiple disabilities", Language, Speech, and Hearing Services in Schools, 50(4), pp.693~702 (2019)
  31. Holyfield, C., "Effect of mobile technology featuring visual scene displays and just-in-time programming on communication turns by preadolescent and adolescent beginning communicators", International Journal of Speech-Language Pathology, 21(2), pp.201~211 (2019)
  32. Holyfield, C., "Effect of video embedded with hotspots with dynamic text on single-word recognition by children with multiple disabilities", Journal of Developmental and Physical Disabilities, 31(6), pp.727~740 (2019)
  33. Holyfield, C., "Effect of AAC partner training using video on peers’ interpretation of the behaviors of presymbolic middle-schoolers with multiple disabilities", Augmentative and Alternative Communication, 34(4), pp.301~310 (2018)
  34. Holyfield, C., "Effect of AAC technology with dynamic text on the single-word recognition of adults with intellectual and developmental disabilities", International Journal of Speech-Language Pathology, 22(2), pp.129~140 (2020)
  35. Hong, E. R., "A meta-analysis of single-case research on the use of tablet-mediated interventions for persons with ASD", Research in Developmental Disabilities, 70, pp.198~214 (2017)
  36. 황성동, "R을 이용한 메타분석" (2020), 학지사
  37. Hyppa-Martin, J. K., "Comparing embedded and non-embedded visual scene displays for one adult diagnosed with autism spectrum disorder : A clinical application of single case design", Child Language Teaching and Therapy, 36(1), pp.3~18 (2020)
  38. Iacono, T., "What it means to have complex communication needs", Research and Practice in Intellectual and Developmental Disabilities, 1(1), pp.82~85 (2014)
  39. Johnston, S. S., "Opportunity barriers and promising practices for supporting individuals with complex communication needs", Current Developmental Disorders Reports, 7(3), pp.100~108 (2020)
  40. Johnston, S. S., "Supporting augmentative and alternative communication use by beginning communicators with severe disabilities", American Journal of Speech-Language Pathology, 13(1), pp.20~30 (2004)
  41. Kent-Walsh, J., "Effects of communication partner instruction on the communication of individuals using AAC : A meta-analysis", Augmentative and Alternative Communication, 31(4), pp.271~284 (2015)
  42. 김정민, "장애인식 교육 프로그램의 효과성에 대한 메타분석", 지체.중복.건강장애연구, 61(3), pp.41~66 (2018), 한국지체·중복·건강장애교육학회[DOI]
  43. Landis, J. R., "The measurement of observer agreement for categorical data", Biometrics, 33(1), pp.159~174 (1977)
  44. Laubscher, E., "Effect of an application with video visual scene displays on communication during play : pilot study of a child with autism spectrum disorder and a peer", Augmentative and Alternative Communication, 35(4), pp.299~308 (2019)
  45. 이소현, "단일대상연구 : 교육 및 임상현장 적용을 위한" (2000), 학지사
  46. Light, J., "Interaction involving individuals using augmentative and alternative communication systems : State of the art and future directions", Augmentative and Alternative Communication, 4(2), pp.66~82 (1988)
  47. Light, J., "Communicative interaction between young nonspeaking physically disabled children and their primary caregivers : Part II—Communicative function", Augmentative and Alternative Communication, 1(3), pp.98~107 (1985)
  48. Light, J., "AAC technologies for young children with complex communication needs : State of the science and future research directions", Augmentative and Alternative Communication, 23(3), pp.204~216 (2007)
  49. Light, J., "Supporting the communication, language, and literacy development of children with complex communication needs : State of the science and future research priorities", Assistive Technology, 24(1), pp.34~44 (2012)
  50. Light, J., "Designing AAC research and intervention to improve outcomes for individuals with complex communication needs", Augmentative and Alternative Communication, 31(2), pp.85~96 (2015)
  51. Light, J., "Investigating AAC technologies to support the transition from graphic symbols to literacy", RERC on AAC: Rehabilitation Engineering Research Center on Augmentative and Alternative Communication, ~ (2014)
  52. Maggin, D. M., "An application of the What Works Clearinghouse standards for evaluating single-subject research : Synthesis of the self-management literature base", Remedial and Special Education, 34(1), pp.44~58 (2013)
  53. Mandak, K., "Digital books with dynamic text and speech output : Effects on sight word reading for preschoolers with autism spectrum disorder", Journal of Autism and Developmental Disorders, 49(3), pp.1193~1204 (2019)
  54. Mandak, K., "Video visual scene displays with dynamic text : Effect on single-word reading by an adolescent with cerebral palsy", Perspectives of the ASHA Special Interest Groups, 5(5), pp.1272~1281 (2020)
