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Understanding and setting up the iPad as a therapy tool
1. Understanding and Setting Up the iPad as a
Therapy Tool
Barbara Fernandes, M.S; CCC-SL
geeekslp@yahoo.comwww.geekslp.com
2. The
Presenter
-Barbara Fernandes, M.S; CCC-SLP
- Founder & CEO of Smarty Ears
- Loves technology
- GeekSLP.com (Free App)
- Developed & Designed over 50 apps for SLPs
- Better with technology than my husband!
- GeekSLP TV - 32 episodes
www.geekslp.co
- Founder of Smarty Symbols LLC
3. Instructional Personnel Relationship Disclosure
In compliance with American Speech-Language Hearing Association’s Continuing Education Board’s
Requirements, ASHA requires program instructional personnel to disclose information regarding any
relevant financial and non-financial relationships related to course content prior to and during course
planning. I have the following relevant relationships in the products or services described, reviewed,
evaluated or compared in this presentation:
4. As a result of this presentation you
will be able to...
1.Identify key features of the iDevices as therapy tools.
2.Identify at least three accessibility features built into the iPad.
3.Identify accessories needed to implement iDevices for speech
and language therapy.
4.Identify the benefits and pitfalls of utilizing the iPad for speech
and language therapy.
5. You will learn about...
• iPad Basics & settings
• Accessories for
Therapy
• Apps!
6. Getting to know you!
1. How many people here work in a school setting?
2. How many of you work for districts that have purchased
devices for their staff members?
3. Has the district purchased apps for the SLPs?
4. How many work only with adults?
5. How many have been to one of my presentations in the
past?
6. Has anyone developed an app?
8. iDevice expert chart
1. Each one of you will rate your
“expertise” based on the number
of points from the
“iDevice Expert chart”.
9. iDevice User Expert
Chart+1: I own an iDevice
+1: I own a retina display iPad
+1 : Has updated their device to iOS 8.1
+1: I know how to buy apps on my own
+1:I know how to switch between apps during therapy
+1:I have the GeekSLP App on my iPad
+1: I use at least one articulation App in therapy
+1: I use an Educational App in therapy
+1: I know how to access the accessibility features on my iDevice
+ 1: I am the account manager for the district app purchase
+ 1: I use my iPad to manage my caseload
+ 1 : I know how to backup and restore my student’s data on my device
+ 1: I know what to do when an app freezes on me
+ 1: I know what to do when my app seems to have no sound.
+ 1: I know how to uses Siri
+ 1: I know how to take a screenshot of my device
Total of Max 15 points!
14. Teaching
Strategies/ EBP
Is there any Evidence that Apps
can help children with Speech
delays?
How do I engage Evidence Based Practice with this app?
We should not be mapping the use of new technologies onto old curricula,
rather, we need to rethink our curricula and pedagogies in the light of the
impact that we know technologies can have on learning and meaning‐making
in contemporary times (Yelland, 2007).
15. Teaching
Strategies/ EBP
What is the evidence
behind Mr. Potato
head?
Mr. Potato’s had been used to:
- Improve fine motor skills (grasping)
- Sensory processing
- Pretend Play
- Parallel play
- Spacial awareness
- Vocabulary
- Sorting
- Matching picture and object
16. Apps do not replace you!
Do not use an app as a television!
Still plan your therapy- the apps are just the tool or
the activity.
Teaching
Strategies/ EBP
17. APP-titude: Use the Evidence to Choose a Treatment App
This evidence-based practice model provides strategies for selecting an app.
by Lara Wakefield & Theresa Schaber
Step 1: Frame your clinical question using PICO (Population, Intervention, Comparison, and Outcome).
Step 2: Find the evidence
Step 3: Assess the evidence.
Step 4: Search the app store and consult the evidence.
1. App M included 23 prepositions; App R had 20.
2. The prepositions were not listed for App M in its description, but were listed for App R.
3. The prepositions listed for App R were presented in alphabetical order, not developmental order.
4. Neither app described whether the app was based on a modeling format or how the preposition stimuli were
chosen. The SLP realized she would have to purchase the app or contact the developers to find out that
information.
5. The cost of App M was $2.99 and the cost of App R was $7.99.
6. App M was based on a modeling methodology, whereas App R was a receptive task.
18. Selecting Apps for Therapy using an Evidence-Based Practice Model for Intervention Tools
Dr. Lara Wakefield & Theresa Schabe
They look at iTunes
descriptors for the presence
of evidence to support the
set up of the app.
Look for the evidence and
make sure to use the
application in a way that is
supported by the evidence.
e.g: Apps for Prepositions
e.g: Apps for articulation
Select specific
Prepositions to target
student’s level.
Discard the app?
word- sentence:
use something else for
phrase?
word-sentence
discart the app?
