Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers Selecting Symbol Sets: Implications for AAC Users, Clinicians, and Researchers 2007 ASHA Convenbtion Boston, MA SYMBOLS Mary Joan McClure, MS, CCC-SLP Elizabeth (Libby) Rush, MA, CCC-SLP, CPM Referent: that which is represented by the symbol SYMBOLS ICONICITY Unaided symbols are those made through sound or movement of the body Refers to the continuum that describes symbols by ease of recognition Symbol: “something that stands for or represents something else” (Vanderheiden & Yoder, 1986, p. 15) Speech Sign Gesture Facial Expression Aided symbols are those that require some type of device or equipment external to the human body (Lloyd & Fuller, 1986) Transparent symbols are at one end of the iconicity continuum. These symbols visually resemble their referents and thus are high in guessability. Opaque symbols are at the other end of the continuum. The visual relationships to their referents are not obvious and may be quite arbitrary. Translucent symbols are in the middle of the iconicity continuum. Additional information is needed to be guessable. These symbols are often described in terms of their learnability. Bloomberg et al., 1990; Fuller & Lloyd, 1991 ICONICITY Iconicity is culture bound, time bound, and experience bound (Brown, 1977) Understanding is not the result of the symbol’s resemblance to its referent; rather, occurs because people have learned to read or recognize symbols (Schlosser & Sigafoos, 2002) Iconicity facilitates learning of symbols (Bloomberg et al., 1990) Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM ICONICITY Graphic symbol displays tend to contain a preponderance of noun pictures because other parts of speech such as verbs are much harder to depict graphically. “Nouns… are the easiest to represent graphically because the bundles of characteristic or salient features of the referent are preserved in the graphic” (Bloomberg, et al., 1990, p. 723) Low frequency of verbs on AAC displays is problematic for development of syntax because verbs are essential for constructing sentences. (Sutton, Soto, and Blockberger, 2002) 1 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA ICONICITY It is possible for a symbol set to be more iconic than another set, yet have symbols that are less iconic than those symbols with the same referents from the other set. “It is very possible that systems and sets may internally differ in the amount of perceived iconcity present across… word classes” (Bloomberg et al., 1990). ICONICITY Interventionists may be well advised to consider more iconic symbols for an initial request lexicon, especially for those with intellectual disabilities, multiple disabilities, autism and receptive language delays (Schlosser & Sigafoos, 2002) Iconicity has a “facilitative effect on the learning of graphic symbols by individuals with severe chronic aphasia” (Koul & Harding, 1998) ICONICITY There is no single, ideal symbol set in terms of iconicity, or ease of recognition or learning There are few published guidelines to direct practitioners through the process of determining the optimal symbol set for any given individual or groups of individuals REALISM AIDED SYMBOL TYPES Objects Texture cues or symbols COPPS Photographs Line Drawing (black & white) Line Drawing (color) Realistic (black & white) Realistic (color) Picture Scenes (black & white) Picture Scenes (color) Orthography Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Studies have focused on picture naming vs. use of symbols for communicative functions (Schlosser, 2003) No conclusive evidence regarding the effects of realism on picture naming No accepted means of measuring what is “realistic” (Levie, 1987) Our experience: the extensive artistic detail required to make a picture “realistic” sometimes interferes with recognition/use AIDED SYMBOL TYPES Can vary from very concrete to abstract Are a continuum rather than a hierarchy May be two or three dimensional 2 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA BE CLIENT-CENTERED IN SYMBOL SET SELECTION FACTORS IN CHOOSING SYMBOLS Amount of vision Amount of hearing The situation Individual preferences Age appropriateness Cultural or ethnic influences Motor abilities Skill Levels Know the individual's preferences Identify and analyze daily communication needs in various environments Consider communication partners Cognition, perception, processing RE: CHOOSING SYMBOL SET SELECTION SHOULD BE EVIDENCE-BASED Choosing symbol sets for clinical practice is a subjective decision, determined by what the practitioner thinks the individual can use and what symbol set might be easiest for the practitioner to employ (e.g., PCSs provided in an organized format and displayed easily via computer software program) (Romski & Sevcik, 1996) “A practitioner who uses Picture Communication Symbols with a given child just because they are on his or