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Table 5.3. Examples of no- and low-tech AT tools for communication and augmentative and alternative communication (AAC) intervention

AT tool Features Purpose Example of implementation Examples/source
Communication photographs Individual photographs, Direct select to point to or handle photographs, Eye gaze when mounted on clear plastic eye-gaze tool Includes individual photographs of child's familiar receptive vocabulary and novel links to objects in environment to build communicative intent Select appropriate number and size of photographs for individual child, Position photograph in front of object to link symbol to object Digital photographs of actual items, people actions, places, and feelings of children's environment
Communication book Photograph book, Clear pages, Velcro backing on photographs, Adult assists in selecting photographs Photograph communication aids in photograph album format or individual photographs with digital camera Provide photographs to support making the transition to symbolic language Digital camera, Color printer, Inexpensive photograph album with soft photographic on each page to store photographs of child's relevant vocabulary
Visual scene Large photograph of familiar environment, Access with pointing or eye gaze, Individual vocabulary on small, laminated squares with Velcro backing Depicts relevant actions, people, and interactions as context to build vocabulary beyond nouns Introduce photograph prior to activity, Preview what the child will see, do, and experience Digital photograph printed in page size, Page protector or laminated
Communication icons with printed label Individual icons on single cards/laminated, Direct select to point or handle, Eye gaze when mounted on clear plastic with Velcro backing Represents objects, people, and other vocabulary in higher level of symbolic representation Review after activity to create a story; Cover elements that are relevant for child - who, what, where, how, why, and feelings Small photographs mounted on sticky-back foam and covered with contact paper or laminated, Velcro backing on photographs, Boardmaker Plus from DynaVox ($300), Overboard from Gus, Inc. ($200), Symbol Stix from Symbol Stix ($100 yearly subscription)
Activity board Various sizes and number of photographs/icons on board, Direct access, eye gaze, or partner-assisted scanning Show steps of activities in sequence with core words in same place on repeated boards, Color code for core activity or "finger" vocabulary Adult uses aided language stimulation (ALS) to highlight words, waits for child's response to support comprehension and expressive language Unity Symbols from Prentice Romich ($50), Poetry Boards from Talk to Me Technologies ($70), Boardmaker Software
Storyboard/song board Various sizes and number of photographs/icons on board to show key concepts in song or story, Direct access, eye gaze, or partner-assisted scanning Photograph/picture icon display with concepts/words from song or story Adult highlights words in song or story using ALS to support comprehension and expressive language Teacher-made materials, Making Language Visible CD from Creative Communicating ($50)
Clock scanning communicators Switch scanning with clock face and choice of objects, photographs, and icons, Scanning access with switch activation Provides visual display of communication choices on clear plastic clock face, Icons/objects can be changed, Method for assessment and learning step scanning Place selected object/photographs/icons on clock face as appropriate for individual child's needs and selected activity Clock communicators available from Enablemart ($115-$130)