Welcome to the AAC ToolKit, compiled by me: Hanna Bogen! This is an evolving ToolKit of AAC resources (most of which were not developed by me) for children and adult clients who currently use or are being evaluated to use AAC! Stay posted for continual updates! Each post is a resource that can be used for either children, adults, or all AAC users!

In case you're wondering how to use this site most effectively, here are a couple pointers! Just below this "blurb" and to the right is a section called Types of Resources. This is a general categorization of the posts/tools into populations: adults, children and young adults, and all AAC users (both adults and children) and eval/assessment vs. intervention tools. You can click each of those general categories to find specific posts/tools that relate to those categories. Below that area is the Blog Archive, a list of all posts/tools on this site, in case you'd rather navigate through the resources in that way!

Wednesday, July 25, 2012

List of Language and Literacy Tests for Individuals using AAC


Resource Toolkit Assignment:  Resource Summary Sheet

1.     Name of the tool, or a brief description: List of Language and Literacy Tests for Individuals Using AAC

2.     What type of patient(s) would you use this tool/technique with?  (Describe by characteristics or by etiology.) This resource is intended to be used by the speech-language pathologist when determining what kinds of literacy and language assessments to use with a client during an AAC assessment. Since this includes both adult and pediatric-appropriate tests, the target client population is quite diverse.

3.     How/why would you use this tool?  In what way will it be helpful? I would use this resource when choosing an appropriate formal assessment tool for a pediatric or adult client. It’s critical that I (or any SLP) know the tests well enough to be able to determine which are normed for children and which are normed for adults. Testing the language and literacy abilities of a client is critical in determining the type of communicator they are and how to effectively program their device.

4.     What are the advantages of this tool/technique? This list is extremely well-organized by what is actually being tests. I also like that the tests are in alphabetical order.

5.     Are there any disadvantages to this tool/technique? I wish this tool were further organized by normed ages for each tests (so you would very quickly know which tests are appropriate for various client populations).

The next several questions relate to how you obtained this resource:
6.     If you used an existing tool, answer these two questions:
a)    Source/citation for this tool:   (whether published, or from a course, or SPHSC materials) This resource came from Dr. Dowden’s catalyst class page (which can only be accessed by current UW SLP graduate students).

b)    Did you modify this tool?  If so, in what way? No, I did not modify this tool.

c)     Anything you still don’t like about it and may change in the future? I would consider further organizing this list by normed age for each test!







List of Language and Literacy Tests for Individuals using AAC
Created by Dr. Pat Dowden

Assumptions:
1.    The common characteristic of these tests is that they can be administered (in whole or in part) to individuals who cannot speak but can select pictures/icons/text.
2.    Tests should be selected carefully based on the purpose of the testing as well as the target population, age and normative information on the test.
3.    The tests below test a wide range of abilities, from very simple to highly complex skills
4.    Whenever possible, standardized tests are preferred over non-standardized tests
5.    Whenever possible, standardized administration procedures should be used.
6.    If modifications have to be made, this must be stated when reporting the use of the test.
7.    One must not use a picture pointing test to assess an individual who is unreliable at pointing to pictures (whom I call “emerging” communicators).  This produces only unreliable information.

