Assistive Technology for Students with Disabilities
Michael A. Rettig, Ph.D.

Department of Education

Washburn University

September, 2002

The Individuals with Disabilities Education Act (IDEA), Public Law 105-17 (1997) mandates that assistive technology be considered for students with disabilities, and that such considerations be a part of the development of IEP’s.Another federal law, P.L. 100-407 the Technology-Related Assistance Act, 1988, has increased the availability of resources and equipment for use by families and school personnel. 

The use of Assistive Technology (AT) for students with disabilities can increase their capabilities and independence in both in and out of school settings.These items can be used for communication and productive or to provide an individual with an opportunity to experience recreational opportunities.Individuals with serious sensory disabilities such as physical disabilities, visual impairments or deafness have benefited more than any other group of individuals from advances in assistive technologies.The advances in technology for these individuals can lead to increased productivity, employment and recreation opportunities.However, students classified as mildly disabled can also benefit from what assistive technology has to offer.AT can include a wide variety of items developed for different uses or functions such as powered mobility, adapted toys, eating systems, environmental control units, augmentative communication devices, talking word processing programs, speech recognition systems, electronic page turners, and various forms of computer access.

Computer manufacturers have increasingly built in a number of hardware or software-based applications into system files that can be accessed by any computer user.Such adaptations can be used to increase or decrease the speed with which key presses are recognized or the speed with which the mouse operates.Some applications like CloseView on Macintosh computers can easily magnify the size of the screen display.

Assistive Technology is defined as any item or piece of equipment that is used to increase or improve the functional capabilities of a student with a disability.Such equipment can be purchased, modified or made.According to Behrmann and Jerome (2002) these items can be categorized into three categories: no technology, low technology and high technology.

The “No Technology” category refers to assistive technology that is not electronic.These items or adapt ions may be something as simple as putting hot glue gun beads on pages of a book to separate the pages and make them easier to turn.Such modifications are relatively inexpensive and have the added advantage of being developed especially for the needs of an individual student.The “Low Technology” category refers to items which are electronic but do not include highly sophisticated computer components (Behrmann & Jerome, 2002).Such items might include electronic page-turners.“High Technology” items and equipment refer to those items that are more sophisticated. These items are likely to be the most expensive, but also have capabilities that are multifunctional.High Technology devices usually include some type of computer operation and software.

Determining the right kind of AT for an individual student will be the responsibility of the IEP team, parents and the student themselves.The needs and capabilities of the student need to be assessed and considered when determining which type of AT is best suited to that individual.Depending on the type and extent of the disability several different professional disciplines will be involved including occupational and physical therapists, speech/language therapists and teachers.In instances in which a child has a severe physical disability or may be medically fragile, medical or rehabilitation professionals may provide valuable assistance.In addition to these professionals, someone with knowledge of current computer applications and technology would be invaluable.There are also hundreds of sources of information on AT on the Internet.Using the simple search term “assistive technology” will provide a listing of organizations, companies and technical assistance projects.

The nature and extent of a student’s disabilities need to be considered in selecting the appropriate AT.For example, a student with a physical disability has different needs than a student with a visual impairment.For the student with physical disabilities the primary problem is inputting information into a computer.The standard keyboard input method is not often suited to the capabilities of these users.Conversely, the primary problem of users who are visually impaired involves the output generated by computers.The standard monitor display may not be easily visible to these users without modifications.

Responding to Computer Stimuli and Inputting Information

To use computers and augmentative communication systems requires that we respond to computer stimuli and input information.How this is done is an important consideration and one that is dependent on a person’s capabilities.Like any other educational material how a student is to respond to computer stimuli can influence their success and motivation.
For most people the standard computer keyboard is the primary method of responding to and inputting information into computer systems.However, for individuals with physical or cognitive disabilities the standard keyboard presents many problems.The keys are small and close together, the keys automatically repeat with depressed too long, and there are a lot of keys on the keyboard that are not arranged in ways in which individual keys are easy to find.

There are numerous alternatives to the keyboard through which we can input information or respond to computer stimuli and it is important that we find the easiest and most reliable method for each person.Among the alternatives are:a mouse (various types), expanded keyboards, keyboards with modifications, speech input, touch screens, and single switches.Each of these alternative forms of input offers advantages and disadvantages and each requires certain abilities.In addition, in choosing from these alternatives we need to consider what will the person do and what will the technology do.Generally speaking, the more severely disabled an individual is, the more the technology needs to do to.

