Abstract：
Individuals with multiple disabilities are among the most challenging to serve and AAC teams often lack direction in determining effective interventions. The purpose of this scoping review was to summarize the research evidence on AAC interventions for individuals with complex communication needs and simultaneous motor, and visual impairments as part of their multiple disabilities; to consider implications for practice; and to determine gaps and directions for future research. A total of 27 studies were identified and reviewed, involving 55 unique participants with multiple disabilities. Most studies focused on direct intervention to increase requesting or choice-making, with little focus on social communication. Only two studies focused on training communication partners. Results indicated that AAC interventions can be highly effective to increase communication for individuals with multiple disabilities. However, there is an urgent need for increased rigor and more detailed participant information in future AAC intervention research with this population. Future research should investigate AAC intervention to improve social communication and increase language development, not just expression of needs and wants. Future research should focus on the needs of individuals with multiple disabilities from culturally and linguistically diverse backgrounds and on implementation of AAC within natural environments.
摘要：
有多重残疾的个人是最具挑战性的服务和AAC团队往往缺乏方向确定有效的干预措施。本范围审查的目的是总结AAC干预对具有复杂沟通需求和同时运动的个体的研究证据。和视力障碍作为其多重残疾的一部分;考虑对实践的影响;并确定差距和未来研究的方向。共确定和审查了27项研究，涉及55名具有多重残疾的独特参与者。大多数研究集中在直接干预以增加请求或选择，很少关注社交。只有两项研究侧重于培训沟通伙伴。结果表明，AAC干预措施可以非常有效地增加与多个残疾人的沟通。然而,在未来针对该人群的AAC干预研究中,迫切需要更严格和更详细的参与者信息.未来的研究应该调查AAC干预，以改善社会交流和增加语言发展，不仅仅是表达需求和愿望。未来的研究应侧重于来自文化和语言不同背景的多重残疾个人的需求，以及在自然环境中实施AAC。