Tests of receptive language(Notice, these are in alphabetical order)
Receptive vocabulary:
1.    Battelle Developmental Inventories (Newborg et al., 1984)
2.    Boston Aphasia Examination (BAE)
3.    Bracken Basic Concept Scale – Revised (Bracken, 1998)
4.    Clinical Assessment of Language Comprehension (Miller & Paul, 1995)
5.    Clinical Evaluation of Lang. Fundamentals (CELF).  Selected subtests only.
6.    Communication and Symbolic Behavior Scales (CSBS) (Wetherby & Prizant, 1993)
7.    MacArthur Communication Development Inventories (Fenson et al., 1993)  This is parent report; what are the challenges?  Research has found high correlations between parent report and experimental probes
8.    OWLS:  Listening Comprehension Scale.  Can the results be parsed for knowledge of syntax?
9.    PLS:  Preschool Language Scale-4  or PLS-5.  Some portions of Auditory Comprehension testing.
10.Peabody Picture Vocabulary Test (PPVT)  (Dunn & Dunn, 1997)   One of the most commonly used tests
11.Receptive One-Word Vocabulary Test (ROWVT).  This may not be not as informative as the PPVT; Ceiling may be low.
12.Sequenced Inventory of Communication Development (Hedrick, Prather, & Tobin, 1984)
13.Test of Auditory Comprehension of Language (TACL)   Vocabulary subtest
14.Test of Language Development (TOLD)
15.Western Aphasia Battery (WAB)   Only portions of this test can be used.
Receptive syntax & morphology:
1.    Assessment of Children’s Language Comprehension (ACLC)   Very old test; tests from field of 3 pictures
2.    Auditory Comprehension of Language – Third Edition (Carrow-Woolfolk, 1999)
3.    Clinical Evaluation of Lang. Fundamentals (CELF) (Semel, Wiig, & Secord, 2003)  Selected subtests only.
4.    Test of Auditory Comprehension of Lang. (TACL).  Very old test, tests understanding of morphology & grammaticality judgment
5.    Test of Early Grammatical Impairment (TEGI) (Rice-Wexler) Early grammaticality judgment; for 4-9 years of age.  Child responds “right” or “not so good” by speech or pointing
6.    Test of Language Development (Hammill & Newcomer, 1996)
7.    Test for Reception of Grammar – Version 2 (Bishop, 2003)

Tests of Expressive languageThese are difficult to use well with AAC users because they may have no speech, or severely unintelligible speech, and/or limited vocabulary in a communication system and/or limited knowledge about accessing/finding that vocabulary for testing purposes.  However, testing may be possible if an individual speaks and that severely unintelligible speech becomes “comprehensible” to you in a narrow context.  You may be able to understand a correct answer from the child when the options are few.  Be careful using this method, however, because you may not recognize synonyms that would be equally correct, and you typically cannot test complex language this way.  But, to this end, you might be able to use:
1.    Expressive One-Word Vocabulary Test (ROWVT)
2.    Expressive Vocabulary Test (EVT)
Tests of Reading: (in alphabetical order)
Excellent online resource:  http://www.sedl.org/reading/rad/
1.    Analytic Reading Inventory (ARI).  Pointing to words, given sound of word; not for early readers
2.    Accessible Word Reading Intervention (AWRI) This is an intervention protocol but may have formal testing included. Software available for free from http://www.elr.com.au/apar
3.    CELF-Preschool 2:  Pre-Literacy Rating Scale.  Very early skills in emergent reading and writing
4.    Concepts about Print Test (Clay, 1979).  Preschool, e.g. orientation to page
5.    Concept of Word Test (Clay, 1979).  Elementary age vocabulary
6.    Dynamic Indicators of Basic Early Literacy Skills (DIBELS).  Preschool, pointing to pictures
7.    Gates MacGinitie Reading Test – 4th Edition (MacGinitie, MacGinitie, Maria, & Dreyer, 2000)  Variety of levels, Usually pointing or marking correct answer
8.    Group Reading Assessment and Diagnostic Evaluation (GRADE) (Williams, 2001)
9.    Peabody Individual Achievement Test – Revised – Normative Update (PIAT) (Markwardt, 1998)
10.Test of Early Reading Ability (TERA).  Normed to below 4 years
11.Test of Reading Comprehension – Third Edition (Brown et al., 1995)
12.Woodcock- Johnson III (Woodcock et al., 2001)  selected subtests

Tests of Spelling: (in alphabetical order)
1.    Developmental Spelling Test (Morris & Perney, 1984)  (dictation)
2.    Spelling Performance Evaluation for Language and Literacy (SPELL; Masterson et al., 2002).  (CD-ROM based, criterion referenced, prescriptive spelling assessment)
3.    Test of Written Spelling-4  (dictation)
4.    Wide Range Achievement Test (WRAT)  (dictation)
Important clinical note:  If the individual does well on spelling to dictation, you will need to test them again without an auditory model.  There are no tests that do this formally, but I’ve used the following informally:
5.    Wide Range Achievement Test (WRAT). Type/spell some words shown only picture
6.    EOWVT or EVT:  Type/spell words shown only picture