19. Technology
Literacy
SLPs of the present (and the
future) must learn how to operate
and care for the devices.
What do I do if I get no sound on my apps?
How do I keep my apps organized?
How do I protect the data on my iPad?
Keeping your iPad updated!!!!
20. The iOS System
• This is Apple’s mobile operational
system. The iOS is to the iPad what
“Windows” is to PCs.
• Why should you care:
• Updates
• Features
Technology
Literacy
Settings - general - about - version
iOS 8.1
21. WHAT’S NEW?
App Bundles!? Yes!
You get to see the price you would pay if you
bought all the apps separately.
You get a discount for what you already
own!
22. Useful iPad tricks for SLPs
http://gizmodo.com/5508399/10-essential-ipad-tips--tricks
Technology
Literacy
Therapists must master
the device in order to be
able to use it as a tool
for teaching.
23. Organizing your apps.
1.Organize apps by goal ( pronoun,
verbs, etc..)
2.Organize apps by group - “Monday
1st graders 8 am”
3.Organize a folder for reward apps
Consider allowing students select the
app they want to use from a folder.
How?
1st. Hold an app icon for two seconds
until the start to jiggle
2nd. Drag one icon on top of the other
3rd. Let go
4th. Rename folder
Ideas
24. Closing your app history?
How ( depends on your iOS system)
1st. Double click your home button
2nd. Swipe up ( if iOS 7 or up) or Hold
icon for two seconds ( if iOS 6 or less)
25. Saving power for the long therapy day
Why
Reducing the
brightness helps
conserve battery for
using the iPad with all
your groups!
26. Using the iPad with groups?
What:
It is possible to have a diverse
group of students, one iPad and
have each use their target app at
the same time.
How:
Switching between apps
back and forth using app
deck. It depends on iOS.
Try it:
Double tap home
button, use app A,
double tap, use app B,
and start again.
Multitasking
27. iPad iOS5 Multi-Touch Gestures
• 4 finger up to
access the multi-
tasking tray
• for finger sideways:
switch between
apps
• 5 fingers pinch: go
back to home
screen.
Consider your students’ behaviors
30. Imagine the following
scenario...
You are on vacation and you take your iPad with
you. One day you come back your hotel and your
things are gone, including your iPad ( and all your
data, student information, and your personal
information)
31. Protect your data
• Auto lock x password
lock
• You may consider unlocking
right before therapy
• Password protection
• Erase data?
Make sure you DON’T
FORGET YOUR PASSWORD
EITHER!
32. Privacy Issues
• Password protection of student data
• signature of confidentiality on your
e-mail
• e-mail student information on a
secure network.
• Set up a different signature/ email
account
Settings- Mail, contact, calendars- Signature.
33. New scenario...
You are delivering therapy
to a group of students using
your iPad and someone
knocks on your door. You
go check on it and 2
minutes later when you
come back you notice that
the app you had been using
to track student data has
been deleted.
Now what!?
34. Setting up restrictions on your
iDevices
• Click on the settings icon-
General - Restrictions
• Highly recommended
restrictions:
• Installing apps
• Deleting apps
• In-App purchases
• Age rating restrictions
35. Back up the student
data:
Print, print, print!
File sharing
http://www.geekslp.com/2012/12/did-you-know-that-you-could-lose-everything-on-your-
ipad/
Most speech therapy apps do not use iCloud to backup data due to privac
36. File sharing...
Plug your iPad to your computer, access the tap “apps” and scroll all the way to “file
sharing”
37. Accessibility Features
iPad comes with a screen reader, support for playback of closed-captioned
content, and other innovative universal access features — right out of the box.
There’s no additional software to buy or install.
These features make iPad easier to use for students who have a vision
impairment, are deaf or hard of hearing, or have a physical or learning
disability.
(Apple.com)
38. USING APPLE TECHNOLOGY TO
SUPPORT LEARNING FOR STUDENTS
WITH SENSORY AND LEARNING
DISABILITIES
TRISHA O’CONNELL, GEOFF FREED, AND MADELEINE
ROTHBERG
CARL AND RUTH SHAPIRO FAMILY NATIONAL CENTER FOR
ACCESSIBLE MEDIA WGBH EDUCATIONAL FOUNDATION
39. Making the iPad
accessible1. Voice Over
2. Zoom
3. Large Text
4. White on Black
5. Mono-Audio
6. Speak Auto-text
7. Triple click home options
8. Guided Access- iOS 6.0
41. SWITCHES FOR THE IPAD
• These are bluetooth
enabled switches for the
iPad.
• Able Net
• http://www.ablenetinc.com
/Assistive-
Technology/Computer-
Access/Blue2-Bluetooth-
Switch
47. App pricing
• Remember how much traditional products
cost.
• Forget the $.99 price model when
considering communication apps.
• You get what you paid for.
