# PWR-201 — Augmentative and alternative communication: learner worksheet Release: Revision 7T · Full Tutorial Edition Estimated time: Estimated 14 min reading; practical time is provider-set Difficulty: Intermediate Equipment: Basic stationery or digital tools — Declared Augmentative and alternative communication fixture: Jordan chooses the goal of ordering tea at a familiar café using a speech-generating device, a paper alphabet board and a yes/no signal as fallbacks.; Setup aid for Assess access with the team: Have the qualified speech-language/AAC professional approve access, seating, vocabulary and partner procedure.; Augmentative and alternative communication log: Independently authored meaning, partner comprehension, communication turns, participation and breakdown repair across settings; retain Augmentative and alternative communication errors, assistance, stop and fallback.; AAC provider source sheet: from the multicentre eye-gaze study, record participant group, configured access technology, communication outcome and support period. Use ASHA’s “Augmentative and Alternative Communication (AAC)” guidance for assessment, partner roles, multimodal access and repair. Apply those fields to Jordan’s tea order; neither source selects a device, vocabulary or dose for Jordan without the AAC team. Space: Desk / seated Automated structural checklist: 10 of 10 structural checks present Evidence quality/context: G4; Focused research depth Automated method-quality band: Comprehensive Method-rating basis: Structure coverage, instruction/check specificity, alternative distinctness, source troubleshooting, comparison depth and whether purpose/check fields are authored rather than derived. Editorial review: Pending manual editorial sign off ## Before you begin - [ ] I read the tutorial authority and stop conditions. - [ ] I have the required equipment/space or a declared accessible alternative. ## Canonical source context Jordan chooses the meaningful goal—ordering tea—and authors a small AAC message set with an AAC team rather than receiving a generic script. Across two partners, Jordan confirms intended meaning, repairs one breakdown and keeps the alphabet board and yes/no signal available. The result belongs to this person, configuration and café exchange. Target outcome: With a qualified AAC team, the user selects a meaningful goal, accesses and authors messages, confirms intended meaning and repairs one communication breakdown across two partners. ### Authority and setup conditions - Confirm the AAC user’s consent, goal, authorship signal and right to stop. - Have the qualified speech-language/AAC professional approve access, seating, vocabulary and partner procedure. - Start check for Augmentative and alternative communication: The record contains Jordan’s choice and confirmation method. - Top-of-sheet stop for Augmentative and alternative communication: Stop if the user cannot reliably confirm or reject the produced meaning. ### Required or supplied materials - Declared Augmentative and alternative communication fixture: Jordan chooses the goal of ordering tea at a familiar café using a speech-generating device, a paper alphabet board and a yes/no signal as fallbacks. - Setup aid for Assess access with the team: Have the qualified speech-language/AAC professional approve access, seating, vocabulary and partner procedure. - Augmentative and alternative communication log: Independently authored meaning, partner comprehension, communication turns, participation and breakdown repair across settings; retain Augmentative and alternative communication errors, assistance, stop and fallback. - AAC provider source sheet: from the multicentre eye-gaze study, record participant group, configured access technology, communication outcome and support period. Use ASHA’s “Augmentative and Alternative Communication (AAC)” guidance for assessment, partner roles, multimodal access and repair. Apply those fields to Jordan’s tea order; neither source selects a device, vocabulary or dose for Jordan without the AAC team. ## 1. Start with the user’s goal The AAC user states or confirms the exact message task, preferred communication modes and what success means; the team does not substitute its own goal. Why: The record contains Jordan’s choice and confirmation method. Success check: The record contains Jordan’s choice and confirmation method. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The record contains Jordan’s choice and confirmation method.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 2. Assess access with the team The qualified clinician checks vision, hearing, language, movement, seating, switch or gaze access and fatigue using several candidate modes. Why: Access findings name support and error, not a single “ability” score. Success check: Access findings name support and error, not a single “ability” score. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Access findings name support and error, not a single “ability” score.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 3. Preserve multiple modes Keep natural speech, gesture, writing, board and device options available; identify which works during fatigue or power loss. Why: A reachable low-tech fallback is present throughout practice. Success check: A reachable low-tech fallback is present throughout practice. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “A reachable low-tech fallback is present throughout practice.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 4. Select vocabulary and layout Jordan chooses “tea,” “milk,” “no sugar,” “please repeat” and “that is not what I meant”; the clinician configures only with Jordan’s confirmation. Why: Every target and repair message is findable through the agreed access method. Success check: Every target and repair message is findable through the agreed access method. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Every target and repair message is findable through the agreed access method.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 5. Calibrate authorship Jordan produces a known test message without anyone guiding the selection; partners confirm meaning after output, not by moving or steering the user. Why: The message can be independently reproduced and corrected by Jordan. Success check: The message can be independently reproduced and corrected by Jordan. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The message can be independently reproduced and corrected by Jordan.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 6. Practise a real turn sequence In simulation, Jordan gets attention, orders, answers one clarification and closes the exchange while the partner waits the agreed time. Why: Four user-authored turns occur without partner completion of the message. Success check: Four user-authored turns occur without partner completion of the message. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Four user-authored turns occur without partner completion of the message.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 7. Repair a breakdown The partner deliberately mishears “no sugar”; Jordan uses reject, repeat, spell or switch mode until the intended order is confirmed. Why: Intended meaning is confirmed by the user after the repair. Success check: Intended meaning is confirmed by the user after the repair. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Intended meaning is confirmed by the user after the repair.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 8. Review across partners Repeat with a second trained partner and record message accuracy, time, fatigue, prompts, repair and user satisfaction; the clinician decides any progression. Why: Performance and support are visible for both partners. Success check: Performance and support are visible for both partners. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Performance and support are visible for both partners.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## Reflection What changed? ________________________________________________________________________________ What remains difficult? ________________________________________________________________________________ What will I repeat, adapt, ask for help with, or stop? ________________________________________________________________________________ --- Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.