Tests/Measures of Phonological Awareness: (These include informal tasks, again in alphabetical order)
1.    Phonological Awareness Test (PAT) 2nd edition.  Particularly the Invented Spelling Subtest
Robertson & Salter, 2007
2.    Assessment of Language & Literacy (ALL).  Lombardino, Lieberman & Brown (2005)
Several useful subtests; particularly interesting is the Inventing Spelling Subtest. 
3.    Emerging Literacy & Language Assessment by Wiig & Secord (2006)   Ages 4-6, 9 – 11; most of the test is reported to be useful.   
4.    Assessment of Phonological Awareness and Reading  (APAR). Software available for free from http://www.elr.com.au/apar. The test was “…created to avoid spoken responses, … that could be administered to individuals despite their methods of communication”.
5.    Brigance:  “Basic Skills”  (I don’t have details on this yet.)
6.    C-TOPP:  Which version? Which subtest(s)?   (How would you decide)
7.    Rime/Rhyme    (From:  Rvachew et al, AJSLP 12, p. 463-471)
Task:  Listen to the name of the puppet and then look at 4 pictures.  Point to the picture that matched the puppet’s name. 
E.g.  Puppet = “Dan”  Options = car, house, boat, van
Variations:  might name the options for support
8.    Onset Matching:   (From:  Rvachew et al, AJSLP 12, p. 463-471)
Task:  Listen to the name of the puppet and then look at 4 pictures.  Point to the picture that starts with the same sound as his name. 
Example:  Stimulus = “Bill”; Field = hat, mat, bus, truck
Variations:  might name options for support
9.    Phonemic Perception/Discrimination:  (From:  Rvachew et al, AJSLP 12, p. 463-471)
10.Test of Phonological Awareness (Torgesen & Bryant, 1994)
Purpose: Assessing the child’s ability to discriminate between sounds articulated correctly from sounds articulated incorrectly.
Task: Children were to point to the px of the word they heard IF that word was produced correctly.  Example:  lake à “lake” or lake à “wake”
Stimuli:  presented with a px of target word (correct) and a large X (incorrect)

Common Phrases to Program on AAC Devices of Adults


Resource Toolkit Assignment:  Resource Summary Sheet

1.     Name of the tool, or a brief description: Common Phrases to Program on AAC Devices of Adults

2.     What type of patient(s) would you use this tool/technique with?  (Describe by characteristics or by etiology.) This is a varied list of phrases that could be included on the devices of many different adult AAC users. Although some of the phrases might also be useful for children, most are inappropriate for children to use with other children, because they don’t represent the kinds of utterances children use with one another. One category of phrases are especially helpful for including in AAC methods of individuals in the hospital, or for individuals who will likely be spending time in the hospital (programmed before a surgery or for individuals with degenerative conditions that may predict lots of hospital experiences in the future).

3.     How/why would you use this tool?  In what way will it be helpful? This tool includes a number of common, helpful phrases to program into a client’s AAC device, or to include on a low-tech communication board. Some are applicable in particular contexts, while others are far more generic. I would refer to this tool when programming a client’s device, updating their device, or creating a new AAC method in a particular context (e.g., the hospital).

4.     What are the advantages of this tool/technique? Although this list is far from exhaustive, there are lots of common phrases that might otherwise be forgotten when programming a device. I like that the original source attempted to group phrases by context.

5.     Are there any disadvantages to this tool/technique? This list is just a start for phrases that should be considered for any client who uses AAC. It becomes a dangerous and unhelpful tool if the SLP using it assume that only these phrases should be considered, or is unwilling to individualize phrases to each client (if need be).

The next several questions relate to how you obtained this resource:
6.     If you used an existing tool, answer these two questions:
a)     Source/citation for this tool:   (whether published, or from a course, or SPHSC materials) This tool is from a website entitled AAC Messaging and Vocabulary (http://aac.unl.edu/vbstudy.html), created by the Hattie B. Munroe and Barkley Memorial Augmentative and Alternative Communication Centers.

b)    Did you modify this tool?  If so, in what way? I combined some phrases from separate lists into a single list. There were many other phrases to add to this list, but this is a great start and I could always access the website to find more helpful phrases for a client’s device (or other AAC method).

c)     Anything you still don’t like about it and may change in the future? No matter how well you think you’ve grouped phrases by type, there is always so much crossover, and it’s important to recognize that the titles of each section may not most accurately describe how it should be included on a device.




