Article

We explored the experiences of adults who received aids through the
Non-Electronic Communication Aids Scheme (NECAS). METHODS: Fifteen adults aged
21-74 years, with complex communication needs (nine males) associated with
developmental (n = 10) or acquired disabilities (n = 5) who received NECAS aids,
and 12 support people participated. Interviews provided data for thematic
analysis. RESULTS: Participants used multi-modalities, reflecting that there is
more than one way to communicate, but differed in using their augmentative and
alternative communication (AAC) aids according to time and place. How NECAS and
other forms of AAC, including electronic devices, were meeting communication
needs varied, and reviewing needs was needed. Participants reported being
empowered through reducing frustration, increasing independence and facilitating
relationships. There were varied preferences for low versus high tech, according
to speed of communication and tolerance for breakdowns. They differed in being
concerned about what other people think when aids were used in the community, and
reactions and attitudes of others. Owning the process emerged through varying
degrees of participation in developing and updating their NECAS and other aids.
CONCLUSIONS: The results are discussed in terms of the benefits of multimodal
options, consumer-desired outcomes in research into the effectiveness of AAC and
need for ongoing supports. Implications for Rehabilitation AAC includes both high
(assistive)-technology and low-technology options. In order to implement best
practice, AAC provision of low- and/or high-tech options must be driven by
individual needs rather than service limitations. In this qualitative study, the
benefits of access to various low- and high-tech AAC options to address needs and
preferences are demonstrated.

Langue : ANGLAIS