Dil ve Konuşma Terapisi Öğrencilerinin Alternatif ve Destekleyici İletişim Sistemleri Dersi Alma Durumlarına Göre Bilgi ve Farkındalık Seviyelerinin İncelenmesi
Year 2025,
Volume: 19 Issue: 1, 132 - 148, 30.06.2025
Işılay Nur Güngör
,
Mümüne Merve Parlak
,
Mehmet Akpınar
,
Didem Çevik
Abstract
Giriş ve Amaç: Alternatif ve Destekleyici İletişim Sistemleri (ADİS), iletişim becerilerinin arttırılması gereken bireylerde konuşmayı destekleyen, tamamlayan veya onun yerine geçen çeşitli mekanizmaları ifade etmektedir. Dil ve konuşma terapistleri, ADİS’in hazırlanması ve uygulanması süreçlerinde aktif rol oynamaktadır. Yeterli ve verimli bir eğitim almak, etkili ve başarılı ADİS hizmetlerinin ön koşuludur. Bu çalışmada Türkiyede Dil ve Konuşma Terapisi (DKT) lisans öğrencilerinin, ADİS dersi almalarına göre, bu alandaki bilgi ve farkındalık düzeylerinin araştırılması amaçlanmıştır. Yöntem: Çalışmaya Türkiye’deki 10 farklı üniversiteden AAC Sistemleri dersi alan 96 katılımcı (%47,06) ve AAC Sistemleri dersi almayan 108 katılımcı (%52,94) olmak üzere 204 DKT lisans öğrencisi katılmıştır. Araştırmacılar tarafından çevrimiçi oluşturulan anket yoluyla veri toplanmıştır. Ankette katılımcıların sosyodemografik bilgileri ve ADİS bilgi ve farkındalık düzeyine yönelik toplam 41 soru bulunmaktadır. Katılımcılara sosyal platfomlar aracılığıyla ulaşılmıştır. Bulgular: ADİS dersi alan ve almayanlar arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0.05). Dersi alan katılımcılar 10 üzerinden dersin verimliliğine ortalama 6.16, dersin yeterliliğine 6.36 vermiştir. Sonuç: ADİS’e yönelik ders almanın farkındalığı arttırdığı bulunmuştur. Ancak lisans dönemindeki dersin verimliliği ve yeterliliği konusunda iyileştirmeler yapılması gerekmektedir.
Ethical Statement
Bu çalışma Helsinki Bildirgesi'ne uygun olarak yürütülmüştür ve sorumlu araştırmacının çalıştığı kurum olan Ankara Medipol Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (25.03.2024, 42). Katılımcılar çalışmanın amaçları ve prosedürleri hakkında bilgilendirilmiştir ve katılmayı kabul ettikten sonra aydınlatılmış onam alınmıştır.
Supporting Institution
Çalışmayı destekleyen kurum bulunmamaktadır.
Thanks
Çalışma için teşekkür edilecek kişi veya kurum bulunmamaktadır.
References
-
American Speech-Language-Hearing Association (ASHA), 2024. Augmentative and Alternative Communication (AAC). Retrieved 30.07.2024 from https://www.asha.org/njc/aac
-
Babb, S., Jung, S., Ousley, C., McNaughton, D., & Light, J. (2021). Personalized AAC intervention to increase participation and communication for a young adult with Down syndrome. Topics in language disorders, 41(3), 232-248. http://dx.doi.org/10.1097/TLD.0000000000000240.
-
Beukelman, D., & Light, J. (2020). Augmentative and alternative communication: Supporting children and adults with complex communication needs.
-
Beukelman, D. R., & Mirenda, P. (2013). Augmentative & alternative communication: Supporting children and adults with complex communication needs. (P. H., Ed.). Brookes Pub.
-
Beukelman, D. R., & Mirenda, P. (1998). Augmentative and alternative communication. Paul H. Brookes Baltimore.
-
Bloch, S., & Wilkinson, R. (2004). The understandability of AAC: A conversation analysis study of acquired dysarthria. Augmentative and Alternative Communication, 20(4), 272-282. https://doi.org/10.1080/07434610400005614.
-
Bourgeois, M., Fried-Oken, M., & Rowland, C. (2010). AAC strategies and tools for persons with dementia. The ASHA Leader, 15(3), 8-11. https://doi.org/10.1044/leader.FTR1.15032010.8.
