Collaborer avec l'entourage pour mieux implémenter une CAA

Communication partner instruction of individuals using augmentative and alternative communication (AAC) is a huge challenge for speech and language therapists. The purpose of this article was to identify the active ingredients of AAC communication partner interventions based on available data. In a first step, we identified targets and implementation strategies that have been shown as effective in parent implemented communication interventions with young children. In a second step, these data were supplemented by studies on the training of communication partners in the context of the use of AAC. Taken together, these studies point out that the most effective targets to improve the interaction style of partners consist in training their responsiveness and use of language models. Pragmatic outcomes (e.g., turn-taking), the access to spontaneous communication and a support for understanding have to be added for AAC interventions. To achieve this, the instructional methods employed with communication partners should include various combinations of implementation modalities (e.g., information sharing, modeling, guided practice, verbal rehearsal and feedback). Verbal rehearsal was shown to have a key role for the efficacy of the implementation. Finally, the communication partner's proficiency level with the AAC device should also be considered.