iPad Application Rating Form (Based on Student & Clinician ... · Results from McFarlane, Gibson,...

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Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected] iPad Application Rating Form (Based on Student & Clinician feedback) Application: Reading TherAppy Publisher: Tactus Therapy Solutions Price: $14.99 Average Rating (/5) Engaging This application is very engaging for the target population. 4.17 (Agree) Facilitative Context This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues. 3.71 (Agree) Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction 2.39 (Disagree) Communication Partner The application can incorporate interaction with a meaningful communication partner. 2.37 (Disagree) Individualized The application can be modified or adapted to meet the needs of individual clients 3.18 (Neutral) Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill. 4.32 (Agree) Evidence/Theory/ Developmentally Based The application is based on evidence or generally accepted theoretical or developmental principles. 3.73 (Agree) Accountability The application facilitates collection of outcome measures of client progress. 4.28 (Agree) Efficient/Practical The application is set up for efficient and easy application to the target group. 4.35 (Agree) Average Rating: 3.61 (Agree) Strengths: Simple, clean interface Customization Might be good for pediatrics Focused on specific skills Easy to use Nice to have categories (eg. verbs, concepts) Some figurative language Somewhat able to choose difficulty or support Gets into more complex language and simple language Has questions and other types of sentences (not only declarative) Tracks progress Real pictures (not cartoons) Feedback (shading of incorrect choices) Large number of stimuli Does allow for continued attempts

Transcript of iPad Application Rating Form (Based on Student & Clinician ... · Results from McFarlane, Gibson,...

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Reading TherAppy Publisher: Tactus Therapy Solutions Price: $14.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4.17 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.71 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

2.39 (Disagree)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.37 (Disagree)

Individualized The application can be modified or adapted to meet the needs of individual clients

3.18 (Neutral)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4.32 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.73 (Agree)

Accountability The application facilitates collection of outcome measures of client progress.

4.28 (Agree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

4.35 (Agree)

Average Rating: 3.61 (Agree) Strengths: • Simple, clean interface

• Customization • Might be good for pediatrics • Focused on specific skills • Easy to use • Nice to have categories (eg. verbs, concepts) • Some figurative language • Somewhat able to choose difficulty or support • Gets into more complex language and simple language • Has questions and other types of sentences (not only

declarative) • Tracks progress • Real pictures (not cartoons) • Feedback (shading of incorrect choices) • Large number of stimuli • Does allow for continued attempts

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Hierarchical • Variety of tasks • Variety of choices (semantic/phonetically related, but no way

to modify this for difficulty) • 4 different types of activities • Needs some critical thinking to select from 4 choices (some

semantically, others phonetically similar) • Category selection (increasing number and level of difficulty) • Eliminates choices as user makes errors • Sound cues are good • Good to have status bar • Many activities within one app • Choose different topics/categories • Pictures and words • Some individualization/customization and data tracking • Good pictures (All TherAppy apps) • Lots of different targets • Well thought out choices (phonemically and semantically

related) • Pictures are of photos and are specific (less abstract) • Results clearly presented for each trial • Good for home practice • Real pictures • Different levels of difficulty • Can choose topics that may be of interest to clients (eg. sports) • Foils are semantically and phonetically similar to target

response Limitations: • Shallow

• No grading for reading level (eg. SES of client) • Would be nice to hide tally of score • No word level reading • Can’t remove or customize pictures (eg. load with meaningful

pictures for specific client) • Not hierarchically based • Some people with visual challenges may have difficulty • Some sentences/phrases are idioms • Can’t highlight key words • No cueing (eg. touch word and it says it) • No paragraph • May need to hide progress in some • Limited functionality • Not very natural, not many people will see pictures and have to

describe them • Cannot change number of choices

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Not modifiable • Word examples (ie. picture of peppers for “I don’t like spicy

foods”) • Some very random examples that don’t make sense • No way to modify level of difficulty • A time indicator would be beneficial (or perhaps as an option) • Not good for natural conversation • It would be preferable to select individual

word/phrase/sentences (All TherAppy apps) • Would be nice to create own sentences/phrases with given

pictures (All TherAppy apps) • Can’t make it harder or easier • Can’t pick specific words to work on (only classes of words) • Can’t take away response options to support response

(facilitative cues) Suggestions for use:

• Body Structures and Functions o UE, Fine motor for pointing o Vision/perception o Mass practice o Focuses most on this o Good for assessment o Good for treatment – drill/repetition o Varying levels of difficulty o Assesses phrases and sentences (with and without

pictures) o Focus on assessment of reading skills o Drill o Alexia o Reading practice o Home program o Baseline and documenting reading capacity at

various levels (phrase/sentence) o Targets a specific impaired skill o This would be useful in direct structured treatment

activities o In treatment o Trains word naming

• Activity o Early treatment (would need to abandon for more

natural activity) o Reading o Low level reading comprehension o Limited o Could help adults/parents read language at a

certain level

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

o Improved vocabulary/semantic knowledge (practice)

o Best used for practice (homework) o In role play o To train skills for reading

• Participation o Group session “pass the iPad” o Reading o Not much (would have to be creative) o Limited o Doesn’t go to paragraph level or above o Can’t be used in natural conversation with people

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Naming TherAppy Publisher: Tactus Therapy Solutions Price: $24.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4.25 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

4.37 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

2.57 (Neutral)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.59 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

3.71 (Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4.46 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.85 (Agree)

Accountability The application facilitates collection of outcome measures of client progress.

