American Journal of Speech-Language Pathology2026年9月23日

DeafPlus 輔助與替代溝通決策團隊中的優先考量與裂痕

// Priorities and Fractures in DeafPlus Augmentative and Alternative Communication Decision-Making Teams

質性分析三組專業焦點團體,探討團隊為DeafPlus(聽損合併其他障礙)兒童做AAC(輔助/替代溝通)決策|發現角色重疊、溝通模式衝突、權力把關及制度/流程斷裂,致實施不一與服務可及下降,並提出概念路線圖以提升透明度、協調與團隊AAC效能。

// This study examined how multidisciplinary teams make AAC and communication decisions for children who are DeafPlus. Researchers analyzed transcripts from three professional focus groups using qualitative methods. They found unclear and overlapping roles, conflicting views on communication modalities, gatekeeping and power dynamics, fragmented processes, and system constraints that together drive inconsistent implementation and reduced access. The authors conclude that both interpersonal dynamics and institutional structures shape decisions and offer a conceptual roadmap to improve transparency, alignment, and effectiveness of team-based AAC planning.

Published 2026年9月21日

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