Assessment & Research

A strategy for research on the use of nonvocal systems of communication.

Kiernan (1981) · Journal of autism and developmental disorders 1981
★ The Verdict

Follow four clear steps—survey, assess, teach, experiment—before you call any AAC system evidence-based.

✓ Read this if BCBAs selecting or training AAC for nonvocal teens or adults with intellectual disability.
✗ Skip if Clinicians whose caseloads are already fluent speakers needing only social-skills work.

01Research in Context

01

What this study did

The author sketched a four-step roadmap for nonvocal communication research.

Step 1: survey what clients already use. Step 2: assess their skills. Step 3: teach a new system. Step 4: run experiments to prove it works.

No data were collected; the paper is a 1981 call for action.

02

What they found

The paper itself reports no outcomes.

It simply argues that researchers should follow the four-phase sequence before claiming any AAC method is effective.

03

How this fits with other research

Bathelt et al. (2019) updated the 1981 plan. They list modern AAC parts—touch screens, eye gaze, voice output—and stress matching features to each learner.

Ghaziuddin et al. (1996) and Domanska et al. (2022) carried out the final ‘experiment’ step. Both used brief AAC teaching and showed nonvocal clients learned to request items across settings.

O’Brien et al. (2024) added a twist: when people with IDD can pick, they usually choose high-tech over low-tech options. This preference check was missing in 1981, so today you should run a quick mand modality assessment before prescribing.

04

Why it matters

You now have a ready-made checklist. Survey current tools, assess learner skills, teach the chosen AAC, then test it with data. The 40-year follow-up papers give you ready protocols and show the sequence works. Next time you plan AAC for a nonvocal client, walk through all four steps instead of jumping straight to device selection.

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Run a 5-minute mand modality preference assessment: offer high-tech and low-tech options side-by-side and record which the client touches first.

02At a glance

Intervention
not applicable
Design
theoretical
Population
intellectual disability
Finding
not reported

03Original abstract

This paper discusses problems with current research on the use of nonvocal communication systems with special reference to the severely and profoundly mentally retarded. A strategy for research, designed to provide a method whereby critical practical and theoretical issues can be isolated, is described. The approach involves surveys of use, development of procedures for assessment and program monitoring, the development of teaching methods for use with neglected groups, and experimental investigations of the interaction of system variables and subject characteristics. The strategy is illustrated with examples from ongoing research.

Journal of autism and developmental disorders, 1981 · doi:10.1007/BF01531346