Technology-aided programs to support leisure engagement and basic communication in people with extensive neuro-motor impairment and absence of speech

Objective: The present study was aimed at assessing two new technology-aided programs (one based on an adaptation of an experimental device [Talking Hands] and one based on commercial technology) to help individuals with severe neuro-motor and speech disabilities independently manage access to leisure events and basic forms of communication interaction. Methods: The two adult participants were exposed to an AA(1)BA(1)B(1)CC(1) design in which A and A(1) represented baseline conditions, B intervention conditions based on the use of the "Talking Hands" technology, B-1 intervention conditions based on the use of tablet technology, C a condition in which B and B-1 were alternated, and C-1 a condition in which the participants were allowed to choose whether they wanted the use the B or B-1 program conditions. Results: During the baseline conditions (i.e., without the technology-aided programs), the participants showed no independent access to leisure events or communication interactions. During the intervention B and B-1 conditions, they successfully managed to use the different technologyaided programs to access leisure events and start communication interactions. During the C-1 condition, they showed preference for the tablet-based program. Conclusions: The two programs may be effective in supporting basic leisure and communication in people with extensive neuro-motor and speech disabilities.