Perception of Parents of Children With Communication Disorders About Barriers in the Application of Augmentative and Alternative Communication:Gender Differences

Authors

DOI:

https://doi.org/10.59519/mper7207

Keywords:

Augmentative and alternative communication, Barriers, Parents, Education

Abstract

Augmentative and alternative communication (AAC) encompasses various devices, systems, and strategies that support or replace spoken language. Although AAC methods have proven effective in working with children with communication disorders, their implementation depends largely on the engagement of parents, who often face multiple barriers. The aim of this study was to examine parents’ perceptions of barriers to the use of AAC, with a specific focus on gender differences between mothers and fathers. The sample included 30 parents (15 mothers and 15 fathers) of children with communication disorders. The study used the subscale “Barriers to the Use of AAC” (α = .76), from an original instrument designed to assess parental attitudes toward AAC. Data were analyzed using the Mann-Whitney U test. Results indicated that mothers perceived significantly more barriers than fathers (U = 55.50, p = .01). The most prominent barrier for both groups was uncertainty about where to begin learning about AAC methods.

The findings highlight the importance of a gendersensitive approach in parent education and the need to adapt support programs to improve accessibility and effectiveness in AAC implementation.

References

Archer Anwar, R., & Hart Barnett, J. E. (2024). AAC in AACtion: Collaborative Strategies for Special Education Teachers and Speech-Language Pathologists. Intervention in School and Clinic, 60(2), 96-107. https://doi.org/10.1177/10534512241245450

Arsenić, I., Jovanović-Simić, N., & Daničić, Z. (2022). The use of assistive tehnology for communication in the education of students with developmental disabillites: Teacher selfreports. Nastava i vaspitanje, 71(2), 267-282. https://doi.org/10.5937/nasvas2202267A

Barton, E. E., Pustejovsky, J. E., Maggin, D. M., & Reichow, B. (2017). Technology-aided instruction and intervention for students with ASD: A meta-analysis using novel methods of estimating effect sizes for single-case research. Remedial and Special Education, 38(6), 371-386. https://doi.org/10.1177/07419325177295

Berenguer, C., Martínez, E. R., De Stasio, S., & Baixauli, I. (2022). Parents’ perceptions and experiences with their children’s use of augmentative/alternative communication: A systematic review and qualitative meta-synthesis. International Journal of Environmental Research and Public Health, 19(13), 8091. https://doi.org/10.3390/ijerph19138091

Blasko, G. (2025). Unveiling underlying systemic isolation challenges for AAC users. Augmentative and Alternative Communication, 41(3), 1–8. https://doi.org/10.1080/07434618.2025.2515279

Caldwell, N. S., Holyfield, C., & Zimmerman, T. O. N. (2024). Effects of interaction approaches and added high-tech augmentative and alternative communication on prelinguistic and linguistic communication from school-age beginning communicators. Folia Phoniatrica et Logopaedica, 76(3), 281-294. https://doi.org/10.1159/000534288

Chung, Y. C., Carter, E. W., & Sisco, L. G. (2012). A systematic review of interventions to increase peer interactions for students with complex communication challenges. Research and Practice for Persons with Severe Disabilities, 37(4), 271-287. https://doi.org/10.2511/027494813805327

Collette, D., Brix, A., Brennan, P., DeRoma, N., & Muir, B. C. (2019). Proloquo2go enhances classroom performance in children with autism spectrum disorder. OTJR: occupation, participation and health, 39(3), 143-150. https://doi.org/10.1177/1539449218799451

Craig, L., & Mullan, K. (2011). How fathers and mothers share childcare: A cross-national timeuse comparison. American Sociological Review, 76(6), 834-861. https://doi.org/10.1177/0003122411427673

Crowe, B., Machalicek, W., Wei, Q., Drew, C., & Ganz, J. (2022). Augmentative and alternative communication for children with intellectual and developmental disability: A mega-review of the literature. Journal of Developmental and Physical Disabilities, 34, 1–42. https://doi.org/10.1007/s10882-021-09790-0

Desai, S., & Andrist, L. (2010). Gender scripts and age at marriage in India. Demography, 47(3), 667-687. https://doi.org/10.1353/dem.0.0118

Dunst, C. J., Trivette, C. M., & Hamby, D. W. (2007). Meta‐analysis of family‐centered helpgiving practices research. Mental retardation and developmental disabilities research reviews, 13(4), 370-378. https://doi.org/10.1002/mrdd.20176

