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Asha 2012, Atlanta B215

Using  Apps  to  Assess  &  Treat   Articulation  &  Phonological  Delays
Barbara Fernandes, M.S; CCC-SLP Smarty Ears

geekslp@yahoo.com

The Presenter & disclosure information
-Barbara Fernandes, M.S; CCC-SLP - Founder & CEO of Smarty Ears - Loves technology

www.geekslp.com

- GeekSLP.com (Free App) - GeekSLP TV - 32 episodes
- Better with technology than my husband!

- Developed & Designed nearly 50 apps for SLPs

The goal of today’s presentation

To provide you information that enables you to take advantage of the technology available when assessing & treating articulation & phonology

GeekSLP

The Devices

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

iPad Mini

GeekSLP.com GeekSLP

Some data on the use of apps
★ Articulation  &  phonology  apps  are  the  most  
frequently  used  kind  of  app  for  43%  of  SLPs articulation  or  phonology  app phonology  app.

★ 90%  of  SLPs  who  own  an  iPad  own  an   ★ 44%  of  SLPs  own    two  to  three  articulation  and   ★ 37%  of  SLPs  own  an  articulation  assessment  app
Source: Survey by Fernandes, 2012

Articulation

+

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

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

Assessment
Standardized assessment provides a limited picture of a child’s phonetic and phonemic inventory. (Elbert & Gierut, 1986)

Articulation & Phonology assessment on your iPad?
Bilingual Articulation & Phonology Assessment

Sunny Articulation & Phonology Test

“The Sunny Articulation Phonology Test (SAT) is an individually administered clinical tool for screening, identification, diagnosis and follow-up evaluation of articulation skills in English speaking individuals.”

Let’s see it in action!

The Sunny Articulation Phonology Test can be used to:
-Collect information regarding an individual’s 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 not standardized.
This is a test used for identifying patterns of speech errors

Articulation & Phonology Therapy on you iPad
The evidence is not on the tool but on how you use the tool. However, some tools used the evidence to drive its development.

“Phonetic placement has been shown to be effective for teaching a child how to say a new sound.”
(Powel, Elbert, Miccio, Strike-Roussos, & Brasseur, 1998).

“Correct placement is essential to
progress.” Bauman-Waengler (2004); Secord (2007)

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”

Digital  Articulation  Flashcards? Articulate it!

Digital Articulation Flashcards?
Choosing yours: 1. Total number of images 2. word - phrase levels 3. Built in audio 4. Data tracking 5. Data tracking sharing style 6. Graphics

You  may  find  yourself  owning  multiple  apps!

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 as fast as when the treatment program 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.

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

1.  Trying  to  build  awareness  of  errors?  Let  them   push  the  button. 2.  Review  words  after  the  session 3.  Print  words  for  home  work 4.  E-­‐mail  results  :  Keep  a  back  up  of  your   data

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 Fun?

Articulation Scenes

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

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

Articulation  Scenes  comes  with  built  in  homework  sheets

Conversational recasts facilitate progress and meaningful productions of sounds. (Camarata, 1993)

Minimal Pairs
Minimal Pairs is an approach to phonological disorders/delay remediation
Minimal Pairs Academy uses linguistically based treatment procedures that have been reported in the literature to be effective when treating children with multiple sound disorders. (Saben & Ingham, 1991)

Therapy for the /r/

R Intensive

Articulation Flip Book

Don’t leave just yet...

I am in love with an SLP
Wh wh wh what the fricative is happening to me!!! You g g got me stuttering so nervous can’t you see!! My speech is slipin slipin ; beauty has taken its toll I’m stopping, fronting, slipping, backing, gliding out of control!!! I want to b b b be your minimal pair The way you say your words, Oh, it just isn’t fair!!! Wh what the fricative is happening to me!! Deafrication has taken the Africa out of me? I’m in love with an SLP But when it comes to words I’m at her mercy I’m in love with an SLP Tell my speech language pathologist I 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 can’t you see!! My speech is slipin slipin ; beauty has taken its toll I’m stopping, fronting, slipping, backing, gliding out of control!!! P P Please don’t play any of your SLP games with me The only prize I need are your eyes looking b b back at me I pwomise I’ll keep workin on my R’s But I weally want to hold you in my awms!!!

by Jonathan Fernandes
I’m in love with an SLP But when it comes to words I’m at her mercy I’m in love with an SLP Tell my speech language pathologist I really, really, really just want one little kiss. By Jonathan Rippe Fernandes Barbara Fernandes on drumms

For more informations:

geekslp@yahoo.com www.geekslp.com www.smartyearsapps.com @geekslp Booth #

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

Questions?

Thank you!