her bookshelf would be following the principle of expedience…. Clearly, habit or expedience would be unacceptable sources for decision making in EBP.” (Schlosser & Raghavendra, 2003, p. 262) Comparing Two Symbol Sets General Principles for Consideration in Symbol Set Selection Adults were asked preference between Gus Overboard symbols and Mayer-Johnson Picture Communication Symbols Neither set was highly preferred by any age group Individuals did have preferences; therefore, no set should be routinely chosen over the other without considering client and family input (Scherz et al., 2006) Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Don’t assume that someone with multiple impairments has the same learning style as someone with normal sensory input or perceptions Remember that AAC systems usually employ more than one type of communication (i.e., AAC is multimodal) Start small yet plan for the future Symbols are a continuum rather than a hierarchy 3 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA The SSR The SSR Symbol Set Review Symbol Set Review More Options Available Though similar often have salient differences Individualization Management of communication system design & development SYMBOL EVALUATION MATERIALS The SSR was developed to guide consideration of A symbol set’s purpose Parameters Usability Iconicity VOCABULARY FOR EVALUATION TOOLKIT Eat Drink Bathroom Music Dog Play (ball) Read (book) Playdough Bubbles Jewelry Money Help All done Want Mine More Stop Go Work Television Based on research into early vocabulary development (Banajee, et al., 2003), the importance of requesting as an early communicative behavior, and the needs of our work environment. SCAFFOLDING Realize that the initial behaviors may not be intentional communication but rather the basis for developing communicative interaction. Start with the most abstract level that the individual can understand. It is far more important to establish communicative intent than to focus on progression through the continuum of symbols. Consider aided symbols as going along a continuum from textures to graphics. HOWEVER, remember symbols do not follow a hierarchy. Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Tactile Systems (Textured Symbols & Object Symbols) Systems Origins Began with individuals with dual sensory impairment (deaf/blindness) Let individual know what coming next Often associated with personal need routines (diaper changing/moving position/eating) Avoid startle response and forms of inappropriate behavior (Rowland & Stremel-Campbell, 1987) 4 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA Tactile Systems (Textured Symbols & Object Symbols) TACTILE SYSTEMS General Strategies for Use Pair with smell, temperature and texture/shape for more input (Rowland & Stremel-Campbell, 1987) Use consistently by all persons interacting with the individual in all environments Later give opportunity to make specific and active response (pre-intentional, pre-symbolic) ADVANTAGES OF USING TACTILE SYSTEMS Provides a receptive means of communication Adds structure to the environment Stimulates expressive communication Helps with learning sequences Concrete support for learning communication system Reinforces cause and effect Textured Systems Two Types Of Touch Perception of being touched Perception caused by touching Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Potential Users Beginning communicators Those with sensory impairment(s) Individuals with profound cognitive disabilities Acquired complex communication needs ADVANTAGES OF USING TACTILE SYSTEMS Aids in managing behavior Facilitates concept teaching Helps with making transitions Promotes understanding of representation (symbolism) Stimulates interaction with the environment Aids in acquiring organizational skills WHAT IS A TEXTURED SYMBOL? A textured symbol is a paired association between a texture and an object, activity (Murray-Branch et al., 1991) or concept Instead of a visible association, the relationship between the texture and referent occurs through the act of repeated pairings, using the sense of touch, of the texture to the real object or activity. This is similar to using words as abstract labels with the auditory sense. 