Common Phrases to Program on AAC Devices of Adults
created by the Hattie B. Munroe and Barkley Memorial Augmentative and Alternative Communication Centers

Conversation Control Phrases
All I'm trying to say is
As I was saying
"Boy, I'm glad you called"
But guess what
Can I talk to you?
Change the subject
Could you repeat what you said
Did you understand?
Didn't you know that?
Do you know what he did?
Do you understand what I mean
Explain that to me
Guess what I've got
Haven't I met you before?
How about you?
How about you?
How are things going for you?
How come?
I don't understand your question
I don't want to interrupt
I forgot to mention
I have a great idea
I have news
I have to go
I just remembered
I know why
I need to explain
I really like to talk about it
I should explain
I want to know
I want to show you something
I want to talk to you about
I was just curious
I was just wondering
I was saying
I will see you
I'd better get going
I'd better go
I'll have to think of a few more questions
I'll let you know
I'll see you around
I'm curious about
I'm really glad you dropped by
I've got an idea
Is it a deal?
Is that okay?
Just one comment
Just one more thing
Let me answer
Let me tell you
Let me tell you about it
Let me tell you what I did
Let me tell you why
Let's see now
Listen to me
Over and out
Please don't interrupt
See you later
Tell me about it
Thanks for telling me
That's all I have to say
That's all that's happening
there was something else I was going to ask you
What are you going to do today?
What are you talking about?
What are you trying to tell me
What did she say?
What do you think
What do you think about that?
What happened?
What is it now?
What were you about to tell me?
What's up?
What's wrong?
Will I see you later?
You are not going to believe this
You don't have to go
You know something?
You know what I don't understand
You know what I think
Come right back please
Let me tell you why I was upset

Communication in the Hospital

Requests for Assistance 
suction
pain
change position 
bed
chair
up
down
left
right
turn
wipe
bedpan
urinal
medicine
call family
call nurse
Expression of feelings
angry
tired
sick
OK
good
better
worse
mad
fed up
lonely
worried
Body parts
leg
arm
head
stomach
foot
back
Physical state
hot
cold
hungry
thirsty

Conversational Interaction Communication

Initiations of subject/topic
What do you think about?
Tell me about?
I've been think about?
Did you know that?
Did you see?
I would like to?
I think that?
I've been meaning to tell you
By the way
I'd rather
Someday I want to
Topic continuations
And then...
Keep going.
Right.
Oh yeah.
Feedback to encourage and discourage comments
I agree.
That's right.
I don't doubt that.
I'm sure that's right.
You're right about that.
You're kidding.
I don't agree.
Do you really think so?
I don't think so.
I doubt that.
I'm not so sure.
Who said so?
You're wrong about that.
How do ya' know?
You missed the boat.
Communication repairs/corrections
What do you mean?
You misunderstood.
Wait, let me rephrase that.
No, I meant something else.
I don't understand.
Excuse me for interrupting.
Just a minute, let me think about that.
That's not what I meant.
No, no, no.
What did you say?
Say that again, I missed it.
I get it.
I don't get it.
Who are you talking about?
Huh?
Ah, now I see.
I'm going to start over.
Disagreements/agreements
I agree.
That's right.
I don't doubt that.
I'm sure that's right.
You're right about that.
You're kidding.
I don't agree.
Do you really think so?
I doubt that.
I'm not so sure.
Who said so?
You're wrong about that.
How do you know?
I don't think so.
That's true.
That's a possibility.