4.32 (Agree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

4.28 (Agree)

Average Rating: 3.82 (Agree) Strengths: • No cards to carry round

• Home practice (with partner) • Can make your own category with own items • Great SFA Chart • Real photographs • Awesome! • Variety of subtests, items, category choices, etc • More functional • Need a communication partner for a lot of it • Fun, adult appropriate • Tracks data • Provides real pictures • Clues/hierarchy of support; allows for semantic mapping • Provides cues for client (written and verbal) • Very useful in word retrieval practice and verbal expression

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

activities • Various options for therapy and assessment • Easy to use • Variety of cues • Love the schematic features option • Clear pictures • Outlined hierarchy • Has good cues for naming practice • Results you can email to yourself • Good built in cueing hierarchy • Something client can do on their own • Good pictures • Cueing hierarchy built in • Good applicability for volunteer/family use (+ potential for

independent practice) • Ability to “skip” questions is positive (vs. promoting error) • Good hierarchy of cues • Helpful to be able to email results • Hierarchy of cueing • Independent use or use with volunteers/family • Good for home practice and working with clinician • Lots of different activities within app • Wide variety of cues • Some customization • Great pictures • Data tracking (limited) • Good facilitative cues • Real pictures • Cues • Lots of words • Gives results • Incorporation of cues and tracking of use

Limitations: • Can’t remove/customize pictures • Can’t upload own pictures • Not practical for interactions • Describing items • Hierarchy seems a bit mixed up with written word before

phrase completion • Need a communication partner • Limited for participation/activity items • Difficulty can’t be chosen/graded • Could be difficult for people with vision and hearing issues • You have to click “right” or “wrong” right in front of client

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• It “dings” when you get it right or wrong • No way to record or check results for flashcards part (home

practice may be hard because client can’t tell if they were right or wrong)

• Not customizable • Can’t take away written cues once put up • Better for home practice than therapy • Better for home practice • Don’t need someone else to practice with • Doesn’t give you phonemes (just 1st syllable) • Icons on bottom may be confusing to client with aphasia • Would be nice to track specific data (which items are correct) • Would be better if cloze phrase cues match picture (eg.

everything but the kitchen ____ (sink) then picture of bathroom sink)

• Can’t make harder or easier for certain clients • Can’t pick certain functional words specific to clients • Some pictures didn’t correspond to the word I would have said

(flashcard) • Clinician has to say whether correct or incorrect. Not good for

home practice • Client can’t use independently (unless they’re aware of errors) • Doesn’t track accuracy in description

Suggestions for use:

• Body Structures and Functions o Same as Reading TherAppy o Mass practice o Cue support o Anomia – naming o Apraxia o Same as previous (fine motor) o Assessment o Drill o Treatment o Word finding o Verbal expression/word finding (confrontation

naming) o Word retrieval naming practice (confrontational

naming, descriptives) o Use of strategies o Categories o For specific intervention activity

• Activity o Same as Reading TherAppy o Reading o Playing on iPad

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

o Sentence completion (provides clues in a more natural context)

o Role play – try to practice in groups o Naming practice on iPad with Naming TherAppy

app o Naming practice generating language

• Participation o Same as Reading TherAppy o Reading o If had with projector for group treatment o Limited o Role play – try to practice in groups o Practice can be confined to specific category to

make it more relevant o Practice naming household items o Choose categories most appropriate o Use iPad to practice speech generation with

volunteer o Use with volunteers to practice language

generation with patients o Not good for conversation

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Comprehension TherAppy Publisher: Tactus Therapy Solutions Price: $24.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4.11 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.78 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

2.35 (Disagree)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.56 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

3.82 (Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4.39 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.88 (Agree)

Accountability The application facilitates collection of outcome measures of client progress.

4.43 (Agree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

4.32 (Agree)

Average Rating: 3.74 (Agree) Strengths: • Nice probe for session to session progress

• Good for word level reading • Nice that you can repeat and that it keeps track of repetitions • Word level great! • Much more hierarchically based • Adult appropriate • Much more customizable • Tracks data well • A few other languages possible • Overall, good pictures • Some cues provided, encourages assistance by partner • Reading comprehension +/- auditory comprehension at word

level • Like verbs and adjective options

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Choose number of multiple choices • Clear pictures • Customizable • Choose between field size • Adjust language and levels of difficulty and field size • Can adjust level of difficult • Can adjust language • Good to enable differential difficulty settings and field settings • Good to alter number of trials • Repeat is a good option • Effective to separate listen from read and then combine the

two • Language choices – options are good • Repeat button • Options to separate or combine listening cue with reading

which cues are helpful • Difficulty level • Different languages • Varied comprehension activities • Better settings (eg. numbers of languages) • Different languages • Difficulty levels • Email results • Increasing difficulty with success • Adult appropriate pictures • Tracking data • More control in level of difficulty • Client doesn’t need clinician for practice

Limitations: • All these Tactus apps difficult for hard of hearing clients (iPad limitation?)

