An AAC system needs to do more than allow the user to make choices or answer questions. Initiating conversation is an important communication function but one that is often difficult for AAC users with mobility challenges to master.
Initiating a conversation is difficult for T due to her many uncontrolled movements and difficulty in producing accurate, consistent vocalizations. The only consistent and reliable movement she has is that of her eyes. She is also seldom in the same position for an extended period of time as she exercises and changes position throughout the day. This means that having a stationary button to push, a specific symbol to look at or even using a gesture such as raising an arm or leg to signal that she has something to say is very difficult to implement.
As she is a teenager and understandably concerned about what she wears, we needed to come up with a way of having something on her body for her to look at to indicate that she has something to say without infringing on her 'style'. At first a bangle or watch were worn but these were not comfortable for her as they often got caught in her hair or scratched her due to her uncontrolled movements. Her mom found the perfect, thin bangle for her with a little charm on. The charm also got in the way so it was removed but the bangle is thin and discreet while still looking good.
Her carers now make sure that T wears her bangle each day. When she needs her communication book to be brought out, she looks at the piece of jewellery on her wrist to let her communication partners know. She does this very clearly, sometimes even lifting her arm to do so.
Our accredited online training courses offer tips on how to teach AAC users to initiate communication, develop consistent yes and no responses and other basic communication strategies. For more information, please click here.