5 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA TEXTURED SYMBOL Logical: symbol that can be logically associated with its referent (translucent) Piece of spandex representing swimming Piece of fake fur representing a fake fur vibrating pillow TEXTURED SYMBOLS Very individualized systems Few commercially available products Arbitrary: created association between texture and referent (opaque) Piece of corrugated cardboard representing vanilla ice cream WHY DO TEXTURED SYMBOLS WORK? Instantly recognizable, without significant cognitive processing and with little demand for investigation No need for spatial orientation or reference as with objects (Murray-Branch et al., 1991) Reduce demands on memory No demand for manipulation Can be displayed on a two dimensional surface Can be uniform across a presentation area of any size (Murray-Branch et al., 1991) TRANSITION TEXTURES Usually designed for a specific person or to teach a specific concept Each texture has a wristband and two matching 2½" x 3½" hand-washable fabric cards 10 textures - 30 pieces Velcro-backed for easy attachment to schedule boards Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM TRANSITION TEXTURES Adaptivation Communication or identification system offering a variety of different fabrics, each with a distinctive feel Produced by Speechables, sold by Adaptivation Developed to support transitions during the school day for students who were very tactile learners with cognitive and visual impairments SENSORY DISCRIMINATION KIT Enabling Devices Eight brightly colored holder (3" x 3") housed in an impactresistant frame (16” x 9”) Icons attached by Velcro, can be repositioned Contains: Unbreakable Mirror • Fine Sand Texture • Sparkle Holographic Film • Soft Fur • Large Black Bumps • Fuzzy Felt • Small Orange Bumps • Coarse Velcro Can be used for sensory evaluation, treatment or communication system 6 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers TEACHABLE TOUCHABLES Educational Insights/Augmentative Resources 10 sets of 2-3” textured squares or pillows To use as communication system or schedule, add Velcro hook fabric and place onto Velcro receptive communication or display board Storage bag Tip and activity sheets WHY DO OBJECT SYMBOLS WORK? Require minimal motor skills on part of user Require minimal memory skills on part of user (recognize from permanent array rather than recall) Relatively low demand on cognitive skills Make low demands on visual skills Ease of manipulation and tactile discrimination Iconicity: Bears obvious relationship to referent/low demand on user's representational skills (transparent to translucent) CHOOSING OBJECT SYMBOLS Use an object that is touched first or most frequently during an activity Use an object that can be recognized or readily associated with actual object Use objects that are very different from each other Use objects that can be readily presented at time of activity or routine Use referent that occurs frequently and is motivating Provide opportunity for frequent use In general, avoid miniatures Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM 2007 ASHA Convenbtion Boston, MA WHAT ARE OBJECT SYMBOLS? Object symbols are everyday objects used consistently to convey specific information. Object symbols are manipulable and bear a clear perceptual relationship to the referents. (transparent to translucent) Object symbols are created to match the cognitive abilities, sensory skills, and daily experiences of an individual. OBJECT SYMBOLS ARE THREE DIMENSIONAL SYMBOLS Possess height, width and depth Include continuum of choices • • • • Identical object Partial or associated object One or two shared features Created association Rowland & Schweigert, 2000 TEACHING OBJECT SYMBOLS May at first use actual object Use duplicate item (object symbol) to reinforce representation When possible have an exchange system Mount object symbol on board Change color, texture or size of object symbol (when needed) Use typical object as the symbol to represent adaptive equipment (regular spoon when person uses mother care spoon) 7 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA TALKING MY WAY FROM ADAPTATION OBJECT-SYMBOL RESOURCE, LLC Full size objects Different sets to meet individual needs Accessories, such as eye gaze boards, available Available at objectsymbol.com Created by Terri Nolder, available from Adaptivation Miniature objects mounted on 4" by 6" cards Set consists of 30 different objects mounted on laminated cards with matching MayerJohnson Picture Communication Symbols; option of child set or teen/adult set - $299 Self Care 5-pack set - $59.00 Use for schedule and choice making many settings (home, school, work site) TSBVI TSBVI STANDARD TACTILE SYMBOL SYSTEM Combination of object and textured symbols developed by the instructional staff Texas School for the Blind and Visually Impaired Differs from “textured communication systems” in that it is standardized and linguistically based The background is coded by shape and texture to represent different meaning categories Small common objects or parts of objects are glued to 2-3 inch background shape to represent specific vocabulary items http://www.tsbvi.edu/Education/vmi/tactile_symbols.htm Meaning/Category Potential Users System designed for people who are totally blind or function as if they were totally blind and who have a practical need for a graphic language system If residual vision is adequate, student should be taught to use a more conventional symbol system Requires the individual using the symbols to have specific