• Can’t add to app list • No picture for listen & read part • Sometimes pictures don’t represent well especially for

adjectives • Sentence level? • Can’t change size of font for clients • Limited clues provided by app – need communication partner • Adjectives are difficult to discriminate between • Some pictures are difficult to interpret (ie. sun, towel vs.

curtains) • Only word level • Word level only • Single word level only • This is more of an impairment based app

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Only has word level reading comprehension and auditory comprehension

• Some weird items • Some weird correct responses (didn’t make sense sometimes) • Some screens generate pictures which could both be right • Comprehension TherAppy is limited to single words • Some screens generate multiple answers (eg. shiny – metal

saw and disco ball) • Single word based – no phrase or sentence level • No specific feedback about errors • Could be more than one correct answer • Can’t pick specific words

Suggestions for use:

• Body Structures and Functions o Auditory comprehension o Vision o Visual perception o Assessment and treatment (both auditory and

reading comprehension) o Target comprehension o Auditory and written comprehension o Reading and listening comprehension of verbs,

adjectives, nouns, categories o Baseline reading o Specific treatment activity focused on impairment o In treatment

• Activity o Reading o Word picture matching o Could use as a starting point for conversation o Reading tasks (single words) o Role play

• Participation o Reading o Group treatment with projector o Doesn’t help people in recalling in life roles o Able to practice with volunteer/family

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Writing TherAppy Publisher: Tactus Therapy Solutions Price: $19.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4.12 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

4.24 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

2.88 (Neutral)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.50 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

4.64 (Strongly Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4.64 (Strongly Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

4.13 (Agree)

Accountability The application facilitates collection of outcome measures of client progress.

4.40 (Agree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

4.28 (Agree)

Average Rating: 3.98 (Agree) Strengths: • Can add custom words/spelling

• Customization (e.g. create categories) • Very adaptable • Can make own meaningful list • Good sub steps • Real voices • Language options • Ability to skip over pictures • Pictures • Can add pictures to specialize to a client • Can self-correct an error • Gives client time to think about whether right before program

tells them (to increase self-awareness or to allow clinician to

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

cue) • Foil letters • Good cueing hierarchy • Hierarchy of tasks • Facilitative cues • Edit/add audio clips (can use own voice), pictures, or category

– great to personalize • Gives hints and ‘checks’ word – keeps correct letters • Dialect choice • Records score • Child-friendly mode • Upper/lower case option • Easy/medium/hard (able to change difficulty level) • Adaptable for different languages • Selection of levels/settings • A lot of options • High number of options to customize to individual i.e.

adjustment of number of letter choices etc. • Interactive • Good clear speech • Lots of choices for vocabulary/concept • More functional • Cueing hierarchy to reduce choices, then 1st letter • Choice to tap or drag • Targets spelling as well

Limitations: • Tap feature tends to freeze • Specific data tracking • Doesn’t keep results on app • Not able to select individual utterances • Not able to create own utterances for given pictures • Only word level • Another level/type of cue (i.e. starts with “t”) • Not actually writing • Difficulty using if there are any problems with fine motor

movement (e.g. dragging letter tiles) • Letters don’t make sounds when you touch them • No conversation back and forth • No other languages • Contrast visually might be difficult

Suggestions for use:

Body Structures and Functions • In treatment • Specific treatment activity (impairment) • Individual treatment • Home programs

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Listening skills • Improve spelling skills • Word retrieval • Copying • Fine motor (e.g. to click & drag) • UE? control • Apraxia? (motor) • Hearing • Alexia • Agraphia • Drill – mass practice • Auditory comprehension • Reading comprehension • Variety of levels able to be chosen • Some clues, hints able to be provided • Can be used for assessment and treatment at word level • Targets specific to impaired skill

Activity • Writing single words • Supplement with handwriting practice • Practice spelling (in aphasia group potentially) • Build in client-relevant words • Early stage b/4 • Early treatment • Reading • Writing • Could customize it for family names, functional

vocabulary, work/personally relevant vocabulary • Good practice with clinician or for homework

Participation • Use iPad in aphasia group to generate discussions,

answers, and categories (game format – e.g. hangman) • Group treatment with projector • Build in client-relevant words • Practice spelling family/friends names • Reading • Writing • Could practice specific vocabulary for someone’s role,

not as functional • Not useful for conversations • Small group treatment

Other Comments: • Overall excellent app • Why tap or drag? Why not just type like a keyboard? • Add a writing pad and stylus to practice writing

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Very customizable compared to others • Great level of customization – they should all be like this! • This isn’t a writing app, spelling maybe

iPad Application Rating Form (Based on Student & Clinician feedback)

Application: SpellBoard Publisher: Palaware Price: $4.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.40 (Neutral)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.56 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

2.71 (Neutral)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.55 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

4.00 (Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4.17 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.41 (Neutral)

Accountability The application facilitates collection of outcome measures of client progress.

4.25 (Agree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

3.33 (Neutral)

Average Rating: 3.49 (Neutral) Strengths: • Customization/personalize

• Managing and addition of words • Good activity flexibility • Children to adult • Type or write • Cheap • Practice writing on whiteboard (maybe easier with stylus) • Can add new words & sound clips • Fun activities • Tells errors • Whiteboard • Could use finger or stylus to practice