• As of May 2011, Apple approves its
500,000th app, 37 percent of all apps are free
with the average price $3.64.
• Average Speech therapy apps- $29.99
48. When considering implementing
the iPad on your therapy session,
consider the costs that come with
it:
1. Cost of the device
2. Cost of apps
3. Cost of accessories
53. “The Sunny Articulation Test (SAT) is an
individually administered clinical tool for
screening, identification, diagnosis and follow-up
evaluation of articulation & phonology skills in
English speaking individuals.”
This is not a test for determining eligibility- it is not standardized
Features:
1. Assesses consonants & vowels
2. Includes an R screener
3. Assesses phonemes at the word and sentence
level
4. Add your own conclusions and
recommendations
5. Voice recording
6. Complete automatic analysis of articulation
skills
7. Note-taking
8. Export to the Therapy Report Center
9. Export report to iBooks, email or print
54. Language Screeners
Basic Concepts Skills Screener
Basic Concepts Skills Screener
Perfect for all levels from preschool to early elementary,
BCSS assesses the concept skills needed for pre-reading
and math skills. The Basic Concepts Skills Screener is sure
to be a great app for the busy speech-language pathologist,
teacher, parent, or caregiver.
The Common Core Early Language Screener (CCELS) is a
screening tool used to identify weaknesses in early
language skills. The CCELS was designed to be used with
pre-Kindergarten, kindergarten and first grade aged children
as it was based on the common core expectations for each
grade; however, the screener can be used for other groups
if needed
56. If you have a grant or are seeking funding for your iPad, you need to make sure you
do your research on the accessories you want to include with the fund request.
Essential
Non-essential
iPad accessories for
speech therapistsPrinter
Case
Stand
Cleaning solution
Speakers
Keyboard
Apple TV
Hdmi adaptor
Interactive iToys
Stylus
Toys
57. A Printer for your iPad
• Printing reports and progress reports
without having to email them to
yourself;
• you must own an “air printing ready
printer”;
• Apple has a list on their website of
iPad compatible printers.
59. Stands
- Make sure it has a stable base
- Rotates
- Secure on each side
Consider the
stand based on
your specific
iPad model
Pivoting Flex Ipad Stand
$19.99
61. • Speakers: Built-in speakers may not be loud
enough in the school setting
$19
• Use a disinfectant wipe to wipe the area first, then
use a damp, soft, lint-free cloth, and finally dry the
area with another soft, lint-free cloth.
• Do not use disinfectant wipes containing bleach or
disinfectant sprays in general.
62. Other accessories to
consider
• Stylus: writing, coloring, OT.
• Keyboard: for when we need
to type longer documents.
• Bub Cap for home button (
iPad 1)
• Cables: Mirroring your iPad 2
63. Total cost of accessories
$283
stand, case, speaker, printer, keyboard, hdmi cable and adapter, bub cap, stylus,
cleaning solution.
65. 1. Apps not designed for therapy but can
be adapted for therapy
2. Apps designed for therapy/assessment
3. Apps for motivation
4. Data/Caseload tracking & organization
apps
Major app categories:
www. geekslp.com
66. FUNCTIONAL COMMUNICATION & THE
IPAD
Joint
Attention
Cause
& effect
Following
direction
Choice
Making
Turn Taking
Attending
by Barbara Fernandeswww.geekslp.com
How can you use the iPad/Apps to target
these skills?
69. Dropbox
Chronological
Age Calculator
iBooks
Upload and download files, share
documents with others and
yourself between devices.
Read and organize your pdf files,
articles and other pdf files.
Free age calculator by Super
Duper.
Sign Now
A free application that allows you
to sign documents and email.
Great tool for signing reports!
70. Caseload Tracker
SLP Goal Bank
Built-in calendar
on iPad
Manages caseloads and alerts of
due dates for Evaluations, IEP
meetings & eligibility.
It can be used to organize groups,
keep meetings, evaluations and
report color coded and highly
organized.
Bank of goals that serves as a
starting point for creating targets
for therapy.
Therapy Report
Center
Bank of goals that serves as a
starting point for creating targets
for therapy.
71. Therapy Report Center
Free!The TRC will make app use for therapy even more efficient. The TRC is now a centralized location for
student’s results from all Smarty Ears apps. The second main function of TRC is to keep all of the data
from all of your Smarty Ears apps organized in one place. Once you are done with an activity on your
Smarty Ears app, simply export the results to TRC, select the student you want to import the data to and
you are done.
73. Gaming into education: Can even Angry Birds promote learning?
http://www.geekslp.com/2011/04/angry-birds-educational-tool-beat-them-join-them/
Game Apps
74. Gaming into education: Can even Angry Birds promote learning?
1. If your student/child is already familiar with Angry Birds, get him to explain the
whole game to you. If you are working on writing skills, this can even be a written
assignment.