-
Clarke, M., & Price, K. (2012). Augmentative and alternative communication for children with cerebral palsy. Paediatrics and child health, 22(9), 367-371. https://doi.org/10.1016/j.paed.2012.03.002.
-
Costigan, F. A., & Light, J. (2010). A review of preservice training in augmentative and alternative communication for speech-language pathologists, special education teachers, and occupational therapists. Assistive Technology®, 22(4), 200-212. https://doi.org/10.1080/10400435.2010.492774.
-
Council of Higher Education. (n.d.). National Core Education Program for Speech and Language Therapy. Retrieved 30.07.2024 https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/dil_konusma.pdf
-
Coyne, D. (2016). Augmentative and Alternative Communication (AAC) Guidelines for speech pathologists who support people with disability. . NSV Government: Family a Community Services. https://www.nsw.gov.au/
-
Elsahar, Y., Hu, S., Bouazza-Marouf, K., Kerr, D., & Mansor, A. (2019). Augmentative and alternative communication (AAC) advances: A review of configurations for individuals with a speech disability. Sensors, 19(8), 1911. https://doi.org/10.3390/s19081911.
-
Flores, C., & Dada, S. (2024). The effect of AAC training programs on professionals’ knowledge, skills and self-efficacy in AAC: a scoping review. Augmentative and Alternative Communication, 1-13. https://doi.org/10.1080/07434618.2024.2381462.
-
Foley, B. E., & Staples, A. H. (2003). Developing augmentative and alternative communication (AAC) and literacy interventions in a supported employment setting. Topics in language disorders, 23(4), 325-343. http://dx.doi.org/10.1097/00011363-200310000-00007.
-
Ganz, J. B., Goodwyn, F. D., Boles, M. M., Hong, E. R., Rispoli, M. J., Lund, E. M., & Kite, E. (2013). Impacts of a PECS instructional coaching intervention on practitioners and children with autism. Augmentative and Alternative Communication, 29(3), 210-221. https://doi.org/10.3109/07434618.2013.818058.
-
İnce, M., Kılıç, Y., & Şafak, P. (2023). Özel eğitim öğretmenlerinin alternatif destekleyici iletişim sistemlerine (ADİS) ilişkin görüş ve önerileri. Kocaeli Üniversitesi Eğitim Dergisi, 6(2), 654-673. https://doi.org/10.33400/kuje.1340217.
-
Johnston, S. S., Reichle, J., & Evans, J. (2004). Supporting augmentative and alternative communication use by beginning communicators with severe disabilities. https://doi.org/10.1044/1058-0360(2004/004).
-
Kemp, C., & Hayes, A. (2005). Early intervention in Australia: The challenge of systems implementation. In The developmental systems approach to early intervention (pp. 401-423). Paul H. Brookes Publishing.
-
Koçak, A. N., Çetinkaya, H., Beniz, R. N., & Karatekin, A. N. (2023). An Investıgatıon Of Turkısh Speech And Language Therapısts’thoughts On Alternatıve And Augmentatıve Communıcatıon Systems. Atlas Journal of Medicine, 4(10). https://doi.org/10.54270/atljm.2024.58.
-
Kovacs, T. (2021). A survey of American speech-language pathologists' perspectives on augmentative and alternative communication assessment and intervention across language domains. American Journal of Speech-Language Pathology, 30(3), 1038-1048. https://doi.org/10.1044/2020_AJSLP-20-00224.
-
Marshall, J., & Goldbart, J. (2008). ‘Communication is everything I think.’Parenting a child who needs Augmentative and Alternative Communication (AAC). International Journal of Language & Communication Disorders, 43(1), 77-98. https://doi.org/10.1080/13682820701267444.
-
Marvin, L. A., Montano, J. J., Fusco, L. M., & Gould, E. P. (2003). Speech-language pathologists' perceptions of their training and experience in using alternative and augmentative communication. Contemporary Issues in Communication Science and Disorders, 30(Spring), 76-83. http://dx.doi.org/10.1044/cicsd_30_S_76.
-
Murray, J., Lynch, Y., Goldbart, J., Moulam, L., Judge, S., Webb, E., Jayes, M., Meredith, S., Whittle, H., & Randall, N. (2020). The decision-making process in recommending electronic communication aids for children and young people who are non-speaking: the I-ASC mixed-methods study. Health Services and Delivery Research, 8(45), 1-158. https://www.journalslibrary.nihr.ac.uk/hsdr/hsdr08450.