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Shows history of data • Can make word search • Can actually write with an iPad stylus • Could promote typing practice (copying) and writing with this

app • Promotes auditory processing and listening • Lists can be individualized • Practice typing and writing/copying • Can provide cues – stylus • Individualize • Can write/spell with finger on board • Very adaptable • Many uses • Word scramble/search – with context sentence and hints • Games (word searches and scrambles) • Can customize words • Variety of activities (games and quizzes) • Some hints are available • Timed ??? available • Variety of levels (alphabetical, can randomize) – copying up to

sentence completion • Functional (it can be customized for personally relevant words,

add synonyms/antonyms) • Can choose level of difficulty • Answer by actually writing/printing • Collects the data for you and qualifies (i.e. not all attempted) • Times response time • Allows transfer to word search and puts word in context of a

sentence Limitations: • Kind of busy

• Can’t rotate sideways • Main screen confusing & overwhelming – don’t know where

to start • Not naturalistic • Don’t like “quiz” • Not applicable to adults • Small text, hard to figure out where to go • Not very sensitive to fingers (makes crossword hard) • Difficult for cognitively intact adults to manipulate • Not intuitive (too wordy) • Sound quality not good • Child voice hard to understand • Whiteboard doesn’t work as response • Client has to use the keypad to respond (even when written on

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

the “whiteboard”) • Not as user-friendly (lots going on on the 1st page) • Harder to customize • Difficult to use stylus • Visually complex • Some users would need assistance • Individualization would take time • Not as engaging • “Quiz” could be negative language if only choosing practice

modes • Sometimes multiple words will fit the sentence completion • High reading demands • Kid-oriented, but acceptable • Can get credit for scramble even by guessing (random

movement of letters) • Child voice recorded • Looks child-like/school-like • No cueing • Complicated •

Suggestions for use:

Body Structure & Functions • Fine motor level needs to be fairly high • Fine motor skills (for writing on whiteboard) • Reading comprehension issues make it difficult because

of busy screen • Use in individual treatment • Home program • Listening skills • Increase vocabulary • Typing skills • Using a worksheet to practice writing • Verbalize sentence/phrases • Limitation focused treatment activity • In treatment • Auditory comprehension • Agraphia • Spelling • Treatment to increase repertoire of words • Can practice writing, handwriting, sentence completion,

in a variety of contexts (word search, scramble) Activity

• Warm-up or sub-activity in larger treatment plan\ • Role plays • Writing homework

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Typing homework • Sentence completion • Writing, spelling, reading • Fun activities like word scramble and searches (but font

size is small) •

Participation • Work with another client via Bluetooth • Intended more for school-age children learning to spell

(spelling quizzes) • Writing, spelling, reading • Limited for everyday activities

Other Comments: • What is “Dolch”?

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Decibel Ultra Pro Publisher: Patrick Schaefer Price: $3.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.58 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.74 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

3.41 (Neutral)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

3.29 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

3.42 (Neutral)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4.13 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.65 (Agree)

Accountability The application facilitates collection of outcome measures of client progress.

3.70 (Agree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

3.52 (Agree)

Average Rating: 3.60 (Agree) Strengths: • Can add external microphones

• Visual feedback • Can change calibration • Could replace SLM • Set a target for client to reach • Feedback very accessible and easy to understand • Accessible app • Aesthetically pleasing (e.g. colorful, clear, large

print/numbers) • Goal for home practice (with support) • Cheap

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Good visual presence/display • Recordable • Fun (but only for speechies?) • Can show how ambient noise can change in different

environments • Email sound files easily • Great for volume practice, especially LSVT • Has functional comparisons i.e. dB for lawnmower, etc. • Tracks averages, peaks • Could use for biofeedback easily • Provides a visual for clients • Good customization

Limitations: • Could have more visual feedback (fill in average/peak) • Cannot set a target – “dB goal” • Bottom trace is not very useful • Confusing • Visually distracting/busy • Would be nice to have more functional uses (like maximum

phonation time) • Need clearer instructions and maybe a video explanation • Will take time to learn • Can’t customize color or background – too dark • All the different setup options are confusing, may be

overwhelming for client • Calibration? Inter-client consistency (does this matter?) • Not very intuitive (need explicit instruction) • Need email for playback • Complicated settings • Lots of buttons, but easy to use with help of ? • Have to send recording via email • Some items are complicated and probably won’t be used by

regular clinician • Would probably need a therapist to “interpret” or guide • Need internet or email set up to record? • Can’t export data, just email

Suggestions for use:

Body Structure & Functions • Volume control • Voicing/phonation • Individual or group treatment • Fine motor • Visual perception • Great to work on vocal loudness • Loudness of room • Loudness

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Voice therapy • Hearing loss • Drill, repetitive items i.e. LSVT • Volume, averages, peaks • In treatment • For clinician use • Possibly for biofeedback to client

Activity • Generating specific dB levels/maximums in sustained

phonation • Recreation programs • Home practice • Reaching a target loudness • Direct treatment – visual feedback • Home practice, maintenance • Gives biofeedback for voice level • Keeping loudness in mind • In conversation, word and sentence level – in functional

approaches • In role play

Participation • Generating shouts using family names to get attention • Possibly in conversation as visual feedback for client • Can use to practice lowering/increasing loudness for

conversation but not functional to use during conversations

• Self-monitor volume in group setting • Measure sound level for hearing screens • Increase or decrease loudness in difficult environments • Limited • In rec groups • In conversation

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Speech Sounds on Cue Publisher: Multimedia Speech Pathology Price: $48.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.92 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

4.04 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

2.69 (Neutral)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.52 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

2.81 (Neutral)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4.36 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

4.08 (Agree)

Accountability The application facilitates collection of outcome measures of client progress.

