Assessment & Research

Exploring Communication Ability in Individuals With Angelman Syndrome: Findings From Qualitative Interviews With Caregivers.

Zigler et al. (2023) · American journal on intellectual and developmental disabilities 2023
★ The Verdict

Caregivers reveal a wide, usable communication toolkit in Angelman syndrome—mine it to set real-world goals.

✓ Read this if BCBAs writing communication plans for school or clinic clients with Angelman syndrome.
✗ Skip if Practitioners who only serve fully verbal clients.

01Research in Context

01

What this study did

Researchers talked with caregivers of people who have Angelman syndrome. They asked open questions about how each person shows wants, needs, and feelings.

The team recorded every example of sounds, signs, gestures, eye-pointing, and AAC use that caregivers shared. They sorted these into expressive, receptive, and pragmatic piles.

02

What they found

Caregivers listed far more communication forms than most tests capture. Eye-pointing, laughing, and body shifting counted as real messages.

Families said social use of these signals, not just having them, mattered most. The data now feeds a new Angelman-specific caregiver report form.

03

How this fits with other research

Chou et al. (2010) and Walz (2007) used surveys and flagged communication as a weakness. The new interviews keep the weakness theme but add rich detail on strengths, showing the two views stack, not clash.

Oliver et al. (2002) showed kids with Angelman lack echoics yet still mand and tact. Scior et al. (2023) deepen that map by adding pragmatic moves like joint attention and protest, giving clinicians clearer targets.

Rispoli et al. (2022) trained moms over telehealth and saw small child gains after teaching naturalistic strategies. The caregiver stories in K et al. supply the why behind those targets—families value commenting and joint attention as much as requesting.

04

Why it matters

If you assess Angelman syndrome, borrow the interview prompts. Ask caregivers to demo the exact look, reach, or giggle their child uses for “more,” “stop,” or “look.” Then fold those idiosyncratic forms into your intervention plan instead of waiting for standard vocal words that may never come.

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Add one caregiver demo question to your intake: “Show me how your child asks for more.” Use whatever form they show as your first mand target.

02At a glance

Intervention
not applicable
Design
qualitative
Population
other
Finding
not reported

03Original abstract

Communication deficits have a substantial impact on quality of life for individuals with Angelman syndrome (AS) and their families, but limited qualitative work exists to support the necessary content of measures aiming to assess communication for these individuals. Following best practices for concept elicitation studies, we conducted individual qualitative interviews with caregivers and clinicians to elicit meaningful aspects of communication for individuals with AS. Caregivers were able to discuss their child's specific communication behaviors within a large number of expressive, receptive, and pragmatic functions via numerous symbolic and non-symbolic modalities. These results aligned well with published literature on communication in AS and will be used to inform the design of a novel caregiver-reported measure. Future studies on communication in individuals with AS should focus on gathering quantitative data from large samples of diverse caregivers, which would allow for estimations of the frequency of specific behaviors across the population.

American journal on intellectual and developmental disabilities, 2023 · doi:10.1352/1944-7558-128.3.185