Literacy, or the ability to read and write, is an important skill needed for everyday life. Literacy skills are crucial for academic success, vocational success, connecting with peers, and furthering cognitive skills. For augmentative and alternative communication (AAC) users, providing a literacy-rich environment allows the opportunity to expand communication skills. Below are some key factors to consider when working on reading skills with AAC users.
Targeting Emergent Literacy Skills
This is an area that is often overlooked due to the fact that some emergent literacy skills require verbal output from the student in a typical teaching setting. However, these skills are crucial in laying the foundation for reading. There are multiple ways to target these skills for AAC users:
Book Handling Skills: Allow the student to familiarize themselves with the physical print structure of books (which way to hold the book, turning the pages, etc.). After they become familiar with this, help them become familiar with the text (identifying that the title is the largest print on the cover, there is text on the pages, etc.).
--> Example: Instructors can “sabotage” the situation by giving the student the book upside down and backwards to see if they will orient the book correctly. As students advance, instructors could ask students to point to the title, point to the text on a specific page, etc.
Phonological Awareness: In order to develop strong reading skills, phoneme-grapheme correspondence must be established. AAC users may have a harder time developing this skill set due to the auditory nature of this learning.
--> Example: Present the student with a few letter cards. Have the student point or look at the letter that corresponds to the sound the instructor auditorily produces.
Decoding Skills: Once phoneme-grapheme correspondence has been established at the letter level, the next step would be to continue to develop these skills at the word level.
--> Example: Present the student with a few word cards. Have the student point or look at the word that corresponds to the auditory production of the word that the instructor produces.
Developing Reading Skills
Shared reading experiences provide the student with the opportunity to grow their reading skills, as well as their conversational language skills. Historically, reading partners of AAC users tend to monopolize the conversation during the reading experience. Giving the student space to interact and respond to the text is essential to growing reading and conversational skills. Instructors should also make sure that the student’s device is present during the interaction in order to give them the appropriate tools to communicate.
Choosing a text that is repetitive in nature allows more opportunities for the client to engage, as they can predict the language structure of what is coming. This also provides multiple opportunities for the instructor to model engagement in a repetitive manner.
--> Examples of books that are repetitive in nature: Brown Bear Brown Bear by Eric Carle, Five Little Monkeys Jumping on the Bed by Eileen Christelow, Goodnight Moon by Margaret Wise Brown
--> Example: In the book Brown Bear, Brown Bear, model the word “see” on the AAC device, every time the word “see” is used in the book. After a few times, the instructor should encourage the student to choose the word “see” on the AAC device every time they hear it in the story.
Adapting the reading material to fit the reader’s specific needs promotes higher engagement, which in turn fosters an environment for learning. Providing some high-frequency AAC symbols throughout the book alongside the text allows readers to engage with the text even if they do not have the skillset to identify every word on the page. An example of a symbolated book page from There is a Bird on Your Head! by Mo Willems is shown below. Symbols should mainly consist of words that the student is familiar with, and a few new target words to find. The instructor should encourage the student to find these words on their device as they come up in the story.
This is a symbolated storybook page from There is a Bird on Your Head! By Mo Willems. Only keywords are chosen to be symbols, which reduces visual clutter on the page and emphasizes the main ideas. Encourage the student to find these words on their AAC device during reading.
Some books require extremely specific vocabulary in order to engage with the text. Developing low-tech core boards that are specific to the book would be useful during discussions and related activities with the book. An example of a core board for the book I Really Like Slop! By Mo Willems is shown below.
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This is an example of a low-tech core board for the book I Really Like Slop! By Mo Willems. This board gives the student easy access to main character names (Gerald, Piggie), novel words (slop), and common words that might be used to describe the text (eat, like, don’t like).
Finally, find books that reflect the unique interests of the student. This will increase motivation and enjoyment levels, which in turn will result in greater AAC usage and learning outcomes. Happy reading!
Resources
American Speech-Language-Hearing Association. (n.d.). Augmentative and alternative communication (AAC). American Speech-Language Hearing Association. https://www.asha.org/Practice-Portal/Professional-Issues/Augmentative-and-Alternative Communication/#collapse_1
Enhancing AAC interventions with literacy skills: Strategies for SLPS and educators. Able Net, Quick Talker Freestyle. (n.d.). https:// quicktalkerfreestyle.com/blog/enhancing-aac-interventions-with-literacy-skills/
Erickson, K. (n.d.). Reading comprehension in AAC. The ASHA Leader. https://leader.pubs.asha.org/doi/10.1044/leader.FTR1.08122003.6 Lambert, Susan (Host). (2021).
Science of Reading: The Podcast. https://www.buzzsprout.com/612361/episodes/7707625-s3-03-deconstructing-the-rope-phonological-awareness-with-louisa-moats
Leroux, E. L., Biggs, E. E., & Shin, D. E. (2024, January 11). Views of Parents on Supporting Language and Literacy for Their Children With Complex Communication Needs. ASHA Wire. https://pubs.asha.org/doi/10.1044/2023_LSHSS-23-00009?url_ver=Z39.88 2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Light,
J., & Kent-Walsh, J. (n.d.). Fostering Emergent Literacy for Children who Require AAC. ASHA Wire. https://leader.pubs.asha.org/ doi/10.1044/leader.FTR1.08102003.4
Threlkeld, M.S. CCC-SLP, K. (2022, September 13). Literacy intervention strategies for individuals who use AAC. Forbes AAC. https:// www.forbesaac.com/post/literacy-intervention-strategies-for-individuals-who-aac
Samperi, A. (n.d.). Amanda Samperi: Adapted books -- what are symbolated stories and how do we use them? - AAC in the Cloud 2017 conference. AAC in the Cloud. https://presenters.aacconference.com/videos/UXpZMg==
Spracher, M. M. (n.d.). Reading and writing (literacy). American Speech-Language-Hearing Association. https://www.asha.org/public/speech/ development/literacy/
Zangari, C. (2013, September 20). Literacy lessons for beginning AAC learners. PrAACtical AAC. https://praacticalaac.org/strategy/literacy lessons-for-beginning-aac-learners/