2.48 (Disagree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

4.04 (Agree)

Average Rating: 3.44 (Neutral) Strengths: • Customization

• Records well in background noise • Reduces level of supports • Good explanations • Carrier phrase • Gets to hear own voice • Client can practice independently (often a challenge if family

can’t participate in treatment) • User-friendly • Allows for lots of repetition and great for home

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Allows clients to compare production to model • Clear pictures • Can record voice and play back • Good sound quality • Connects with external microphone • One of the few programs available for apraxia • Overall good clarity • Limited apps for motor speech • Great cueing and practice to shape sounds • Microphone hookup would be helpful • Easy to navigate (user friendly) • Can choose the sound you want to work on • Video, written cue, sound and word practice, faded cues • Can choose words that you think they should practice • Good clear speech • Visuals • Sentence completion tasks – simulates functionality and assist. • Hierarchy of cues • Video (with/without audio) for cueing • Emphasis on target sound in word • Good mouth model • Sub-steps for some clients from person to person

communication (person to computer might decrease propositionality)

• Fading out cues • Can record own voice – great feedback

Limitations: • Does not collect data • Other dialects would be • Doesn’t say if correct or incorrect • Can’t continue practice at a certain level of support (e.g.

unison) • Quick progression • No generalization • Can’t program to a specific syllable level and sound position • Low/no customizability • Unnatural sounding models • Too fast/no pauses • Only choose one phoneme at a time • Expensive • Some over-enunciation resulting in distorted productions • Not customizable for personally relevant words • Always word initial • Only see the mouth (rather than the whole face)

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Doesn’t save sound file • Cannot email sound file • Interdental /l/ • No feedback • Picture is very small • Expensive for a limited set of practice words • Can’t customize sets for practice • Expected more words in list with varying CV structures • Can’t modify pace or type of stimuli • Motor instructions: one way only • Not natural • Not functional • Always with a carrier phrase

Suggestions for use:

Body Structure & Functions • Impairment focused treatment activity • In treatment • Fine motor • Home practice • Shaping sounds • Repetition/practice of specific sounds • Apraxia drills • Good for people with both word finding and apraxia • For assessment • Apraxia • Sound shaping • Articulation • Developmental delay (e.g. down syndrome) Activity

• Focus on specific sounds • Rhyming games • Home practice (homework) • In a therapy activity • Speaking

Participation • Not functional • Home practice • ;( Talking to computer

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Visual Planner Publisher: Good Karma Applications Price: $14.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.27/5 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

2.8/5 (Neutral)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

3.21/5 (Neutral)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.79/5 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

3.96/5 (Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3.24/5 (Neutral)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.12/5 (Neutral)

Accountability The application facilitates collection of outcome measures of client progress.

2.07/5 (Disagree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

1.42/5 (Strongly Disagree)

Average Rating: 2.88/5 (Neutral)

Strengths: • Really functionals • Customizable • Once set up it looks clean • Allows audio and visual cues • Visually appealing • Good for eliciting narration (description of activity) • Cheap

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Could use this with many clients and modify difficulty • Manual is available • Set timer for activities • Detailed; color coded • Can hide some buttons • You can make the voice recordings

Limitations: • Difficult to learn and navigate • Complicated – too many steps • Not very intuitive/user friendly • A lot going on visually – cluttered screen • Lengthy manual that doesn’t go directly to an area/specific

need • Have to make all activities individually • Clinician or caregiver adds information – reliance on helper

Suggestions for use:

Body Structure & Functions • Brain injury • Pragmatics • Memory, sequencing (cognition) • Can be used for clients with many difficulties or ‘normal’

people • Could use in 1:1 treatment • Fine motor issues Activity • Inpatient ABI (executive function, memory, etc) • Getting there • Planning weekly activities • Breaks steps up into a task • Routine learning • Role play • Self-cueing for individual clients • Has a lot of supports Participation • Can incorporate it into a client’s life to keep a schedule, keep

upcoming dates and appointments (keeping track) • Independence • Organize work, home, family schedules, etc. • Time management

Other Comments: • Remote event planning would be useful

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Picture Scheduler Publisher: Petr Jankuj Price: $2.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.69/5 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.77/5 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

3.65/5 (Agree)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

2.86/5 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

4.23/5 (Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3.67/5 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.33/5 (Neutral)

Accountability The application facilitates collection of outcome measures of client progress.

2.42/5 (Disagree)

Efficient/Practical The application is set up for efficient and easy application to the target group.

3.69/5 (Agree)

Average Rating: 3.48/5 (Neutral)

Strengths: • Can add pictures, audio, video (multimedia) • Simple – clients could use this themselves • Customizable • Save previous activities and modify if you need to • Cheap • Less visually overwhelming • Can set repeats, timers, etc.

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

Limitations: • Less options for customizing • Doesn’t have a calendar format • Can’t share activities between devices? • For those with mild dementia, you may need skills to use the

apps • Order by sequence not by time of day necessarily • Hard to see day/week/month (calendar) easily • Probably needs to be set up by others • Wish you could see notes in full • Would be nice to use a series of pictures to direct activities • Sharing activities between devices

Suggestions for use:

Body Structures & Functions • Visual and auditory component • Cognitive delay/injury • Compensate for organizing, sequencing, memory challenges • Clients with varying deficits • Fine motor Activity • ADL facilitation • Could be used for functional activities • Breaks up steps of a task • Role play • Can help with lowhigh complexity tasks for low level clients Participation • Build in social steps (e.g. call brother) • Organization • Could be used in home, groups, etc. • Help people with dementia remain independent • Natural to have a calendar/schedule for a person • Easy to incorporate into daily life

Other Comments: •

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Audio Memos Pro Publisher: Imesart Price: $9.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.44/5 (Neutral)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.36/5 (Neutral)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

3.36/5 (Neutral)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

3.33/5 (Neutral)

Individualized The application can be modified or adapted to meet the needs of individual clients

3.6/5 (Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3.47 (Neutral)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

2.86/5 (Neutral)

Accountability The application facilitates collection of outcome measures of client progress.