skills in the areas of communicative intent and symbolic development Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Background/Texture Objects Oval Laminated plain posterboard Locations Square Needlepoint Backing (vinyl grid) Actions Triangle Felt People Circle Textured wall paper (bumpy) Time/Days of Week/Months Diamond Net/Foil Emotions Heart Plain poster board Function/Miscellaneous Trapezoid Lined Braille paper ADVANTAGES OF USING TSBVI’S SYSTEM TSBVI TACTILE SYMBOL SYSTEM Symbol/Shape Provides visually impaired sign language users a means of communication with others who do not sign May give concrete support during learning of spoken or sign language Allows greater independence in completing routines and identifying personal possessions “Do-it-yourself” system has the potential to save money 8 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA TACTILE TALK Symbol set development was started by the mother of a child with dual sensory impairment The symbols consist of small common objects, parts of objects, or an abstract representation Objects are glued to a 2-3 inch plastic background shape (borrowed from TSBVI) A small, standard set is available on the Symbol Communicator for the Blind from Enabling Devices: Eat, Bathroom, Something wrong, Drink, I want, Finished Symbols are ordered individually and customized for each person, and cost around $8.00 each from http://tactiletalk.com TANGIBLE SYMBOL SYSTEMS Design to Learn TACTILE TALK Advantages Symbols are: TM Developed by Charity Rowland and Philip Schweigert from the Oregon Institute on Disability and Development at the Oregon Health and Science University Not a symbol set, but a resource for development and implementation of an object, texture, or picture communication system with focus on establishment of communicative intent and functional communication WHAT ARE COPPS? COPPS are Cut Out Photos Pictures or Symbols which have been cut to maintain the appearance of the original photo, picture or symbol. When photos of objects are made into COPPS, it is ideal to maintain the size, shape and exact appearance of the object. Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Potential Users Tactile Talk is marketed for people who have a need for a graphic language system and are totally blind or have dual sensory impairment Permanent Manipulable Can be selected using a simple motor response such as touching TANGIBLE SYMBOL SYSTEMS TM Manual: $44.00 Instructions for selection and implementation of tangible symbols Reproducible forms for pretesting, data collection, and documentation of symbol acquisition Training Video/DVD: $31.00 Available at http://www.designtolearn.com COPPS Cut Out Photos Pictures or Symbols Potential Users Individuals with severe/profound cognitive disabilities Persons needing a bridge between actual objects and graphic representation Those who need concrete representation Those with severe processing disorders 9 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA ADVANTAGES TO COPPS Supports expressive communication while providing receptive means of communication Adds structure to the environment Possible support for transitioning from concrete to more abstract communication system Reinforces cause and effect ADVANTAGES TO COPPS Aids in managing behavior Facilitates concept teaching Promotes understanding of representation (symbolism) Stimulates interactions with others Possible to create displays with less bulk than those with objects WHY DO COPPS WORK? WHY DO COPPS WORK? Require minimal memory skills on part of user (Permanent from a display rather than recall) Relatively low demand on cognitive skills Makes low demands on visual skills Iconicity: Bears obvious relationship to referent/low demand on user's representational skills but supports learning symbolic functioning (transparent to translucent) Can be manually manipulated or explored much like an object Based on research trials of adolescents with severe MR matching objects to photographs vs. cut-out photographs (maintaining shape of object), it has been noted that some individuals may view cut-outs as objects rather than as representations of objects (Dixon, 1981) TRANSITIONING TO PHOTOGRAPHS PHOTOGRAPHS If transition to use of photographs is necessary, use the original full sized photograph of an object (the one from which the COPPS was made) and gradually increase the amount of background Cut into square or rectangular shape depending on photo Attempt to use minimal, then partial and finally full background A final step may include a full background with a white border much like many photos Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM A picture of a person or scene in the form of a print or transparent slide; recorded by a camera on light-sensitive material (from wordnet.princeton.edu) Typically of high-quality May be color or black-and-white 10 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA PHOTOGRAPHS ADVANTAGES OF USING PHOTOS Potential Users Individuals with vision and cognition adequate for comprehension of representation without the additional support of shape, dimension, texture, etc., provided by tactile symbols or COPPS Beginning communicators Individuals with severe cognitive disabilities Those with acquired communication disorders TIPS FOR IMPLEMENTATION OF PHOTOGRAPHS TIPS FOR IMPLEMENTATION OF PHOTOGRAPHS Consider the background Some people benefit from seeing the referent in its associated context Others need a solid background in a color that contrasts with the referent Different colors or materials absorb or reflect light in different ways; position referent in front of several possible backgrounds to obtain the best photo possible Scan photos of people, places, and past events that are meaningful to the client for inclusion in a communication board or device PICTURE THIS… SILVER LINING MULTIMEDIA, INC. High-resolution photos shot against a plain background to reduce potential for visual distraction Easy-to-use programs that allow formatting of photos into various sizes Standard edition: 2700 photos for $49.95 Professional edition: 5000 photos for $89.95 Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Research indicates that people with cognitive disabilities are able to match photos with referents (color more accurate than b&w, b&w photos more so than line drawings) (Mirenda & Locke, 1989; Sevcik & Romski, 1986) Many time-saving, high-quality photographs are available on CD-Rom or pre-printed from companies such as Attainment, Mayer-Johnson, Exceptional Speech Products and Silver Lining Multimedia Photos of an individual’s own family, friends, support staff, and possessions can be tangible and powerfully motivating symbols Take advantage of digital photography Memory is cheap - take multiple pictures of a referent to ensure a good photo Use a software program to crop background, and adjust features such as brightness and contrast a photograph taken without flash and enhanced by software can provide the same crisp features as using flash - but without the glare Save files in a format accepted by your favorite overlay making software (e.g., bmp, jpg, gif) LIFE IN FOCUS ATTAINMENT COMPANY 4800 digital photographs featuring places, people, objects, daily tasks and many other situation Subjects presented in the context as they would be seen on a daily basis Royalty-free, JPG files $79.00 11 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA ELLIECARDS PHOTO SENTENCE MAKER EXCEPTIONAL SPEECH PRODUCTS 5000 digital photographs and 11,000 words Enters photos as words are typed (words below, above or to side) Utilize to create photo stories, books, instructions and recipes Print or play on-screen $199.95 FROM EARLY LEARNING IMAGES CYRANO COMMUNICATOR TANGO from One Write Company Based handheld PDA with built-in HP Photosmart camera Uses a picture-based interface or textTM to-speech (Cyrano Shorthand ) Designed to be easily programmed by user or caregiver, with lay out and strategy developed by therapist Comes with a demo program with 45 pictures and 50 clip art images Can use any .bmp, .jpg, or .gif file (recommended max of 160x120 pixels) from BlinkTwice The Tango features a built-in camera. Photos can be immediately used as a symbol, and the messages they represent can be recorded or synthesized. WHAT ARE GRAPHIC SYMBOLS? (other than photos) Black and white line drawings Color line drawings Black and white realistic Color realistic Black and white scenes Color scenes GRAPHIC SYMBOLS Potential Users Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Complete set of picture cards intended as an AAC system for young children with special needs 192 elliecards = $133 With binder, color coded pages and choice board = $239 Custom add-on set of 16 cards = $100 Beginning communicators Persons with severe/profound cognitive disabilities Persons with acquired communication disabilities Individuals able to understand representation Nonverbal persons with limited motor skills 12 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers ADVANTAGES TO USING GRAPHIC SYMBOLS 2007 ASHA Convenbtion Boston, MA WHY DO GRAPHIC SYMBOLS WORK? Provides both receptive and expressive means of communication Supports language learning Enables wide vocabulary Aids in literacy learning Aids in concept development Permits interaction within daily environments Assists in socialization Depends on static rather than fleeting stimuli and responses (recognition vs. recall - Mirenda, 2003) Reduced demand on cognitive skills Can be individualized based on person’s needs Supports acquisition of communication skills through vision BLISSYMBOLS BLISSYMBOLS Blissymbols = “a partially picture-based symbol set with linguistic characteristics” (Huer, 2000) Developed by Charles Bliss to function as an auxiliary language for