Multiple disabilities refer to a condition in which a person has several, extensive impairments, often including intellectual disability. High-tech communication aids, such as computers or tablets equipped with specialized communication software or apps, have been shown to facilitate communication for individuals with multiple disabilities. Due to motor difficulties, alternative access methods, such as eye‑tracking, may be required to operate the device.
Learning to use high‑tech communication aids takes a long time, and for people with multiple disabilities the process is particularly complex. They depend on others to ensure that the device is accessible and to support both learning and use. It is not uncommon for communication aids to be prescribed but then not used, or used only for a short period before being abandoned. Previous research highlights several inhibiting factors, such as attitudes and lack of knowledge among individuals in the surrounding environment. Despite this, implementation theory appears to be a relatively under‑researched area in relation to communication aids. In particular, very little research exists on factors that facilitate the implementation of communication aids in the everyday environments where people with multiple disabilities spend their time.
The aim of this project is to investigate success factors for the implementation of high‑tech communication aids for individuals with multiple disabilities.
Method
Participants: Approximately 10 individuals with multiple, extensive disabilities who use high‑tech communication aids daily across several environments. Recruitment will take place through a competence center for rare diagnoses associated with multiple disabilities.
Data collection: Interviews with family members and professionals (e.g., teachers, speech‑language pathologists).
Analysis: Qualitative content analysis, meaning that information from the interviews is coded and categorized. Two researchers will analyze the material independently and discuss the analysis continuously until consensus is reached.
Procedure: After informed consent is obtained, an interview appointment is scheduled with each participant via video link. The interviews will be recorded using Zoom and transcribed with Whisper prior to analysis. Participants will be given the opportunity to review and correct the transcribed interview. Data from several interviews may be collected and analyzed as part of master’s theses. Finally, the full dataset will be compiled into a publication in a scientific journal.
Timeline: The project began on 2024‑05‑02 and is expected to run until 2027‑05‑05.