Capitalizing on technology for developing communication skills in autism spectrum disorder: a single case study.

Purpose: In this case study, we discuss the application of a patient-centred clinical approach that led to the use of an assisted communication platform to combat severe communicative deficit in a child with autism spectrum disorder (ASD). Methods: Initial assessment at four years of age revealed th...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 14; no. 1; pp. 75 - 82
Autores principales: Mohan, Veena, Kunnath, Suja Kurian, Philip, Vineetha Sara, Mohan, Lakshmi Santha, Thampi, Neethu
Formato: case study tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2019
      vid: 14
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17483107.2017.1413144
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        atl: Capitalizing on technology for developing communication skills in autism spectrum disorder: a single case study.
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        au:
          Mohan, Veena
          Kunnath, Suja Kurian
          Philip, Vineetha Sara
          Mohan, Lakshmi Santha
          Thampi, Neethu
        affil: Department of Neurodevelopmental Sciences, National Institute of Speech and Hearing, Trivandrum, India
      sug:
        subj:
          Technology
          Autism Spectrum Disorder
          Patient Centered Care
          Alternative and Augmentative Communication
          Communication Skills
          Male
          Child, Preschool
          India
          International Classification of Functioning, Disability, and Health
          Activities of Daily Living
          Child, Preschool: 2-5 years
          Male
      ab: Purpose: In this case study, we discuss the application of a patient-centred clinical approach that led to the use of an assisted communication platform to combat severe communicative deficit in a child with autism spectrum disorder (ASD). Methods: Initial assessment at four years of age revealed that the patient had rudimentary communication skills, with significant sensory integration dysfunction manifested as oral, olfactory, and tactile seeking behaviours; self-stimulatory behaviour; and complete dependence on caregiver for activities of daily living. Intensive, multi-disciplinary intervention resulted in minimal improvement in communicative skills and sensory seeking over six months. Subsequently, a tailor-made picture-assisted communication training with the mother as the communication facilitator was adopted. This approach was abandoned due to the patient's poor response and mother's low acceptance of picture-based interaction. A preference for printed material was observed in the patient. Accordingly, further management was focused on employing a computer-based interactive platform that the patient was taught to use over the course of a few months as a part of augmentative and alternative communication (AAC) intervention program. This resulted in a remarkable improvement in the child's skills that now allowed for a better intentional communication of his thoughts and needs. Conclusions: This study highlights the importance of revisiting conventional rehabilitation strategies for communicative deficits and tailoring them according to the patient's needs and preferences. It also emphasises that besides excellent observation skills, clinicians must be willing to consider technology based approaches in patients responding poorly to traditional approaches in order to develop effective interventional programmes. Implication for Rehabilitation: The current study highlights the importance of exploring the application of technology based intervention for building communication skills in the early stages of rehabilitation for persons with communicative deficit. It also emphasises the need for excellent observation skills among clinicians so that the peculiar interests of children with ASD may be applied in designing training programmes to overcome communication barriers. Additionally, clinicians should familiarise themselves with the latest assistive technology-based rehabilitation approaches and be willing to explore newer approaches if traditional ones fail to yield satisfactory outcomes. Use of technology-based interventions to reduce dependence among persons with disability would be beneficial, both socially and economically, in developing countries with limited resources.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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