Generic Responses Phrases


Anything's possible 
Are you crazy? 
Are you serious? 
As far as I'm concerned 
As much as I can 
As usual 
Beats me 
Believe me it is 
Blows that theory all to hell 
Boy do I ever know 
Can you beat that? 
Come to think about it 
Don't encourage him 
Don't make me laugh 
Don't mess me up 
Don't worry about it 
Easy for you to say 
For all I know 
Forget about it 
Give me a break 
good idea 
Have a heart 
"Hey man, you've got a lot of gusts." 
Honest to goodness 
How about that 
How could I be mad at you? 
How did you know? 
How do they know. 
I always do 
I believe it 
I can handle it 
I can't 
I can't answer 
I can't believe it 
I can't figure that out 
I can't help it 
I can't remember 
I can't remember anything else 
I can't tell 
I can't think of anything 
I can't understand 
I certainly did 
I certainly don't mind 
I could probably do better 
I didn't know 
I didn't realize that 
I didn't say anything 
I didn't say it was true 
I do not have any idea 
I don't either 
I don't have any 
I don't have any idea 
I don't have much choice 
I don't have to 
I don't know 
I don't know about you. 
I don't know how 
I don't know which one 
I don't need it 
I don't need it anymore 
I don't really know how 
I don't really need it 
I don't really remember 
I don't think so 
I don't understand it either 
I don't want anything 
I don't want that 
I don't want to 
I don't' mean like that 
I don't' want it 
I doubt it 
I forgot 
I found it 
I gave my final word 
I guarantee it 
I guess 
I guess not 
I guess so 
I hadn't even thought about it 
I have no idea 
I haven't noticed any difference 
I haven't yet 
I hear you 
I hope it is 
I just don't feel like it 
I just don't think that's true 
I know 
I know it 
I know it's important 
I know that 
I know what you mean 
"I know, I don't need to be reminded" 
I promise 
I really do 
I really feel I can't do it. 
I really think its long enough 
I really try 
I said I was 
I still have to 
I suppose so 
I sure hope so 
I think it's only fair 
I think not 
I think that is unnecessary 
I think we ought to do that 
I though it would be good for me 
I thought I was through 
I thought so 
I thought you were going to 
I told you 
I told you I don't know 
I trust you 
I understand 
I understand that 
I was going to 
I was suppose to 
I was supposed to 
I was trying to tell you 
I will 
I will still need it 
I will try harder 
I wish I knew what happened 
I wish them luck 
I won 
I won't do that 
I won't guarantee anything 
I won't let him 
I wonder 
I'll ask him 
I'll check 
I'll come back 
I'll deal with it 
I'll decide later 
I'll keep an eye on that for you 
I'll plan on it 
I'll try 
I'm afraid I can't change that 
I'm afraid so 
I'm doing it anyway 
I'm game for trying that 
I'm just making a comment 
I'm not a child 
I'm not even sure I want the answers 
I'm not going anywhere 
I'm not talking about that
I'm not trying to put it off
I'm probably going to be sorry. 
I'm still thinking about it 
I'm suppose to 
I'm suppose to have 
I'm sure 
I've been told 
I've got no idea 
I've heard of that 
If I could I would 
If you want to 
Is there any doubt? 
Is there something wrong with that 
It certainly did 
It could have been 
It depends 
It didn't turn out that way
It doesn't matter 
It has to be 
It just seems to always happen like that 
It might work 
It might work out 
It really helps 
It's completely different 
It's the truth 
It's up to you 
Just fine 
Just looking 
Kiss my grits 
Let's not go into that again 
Let's not take it to extreme limits 
Let's try again 
Let's try it 
Looks like it 
Makes you wonder 
Maybe they do 
"Maybe, maybe not" 
Never mind 
Never you mind 
No joke 
No way 
"No, I'm not" 
Nobody told me that 
not much at all 
Not usually but in this case 
Of course 
Of course I do 
Oh darn 
Oh my God 
Okay gorgeous 
One never knows 
Please stop nagging 
Poor thing 
She didn't give me that impression 
So is mine 
So that's the way it is 
So what? 
Something like that 
Sure I am 
Thank God 
Thank the Lord for small favors 
That depends 
That didn't work 
That does the trick 
That is interesting 
That won't make a difference 
That's a deal 
That's all 
That's an idea 
That's enough 
That's got nothing to do with it 
That's it 
That's my choice 
That's my problem 
That's not right 
That's not the way it works 
That's okay 
That's right 
That's the last resort 
That's the truth 
That's the way its always been 
That's why 
There is nothing I can do about it 
There used to be 
There was something else 
There's got to be a better way 
There's got to be another
There's no way in the world 
There's nothing more 
They do the strangest things 
They told me that 
They usually do 
This is anticipated 
This is different 
"Unfortunately, yes" 
Want to bet? 
Well it sure feels like it 
Well it sure looks like it 
"Well, I wouldn't know about that" 
What an idea 
What else am I going to do? 
What luck 
What other choice do I have? 
Why not 
Yes, I was 
"Yes, I can" 
"Yes, I can do that" 
"Yes, you can" 
You are kidding 
You bet your britches 
You better not 
You can come up with something better 
You can give it to me 
You can say that again 
You can try but I doubt it 
You could not possibly understand 
You know how it goes 
You know they do 
You never know 
You said you'd try 
You should have told me 
You shouldn't have 
You're not supposed to 
You've go to be nuts 
You've got to be kidding 
What can I do?