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Explore switch interfaces, modes of access, & activities for special education using iPads. Enhance learning through meaningful occupations. Switch training do's and don'ts.
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Master Chef Using iPad Recipes and Other Tools to Increase Access
Learning Objectives • Identify different types of switch interfaces that function with iOS • Explain different modes of switch access and applications • Set up switch access and adjust Accessibility settings in iOS • Set up meaningful activities across various areas of occupation
http://www.salinascityesd.org/special-ed-blog/2014/7/25/12-best-special-needs-apps-for-special-educationhttp://www.salinascityesd.org/special-ed-blog/2014/7/25/12-best-special-needs-apps-for-special-education https://www.cultofmac.com/185048/how-the-ipad-is-transforming-the-classroom-back-to-school/ http://b-townblog.com/2015/01/16/special-needs-student-at-sylvester-raises-money-and-buys-new-ipads-for-others/ https://www.securedgenetworks.com/blog/4-Aspects-of-Using-iPads-in-the-Classroom-that-s-Got-You-on-the-Fence http://b-townblog.com/2015/01/16/special-needs-student-at-sylvester-raises-money-and-buys-new-ipads-for-others/ https://www.tangischools.org/domain/4365 https://www.friscoisd.org/news/district-headlines/2013/04/04/special-ed-technology-revolution https://www.friscoisd.org/news/district-headlines/2013/04/04/special-ed-technology-revolution
Determining AT Using the SETT Framework (Student, Environment, Task, Tools) https://www.understood.org/en/school-learning/assistive-technology/assistive-technologies-basics/at-a-glance-how-the-iep-team-decides-on-assistive-technology
Are iPads (or iPhones for that matter) …. Assistive Technology, Environmental Technology, Therapeutic Technology, or Occupational Related Technology ??
https://phillykids.org/programs/classroom-computers-program/
http://www.salinascityesd.org/special-ed-blog/2014/7/25/12-best-special-needs-apps-for-special-educationhttp://www.salinascityesd.org/special-ed-blog/2014/7/25/12-best-special-needs-apps-for-special-education https://www.cultofmac.com/185048/how-the-ipad-is-transforming-the-classroom-back-to-school/ http://b-townblog.com/2015/01/16/special-needs-student-at-sylvester-raises-money-and-buys-new-ipads-for-others/ https://www.securedgenetworks.com/blog/4-Aspects-of-Using-iPads-in-the-Classroom-that-s-Got-You-on-the-Fence http://b-townblog.com/2015/01/16/special-needs-student-at-sylvester-raises-money-and-buys-new-ipads-for-others/ https://www.tangischools.org/domain/4365 https://www.friscoisd.org/news/district-headlines/2013/04/04/special-ed-technology-revolution https://www.friscoisd.org/news/district-headlines/2013/04/04/special-ed-technology-revolution
Alternative to Touchscreen: Great for lots of students • Need highly adapted switch access (ex. Cheek, head, sip/puff) • Have poor finger isolation and do not tolerate supports, orthotics, or stylus • Have poor upper extremity control for hitting a target • Need to read a recipe while their hands are messy! :-)
Tapio (direct connect) • About $113.00 • http://www.orin.com/access/tapio/ • Not for Boardmaker app • iOS only (requires a Lightning to USB connector) • Hook+ Switch Interface • $185 • https://www.ablenetinc.com/hook-switch-interface • Direct connect (Lighting to USB) • Blue2 (bluetooth) • About $185 • https://www.ablenetinc.com/blue2-bluetooth-switch • Works w/Boardmaker • APPLicator (bluetooth) • https://www.inclusivetlc.com/applicator • About $165 • Works with iOS and Android • RJ Cooper Bluetooth Switch Interface • About $184 • https://store.rjcooper.com/products/tablet-super-switch?variant=30053401092 • iOS or Android
Assessment of Switch Access • Determine access point(s) to try, don’t forget positioning! • Cheek/head • Sip/puff • Accessing with hand, but where? What size switch? How much pressure can they apply? • One or two switches? • What needs to be assessed? • Cause and effect • Timing and motor control • Frustration tolerance • Engagement/sensory needs • Client Factors • Motor function (tone, reflexes, strength) • Cognitive function (language, cause/effect) • Visual perceptual needs (may need to adjust settings) • Motivation (communication, sensory input) • Occupations Targeted • Communication • Participating in literacy/academic activities? • Demonstrating knowledge of concepts? • Leisure (can they games they see others playing??)
