Developing Augmentative and Alternative Communication Competence in Preservice Speech-Language Pathologists: A Collaborative Model for Clinical Educators
Publication: American Journal of Speech-Language Pathology
Volume 33, Number 1
Pages 1-15
Abstract
Purpose:
Practicing speech-language pathologists (SLPs) reveal a perceived lack of preparedness to deliver augmentative and alternative communication (AAC) services. This is concerning because it is indicative of inadequate graduate training in AAC. The purpose of this clinical focus article was to present a collaborative model of clinical education for AAC preservice training. This clinical focus article will provide recommendations to support practicing SLPs in the provision of effective clinical instruction for preservice clinicians working with individuals with complex communication needs who require AAC.
Method:
There is an urgent need for improved training for clinical educators providing instruction in AAC. In this clinical focus article, a literature review of the existing evidence regarding best practices in clinical education and AAC training for SLPs was completed to explore current theoretical and practical approaches. The evidence was utilized to create a collaborative model of recommended clinical education in AAC.
Results:
There is limited guidance for clinical educators when it comes to training preservice clinicians. This clinical focus article provides recommendations for AAC training of preservice SLPs by clinical educators in the field of speech-language pathology.
Conclusions:
The collaborative model proposed in this clinical focus article delivers a roadmap to guide practicing SLPs in the development of AAC clinical competence of preservice clinicians. Future research is needed to evaluate the effectiveness of the model.
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References
American Speech-Language-Hearing Association. (2008). Clinical supervision in speech-language pathology [Technical report]. http://www.asha.org/policy
American Speech-Language-Hearing Association. (2016). Scope of practice in speech-language pathology [Scope of practice]. http://www.asha.org/policy/
American Speech-Language-Hearing Association. (2020). 2020 Standards and implementation procedures for the certificate of clinical competence in speech-language pathology. https://www.asha.org/certification/2020-slp-certification-standards/
American Speech-Language-Hearing Association. (2023). Code of ethics [Ethics]. http://www.asha.org/policy/
American Speech-Language-Hearing Association. (n.d.-a). Augmentative and alternative communication (AAC). https://www.asha.org/njc/aac/
American Speech-Language-Hearing Association. (n.d.-b). Clinical education and supervision. https://www.asha.org/practice-portal/professional-issues/clinical-education-and-supervision/#collapse_1
Anderson, J. (1988). The supervisory process in speech-language pathology and audiology. College-Hill Press.
Aronson, L. (2011). Twelve tips for teaching reflection at all levels of medical education. Medical Teacher, 33(3), 200–205.
Assistive Technology Industrial Association and Human Service Institute. (2011). The critical need for knowledge and usage of AT and AAC among speech-language pathologists. https://www.atia.org/wp-content/uploads/2018/12/ATIA-SLP-Survey-2011.pdf
Assistive Technology Industrial Association and Human Service Institute. (2020). 2019 ATIA survey: Training needs in augmentative and alternative communication. https://www.atia.org/wp-content/uploads/2020/10/ATIA-Survey-White-Paper-Final-2020820_508.pdf
Barnum, M., & Guyer, S., (2015). The SQF mode of clinical supervision. [Workshop]. Council on Academic Programs in Communication Science & Disorders (CAPCSD).
Barnum, M. G. (2008). Questioning skills demonstrated by approved clinical instructors during clinical field experiences. Journal of Athletic Training, 43(3), 284–292.
Barnum, M. G., Guyer, M. S., Levy, L. S., Willeford, K. S., Sexton, P., Gardner, G., & Fincher, A. L. (2009). Questioning and feedback in athletic training clinical education. Athletic Training Education Journal, 4(1), 23–27.
Beukelman, D. R., & Light, J. C. (2020). Augmentative & alternative communication: Supporting children & adults with complex communication needs (5th ed.). Brookes.
Blackstone, S. W., Williams, M. B., & Wilkins, D. P. (2007). Key principles underlying research and practice in AAC. Augmentative and Alternative Communication, 23(3), 191–203.