-
Oommen, E. R., & McCarthy, J. W. (2015). Simultaneous natural speech and AAC interventions for children with childhood apraxia of speech: Lessons from a speech-language pathologist focus group. Augmentative and Alternative Communication, 31(1), 63-76. https://doi.org/10.3109/07434618.2014.1001520.
-
Servi, C., & Baştuğ, Y. E. (2021). Alternatif ve Destekleyici İletişim Sistemlerine Yönelik Tutum Ölçeğinin Türkçeye Uyarlanması. İnönü Üniversitesi Eğitim Fakültesi Dergisi, 22(3), 2531-2558. https://doi.org/10.17679/inuefd.1003261.
-
Shahbaz, N., Rashid, A., Khan, M. A., Naz, A. M., Noreen, H., Hassan, S. B., & Faridi, T. A. (2022). Awareness of Augmentative and Alternative Communication among Final Semester Students of SLP: Augmentative and Alternative Communication among Students of SLP. Pakistan BioMedical Journal, 5(3), 64-67. https://doi.org/10.54393/pbmj.v5i3.135.
-
Siu, E., Tam, E., Sin, D., Ng, C., Lam, E., Chui, M., Fong, A., Lam, L., & Lam, C. (2010). A survey of augmentative and alternative communication service provision in Hong Kong. Augmentative and Alternative Communication, 26(4), 289-298. https://doi.org/10.3109/07434618.2010.521894.
-
Subihi, A. S. (2013). Saudi Special Education Student Teachers' Knowledge of Augmentative and Alternative Communication (AAC). International Journal of Special Education, 28(3), 93-103. http://www.internationaljournalofspecialeducation.com.
-
Taherdoost H. (2017). Determining Sample Size; How to Calculate Survey Sample Size. International Journal of Economics and Management Systems.: 2; 237-239.
-
World Health Organization (2001). International classification of functioning, disability and health: ICF. Retrieved from http://www.who.int/classifications/icf/training/icfbeginnersguide. pdf.
-
Wormnæs, S., & Abdel Malek, Y. (2004). Egyptian speech therapists want more knowledge about augmentative and alternative communication. Augmentative and Alternative Communication, 20(1), 30-41. https://doi.org/10.1080/07434610310001629571.
-
Yaşa, İ. C., & Tokalak, S. (2023). Turkish speech-language therapists' perceptions and experiences of augmentative and alternative communication. The European Research Journal, 9(5), 948-962. https://doi.org/10.18621/eurj.1281464.
-
Zarifian, T., Malekian, M., & Azimi, T. (2021). Iranian Speech-language Pathologists’ Awareness of Alternative and Augmentative Communication Methods. Iranian Rehabilitation Journal, 19(1), 41-50. http://dx.doi.org/10.32598/irj.19.1.991.1.
Investigation of Knowledge and Awareness Levels of Speech and Language Therapy Students According to the Status of Taking Augmentative and Alternative Communication Systems Lessons
Year 2025,
Volume: 19 Issue: 1, 132 - 148, 30.06.2025
Işılay Nur Güngör
,
Mümüne Merve Parlak
,
Mehmet Akpınar
,
Didem Çevik
Abstract
Purpose: Alternative and Augmentative Communication (AAC) Systems refer to various mechanisms that support, complement or replace speech in individuals whose communication skills need to be increased. Speech and language therapists (SLT’s) play an active role in the preparation and implementation of AAC Systems. Adequate and efficient training is a prerequisite for effective and successful AAC Systems services. In this study, it is aimed to investigate the level of knowledge and awareness of Speech and Language Therapy (SLT) undergraduate students in Turkey according to their taking AAC Systems course. Material and Method: 204 SLT undergraduate students from 10 different universities in Turkey, including 96 participants (47.06%) who took AAC Systems course and 108 participants (52.94%) who did not take AAC Systems course, participated in the study. Data were collected through an online questionnaire created by the researchers. The questionnaire included a total of 41 questions about the sociodemographic information of the participants and the level of AAC knowledge and awareness. Participants were recruited via social media platforms. Results: A statistically significant difference was found between those students who have taken AAC Systems course and those who did not (p<0.05). Participants who took the course gave an average of 6.16 to the efficiency of the course and 6.36 to the adequacy of the course out of 10. Conclusion: It was found that taking a course on AAC Systems increased awareness. However, improvements should be made in the efficiency and adequacy of the course in the undergraduate period.
