Advancing Literacy for AAC Users
Rose-Marie Gallagher, M.Ed., has been
involved in special education for 22 years as an elementary special
educator, inclusion teacher, and as the parent of a child with severe
communication and physical disabilities. She currently supports families
and professionals in meeting literacy goals for children with complex
communication and motor issues. This month, Rose-Marie shares some of
her ideas for teaching literacy to students who use AAC. Also look for
Rose-Marie at our AAC Institute Symposium in June, 2008. As always,
feel free to e-mail parents@aacinstitute.org with any comments or questions.
Robin
Along with other parents and teachers working
to teach non-verbal children to read, I find myself asking, “How
can I know how a child is reading when I can’t hear what’s
going on inside his or her head?” Unfortunately, the lack of an
answer may contribute to the alarming statistic that fewer than ten
percent of AAC users read beyond the second grade level (Erickson, 2003).
I’ve been searching for answers to this question in hope of improving
the literacy outcomes for children using AAC. I’d like to share
some of the things I’ve found with you here.
Literacy is made up of a combination of proficient reading
and writing skills, but it is more manageable to look at reading and
writing separately. If we look at the research on best practices in
reading instruction (National Reading Panel, 2000), we see that children
must master five skill areas if they are to develop strong reading skills:
phonemic awareness (understanding the sounds that make up words), phonics
(letter-sound relationships), fluency, vocabulary and comprehension.
Further evidence (Kame'enui et al, 1997) shows that phonemic awareness
and phonics are particularly critical in building a solid foundation
of reading skills, as children must be able to decode unfamiliar words
they find in text.
Much of what is taught in college about teaching decoding
skills involves listening to verbal output by children. Teachers traditionally
listen to students sounding out words and reading aloud so they know
when and how to help children who are having difficulty. Since reading
out loud is not an option for children using AAC, teaching them to identify
words by sight is a fairly universal strategy reported by their families.
Sight word recognition is an important reading skill but it does not
prepare learners with the full set of strategies they need to read and
write effectively.
When children are not able to let us hear how they read,
we have to look for other ways to understand how they’re reading.
One possibility is to look for ways to make reading “tangible.”
If we shift from thinking that reading must be heard to finding ways
that it can be handled or seen, we are no longer left locked outside
the child’s head. With creative supports, even children with severe
motor impairments can access “reading manipulatives” that
allow us to understand how they are reading.
In looking for approaches that might help our children
who use AAC, I found several exciting projects already in place to support
the “handling” or “watching” of sounds. One
of the newest is IntelliTools’ Classroom Suite 4, released in
December ‘07, whose reading strand is based on national standards
for reading instruction. This software includes some outstanding activities
in which children can manipulate sounds and letters on the computer
screen. In this way, they can experiment with sounds and read words
aloud similar to their speaking peers. Because of its universal design,
Classroom Suite 4 is highly suited to children with motor impairments.
It provides alternative access through keyboards, alternative keyboards
such as the IntelliKeys, switches, touch screens, head mice, joysticks,
and various other alternative input devices.
These sample phonemic awareness activities included
in Classroom Suite 4 are designed to teach children about the sounds
that make up words:

matching beginning sounds

sorting by ending sounds
A sample phonics activity available in Classroom Suite
4 is illustrated below:
building words with rimes (word families)
Karen Erickson and David Koppenhaver, highly
respected experts in the field of literacy and disabilities, recently
published a book on early literacy that belongs in every teacher’s
library. This book, Children with Disabilities: Reading and Writing
the Four-Blocks® Way, is based on Patricia Cunningham’s Four-Blocks®
literacy framework. It offers a variety of excellent strategies for
adapting reading and writing instruction for learners with disabilities.
Among other examples of phonemic awareness and phonics activities in
the “Working with Words” strand, Erickson and Koppenhaver
describe how word prediction software and eye pointing can be used to
improve letter-by-letter spelling, how to teach the spelling of unfamiliar
words using spelling patterns found in existing words, and how to use
visual supports to reinforce rhymes.
I was quite excited to find Words Their Way, 4th ed.,
by Donald Bear et al (Pearson Prentiss Hall, 2008), another outstanding
resource for making decoding and vocabulary skills “tangible.”
In addition to providing explicit instruction for phonemic awareness
and phonics, the Words Their Way program teaches children spelling patterns
and knowledge of roots, affixes, and word origins. In fact, Words Their
Way is designed to take students past 8th grade level word attack skills.
The program uses hands-on sorting or categorizing for manipulating sounds
and spelling patterns, working with whole words that students will encounter
in their reading. It offers plenty of practice using authentic words,
something that can be difficult to provide for children with severe
motor disabilities.
While Working Their Way was designed for general classrooms
and has been found to be particularly helpful for English Language Learners,
it lends itself to easy adaptation for non-verbal children and those
with motor impairments. These adaptations are not explained in the book
but the process of sorting manipulatives, once it has been worked out
for each student, can be repeated for many years of word study. If we
take a creative look at a wide variety of access modes, including eye
gaze, simple switches, speech-generating devices, computers, and other
means of access, we find the activities can be adapted quickly and easily.
Since WTW was created with general classrooms in mind, this ease of
adaptation makes it ideal for inclusive educational settings.