Some of these alternatives are relatively simple and inexpensive.Keyboard modifications, for example, may be accomplished by putting plastic overlays with holes punched out over certain keys over the keyboard.The plastic overlay can be slightly above the keyboard with sturdy foam squares and even attached with Velcro.It would also be easy to attach colored stickers with larger numbers or letters written on them to certain keys so that they can be located more quickly.

Separate or expanded keyboards and single switch input devices are commonly used with persons with physical limitations.These input devices can be adapted to the capabilities of each person and used across any software application.Physical and occupational therapists will be of assistance in helping to determine which type of switch, accessed by which body part and movement, is best suited to a certain individual.

Another form of input that is easy, direct and quick for many children with disabilities is a touch screen.As the name implies touch screens only require you to touch the monitor to respond to computer stimuli.For younger children or children with significant cognitive delays, touch screens can be an important alternative to the standard keyboard.Children do not need to look away from the monitor to respond which can assist in maintaining their attention.However, to use touch screens software must have been developed for this type of input.It is worth the time to find software that can be accessed via touch screens.

Speech recognition technology is still being developed, but some applications are on the market.This emerging technology will allow all of us to talk to the computers to input information for basic computer commands or for word processing.The advantages of this type of input over traditional keyboards are obvious, but we are still some time away from when this type of input will be commonplace.

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Software and Word Processing

Students with relatively mild disabilities, such as learning disabilities, mild mental retardation, or attention deficit disorder can use AT to assist in schoolwork, employment and recreation.There are several ways in which AT can be used.

Numerous software programs are available that include drill and practice, tutorials, simulations and games that can support what student’s are learning in the regular curriculum.Software programs can be found to support any academic area including reading, spelling, science and math.The selection of good software is an important consideration.The content of software programs needs to be linked to the content of the curriculum student’s are learning.Software should be selected that is easy for the learner to use.Feedback for responses and key presses should be both visual and auditory.The software should keep data on student progress.Teachers or parents should be able to change the speed or difficulty of what is presented so that students can use the programs at different stages of learning.Screen displays should not be “too busy” because these students can sometimes have difficulty discriminating between what is relevant and what is not.

As with any educational material it is important to evaluate software programs before purchasing them.When contacting companies ask if there has been any research or field-testing of the software.If so, ask who participated in this field-testing and if the results are available to see.Numerous sources of software evaluations can also be found on the Internet.Using the general search term “educational software evaluations” will yield numerous sites.Some examples of sites, which have information onsoftware evaluations and/or children’s web sites, are:

http://ra.terc.edu

http://info.ops.org/evaluations/search/html

www.gillespie.macoupin.k12.il.us/software.html

www.eirc.org/review.html

www.csulb.edu/~murdock/educswurls.html

Productivity software such as word processing, spreadsheets and databases, with training and assistance, can provide important ways for students to organize and produce school projects.It is important to stress that students will need training an on-going support in how to use these software applications and in how they might be used to assist in completing school projects.We cannot and should not assume that these students know how to use these programs.Students’ will need training in how to find, load, save and print files as well as in basic keyboarding.

Word processing may be one of the most important tools for students with mild disabilities.These students often struggle in producing writing assignments and in the mechanics of writing including spelling, grammar and punctuation.Word processing can assist in generating ideas, organization, writing and editing drafts and in producing a clear and neat final product.The use of word processing has been shown to increase motivation and interest in writing and students will produce longer and more often edited documents.Student’s can also use various font types or sizes, change font or background colors and add clip art that can greatly enhance motivation and creativity.

Students will need training and on-going support in using word processing.Depending on the age and computer experience of the student, some concepts such as the scrolling of text on the screen, cutting and pasting text, and text justification may be confusing to them.Although word processing programs have increasingly become easier to use, there have also been increases in the number of command functions and capabilities that can be confusing even for experienced computer users.

Spelling and grammar checkers within word processing programs can be very helpful, but we need to consider the problems student’s with mild disabilities have with language.Spell checkers will highlight words that may or may not be misspelled and this can be confusing.When words are targeted as being misspelled they will be displayed on the screen with several other words the computer thinks you are trying to spell.The ability to pick out the correctly spelled word can be a challenge for these learners.For example, for a student with dyslexia the words displayed in a listing of suggested spellings may all “blend together.”