  55. McCarthy, T. V., "Supporting peer interactions for students with complex communication needs in inclusive settings : Paraeducator roles", Perspectives of the ASHA Special Interest Groups, 7(1), pp.229~244 (2022)
  56. "Engauge digitizer software" (2017)[URL]
  57. Mize, M., "Technology-based self-monitoring system for on-task behavior of students with disabilities : A quantitative meta-analysis of single-subject research", Journal of Computer Assisted Learning, 38(3), pp.668~680 (2022)
  58. Mooney, A., "Mobile technology to support lexical retrieval during activity retell in primary progressive aphasia", Aphasiology, 32(6), pp.666~692 (2018)
  59. 나지영, "언어재활사의 보완대체의사소통 화면 디자인에 대한 인식 및 활용 실태 조사", 보완대체의사소통연구, 8(2), pp.77~98 (2020), 한국보완대체의사소통학회[DOI]
  60. 남경욱, "인지적 장애를 지닌 아동을 위한 보완·대체 의사소통 중재에 대한 메타분석 -단일대상연구를 중심으로-", 특수교육학연구, 42(4), pp.193~212 (2008), 한국특수교육학회
  61. Norrie, C. S., "Establishing context : AAC device adoption and support in a special-education setting", ACM Transactions on Computer-Human Interaction(TOCHI), 28(2), pp.1~30 (2021)
  62. O'Neill, T., "Effects of interventions that include aided augmentative and alternative communication input on the communication of individuals with complex communication needs : A meta-analysis", Journal of Speech, Language, and Hearing Research, 61(7), pp.1743~1765 (2018)
  63. 박은영, "자폐성장애학생을 위한 도구적 보완대체의사소통(AAC) 훈련 단일 대상 연구 메타 분석", 보완대체의사소통연구, 8(2), pp.187~214 (2020), 한국보완대체의사소통학회[DOI]
  64. Parker, R. I., "An improved effect size for single-case research : Nonoverlap of all pairs", Behavior Therapy, 40(4), pp.357~367 (2009)
  65. Quinn, E. D., "An Initial Investigation Into the Feasibility of the Communication Matrix Professional Development Program for Educational Professionals Working With Students With Complex Communication Needs", Language, Speech, and Hearing Services in Schools, 52(4), pp.1080~1094 (2021)
  66. Raghavendra, P., "School participation and social networks of children with complex communication needs, physical disabilities, and typically developing peers", Augmentative and Alternative Communication, 28(1), pp.33~43 (2012)
  67. Rangel-Rodríguez, G., A., "The early development of emotional competence profile : A means to share information about emotional status and expression by children with complex communication needs", American Journal of Speech-Language Pathology, 30(2), pp.551~565 (2021)
  68. 신우종, "체계적 고찰과 메타분석의 개요", Hanyang Medical Reviews, 35(1), pp.9~17 (2015), 한양대학교 의과대학[DOI]
  69. Sterne, J. A., "Publication and related bias in meta-analysis : power of statistical tests and prevalence in the literature", Journal of Clinical Epidemiology, 53(11), pp.1119~1129 (2000)
  70. Syriopoulou-Delli, C. K., "Effectiveness of different types of Augmentative and Alternative Communication (AAC) in improving communication skills and in enhancing the vocabulary of children with ASD: A review", Review Journal of Autism and Developmental Disorders, pp.1~14 (2021)
  71. Taylor, S., "The Ethics of Inclusion in AAC Research of Participants with Complex Communication Needs", Scandinavian Journal of Disability Research, 22(1), pp.108~115 (2020)
  72. Therrien, M. C., "Teacher-Implemented AAC Intervention to Support Peer Interaction in an Inclusive Preschool Classroom : A Pilot Study", Inclusion, 9(2), pp.78~91 (2021)
  73. Therrien, M. C., "Using the iPad to facilitate interaction between preschool children who use AAC and their peers", Augmentative and Alternative Communication, 32(3), pp.163~174 (2016)
  74. Therrien, M. C., "Promoting peer interaction for preschool children with complex communication needs and autism spectrum disorder", American Journal of Speech-Language Pathology, 27(1), pp.207~221 (2018)
  75. Waddington, H., "Meta-analysis provides support for the use of high tech speech-generating devices for teaching a range of communication skills to children with autism spectrum disorders", Evidence-Based Communication Assessment and Intervention, 12(1-2), pp.7~11 (2018)
  76. Walker, V. L., "A systematic review of Functional Communication Training(FCT)interventions involving augmentative and alternative communication in school settings", Augmentative and Alternative Communication, 34(2), pp.118~129 (2018)
  77. Walker, V. L., "Effects of augmentative and alternative communication on challenging behavior : A meta-analysis", Augmentative and Alternative Communication, 29(2), pp.117~131 (2013)
  78. Wattanawongwan, S., "Interventions for Improving Social-Communication Skills for Adolescents and Adults with ASD: a Meta-analysis", Review Journal of Autism and Developmental Disorders, pp.1~15 (2022)

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