international written communication Appear to be used primarily in Canada, Scandinavian countries, and the UK Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Pictographs: look like what they represent Ideographs: represent ideas New Bliss symbols are added annually by an international panel affiliated with Blissymbolics Communication International Have their own grammar Are consistently shown in research to be more opaque than other symbol sets (e.g., PCS, Rebus, Pictograms) Advantages of Using Blissymbols BLISSYMBOLS Potential Users Those with good visual skills Potential readers Those with good language skills Composed of over 2,000 graphic symbols, which are composed of one or more Bliss-characters which can be combined and recombined in endless ways to create new symbols Wide vocabulary Grammar which allows for communication in past, present, and future tense Markers for possession, plurality, questions, and commands User can create new symbols or decode unfamiliar ones through application of knowledge of only about 100 component parts 13 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA PICTOGRAM SYMBOLS FROM ZYGO PICTOGRAM SYMBOLS Introduced as a visual system of communication in 1980 Developed in Canada, Sweden, and Portugal Made up of bold graphics consisting of white symbols on black background In Windows Metafile (WMF) format, and therefore maintain proportion when resized Available in Pictogram Symbol Reference Book, as PictureBase Pictogram CD-Rom library, or in Pictocom SE, a menu-based software application with human voice output ADVANTAGES OF USING PICTOGRAM SYMBOLS White symbol reflects light while black background removes possibility of figureground confusion Recognized across many cultures as an “international strategy for visual communication” May be perceived as clearer, more dignified than cute or caricatured line drawings SCLERA PICTOGRAMS Designed by a worker at a home and day center for adults with cognitive disabilities to offer “structure and clarity” Currently, 1041 symbols available in Dutch, with 399 available in English With few exceptions, consist of white symbols with black background PICTURE COMMUNICATION SYMBOLS FROM MAYER JOHNSON ADVANTAGES OF USING SCLERA PICTOGRAMS Free download from http://www.sclera.be ! Bitmap format easily imported into overlay design software or other software applications High contrast symbols may be useful for individuals with visual impairment Website declares that pictograms will be designed on request Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Potential Users Appropriate for individuals across age ranges High contrast symbols may be more easily seen by those with visual impairment 4,500 PCS in both black-and-white and color Can use Boardmaker software to create materials and communication displays Powerful search engine Permits modifying symbols easily Import digital photos and other graphics and easily resize and format 14 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA PICTURE COMMUNICATION SYMBOLS FROM MAYER JOHNSON DYNASYMS More than 300 templates for schedules, device overlays, calendars, song boards, and more 42 languages Option to install country-specific symbols such as holidays, famous people, food and currency Many CD’s with materials and activities commercially available to use with Boardmaker OVERBOARD FROM GUS COMMUNICATIONS DYNASYMS Over 5,000 color symbols are available on DynaVox products 6,000 symbols in color and gray tones (12,000 total) are available as a library for Boardmaker Poppin and Company takes requests for symbols New symbols can be created by following the generative rules that are include with the dictionary of symbols ADVANTAGES OF USING OVERBOARD Less costly than other popular overlay design software programs ($169 to $199, depending on voice capabilities), with free upgrades Fairly easy to use, with online tutorials to assist with learning all major functions Most symbols are age appropriate for children, teenagers, and adults Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Designed by Poppin and Company (originally developed by Faith Carlson, a Speech-Language Pathologist) Based on a hand drawn communication symbol system called PICSYMS first published in 1985 The original DynaSyms were 800 black and white pixel drawn symbols developed for the original DynaVox communication device Research indicated that PICSYMS were slightly less translucent than PCS and Rebus (now Widgit Literacy Symbols) and more translucent than Bliss (Bloomberg et al., 1990) An overlay and board designer with dynamic display and voice output capabilities Per company president, not originally designed to compete with other software, but to fill the need for symbols that were appropriate for and accepted by people of all ages Over 5,500 symbols, ranging from realistic to abstract, with no stick figures and direct linking to Microsoft