sorting by rimes, accessed by two switches (each naming a column
heading) and partner placing cards under the heading as directed

spelling patterns for a-e, ai, using WordSort® software, accessible
by mouse, switch, joystick

word cards used to show changes to word roots when
adding the suffix –ing
We’ve talked about reading skills
to this point and now I’d like to briefly turn our attention to
writing. Another exciting aspect of Words Their Way is its carryover
from reading into independent spelling and writing with word prediction.
Students must have a good grasp of spelling patterns, vocabulary, and
word derivation before they are able to write proficiently. While these
skills do not make up the full set of complex skills needed for advanced
writing, they are important tools that allow children to say more precisely
what they mean in their writing. When word choice and spelling come
easily to a child, more of their attention can be given to purpose,
audience, organization and other aspects of writing.
A further benefit from Words Their Way’s emphasis
on sorting words into categories, whether according to phonemes (sounds
in words), spelling patterns, word parts or language of origin, is that
it builds upon and reinforces the concept of categorization that many
speech-generating devices use to organize vocabulary. Whether a device
uses a page-based system or semantic compaction (i.e.: Minspeak), WTW
can reinforce the concept of organizing ideas into meaningful categories
for easy retrieval.
Phonemic awareness and phonics skills are important
parts of the bigger picture of literacy instruction that cannot be ignored
simply because we have historically lacked the tools or methods to teach
them. Instead, if we look at what has been developed for students with
special needs and those without, we may find ideas for ways to make
phonemic awareness and phonics accessible to children using AAC. By
providing a foundation of reading instruction that supports all the
recommended skill areas, we may be able to increase the number of AAC
users that achieve high levels of literacy.
Resources:
National Institute of Child Health and Human Development.
(2000). Report of the National Reading Panel. Teaching children to read:
An evidence-based assessment of the scientific research literature on
reading and its implications for reading instruction (NIH Publication
No. 00-4769). Washington, DC: U.S. Government Printing Office.
Bear, D.; Invernizzi, M.; Templeton, S.; Johnston, F.
(2008) Words Their Way: Word Study for Phonics, Vocabulary, and Spelling
Instruction, 4th Edition. Columbus, OH: Prentice Hall.
Cunningham, P.; Hall, D.; Sigman, C. (1999). The Teacher’s
Guide to the Four Blocks: A mulitmethod, multilevel framework for grades
1-3. Greensboro, NC: Carson-Delosa.
Erickson, K. (2003, June 24). Reading comprehension
in AAC. The ASHA Leader, Vol. 8, No. 12, pp. 6-9.
Erickson, K. and Koppenhaver, D. (2007) Children with
Disabilities: Reading and Writing the Four-Block Way®. Greensboro,
NC: Carson-Delosa.
Kame'enui, E. J., Simmons, D. C., Baker, S., Chard,
D. J., Dickson, S. V., Gunn, B., Smith, S. B., Sprick, M., & Lin,
S. J. (1997). Effective strategies for teaching beginning reading. In
E. J. Kame'enui, & D. W. Carnine (Eds.), Effective Teaching Strategies
That Accommodate Diverse Learners. Columbus, OH: Merrill.
See also:
Light, J. and McNaughton, D. (2006) Maximizing the Literacy Skills of
Individuals Who Require AAC. Pennsylvania State University. AAC-RERC
webcast. Retrieved Dec. 3, 2007, from http://www.aac-rerc.com/index.php?option=com_content&task=view&id=136&Itemid=153
I (Rose-Marie Gallagher) can be contacted at don_gal_3@msn.com.
Your feedback is always valued. parents@aacinstitute.org.
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