Assessment & Research

Effects of a voice output communication aid on interactions between support personnel and an individual with multiple disabilities.

Schepis et al. (1995) · Journal of applied behavior analysis 1995
★ The Verdict

A VOCA alone can spark more staff talk without extra training.

✓ Read this if BCBAs serving adults or children with multiple disabilities in day or residential programs.
✗ Skip if Clinicians whose clients already use high-tech AAC daily.

01Research in Context

01

What this study did

The team gave a man with many disabilities a voice output communication aid, or VOCA.

They watched how support staff talked to him with and without the device.

The study used a single-case design, turning the VOCA on and off to see the difference.

02

What they found

When the VOCA was on, staff spoke to the man far more often.

They asked more questions and stayed in longer chats.

The device acted like a social magnet without any extra training for staff.

03

How this fits with other research

Lancioni et al. (2008) and Lancioni et al. (2009) built on this idea by adding microswitches.

Their clients could press a switch to play a VOCA message and get both toys and staff attention.

Sigafoos et al. (2004) used the same tool for a new goal: teaching students to fix communication breakdowns.

All four studies show VOCA boosts social contact, but each team aimed the benefit at a different skill.

04

Why it matters

You do not need long staff lectures to raise interaction rates.

Just place a VOCA in the client’s hands and let the voice invite conversation.

Try it next session: turn on the device, step back, and count how many more times staff speak first.

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→ Action — try this Monday

Put a VOCA on the table, record one friendly greeting, and track how often staff start a chat.

02At a glance

Intervention
augmentative alternative communication
Design
single case other
Sample size
1
Population
mixed clinical
Finding
positive
Magnitude
large

03Original abstract

We evaluated a means of increasing staff members' interactions with an individual with multiple disabilities through use of a voice output communication aid (VOCA). When activated, the VOCA allowed the individual to communicate through synthesized speech. Results indicated that staff members interacted with the individual more frequently when she had access to the VOCA, suggesting that VOCAs may represent an alternative to more traditional staff management programs for increasing interactions.

Journal of applied behavior analysis, 1995 · doi:10.1901/jaba.1995.28-73