TABLET-BASED AAC IN A KAZAKHSTANI SPECIAL SCHOOL: IMPLEMENTATION, PRACTITIONER WORKLOAD AND INDIVIDUAL RESPONSE
DOI:
https://doi.org/10.37943/AVFP6158Keywords:
non-verbal children, augmentative and alternative communication, AAC, Proloquo2Go, LetMe Talk, implementation, Kazakh-Russian bilingual classroom, symbol acquisition, special education, Kazakhstan.Abstract
Non-verbal children in Kazakhstani special schools communicate mainly through paper picture cards and gestures. This study followed twelve children aged 6 to 10 with autism spectrum disorder or severe developmental language impairment at Special School No. 3 in Karaganda through the 2024-2025 academic year. Six worked with Proloquo2Go or LetMe Talk on tablets; six continued with cards and gestures. Allocation was not randomised. Three measures were taken: video-coded spontaneous initiation at three points, a symbol test covering taught and untaught items, and the Vineland-3 Communication Domain, completed separately by teachers and parents.
The tablet group moved further on every measure and none of the differences reached significance, which six children per condition cannot deliver for effects of this size. Endpoint initiation averaged 7.4 per fifteen-minute window against 5.1. On untaught symbols the groups scored 42 and 26 per cent, the latter indistinguishable from guessing. Vineland change was 5.2 by teacher rating and 7.8 by parent rating in the tablet group, against 2.9 and 3.7 in the card group. Neither application speaks Kazakh, so every session ran with the device in Russian and the practitioner voicing the child's home language alongside it. This has nothing to do with which method won and everything to do with what deployment here actually involves. The six tablet children also ended the year further from one another than the group averages were from each other. Configuration cost about sixty practitioner hours, mostly in the first two months. For a school weighing this up, the useful question is which children respond, and these data cannot answer it.
References
Sterrett, K., Holbrook, A., Landa, R., Kaiser, A., & Kasari, C. (2023). The effect of responsiveness to speech-generating device input on spoken language in children with autism spectrum disorder who are minimally verbal. Augmentative and Alternative Communication, 39(1), 23–32. https://doi.org/10.1080/07434618.2022.2120070
Tamanaha, A. C., & Olivatti, D. O. F. (2023). Picture Exchange Communication System (PECS) implementation program for children with autism spectrum disorder. CoDAS, 35(4), e20210305. https://doi.org/10.1590/2317-1782/20232021305en
Koudys, J., Perry, A., Magnacca, C., & McFee, K. (2023). Predictors of Picture Exchange Communication System (PECS) outcomes. Autism and Developmental Language Impairments, 8. https://doi.org/10.1177/23969415231221516
May, R., Salman, H., O'Neill, S. J., Denne, L., Grindle, C., & Cross, R. (2025). Exploring the use of the Picture Exchange Communication System (PECS) in special education settings. Journal of Autism and Developmental Disorders, 55(2), 652–666. https://doi.org/10.1007/s10803-023-06194-1
Denne, L., Grindle, C., Apanasionok, M., & Hastings, R. P. (2024). Facilitators and barriers to the implementation of the Picture Exchange Communication System (PECS): A systematic review. Frontiers in Education, 9, 1206410. https://doi.org/10.3389/feduc.2024.1206410
Alfuraih, A., Almalki, A., & AlNemary, F. (2024). Effectiveness of picture exchange communication system in developing requesting skills for children with multiple disabilities. Frontiers in Psychology, 15, 1434478. https://doi.org/10.3389/fpsyg.2024.1434478
Yuan, W., Dunn, M., Kennedy, J., Hsiao, Y. J., & Poppen, M. (2024). Impact of speech generating device interventions on vocalizations of individuals with autism and severe communication impairment: A systematic review. Education and Training in Autism and Developmental Disabilities, 59(3), 233–256. https://doi.org/10.1177/215416472405900302
Alzahrani, A. (2024). Educational mobile apps enhancing communication skills in children with autism in Arab countries. Research in Autism Spectrum Disorders, 109, 102329. https://doi.org/10.1016/j.rasd.2024.102329
Alzyoudi, M., & Alghazali, F. (2025). Enhancing communication skills in students with autism. Educational Process: International Journal, 15, e2025174. https://doi.org/10.22521/edupij.2025.15.174
Flores, C., & Dada, S. (2025). The effect of AAC training programs on professionals' knowledge, skills and self-efficacy in AAC: A scoping review. Augmentative and Alternative Communication, 41(1), 65–77. https://doi.org/10.1080/07434618.2024.2381462
Gomez-Asencio, D., Gago-Valiente, F. J., Arana-Alvarez, C., & Moreno-Sanchez, E. (2025). Pedagogical interventions in augmentative and alternative communication (AAC): Therapeutic benefits in healthcare and quality of life. Frontiers in Communication, 10, 1584169. https://doi.org/10.3389/fcomm.2025.1584169
Ruiz-Martinez, A. (2025). Future technologies in alternative and augmented communication: A scoping review of innovations. Frontiers in Communication, 10, 1607531. https://doi.org/10.3389/fcomm.2025.1607531
Perelmutter, B. (2025). Digital technology interventions for communication skills in persons with neurodevelopmental disorders: A scoping review. Research in Developmental Disabilities, 104942. https://doi.org/10.1016/j.ridd.2025.104942
Gonzalez-Sanchez, M. (2026). Digital applications in the communicative development of people with ASD: A systematic review. Education Sciences, 16(2), 210. https://doi.org/10.3390/educsci16020210
Pitt, K. M., & Ousley, C. L. (2024). Leveraging communication partner speech to automate augmented input for children on the autism spectrum who are minimally verbal. American Journal of Speech-Language Pathology. https://doi.org/10.1044/2023_AJSLP-23-00224
Constantinescu, G. (2024). The influence of classroom context on AAC device use for nonspeaking school-aged autistic children. International Journal of Speech-Language Pathology, 26(3). https://doi.org/10.1080/17549507.2023.2220992
Joseph, A. P., & Babu, A. (2025). Redefining communication in mental healthcare: Generative AI for neurodivergent equity and non-verbal autistic inclusion. Frontiers in Psychiatry, 16, 1611101. https://doi.org/10.3389/fpsyt.2025.1611101
Beirat, M. A. (2025). Utilization of artificial intelligence and assistive technology in autism: Systematic literature review. Educational Process: International Journal, 17, e2025350. https://doi.org/10.22521/edupij.2025.17.350
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