No abstract

Parents play an important role in the successful implementation of AAC. Previous research has indicated that parents in different countries have varying perceptions about the use of AAC and face different challenges in its implementation. To date, there is limited information about the use of AAC by children in Malaysia or parents' views about its use. The aim of this study was to explore Malaysian parents' perception of AAC and their experience when supporting their children who use AAC. For this study, 12 parents of children with autism spectrum disorder and cerebral palsy were involved in semi-structured individual interviews. Qualitative content analysis was used to analyze interview data. Following analysis, three themes were identified: (a) impact of the use of AAC, (b) challenges faced, and (c) hopes and expectations. Participants reported that the use of AAC had a positive impact on their children, but that they faced challenges related to the child, the settings, and the system itself, as well as a lack of time and support. Findings from this study provide an insight for Malaysian speech therapists about the challenges faced by parents when supporting their children who use AAC, and how important it is to overcome these challenges to ensure successful implementation of AAC.

From this study, it was evident that mothers and siblings of pre-symbolic children with DS and with CP engaged them in reciprocal interaction. Findings on how mothers and siblings influence pre-symbolic children's communication suggest the need to involve them in assessment and intervention for these children.

This study aims to investigate the viability and effectiveness of the Hanen More Than Words (HMTW) programme amongst parents of children with Autism Spectrum Disorder (ASD). This quassi-experimental study involved 31 children (27 boys, 4 girls; M = 34.58 months, SD = 3.67) who met criteria for ASD and their parents. The measurement was conducted in three phases; Time 1 (prior to intervention), Time 2 and Time 3 (at three and five months after the intervention begins). The outcome measures were assessed based on: (1) changes in parental facilitative strategies; (2) the children's growth in vocabulary and (3) the progress of communication and social skills. The paired t-test were used to analyze the pre and post findings within the intervention and control group with p-value <.01. Results showed that there was an increase in using the facilitative communication strategies by parents in the HMTW group during parent-child interaction. The children showed an increased in vocabulary, communication and social skills. The parents agreed that their mastery of facilitative communication strategies increased and they provided positive feedback about the HMTW approach. The results suggested that the HMTW program could be implemented well by Malaysian parents. The training was supported by Malaysian parents and had measurable effect on both parents and children.

Generally, findings from this study indicated that some practises employed by Malaysian SLPs when managing children with SLD in the DLS are on par with the best practise guidelines, but there is still room for improvement in certain areas such as team collaboration and evidence-based practise. Clinical and research implications are discussed.