Do’s and Don’ts of Switch Training Please do these! • Remember that it’s LEARNED • Assume competence • Provide feedback • Use MEANINGFUL activities • Allow opportunities for mistakes • Monitor for boredom and fatigue • Try different switch types and positions • Recognize the purpose of your intervention • Lean to wait!! Don’t do these! • Only try switch access with one activity • Assume that mistakes in activation mean they don’t understand • Think that the same switch placement will work every time • Assume that activation should be automatic • Feel like you need to take data every time • Work on switch access when you’re feeling rushed • Prompt with “hit the switch” http://lindaburkhart.com/
Switch Training: One Switch vs. Two Switch One Switch • Auto Scanning (Scanning continues until the switch is pressed), NOT ALWAYS EASIER THAN TWO SWITCH MANUAL SCANNING • Set up one iPad recipe to complete the same movement until it is changed Two Switches • Must have two reliable access points and ability to choose between functions • Can use one switch to scan manually and one to select • Could have one connected to a recipe and a second switch performing another function
Accessing an iPad with a Switch • Scanning • Auto scanning vs. manual scanning • Manual scanning requires a “move to next item” switch • Point Scanning • Using “Crosshairs” to activate a certain location on the screen • Might be frustrating and confusing for a lot of students • iPad “Recipes” • Using a switch to complete a pre-programmed “gesture” (ex. a swipe across the screen, touch a button in a certain app) • Great for access apps that aren’t created with switch use in mind
Adding a Switch in iOS External: Choose a Bluetooth switch or Made for iPhone/iPad switch. Screen: Tap the screen to use a switch or press and hold. Camera: Move your head to use the iPhone front-facing camera as a switch. You can use the camera as two switches: One when you move your head to the left, and the other when you move your head to the right. • Go to Settings > General > Accessibility > Switch Control > Switches > Add New Switch
AOTA’s Areas of Occupation • ADLs • IADLs • Rest and Sleep • Education • Work • Leisure • Social Participation
Communication and AAC • TouchChat • Can access scanning through iOS • ProLoQuo2Go • Switch settings inside the app • https://www.assistiveware.com/support/proloquo2go/customize-for-alternative-access/configure-a-switch-interface-for-use-with-proloquo2go • Boardmaker • Switch/access settings inside the app • Requires a bluetooth switch interface (per Boardmaker tech support)
How to set up a “recipe” • Decide what app you’re using and what they need to do • Figure out what the “gesture” is going to be • Use visual supports (ex. Small stickers) to mark where taps, swipes, etc. need to occur
Communication and Literacy -iPad recipe for hitting the “next” button in boardmaker -using Tapio switch interface (direct connect) -since this is using an iOS feature (the recipe), can use a Tapio even though they don’t work with Boardmaker features
Leisure and Games -using BLUE2 switch interface -uses an iPad recipe to swipe across the screen -She is playing “Crazy Knife Dash”
Music and the Arts Video of setting up garage band Video of student using garage band
Resources and “How To” Guides • Albenet • https://www.ablenetinc.com/downloads/dl/file/id/754/product/178/ios_10_switch_control_simplifying_switch_access_with_recipes.pdf • https://www.ablenetinc.com/index.php/downloads/dl/file/id/784/product/0/ios_12_user_guide.pdf • https://www.ablenetinc.com/technology/computer-tablet-access/blue2-bluetooth-switch#Resources • Apple • https://support.apple.com/en-us/HT201370 • Virginia TTAC • https://ttaconline.org/virginia-projects
Resources Burkhart, L. (n.d.). Switch Access – Sample Goals for Children who have Severe Multiple Disabilities. Retrieved February 25, 2019, from http://www.lburkhart.com/ Costigan, F. A., & Light, J. (2010). Effect of seated position on upper-extremity access to augmentative communication for children with cerebral palsy: Preliminary investigation. American Journal of Occupational Therapy, 64, 596– 604. doi: 10.5014/ajot.2010.09013 Marden, J., SLP. (n.d.). How to support a switch user. Retrieved February 25, 2019, from https://www.assistiveware.com/blog/how-support-switch-user Morin, A. (n.d.). At a Glance: How the IEP Team Decides on Assistive Technology. Retrieved February 25, 2019, from https://www.understood.org/en/school-learning/assistive-technology/assistive-technologies-basics/at-a-glance-how-the-iep-team-decides-on-assistive-technology Richardson, P. K. (2002). The school as social context: Social interaction patterns of children with physical disabilities. American Journal of Occupational Therapy, 56, 296–304. Smith, R. O. (2017). Technology and occupation: Past, present, and the next 100 years of theory and practice (Eleanor Clarke Slagle Lecture). American Journal of Occupational Therapy, 71, 7106150010. https://doi.org/10.5014/ ajot.2017.716003 Watson, A. H., Ito, M., Smith, R. O., & Andersen, L. T. (2010). Effect of assistive technology in a public school setting. American Journal of Occupational Therapy, 64, 18–29.