Ganz, J. B., Mason, R. A., Goodwyn, F. D., Boles, M. B., Heath, A. K., & Davis, J. L. (2014). Interaction of participant characteristics and type of AAC with individuals with ASD: A meta-analysis. American Journal on Intellectual and Developmental Disabilities, 119(6), 516-535. https://doi.org/10.1352/1944-7558-119.6.516

Holyfield, C., Light, J., Nieder, D., & Preece, J. (2025). External challenges for individuals who need or use AAC who are learning language: lived experiences, key research findings, and future directions. Augmentative and Alternative Communication, 41(3) 1-13. https://doi.org/10.1080/07434618.2025.2508485

Ingersoll, B., Wainer, A. L., Berger, N. I., Pickard, K. E., & Bonter, N. (2016). Comparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCT. Journal of autism and developmental disorders, 46(7), 2275-2284. https://doi.org/10.1007/s10803-016-2755-z

Joginder Singh, S., Mohd Ayob, N., & Hassan, F. H. (2023). Parents’ perception on the use of augmentative and alternative communication by children with complex communication needs in Malaysia. Disability and Rehabilitation: Assistive Technology, 18(1), 118-126. https://doi.org/10.1080/1748 3107.2022.2140850

Light, J., & McNaughton, D. (2012). Supporting the communication, language, and literacy development of children with complex communication needs: State of the science and future research priorities. Assistive Technology, 24(1), 34-44. https://doi.org/10.1080/10400435.2011.648717

Light, J., Fager, S. K., Gormley, J., Hyatt, G. W., & Jakobs, E. (2025). Dismantling societal barriers that limit people who need or use AAC: lived experiences, key research findings, and future directions. Augmentative and Alternative Communication, 41(3) 1-15. https://doi.org/10.1080/07434618.2025.2508490

Marshall, J., & Goldbart, J. (2008). ‘Communication is everything I think.’Parenting a child who needs Augmentative and Alternative Communication (AAC). International Journal of Language & Communication Disorders, 43(1), 77-98. https://doi.org/10.1080/13682820701267444

Moes, D. R., & Frea, W. D. (2002). Contextualized behavioral support in early intervention for children with autism and their families. Journal of autism and developmental disorders, 32(6), 519-533. https://doi.org/10.1023/A:1021298729297

Moorcroft, A., Scarinci, N., & Meyer, C. (2019). Speech pathologist perspectives on the acceptance versus rejection or abandonment of AAC systems for children with complex communication needs. Augmentative and Alternative Communication, 35(3), 193-204. https://doi.org/10.1080/07434618.2019.1609577

Muttiah, N., Seneviratne, A., Drager, K. D., & Panterliyon, N. A. (2022). Parent perspectives on augmentative and alternative communication in Sri Lanka. Augmentative and Alternative Communication, 38(3), 173-183. https://doi.org/10.1080/07434618.2022.2121940

Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed). McGraw-Hill.

Plantin, L., & Daneback, K. (2009). Parenthood, information and support on the internet. A literature review of research on parents and professionals online. BMC family practice, 10(1), 34. https://doi.org/10.1186/1471-2296-10-34

Schladant, M., & Dowling, M. (2020). Parent perspectives on augmentative and alternative communication integration for children with fragile X syndrome: it starts in the home. Intellectual and Developmental Disabilities, 58(5), 409-421. https://doi.org/10.1352/1934-9556-58.5.409

Shire, S. Y., & Jones, N. (2015). Communication partners supporting children with complex communication needs who use AAC: A systematic review. Communication Disorders Quarterly, 37(1), 3-15. https://doi.org/10.1177/1525740114558254

Srinivasan, S., Patel, S., Khade, A., Bedi, G., Mohite, J., Sen, A., & Poovaiah, R. (2022). Efficacy of a novel augmentative and alternative communication system in promoting requesting skills in young children with Autism Spectrum Disorder in India: A pilot study. Autism & Developmental Language Impairments, 7, 23969415221120749. https://doi.org/10.1177/239694152211207

Zlatić, A., Arsenić, I., & Veljković, Z. (2025). Attitudes of parents of children with communication disorders toward augmentative and alternative communication. Nastava i vaspitanje, 74(2), 163–179. https://doi.org/10.5937/niv74-58130

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Published

19.12.2025

How to Cite

Perception of Parents of Children With Communication Disorders About Barriers in the Application of Augmentative and Alternative Communication:Gender Differences. (2025). Multidisciplinarni Pristupi U Edukaciji I Rehabilitaciji, 7(10), 76-85. https://doi.org/10.59519/mper7207

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