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Table 4 Objectives and characteristics of the instruments used in included studies

From: Augmentative and alternative communication in children with Down’s syndrome: a systematic review

Instrument

Instrument Objective

Instrument Features

Number of Studies (Instrument)

SGDs

Improvement of speech (improvement of communication)

SGDs, also known as voice and output communication aids

Lorah, 2016 [38]

Barker et al., 2013 [36]

Brady et al., 2013 [37]

Van Der Meer et al., 2012 [35]

PECS

Broadening of language skills and social communication

Information system through the exchange of image cards (change the image for the item itself) – discrimination of figures, making sentences

Lorah, 2016 [38]

Barker et al., 2013 [36]

Brady et al., 2013 [37]

MAKATON

Language and communication development (signals domain)

Vocabulary with speech, signs, and/or symbols (interactive vocabulary)

Van Der Meer et al., 2012 [35]

Foreman & Crews, 1998 [8]

PCS

Assists the cognitive process (speed and accuracy) through figures and symbols

A pictorial system consisting of designs that mean nouns, pronouns, verbs, and adjectives, or makes use of symbol arrangements (e.g. clothing, shoes, goggles and gloves) used in the “grouped” and “distributed” arrangement with a search focus visual.

Wilkinson & Mcllvane, 2013 [52]

Wilkinson et al., 2008

Core vocabulary

Improvement of functional language, seeking to achieve more effective communication

Sets of vocabularies described as basic vocabulary consist of high-frequency words and represent various parts of speech or natural text (i.e. mainly function words such as pronouns, conjunctions, prepositions, auxiliary verbs, determinants, interjections, and adverbs).

Deckers et al., 2017 [61]

Picture-based strategy

Stimulate spontaneous communicative attempts

Three-ring communication folder (~  7 ″×  5″ × 1 ″) that had three removable pages, each with removable coloured pictures (~  2 ″×  2″). The first page presents snack items and the second page an immutable series of oral preferred activities reported to promote generalisation. The third page shows a phrase strip indicating the target form (‘I want _____’).

Lanter et al., 2016 [59]

Interactive digital board prototype

Facilitate interaction (social skills) and give personal autonomy

The digital board interface is a subsystem of the Divermates educational system, which provides educational tools with an attractive design.

González et al., 2015 [68]

Modified ride-on car

Improvement of daily mobility, aiding communication and socialization processes, plus the fun factor

Modified touring car

Logan et al., 2014 [57]

Input techniques

Vocabulary analysis, performance, and interaction

Techniques that use computer input devices (mouse, keyboard, word prediction) for evaluating the speed and accuracy of data input

Hu et al., 2013 [64]

Language Signals System

Cognitive development and 2language comprehension

Acceptable approximations of ASL gestures, which use combinations of hand gestures to represent a phrase, word, letter, number, or a combination of these

Brady et al., 2013 [37]

Web-based survey (joystick)

Facilitate socialization and communication

A joystick is an input device, equipped with a lever capable of controlling the movement of a cursor on the screen, and one or more buttons capable of controlling certain actions when pressed. The joystick designs were displayed as rotating 3D objects in video clips.

Allsop et al., 2011 [55]

COMPIC

Language development (symbols domain)

Communication resource consisting of a library of clear and easy-to-understand drawings, called ‘pictograms’, which contain information

Foreman & Crews, 1998 [8]

  1. Legend: PECS Picture Exchange Communication System, SGDs speech-generating devices, MAKATON sign language system, COMPIC computer-generated pictographs, PCS picture communication symbols, ALS American Sign Language