Clipart Demo available at http://www.gusinc.com/Overboard LITERACY SUPPORT PICTURES (LSP) LSP are the Slater Software picture library Used in Slater’s Picture Assisted Literacy (PAL) programs that pair visual representations (picture) with words to help new readers Picture Assisted Reading: reading of pictureand-word adapted materials (Picture It) Picture Assisted Writing is writing with picture-and-word adapted materials (PixWriter) 15 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA WIDGIT LITERACY SYMBOLS (formerly Rebus) IMAGINE SYMBOLS Developed by several different AT companies Attainment, Saltillo, Great Talking Box and Madentec Realistic, colorful illustrations Appropriate for all ages Organize by 15 topics which include emotions, phrases, verbs and computer devices 4000 symbols; set scheduled for expansion and completion Free for noncommercial use at www.imaginesymbols.com First devised as part of the Peabody Rebus Reading Program in the USA in the 1960's Symbols numbered around 600 until the advent of symbol software, at which point Rebus was gradually taken over by Widgit Software Currently over 7000 line drawings covering a vocabulary of over 20,000 words Generally a transparent relationship with referent (Bloomberg et al., 1990) THE ICON MAKER HIGH CONTRAST ICONS BY ENABLING DEVICES WIDGIT LITERACY SYMBOLS Available in Writing with Symbols 2000, v2.6, and Communicate: In Print 2 (marketed in US by Mayer-Johnson) Widgit has made available a variety of free and low-cost, symbol-supported learning materials and symbol stories at http://www.widgit.com THE ICON MAKER HIGH CONTRAST ICONS Advantages include current images high quality photographs low cost Works because Color supports recognition of images Photos support realistic representation High contrast helps eliminate background/foreground conflict Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Photographs on high contrast black background in printed form and CD by Enabling Devices (3”x3” and 5”x5.25”) Files on CD are PDF - page must be printed and photos manually cut out Potential Users include children with visual acuity and/or processing disorders, those with dual sensory impairments, individuals needing minimal background conflict, or beginning communication with severe cognitive disabilities or a need for color to support recognition and learning PICK ‘N STICK FROM PROED Clip art library designed to provide a functional vocabulary for nonspeakers More than 2,500 images in color and black and white Alphabetical and categorical picture indexes See 'n Sign® sign language images are included 16 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA PICK ‘N STICK FROM PROED TECH/SYMS Topics include people, food, feelings, school, common activities, common items, emergency, health, work Provides picture support for daily living sequences such as dressing, laundry, and grocery shopping $314.00 – CD-Rom and manual in binder GOTALK OVERLAY SOFTWARE Available from Attainment Company, with readymade templates are provided for all GoTalks plus the Personal Talker, VoicePod and Talking Photo Album Free demo software for Windows based computers at http://www.attainmentcompany.com Includes an Imagine Symbol Library, and a copy and paste feature to gather images from the web or other media $79.00 for CD-Rom 150 icons made to fit various communication devices by Enabling Devices Color line drawings Symbols arranged alphabetically Whole page must be printed and needed symbols cut from the page Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Series I: basic daily living verbs, leisure activities, occupations, people, primary body parts, emotions Series II: foods, animals, clothes, colors, numbers, sports, family members, and other nouns Series III: places, geography, emotions, seasons, weather, places and other nouns Free from AMDi GOTALK OVERLAY SOFTWARE Set is comprised primarily of realistic color line drawings and photographs Editing features allow designer to change color, size and font of text, and to move, enlarge, rotate and crop pictures PICTURE MASTER LANGUAGE SOFTWARE THE ICON MAKER by ENABLING DEVICES Tech/Syms are a collection of pictorial symbols used for the Tech/Overlay Designer software and also other communication software applications Three series of Tech/Syms Software Program with 20,000 symbols and 680 background scenes Six different formats Black and white simple line drawing Color line drawings Black/white realistic drawings Color realistic drawings photos Scenes Animated gifs 17 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA PICTURE MASTER LANGUAGE SOFTWARE TANGO Can use to allow computer to become a communication device Utilize grids to make communication displays for devices such as Bluebird Adds voice to Bluebird Tango was initiated by the parent of an AAC user; several authorities in AAC were involved in its development Developed symbols