3.35/5 (Neutral)

Efficient/Practical The application is set up for efficient and easy application to the target group.

4/5 (Agree)

Average Rating: 3.42/5 (Neutral)

Strengths: • Easy to use and listen to recordings • Useful for recording sessions, interviews, etc. • Timer available – alerts can be set up • Can compress and send the file • Can add bookmark with description • Can upload to Dropbox

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Can add external microphone to improve quality • Price • Portable • Good for immediate playback feedback and self awareness • Customizable, adaptability, share-ability • Could use if you didn’t have a digital recorder • Can collect conversation samples

Limitations: • No video • Trashcan (careful about confidentiality) • Poor sound quality without external microphone • Only audio • Somewhat technical • Picks up lots of background noise • Voice analysis

Suggestions for use:

Body Structures & Function • LSVT? • Rate • Fluency • Voice • Memory compensation • Assessment tool • Feedback (wide range of tasks) Activity • Speech sample • Role plays • Articulation practice • Self analysis • Home practice, school or work, personal reminders, important

conversations, etc. • Voice quality and volume • Select portion of recording for later use Participation • Very functional • Increase independence • Practicing conversational strategies • In groups • Record your part of Ax and group play

Other Comments: •

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: MyMemoir Publisher: Simon Mendoza Price: $1.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.88/5 (Agree)

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.68/5 (Agree)

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

4/5 (Agree)

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

3.87/5 (Agree)

Individualized The application can be modified or adapted to meet the needs of individual clients

4.08/5 (Agree)

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3.92/5 (Agree)

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.33/5 (Neutral)

Accountability The application facilitates collection of outcome measures of client progress.

3.38/5 (Neutral)

Efficient/Practical The application is set up for efficient and easy application to the target group.

3.96/5 (Agree)

Average Rating: 3.79/5 (Agree) Strengths: • Great for journaling

• Can search specific words throughout all entries • Can track progress in calendar (useful for clinician and client) • Can link to Dropbox or upload to email • Links note to a date • Adaptable and flexible

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Can include videos • Intuitive • Can adjust font size and type of font • Can write captions for pictures • Can choose theme/display

Limitations: • There are many memo apps that allow handwriting, drawing, PDF import, auto recording, typing, etc – this one is too limited – pretty basic

• Only 3 pictures allowed and not on slide • Can’t manipulate as much as I wanted • Doesn’t read/have audio for entries

Suggestions for use:

Body Structures & Functions • Fine motor • Cognition (memory, attention, etc) • Pragmatics • Cue for appointments, etc. • Summarize day Activity • Planning • Communication, life history book, scrapbook, calendar • Monitor your own progress • Role plays • Discuss favorite activities Participation • Facilitate conversation (re: family, vacation, etc) • Visually pleasing • Individualized • Group or real situations • Schedule activities and capture ‘Kodak’ moments (sharing)

Other Comments: •

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Assistive Chat Publisher: Assistive Apps Price: $24.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4.25

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.5

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

4.45

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

4.68

Individualized The application can be modified or adapted to meet the needs of individual clients

4.1

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3.75

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.8

Accountability The application facilitates collection of outcome measures of client progress.

N/A

Efficient/Practical The application is set up for efficient and easy application to the target group.

4.3

Average Rating: 4.1 Strengths: • Word predicton

• Becomes customized to your vocabulary • I like simplicity • Clean layout • Fairly intuitive and user friendly

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Can add favourite phrases • Will “learn” more frequent words • Recent lists • Choices for voices (sex, different options, speed, etc) • Good text to speech app for the price • Customizable • Speak each letter • Portable and iPhone also • Excellent tool for speech impaired who simply require repair

of breakdowns • Good voice quality and natural • Settings allow speech feedback (word or letter) which is useful • Used to assess word prediction, spelling, etc • Smart word choice • Reduced key stroke • Speedy communication

Limitations: • Voice somewhat digitized (not natural) • Much better apps out there (Predicatable-scanning, iMean,

Verbally) • No scanning • Limited voice selection • Too much $ for what it does • Slightly robotic speech • Intonation slightly off • No abbreviation expansions • More voice choices • Can’t put phrases in categories

Suggestions for use:

Body Structures and Functions: • Need to write • Fine motor skills • Aphonia • Dysarthria • AAC (increase in communication opportunities) • To give a voice to a client • 1:1 Treatment • Fluency Activity: • Writing practice • Communication in different contexts • Typing • Spelling • Turn Taking • Conversation

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Requests • Attention getting • Role playing • Communication breakdowns (to help clarify a message) • Client could use while participating when receiving treatment,

with friends and/or family Participation: • To communicate with people • Conversation group • Would allow clients to choose to participate in roles/settings

with other • Work, school, family • Going to restaurant to order food

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Fluency Tracker Publisher: Smarty Ears Price: $8.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.29

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.36

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

2.91

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

3.04

Individualized The application can be modified or adapted to meet the needs of individual clients

2.62

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3.54

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.18

Accountability The application facilitates collection of outcome measures of client progress.

3.96

Efficient/Practical The application is set up for efficient and easy application to the target group.