Caty, M.-È., Kinsella, E. A., & Doyle, P. C. (2015). Reflective practice in speech-language pathology: A scoping review. International Journal of Speech-Language Pathology, 17(4), 411–420.
Collins, A., Brown, J. S., & Newman, S. E. (1989). Cognitive apprenticeship: Teaching the crafts of reading, writing, and mathematics. In L. B. Resnick (Ed.), Knowing, learning, and instruction: Essays in honor of Robert Glaser (pp. 453–495). Erlbaum.
Contreras, J. A., Edwards-Maddox, S., Hall, A., & Lee, M. A. (2020). Effects of reflective practice on baccalaureate nursing students' stress, anxiety and competency: An integrative review. Worldviews on Evidence-Based Nursing, 17(3), 239–245.
DeJarnette, K. M., & Wegner, J. R. (2020). Preservice education in augmentative and alternative communication: An update. Perspectives of the ASHA Special Interest Groups, 5(5), 1243–1261.
Dennen, V. P., & Burner, K. J. (2008). The cognitive apprenticeship model in educational practice. In D. Jonassen, M. J. Spector, M. Driscoll, M. D. Merrill, J. van Merrienboer, & M. P. Driscoll (Eds.), Handbook of research on educational communications and technology (pp. 425–439). Routledge.
Dietz, A., Quach, W., Lund, S. K., & MCKeLvey, M. (2012). AAC assessment and clinical-decision making: The impact of experience. Augmentative and Alternative Communication, 28(3), 148–159.
Douglas, S. N., West, P., & Kammes, R. (2020). The training experiences of augmentative and alternative communication practitioners in one midwestern state. Perspectives of the ASHA Special Interest Groups, 5(1), 219–230.
Dreyfus, S. E. (2004). The five-stage model of adult skill acquisition. Bulletin of Science, Technology & Society, 24(3), 177–181.
Dudding, C. C., McCready, V., Nunez, L. M., & Procaccini, S. J. (2017). Clinical supervision in speech-language pathology and audiology in the United States: Development of a professional specialty. The Clinical Supervisor, 36(2), 161–181.
Ende, J. (1983). Feedback in clinical medical education. Journal of the American Medical Association, 250(6), 777–781.
Geller, E., & Foley, G. M. (2009). Broadening the “ports of entry” for speech-language pathologists: A relational and reflective model for clinical supervision. American Journal of Speech-Language Pathology, 18(1), 22–41.
Goldman, A., Jackson, D., Kannan, K., Canter, C., Klein, C., Marshall, S., McNaughton, D., Paul, D., Rackensperger, T., Soto, G., & Zangari, C. (2021). Training needs in augmentative and alternative communication: A virtual roundtable discussion. Assistive Technology Outcomes & Benefits, 15(1), 1–28.
Johnson, R. K., & Prebor, J. (2019). Update on preservice training in augmentative and alternative communication for speech-language pathologists. American Journal of Speech-Language Pathology, 28(2), 536–549.
King, C., Edlington, T., & Williams, B. (2020). The “ideal” clinical supervision environment in nursing and allied health. Journal of Multidisciplinary Healthcare, 13, 187–196.
Klein, C. (2017). Communication and developing relationships for people who use augmentative and alternative communication. Assistive Technology Outcomes & Benefits, 11(1), 58–65.
Light, J., McNaughton, D., Beukelman, D., Fager, S. K., Fried-Oken, M., Jakobs, T., & Jakobs, E. (2019). Challenges and opportunities in augmentative and alternative communication: Research and technology development to enhance communication and participation for individuals with complex communication needs. Augmentative and Alternative Communication, 35(1), 1–12.
Mann, K., Gordon, J., & MacLeod, A. (2009). Reflection and reflective practice in health professions education: A systematic review. Advances in Health Sciences Education, 14(4), 595–621.
Markowski, M., Bower, H., Essex, R., & Yearley, C. (2021). Peer learning and collaborative placement models in health care: A systematic review and qualitative synthesis of the literature. Journal of Clinical Nursing, 30(11–12), 1519–1541.
