Using Apps to Assess & Treat Articulation & Phonological Delays

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    UsingAppstoAssess&TreatArticulation&PhonologicalDelays

    Barbara Fernandes, M.S; CCC-SLPSmarty Ears

    Asha 2012, AtlantaB215

    [email protected]

    The Presenter & disclosure information

    -Barbara Fernandes, M.S; CCC-SLP

    - Founder & CEO of Smarty Ears

    - Loves technology

    - GeekSLP.com (Free App)

    - Developed & Designed nearly 50 apps for SLPs- Better with technology than my husband!

    - GeekSLP TV - 32 episodes

    www.geekslp.com

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    The goal of todays presentation

    GeekSLP

    To provide you information

    that enables you to take

    advantage of the technologyavailable when assessing &

    treating articulation &

    phonology

    GeekSLP

    The Devices

    iPad 1, 2, 3rd, 4th gen.

    GeekSLP.com

    iPad Mini

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    Some data on the use of apps

    Articulation&phonologyappsarethemostfrequentlyusedkindofappfor43%ofSLPs

    90%ofSLPswhoownaniPadownan

    articulationorphonologyapp

    44%ofSLPsowntwotothreearticulationandphonologyapp.

    37%ofSLPsownanarticulationassessmentapp

    Source: Survey by Fernandes, 2012

    Articulation +

    How many of you are already using any articulation app onyour device?

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    The process...

    1. Evaluate articulation skills

    2. If in school determine eligibility for services

    3. Determine patterns of speech errors

    4. Select Goals for therapy

    5. Initiate treatment

    6. Measure Progress

    Standardized assessment provides alimited picture of a childs phonetic

    and phonemic inventory. (Elbert &Gierut, 1986)

    Assessment

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    Articulation & Phonologyassessment on your iPad?

    Bilingual

    Articulation &

    Phonology

    Assessment

    Sunny

    Articulation &

    Phonology Test

    TheSunny Articulation Phonology Test(SAT) is anindividually administered clinical tool for screening,identification, diagnosis and follow-up evaluation of

    articulation skills in English speaking individuals.

    Lets see it in action!

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    The Sunny Articulation Phonology Test can be used to:

    -Collect information regarding an individuals articulation skills;

    -Supplement data of a standardized articulation measure;

    -Determine the presence of an articulation errors;

    -Measure treatment efficacy;

    This is not a test for determining eligibility- it is notstandardized.

    This is a test used for identifying patterns ofspeech errors

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    Articulation &

    PhonologyTherapy

    on you iPad

    The evidence is not on the tool but onhow you use the tool. However, some

    tools used the evidence to drive itsdevelopment.

    Phonetic placement has been

    shown to be effective for teaching achild how to say a new sound.

    (Powel, Elbert, Miccio, Strike-Roussos, &Brasseur, 1998).

    Correct placement is essential toprogress.

    Bauman-Waengler (2004); Secord (2007)

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    Features:

    1. Front & Side 3D animations

    2. All English phonemes:

    a. Vowels

    b. Consonants

    3. Step by step guidance on all phonemes

    4. Visual feedback

    How are we using Flashcards for Articulation Therapy?

    Source: the speech pathway

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    DigitalArticulationFlashcards?

    Articulate it!

    Digital Articulation Flashcards?

    Choosing yours:

    1. Total number of images2. word - phrase levels

    3. Built in audio4. Data tracking5. Data tracking sharing style

    6. Graphics

    Youmayfindyourselfowningmultipleapps!

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    The Evidence and the Apps

    When children are taught how to listen to a new speech sound as well as how to

    say the new speech sound, they progress twice a s fast as when the treatmentprogram focuses only on correct pronunciation

    (Jamieson & Rvachew, 1992; Rvachew, 1994; Rvachew,

    Nowak, & Cloutier, 2004; Rvachew, Rafaat, & Martin,1999).

    What does this mean?

    Choose apps with some sort of voice recorder.

    1.Tryingtobuildawarenessoferrors?Letthempushthebutton.

    2.Reviewwordsafterthesession

    3.Printwordsforhomework

    4.E-mailresults:Keepabackupofyour

    data

    Cognitive monitoring of production is essential toprogress. (Ertmer & Ertmer, 1998)

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    Apps do not replace you.

    Do not use the iDevices as a television ;-)

    Still plan your therapy- the apps are just the activity.

    The Mango

    Articulation

    Scenes

    Articulation Fun?

    Both apps are great to be used by parents as carry over activities.

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    Home practice leads to significantly faster progress andgeneralization. (ASHA, 2004)

    ArticulationScenescomeswithbuiltinhomeworksheets

    Conversational recasts facilitate progress and

    meaningful productions of sounds.

    (Camarata, 1993)

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    Minimal Pairs

    Minimal Pairs is an approach tophonological disorders/delay

    remediation

    Minimal Pairs Academy useslinguistically based treatment

    procedures that have beenreported in the literature to beefective when treating childrenwith multiple sound disorders.

    (Saben & Ingham, 1991)

    Therapy forthe /r/

    R Intensive Articulation Flip Book

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    Dont leave just yet...

    I am in love with an SLP by Jonathan Fernandes

    Wh wh wh what the fricative is happening to me!!!You g g got me stuttering so nervous cant you see!!

    My speech is slipin slipin ; beauty has taken its tollIm stopping, fronting, slipping, backing, gliding out of control!!!I want to b b b be your minimal pairThe way you say your words, Oh, it just isnt fair!!!Wh what the fricative is happening to me!!Deafrication has taken the Africa out of me?

    Im in love with an SLPBut when it comes to wordsIm at her mercyIm in love with an SLPTell my speech language pathologistI really, really, really just want one little kiss.

    Wh wh wh what the fricative is happening to me!!!You g g got me stuttering so nervous cant you see!!My speech is slipin slipin ; beauty has taken its tollIm stopping, fronting, slipping, backing, gliding out of control!!!P P Please dont play any of your SLP games with meThe only prize I need are your eyes looking b b back at me

    I pwomise Ill keep workin on my RsBut I weally want to hold you in my awms!!!

    Im in love with an SLPBut when it comes to words

    Im at her mercyIm in love with an SLPTell my speech language pathologistI really, really, really just want one little kiss.

    ByJonathan Rippe Fernandes

    Barbara Fernandes on drumms

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    For moreinformations: [email protected]

    www.geekslp.com

    @geekslp

    www.smartyearsapps.com

    Booth #

    Questions?

    The tools are out there... now it all on you.

    Thank you!