A strategy for research on the use of nonvocal systems of communication.
Follow four clear steps—survey, assess, teach, experiment—before you call any AAC system evidence-based.
01Research in Context
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.
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.
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.
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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02At a glance
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