to support communication through phrases 2000 messages 2000 words Symbols currently available only as part of the device MINSPEAK/UNITY BY PRENTKE ROMICH TANGO 12 different image sets and voices for children; expanded from original two to allow for differences in culture and ethnicity New Teen Tango has a male and female symbol set Minspeak = “Minimum Effort Speech” Differs from other symbol sets, in which one picture represents one word or concept Minspeak is a language, also called “Semantic Compaction,” in which words are generated by combining short sequences of multi-meaning icons Unity is a software application for PRC devices which employs Minspeak as well as alphabet-based communication and single-meaning icons MINSPEAK/UNITY Icons serve as multi-meaning pictures Many associations possible with each icon E.g., the yellow, smiley-faced sun icon represents “like” as a single message, while its secondary iconicity is used via icon sequencing to produce fun, yellow, and smile MINSPEAK/UNITY PRC’s symbols are not a necessary component of Minspeak A PCS addition specifically for PRC devices is available from Mayer-Johnson BMP files (including photographs) can be imported for use as symbols Secondary iconicity: the lesser meaning(s) of any picture or visual representation Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM 18 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA LINGRAPHICA SGD designed specifically for adults with aphasia Uses images, animation, text and spoken words Design based on VA funded study LanguageImages POTENTIAL ADVANTAGES OF USING SYMBOLSTIX SYMBOLSTIX Developed by authors of News-2-You to meet that publication’s continuous need for new symbols Over 3000 symbols, with weekly additions Core symbol vocabulary consists of stick figures that are “easy to understand but still maintain a sense of style and character” Symbols representing actual people are more realistically drawn Currently available only as part of News-2-You, although a subscription service with weekly updates based is being considered VSDs portray events, people, actions, objects and activities against the backgrounds within which they occur or exist (Blackstone, 2005) VSDs may be generic or personalized Several companies produce devices that support use of VSDs: Assistive Technology, Inc., AMDi, Dynavox, Enabling Devices, Lingraphica, MayerJohnson Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM Concepts chosen and symbols developed to meet real-world need to support receptive and expression communication through News2-You Stylish, brightly colored symbols may be particularly appealing to school age children VISUAL SCENE DISPLAYS ON DYNAVOX V VISUAL SCENE DISPLAYS (VSDs) Pre-made or custom designed picture schedules (3-10 symbols) and communication boards (6-35 symbols) Pre-made boards use Stillwater Speech images, designed to be free of race and culture bias and include images suitable for adults and children Image database expanded weekly, based in part on feedback from customers Boards can be downloaded, pre-printed, and/or laminated from www.laminatedimages.com Prices start at $3.00 per board (for downloads) Background scenes and invisible buttons set context for communication Allows user to add own personally meaningful scenes 19 Selecting Symbols Sets: Implications for AAC Users, Clinicians, & Researchers 2007 ASHA Convenbtion Boston, MA Proposed Directions for Research SCENE COMMUNICATION BUILDER BY ENABLING DEVICES Device provides 7 colorful pictures to introduce scenebased communication 1-16 messages per scene $389.95 Proposed Directions for Research Establishment of what makes a picture realistic, and its effect on learning and use of symbols Effect of varying size and content of backgrounds on recognition and communicative use of pictures Transition to voice output after communicative intent has been accomplished with symbol usage Standardization of protocols for assessment of symbol sets Updating of studies on iconicity involving commonly used, currently available symbol sets Learnability of symbol sets Communicative use of symbol sets Consideration of learning style in symbol set selection Proposed Directions for Research and Symbol Design Further research regarding user preferences and what features of symbols affect a set’s desirability Support for developers of symbol sets to consider findings from previous studies in their design, to conduct research on the effectiveness of their own symbols, and to consider standardization in creation and expansion of their sets THANK YOU for your interest in SYMBOL SET SELECTION Mary Joan McClure, MS, CCC-SLP Director of Speech, Language & Hearing Services Murdoch Developmental Center mary.joan.mcclure@ncmail.net 919/575-1692 Libby Rush, MA, CCC-SLP, CPM AAC Consultant in Private Practice libbyrush@aol.com 919/471-2819 Mary Joan McClure, MS, CCC-SLP Libby Rush, MA, CCC-SLP, CPM 20