Ethical Statement
This study was conducted in accordance with the Declaration of Helsinki and approved by Ankara Medipol University Non-Interventional Clinical Research Ethics Committee (25.03.2024, 42). Subjects were informed about the aims and procedures of the study, and informed consent was given after they agreed to participate.
Supporting Institution
The study has not received any form of support.
Thanks
There is no institution or individual to be acknowledged for their assistance.
References
-
American Speech-Language-Hearing Association (ASHA), 2024. Augmentative and Alternative Communication (AAC). Retrieved 30.07.2024 from https://www.asha.org/njc/aac
-
Babb, S., Jung, S., Ousley, C., McNaughton, D., & Light, J. (2021). Personalized AAC intervention to increase participation and communication for a young adult with Down syndrome. Topics in language disorders, 41(3), 232-248. http://dx.doi.org/10.1097/TLD.0000000000000240.
-
Beukelman, D., & Light, J. (2020). Augmentative and alternative communication: Supporting children and adults with complex communication needs.
-
Beukelman, D. R., & Mirenda, P. (2013). Augmentative & alternative communication: Supporting children and adults with complex communication needs. (P. H., Ed.). Brookes Pub.
-
Beukelman, D. R., & Mirenda, P. (1998). Augmentative and alternative communication. Paul H. Brookes Baltimore.
-
Bloch, S., & Wilkinson, R. (2004). The understandability of AAC: A conversation analysis study of acquired dysarthria. Augmentative and Alternative Communication, 20(4), 272-282. https://doi.org/10.1080/07434610400005614.
-
Bourgeois, M., Fried-Oken, M., & Rowland, C. (2010). AAC strategies and tools for persons with dementia. The ASHA Leader, 15(3), 8-11. https://doi.org/10.1044/leader.FTR1.15032010.8.
-
Clarke, M., & Price, K. (2012). Augmentative and alternative communication for children with cerebral palsy. Paediatrics and child health, 22(9), 367-371. https://doi.org/10.1016/j.paed.2012.03.002.
-
Costigan, F. A., & Light, J. (2010). A review of preservice training in augmentative and alternative communication for speech-language pathologists, special education teachers, and occupational therapists. Assistive Technology®, 22(4), 200-212. https://doi.org/10.1080/10400435.2010.492774.
-
Council of Higher Education. (n.d.). National Core Education Program for Speech and Language Therapy. Retrieved 30.07.2024 https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/dil_konusma.pdf
-
Coyne, D. (2016). Augmentative and Alternative Communication (AAC) Guidelines for speech pathologists who support people with disability. . NSV Government: Family a Community Services. https://www.nsw.gov.au/
-
Elsahar, Y., Hu, S., Bouazza-Marouf, K., Kerr, D., & Mansor, A. (2019). Augmentative and alternative communication (AAC) advances: A review of configurations for individuals with a speech disability. Sensors, 19(8), 1911. https://doi.org/10.3390/s19081911.
-
Flores, C., & Dada, S. (2024). The effect of AAC training programs on professionals’ knowledge, skills and self-efficacy in AAC: a scoping review. Augmentative and Alternative Communication, 1-13. https://doi.org/10.1080/07434618.2024.2381462.
-
Foley, B. E., & Staples, A. H. (2003). Developing augmentative and alternative communication (AAC) and literacy interventions in a supported employment setting. Topics in language disorders, 23(4), 325-343. http://dx.doi.org/10.1097/00011363-200310000-00007.
-
Ganz, J. B., Goodwyn, F. D., Boles, M. M., Hong, E. R., Rispoli, M. J., Lund, E. M., & Kite, E. (2013). Impacts of a PECS instructional coaching intervention on practitioners and children with autism. Augmentative and Alternative Communication, 29(3), 210-221. https://doi.org/10.3109/07434618.2013.818058.
-
İnce, M., Kılıç, Y., & Şafak, P. (2023). Özel eğitim öğretmenlerinin alternatif destekleyici iletişim sistemlerine (ADİS) ilişkin görüş ve önerileri. Kocaeli Üniversitesi Eğitim Dergisi, 6(2), 654-673. https://doi.org/10.33400/kuje.1340217.
-
Johnston, S. S., Reichle, J., & Evans, J. (2004). Supporting augmentative and alternative communication use by beginning communicators with severe disabilities. https://doi.org/10.1044/1058-0360(2004/004).
-
Kemp, C., & Hayes, A. (2005). Early intervention in Australia: The challenge of systems implementation. In The developmental systems approach to early intervention (pp. 401-423). Paul H. Brookes Publishing.
