This page is derived from the SentenceShaper Manual. As it comes near
the end of the manual, some things may not be obvious if you haven't
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Structure
of a typical SentenceShaper treatment study
The SentenceShaper software was designed for independent use. In
every study to date utilizing the system, subjects have been provided with
computers in their homes and have been instructed to use the system at
home for approximately three hours per week, over a 3-6 month period. Typically,
subjects came into the lab once a week to use the system with a clinician
who offered suggestions for more effective work and suggested homework
assignments for the next week. The use of a laptop or tablet computer allows
subjects to bring in their homework production for replay and revision
at the lab.
Training a new user
The way in which you train a user on the system will depend upon his/her
linguistic and cognitive resources.
- We suggest that you start with a very simple task such as describing
a picture. Demonstrate how the system works by eliciting words
from the user (or providing words and having the user repeat them) then building
them up into a sentence while the user watches. Emphasize that clicking
a shape will replay its contents.
- Then have the user practice the mechanics himself: recording shapes, dragging
them to the Sentence Assembly Area, playing them in order, and reordering
them or adding new material.

The software screen (sentence assembly area) before you
start a session;
it's easy to get used to.
- Encourage the user to produce full sentences rather than isolated
nouns; suggest that s/he play the verb and preposition Side Buttons
to see if any of them would be appropriate, or to see if playing these
buttons suggests other material. The Default button set ("Simple
Buttons") contains "Who," "What," and "Where,"
which can be used to elicit subjects, objects, and locative expressions.
Users can learn to self-cue with these buttons on their own.
- Gradually
increase the difficulty of the materials used. Single picture descriptions
can be followed by short cartoon sequences, or by instructing the subject
to make up "sequels" and "prequels" to
single pictures, or to build a short fictional narrative about individual
pictures in a collection of photographs. See page
4 of clinical use for
additional task suggestions.
- If you plan to use the Word Finder, introduce it by having the user
search for simple items like foods (always be sure that the word is actually
in the hierarchy, or add it yourself beforehand), with a picture in front
of him/her if necessary.
- We do not recommend the WordFinder for most subjects,
as it can disrupt the process of sentence construction, and may prevent
subjects from learning how to use their own recorded material and/or
the side buttons to trigger new material (via the "cloze" effect
in which playing the first part of a sentence often stimulates a completion,
for example).
- If the user is stumped about how to begin a sentence, suggest that s/he
play the verb or preposition Side Buttons to see if one of these buttons
can evoke an appropriate word or phrase.
About the Word Finder and the Side Buttons
In the discussion below, we do not distinguish between the
use of SentenceShaper as
an augmentative communication device and its use as a therapy
tool. In fact, however, these two uses may require somewhat different
techniques.
For example, the WordFinder may be a useful tool for
a subject using the system to create email messages or for other functional
tasks, since s/he can locate precise words and expressions in this hierarchy.

Part of the Wordfinder in SentenceShaper
In contrast,
we believe that regular use of the Side Buttons (a selection
is shown below) may be more effective than WordFinder use in
bringing about gains in subjects’ spontaneous speech, because in
part use of the Side Buttons may train subjects to circumlocate rather
than disrupt sentence construction by searching for the "perfect" word.
(You can tailor the Side Buttons to individual users' needs.)

Continue to page 3 of suggestions for clinical use