3.88

Average Rating: 3.31 Strengths: • Good for self-monitoring on transfers

• Event count button is nice • Easy to track dysfluencies (when/where/with whom) and

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

feelings during the day • Options • Promotes self-awareness • Useful as a counter/timer • Could be used for other conditions • Graphs could be useful • Cheap • Can talk about situation/environment that the dysfluency

occurred in • Counts qualitative and quantitative data • User friendly • CBT/ABC approach (who/where tracker) and where and with

whom graph • Easy to use • Tracks over time • Allows to see what situation occurs in • Useful for pre/post measures • Provides extensive list of feelings • Easy/portable • Provides graph • Great to use during sessions to keep track • Good for data collection and displaying it over time • For clinic and structured carryover practice, especially

regarding the fluency tracker Limitations: • A bit too expensive given limitations

• Would be better on iPhone/iPod • No inter-device connections • Can’t type in free notes • Event count needs two buttons (syllable and dysfluency) • Can’t customize feelings • Negative perspective • No positive examples of success • Significant ‘negative’ orientation (e.g., avoidance behaviour vs

‘challenged myself to…’ • Do not know if population would be driven to use this app • Rarely is client only stuttering (i.e., without other co-

morbidities)…limited use • Needs someone to count the dysfluencies (not automated) • Individualized for only 1 client • Positive feelings are on bottom of list • Doesn’t turn sideways • Looks pixilated • Can’t count syllable to get %SS • No spot to cue yourself

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Would a client use it? Not super practical Suggestions for use:

Body Structures and Functions: • Baseline assessment in fluency • Counts stutters/dysfluencies (in clinic and in daily life) • 1:1 treatment • Graph easy to see/understand • Fluency Activities: • Monitor feelings and dysfluencies during activities • Transfer self-tracking • Can be used to track positives (such as decrease in number of

dysfluencies) • Special event count • Level of self-awareness • Increase client’s ability to monitor self • Useful during activities in session • Emotional support/progress Participation: • Share results in group (de-stigma) • Connect and compare with other stutterers • Could be used in functional settings to track feelings and

dysfluencies • Take home to client • Client would be better able to self-reflect • Monitor fluency in different environments/with different

partners • Feeling/conversation partner options allow for more natural

data •

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Small Talk Apps Publisher: Lingraphica Price: Free

Average Rating (/5)

Engaging This application is very engaging for the target population.

3.67

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3.13

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

3.29

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

3.71

Individualized The application can be modified or adapted to meet the needs of individual clients

2.63

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3.71

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.58

Accountability The application facilitates collection of outcome measures of client progress.

2.59

Efficient/Practical The application is set up for efficient and easy application to the target group.

3.81

Average Rating: 3.46 Strengths: • Free

• Simple and straightforward

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Extremely functional • Male/female voice • Can choose speed • Easy to use/understand • I really like these apps! I use them all the time • Nice pics/videos • Video to help understand jargon for listeners • Can choose between icons and videos • Very specific-a large variety of comments and very specific to

needs, postures and equipment • Videos demo difficult to explain maneuvers • Is customizable once you order something from them • Sample, no creation of sentences • Could be useful for trach patients • Adjust speech rate • Oral motor-homework practice • Various programs for higher cognitive abilities to use • Picture augmentation helps • Oral Motor-Good applicability for independent practice (in

clients with relatively good cognitive skills) Limitations: • No back button within app (need to exit whole app)

• Once video is playing, there’s no way to pause or stop • Can’t personalize/add items • Have to search through a lot of phrases • Need to be pretty self-aware/communicative to express these

ideas • Not customizable • Screen orientation only in iPhone format • Digitized sounding voice • Limited sentences-can’t add • Might be too much for acute care • Might be useful only if client has their own device • Requires high cognition and fine motor (scrolling, memory of

list, hold device) • Requires scanning in order to get to target messages • Requires reading capacity (although picture augmentation

helps) • Needs better organization • Not very engaging

Suggestions for use:

Body Functions and Structores: • Teach treatment techniques/practice • Helps to teach others about dysphagia • Allows client to communicate with others • In treatment

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

• Dysphagia, Aphasia, Oral Motor • Baseline measures to describe pain, wants Activities: • Communication with different partner • Functional daily activites (i.e., eating) • Teaching activity for SLPs to staff/clients • In role play • Client homework • Meeting basic needs for nonverbal clients • Perhaps an assistant can use it for regular treatment • Articulation drills • Conversation practice Participation: • Communicating with acute care/rehab • Allows client to use it in eating situations/education • If client is high level, allows them to take responsibility for

safety • In real life situations • Ask for needs independently and directly • Conversation for aphasia, core phrases

Other Comments: • Put strengths here • In bullet form

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback)

Application: Scene Speak Publisher: Good Karma Applications Price: $9.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

4

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

5

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

5

Individualized The application can be modified or adapted to meet the needs of individual clients

5

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

4

Accountability The application facilitates collection of outcome measures of client progress.

N/A

Efficient/Practical The application is set up for efficient and easy application to the target group.

4

Average Rating: 4.375 Strengths: • Very customizable

• Lots of different scenes, and ability to add more • Love that you can upload your own pictures • Child can record their own voice

Limitations: • The voices it comes with are extremely robotic • It’s not that intuitive to use

Suggestions for use:

Body Structures and Functions: Activity: • Turn Taking • Conversation • Requests • Role playing • Communication breakdowns (to help clarify a message) Participation: • Create social stories • Have child talk about routines

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback)

Application: Disfluency Index Counter Publisher: Smarty Ears Apps Price: $8.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

2

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

1

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

N/A

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

N/A

Individualized The application can be modified or adapted to meet the needs of individual clients

3

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

N/A

Accountability The application facilitates collection of outcome measures of client progress.