-
Koçak, A. N., Çetinkaya, H., Beniz, R. N., & Karatekin, A. N. (2023). An Investıgatıon Of Turkısh Speech And Language Therapısts’thoughts On Alternatıve And Augmentatıve Communıcatıon Systems. Atlas Journal of Medicine, 4(10). https://doi.org/10.54270/atljm.2024.58.
-
Kovacs, T. (2021). A survey of American speech-language pathologists' perspectives on augmentative and alternative communication assessment and intervention across language domains. American Journal of Speech-Language Pathology, 30(3), 1038-1048. https://doi.org/10.1044/2020_AJSLP-20-00224.
-
Marshall, J., & Goldbart, J. (2008). ‘Communication is everything I think.’Parenting a child who needs Augmentative and Alternative Communication (AAC). International Journal of Language & Communication Disorders, 43(1), 77-98. https://doi.org/10.1080/13682820701267444.
-
Marvin, L. A., Montano, J. J., Fusco, L. M., & Gould, E. P. (2003). Speech-language pathologists' perceptions of their training and experience in using alternative and augmentative communication. Contemporary Issues in Communication Science and Disorders, 30(Spring), 76-83. http://dx.doi.org/10.1044/cicsd_30_S_76.
-
Murray, J., Lynch, Y., Goldbart, J., Moulam, L., Judge, S., Webb, E., Jayes, M., Meredith, S., Whittle, H., & Randall, N. (2020). The decision-making process in recommending electronic communication aids for children and young people who are non-speaking: the I-ASC mixed-methods study. Health Services and Delivery Research, 8(45), 1-158. https://www.journalslibrary.nihr.ac.uk/hsdr/hsdr08450.
-
Oommen, E. R., & McCarthy, J. W. (2015). Simultaneous natural speech and AAC interventions for children with childhood apraxia of speech: Lessons from a speech-language pathologist focus group. Augmentative and Alternative Communication, 31(1), 63-76. https://doi.org/10.3109/07434618.2014.1001520.
-
Servi, C., & Baştuğ, Y. E. (2021). Alternatif ve Destekleyici İletişim Sistemlerine Yönelik Tutum Ölçeğinin Türkçeye Uyarlanması. İnönü Üniversitesi Eğitim Fakültesi Dergisi, 22(3), 2531-2558. https://doi.org/10.17679/inuefd.1003261.
-
Shahbaz, N., Rashid, A., Khan, M. A., Naz, A. M., Noreen, H., Hassan, S. B., & Faridi, T. A. (2022). Awareness of Augmentative and Alternative Communication among Final Semester Students of SLP: Augmentative and Alternative Communication among Students of SLP. Pakistan BioMedical Journal, 5(3), 64-67. https://doi.org/10.54393/pbmj.v5i3.135.
-
Siu, E., Tam, E., Sin, D., Ng, C., Lam, E., Chui, M., Fong, A., Lam, L., & Lam, C. (2010). A survey of augmentative and alternative communication service provision in Hong Kong. Augmentative and Alternative Communication, 26(4), 289-298. https://doi.org/10.3109/07434618.2010.521894.
-
Subihi, A. S. (2013). Saudi Special Education Student Teachers' Knowledge of Augmentative and Alternative Communication (AAC). International Journal of Special Education, 28(3), 93-103. http://www.internationaljournalofspecialeducation.com.
-
Taherdoost H. (2017). Determining Sample Size; How to Calculate Survey Sample Size. International Journal of Economics and Management Systems.: 2; 237-239.
-
World Health Organization (2001). International classification of functioning, disability and health: ICF. Retrieved from http://www.who.int/classifications/icf/training/icfbeginnersguide. pdf.
-
Wormnæs, S., & Abdel Malek, Y. (2004). Egyptian speech therapists want more knowledge about augmentative and alternative communication. Augmentative and Alternative Communication, 20(1), 30-41. https://doi.org/10.1080/07434610310001629571.
-
Yaşa, İ. C., & Tokalak, S. (2023). Turkish speech-language therapists' perceptions and experiences of augmentative and alternative communication. The European Research Journal, 9(5), 948-962. https://doi.org/10.18621/eurj.1281464.
-
Zarifian, T., Malekian, M., & Azimi, T. (2021). Iranian Speech-language Pathologists’ Awareness of Alternative and Augmentative Communication Methods. Iranian Rehabilitation Journal, 19(1), 41-50. http://dx.doi.org/10.32598/irj.19.1.991.1.