There are a number of “talking” word processing programs available that may be very helpful for student’s with mild disabilities.Although many of these were initially developed for persons with severe visual impairments, these software applications can be used by anyone.When using talking word processing programs letters, words and sentences are spoken and highlighted as they are typed.This provides auditory as well as visual feedback on what is being typed.Once something has been typed in it can be read at different speeds and with different computer voices.Students can even generate oral presentations by having their work read by these applications.One example of a talking word processing program is Write:Outloud from Don Johnston’s Developmental Equipment (www.donjohnston.com).Some word processing programs also have word prediction features.One example of this type of program, also from Don Johnston, is Co:Writer.

Some other useful software programs are available to aid teachers in developing materials for students.Two programs Picture This: Professional (Silver Lining Multimedia) and BoardMaker (Mayer Johnson) can assist in easily creating pictures for augmentative communication devices or to be printed as sequences for classroom instruction.The BoardMaker program has a database of 3000 pictures that can be accessed for use in augmentative devices or worksheets.Pictures can be printed in different sizes and words added . The program can print words from 10 langauges.

Access to Reference and Educational Materials

Electronic online databases and the Internet provide a means by which students can locate resource and reference materials to assist them in producing school projects.Online databases and the Internet allow students to access information that may not be readily available in school libraries and may increase their motivation to find and locate reference material.

These two applications are similar in that both make use of search terms to help find the most relevant sources of information.Students will need training and practice in choosing search terms that are broad enough to find all information that is relevant, but narrow enough to not be overwhelmed by the number of sources available.

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Augmentative Communication Devices

Augmentative communication refers to any form of alternative communication system and can be no-tech, low-tech or high-tech.Augmentative communication systems are often used with students who cannot speak due to severe physical impairments.However, if viewed in a broader sense, augmentative communication also involves sign language because this is an alternative to speech for individuals who are deaf.

Determinations regarding a specific augmentative communication system will be a team approach that involves assessing the student’s needs and capabilities.The age and gender of the person should be considered as well as their physical capabilities, memory and non-verbal language intelligence.Among the areas that might be assessed are range of motion, eye-hand coordination, positioning, range of receptive and expressive vocabulary and long and short-term memory.The goal of such assessments is to find an augmentative communication system that is easy to use and understand and one that can “grow” with the student.

Several factors also need to be considered with choosing a particular augmentative communication system.These include the durability and portability of the device, how easily expandable it is, how easy it is to operate and understand and the cost of such devices.To be used effectively augmentative communication devices need to be portable and able to stand up to normal wear and tear.It should be easy to add words or phrases to the device as the expressive vocabulary of the user increases.The device should be easy for the student to operate and the user should be able to generate words or sentences quickly.

How easy such a device is to understand by a listener is another very important consideration.In the past, high-tech devices used speech synthesizers to produce speech.The artificial speech produced by these devices was hard for listeners to understand without prior exposure to experience with these devices.Although we are in a time where sounds and speech is digitized and easier to understand, there will still be some augmentative communication systems that rely on speech synthesis.The effectiveness of any augmentative communication system is minimized if other people cannot understand what is being communicated.A related considerations is that the voice produced by the AT should match the age and gender of the user.This capability has increased significantly over the years.It would be inappropriate, for example, to have a seven-year-old girl sound like a male, adult robot.

Another important consideration is the cost of the device or system and the related question of who pays for it.Low-tech or no-tech systems, such as laminated pictures in three-ring-binders can be very inexpensive.However, as the users vocabulary increases these may get increasingly difficult or slow to use.High-tech devices, such as electronic augmentative communication devices that speak, can be very expensive depending on their capabilities.Schools do have an obligation to pay for such devices because it is mandated by P.L. 105-17.However, some schools may not have the fiscal means to purchase such devices even if they are included in a child’s IEP.Families and health insurance companies are other options for paying for such devices, but these options are not consistent with the intent of P.L. 105-17.Another important option is for families or schools to borrow or “check-out” such equipment from state assistive technology resource centers.Every state and several territories have assistive technology resource centers.A listing of these technical assistance projects can be found at: 

www.resna.org/taproject/at/statecontacts.html

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