N/A

Efficient/Practical The application is set up for efficient and easy application to the target group.

4

Average Rating: 2.8 Strengths: • Like that you can e-mail results

• Very user-friendly • Big buttons • Like the advanced mode with the specific dysfluencies

Limitations: • The app doesn’t have audio recording • Once paused, it would be great if simply hitting the F or D

button made the time start again instead of displaying an error message

• It would be great to be able to create profiles for each client so that you can track progress within the app

Suggestions for use:

Body Structures and Functions: • Track %SS Participation:

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback)

Application: Custom Boards Publisher: Smarty Ears Apps Price: $39.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

N/A

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

4

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

3.5

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

4

Individualized The application can be modified or adapted to meet the needs of individual clients

4

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

3

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.5

Accountability The application facilitates collection of outcome measures of client progress.

N/A

Efficient/Practical The application is set up for efficient and easy application to the target group.

4

Average Rating: 3.71 Strengths: • Like that you can use your own pictures and the library

provided (11.000 images) • Lots of options available – could be used for many different

activities and populations (not just AAC) • Online video tutorial • Able to save and print boards

Limitations: • The cost • Needs more editing options (font size, color, etc)

Suggestions for use:

• AAC • Creating games and materials for clinic sessions

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback)

Application: Match2Say Publisher: Smarty Ears Apps Price: $19.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

3

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

1

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

4

Individualized The application can be modified or adapted to meet the needs of individual clients

2

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3

Accountability The application facilitates collection of outcome measures of client progress.

3

Efficient/Practical The application is set up for efficient and easy application to the target group.

3.5

Average Rating: 2.94 Strengths: • Easy to use – would be good for home practice

• Multi-player • Hierarchical complexity from word to phrase level and

differing levels of difficulty and phoneme position Limitations: • Not as engaging for older children

• Just flashcards – would be more exciting with videos, more interaction

• Expensive for a matching game • Unsure if the skills would generalize to more natural contexts

Suggestions for use:

Body Structures and Functions: • Articulation drill practice • May be motivating to play the game

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback)

Application: Video Scheduler Publisher: MDR Price: $12.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

4

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

4

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

3

Individualized The application can be modified or adapted to meet the needs of individual clients

5

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.5

Accountability The application facilitates collection of outcome measures of client progress.

3

Efficient/Practical The application is set up for efficient and easy application to the target group.

4

Average Rating: 3.83 Strengths: • Create different user profiles with passwords to enhance

facilitation of use • Very user-friendly with different picture and video sizes • Can share schedules and create video models of activities • Easy to use in comparison to other similar apps

Limitations: • More pictures available to use already on the app Suggestions for use:

• Autistic population or any clients that need assistance with routines and organization

• Learning new skills – create video tutorials for clients • Transitions and sequencing

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Typ-O Publisher: SecondGuess ApS Price: 14.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

3

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

3

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

4

Individualized The application can be modified or adapted to meet the needs of individual clients

4

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

3.5

Accountability The application facilitates collection of outcome measures of client progress.

3

Efficient/Practical The application is set up for efficient and easy application to the target group.

4

Average Rating: 3.6 Strengths: • Once you have finished writing in the app you can send your

text in an email or text message • Predicted words can be said out loud • Lots of customization available – voice, reading speed, etc.

Limitations: • Voice that can be used without wireless is unnatural and synthetic

• Does not correct some common grammatical errors (capitalization, apostrophes)

• Word prediction is not adjustable to individual vocabulary (past vocabulary size)

Suggestions for use:

• Dyslexia • Aphasia • Apraxia • AAC • Anyone who needs help with spelling

Results from McFarlane, Gibson, Humphreys, Miller, Palmer (2012). A Hotspot for Contemporary SLP Practice; Using the iPad in Therapy with Adults: [email protected]

iPad Application Rating Form (Based on Student & Clinician feedback) Application: Notability Publisher: Ginger Labs Price: 1.99

Average Rating (/5)

Engaging This application is very engaging for the target population.

4

Facilitative Context

This application provides a context that facilitates acquisition of the target skills or allows the clinician to incorporate facilitative cues.

N/A

Naturalistic The application can expose the client to the target skills in a naturalistic communicative or social interaction

N/A

Communication Partner

The application can incorporate interaction with a meaningful communication partner.

N/A

Individualized The application can be modified or adapted to meet the needs of individual clients

5

Focused The application can focus on a specific skill or skills and allows for concentrated practice with that skill.

4

Evidence/Theory/Developmentally Based

The application is based on evidence or generally accepted theoretical or developmental principles.

4

Accountability The application facilitates collection of outcome measures of client progress.

N/A

Efficient/Practical The application is set up for efficient and easy application to the target group.

4.2

Average Rating: Strengths: • Very easy to personalize/adapt to individual needs

• Can add notes and pictures to text, can highlight, erase, etc. – lots of options

• Easy to send/export Limitations: • Can only use scissors and eraser on handwriting

• Audio clips become one long clip Suggestions for use:

• Can be used by professionals (clinicians) to track data, keep records, plan sessions, take notes in meetings, etc.