Midtlin, H. S., Næss, K.-A. B., Taxt, T., & Karlsen, A. V. (2015). What communication strategies do AAC users want their communication partners to use? A preliminary study. Disability and Rehabilitation, 37(14), 1260–1267.
Moorcroft, A., Scarinci, N., & Meyer, C. (2020). ‘We were just kind of handed it and then it was smoke bombed by everyone’: How do external stakeholders contribute to parent rejection and the abandonment of AAC systems? International Journal of Language & Communication Disorders, 55(1), 59–69.
Nottingham, S., & Henning, J. (2014). Feedback in clinical education, Part I: Characteristics of feedback provided by approved clinical instructors. Journal of Athletic Training, 49(1), 49–57.
Ogletree, B. T., McMurry, S., Schmidt, M., & Evans, K. (2018). The changing world of augmentative and alternative communication (AAC): Examining three realities faced by today's AAC provider. Perspectives of the ASHA Special Interest Groups, 3(12), 113–122.
Peaper-Fillyaw, R., Bruce, M., Gavett, E., McCollum, M., Robinson, L., Scott, L., & Flahive, M. (2013). White paper: Preparation of speech-language pathology clinical educators [White paper]. Council of Academic Programs in Communication Sciences and Disorders. https://www.capcsd.org/academic-and-clinical-resources/
Pope, L., Light, J., & Franklin, A. (2022). Black children with developmental disabilities receive less augmentative and alternative communication intervention than their White peers: Preliminary evidence of racial disparities from a secondary data analysis. American Journal of Speech-Language Pathology, 31(5), 2159–2174.
Prezas, R. F., & Edge, R. L. (2016). An alternative to traditional SLP graduate student clinical training: Exploring collaborative clinical education models with faculty clinical supervisors. Journal of Phonetics & Audiology, 3(1). Article 1000122
Ramani, S., & Krackov, S. K. (2012). Twelve tips for giving feedback effectively in the clinical environment. Medical Teacher, 34(10), 787–791.
Ratcliff, A., Koul, R., & Lloyd, L. L. (2008). Preparation in augmentative and alternative communication: An update for speech-language pathology training. American Journal of Speech-Language Pathology, 17(1), 48–59.
Sauerwein, A., & Wegner, J. (2020). Clinical reasoning skills in AAC intervention planning: Investigating the expert–novice gap. Teaching and Learning in Communication Sciences & Disorders, 4(2).
Schön, D. A. (1987). Educating the reflective practitioner: Toward a new design for teaching and learning in the professions. Jossey-Bass.
Sheepway, L., Lincoln, M., & Togher, L. (2011). An international study of clinical education practices in speech-language pathology. International Journal of Speech-Language Pathology, 13(2), 174–185.
Soto, G., & Yu, B. (2014). Considerations for the provision of services to bilingual children who use augmentative and alternative communication. Augmentative and Alternative Communication, 30(1), 83–92.
Tayebi, V., Armat, M. R., Ghouchani, H. T., Khorashadizadeh, F., & Gharib, A. (2017). Oral versus written feedback delivery to nursing students in clinical education: A randomized controlled trial. Electronic Physician, 9(8), 5008–5014.
Wegner, J. (2007). Technology. Perspectives on Administration and Supervision, 17(1), 20–21.
Wolford, G. W., Wash, E., McMillon, A., & LaCroix, A. N. (2022). Collaborative vs traditional clinical education within speech-language pathology: Empirical findings [Paper presentation]. ASHA 2022 Convention, New Orleans, LA, United States.
Information & Authors
Information
Published In
American Journal of Speech-Language Pathology
Volume 33 • Number 1 • 3 January 2024
Pages: 1-15
PubMed: 37850831
Copyright
Copyright © 2023 American Speech-Language-Hearing Association.
History
- Received: Apr 6, 2023
- Revised: Jul 16, 2023
- Accepted: Aug 14, 2023
- Published online: Oct 18, 2023
- Published in issue: Jan 3, 2024
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