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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 todays 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 childs 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.

Lets see it in action!

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 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 nd 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

Dont 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 cant you see!! My speech is slipin slipin ; beauty has taken its toll Im 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 isnt fair!!! Wh what the fricative is happening to me!! Deafrication has taken the Africa out of me? Im in love with an SLP But when it comes to words Im at her mercy Im 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 cant you see!! My speech is slipin slipin ; beauty has taken its toll Im stopping, fronting, slipping, backing, gliding out of control!!! P P Please dont play any of your SLP games with me The only prize I need are your eyes looking b b back at me I pwomise Ill keep workin on my Rs But I weally want to hold you in my awms!!!

by Jonathan Fernandes
Im in love with an SLP But when it comes to words Im at her mercy Im 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!

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