2. You and the child can play one or several levels together; however the child has
to describe their strategy to getting to the pig prior to playing the level. If you are
with a group of students; how about having each student think out their strategies
separately and get them to discuss which strategy is best and then put into
action?
3. Select a level and ask the student to play it once, then ask them to describe their
strategies verbally or create a written material that describes their strategies.
YES
This can also be used for articulation (The harassing bird
came crashing through the air and went through the rubble.)
Joint
Attention
Cause
& effect
Following
direction
Choice
Making Turn TakingAttending
Angry Birds now has even new themes!
75. A case Study by “App Kickers”
Data Narrative: Present progressive intervention with 3rd
grader with Autism
Population: Student: AJ, male, 3rd grade, Diagnosis: Autism, minimal
verbal output but a few times has comes out with emergent novel
sentence forms containing a verb
instead of his echolalic “go to” phrases like “There it goes” , “Look
out”, “Stop it”, “Let’s rock n roll”, “Check it out”, “Wait for it”, and “No
can do.”
Outcome: IEP goal: Produce present progressive verbs and past tense
verb tenses in structured tasks.
Comparison condition: Past history: Picture description tasks: too static. Not interested. Minimal output and just says
“There it goes” and “No can do” to refuse the situations.
PICO
Comparison to norm: But... what do typical kids “say” when playing a popular game? I will have to compare to that
because I don’t know.
http://dl.dropbox.com/u/59487550/Angry%20Birds%20PICO.pdf
Results (3 months): AJ continued to imitate other peers with mainly the verb phrase part for March and April. Then in May, his Mom called me to say
that AJ was playing Angry Birds at home by himself (usually he was playing with his sister who was modeling simple phrases
as I had trained the sister and Mom to do). And he said, “I shooting rocks.” She ran over to him and listened to him again and
he kept saying “I shooting rocks.”A few days later during his game time at school, he produced “I shooting rocks” during Angry
Birds with a peer and the peer said, “AJ, great shot.” and hugged AJ.
Schedule was set up and he had a different peer every week. Kids would get excited to see the weekly calendar and run over to AJ and say
“Dude, it’s my week with you, ” and give AJ a high five.
Schaber, T. & Wakefield, L. (2013) "Angry Birds Data Narrative: Case-Study of SLP using E3BP process
for eliciting present progressive tense in a 3rd grader with autism." Field Notes, 1-7.
76. Other similar “multiple paths” apps:
Cut the rope
Where’s my water lesson plan.
YES! You need to plan!
http://www.scribd.com/doc/113210313/Where-s-my-water-SLP-Lesson-plan-sample
Keep in mind how children without a language delay would engage in a conversation WHILE
playing a game.
Where’s my water?
78. HOW DO WE MEASURE LEARNING FROM USING GAME
APPS?
1. Select Measurable targets
“The student will increase use of xx vocabulary during a 10 minutes
play”;
“ The student will use follow two-step directions with 70% accuracy”
2. Track accuracy of selected targets
“ On 2.22.12 the student was able to follow two step verbal
directions using xx app with 50% accuracy”
Joint
Attention
Cause
& effect
Following
direction
Choice
Making Turn TakingAttending
79. APP MATES
Integrating
manipulatives with the
iPads to create a truly
fun session
Joint
Attention
Cause
& effect
Following
direction
Choice
Making Turn TakingAttending
1. Following directions is “
almost” a given with App
Mates.
2. Reading Comprehension
3. Predicting
4. Story-retell
5. WhQuestions ( in context)
82. Custom Boards
Custom Boards Premium is an evidence based app designed
to serve as a board and activity creator
Premium version offers a total of 120+ Templates.
12,000 Smarty Symbols
Print, e-mail or share through iTunes.
User your own images
Student folders
86. Apraxia
Apraxia Ville
Lynguisystems
Apraxia Cards
Apraxia Picture
Sound Cards
- VC, CV, CVC, CVCV, CVCVC &
Multisyllablic
- Data tracking
- You cannot select specific
phonemes
– CV, VC, CVC, CVCV
– One syllable words with blends
– Compound words
– Two, three, and four syllable words
- Consonats only
- VC, CV, CVC,
- Single sound production
animations
- Consonants & Vowels
- Combining words
87. Some other great Articulation & Phonology Apps
for you to explore
Articulate it ArtiKPix Speech Trainer Articulation Scenes
Sunny Articulation &
Phonology Test
Apraxia Ville R Intensive Minimal
Pairs
Academy
Articulation Flip
Book
SLP Field Kit
90. Apps for Social Skills & Pragmatics
Highly interactive
and attractive
Targets social
thinking skills
Receptive and
expressive language
skills
Children must
attend to the “ silly”
ideas on the
images.
The app utilizes a
problem-solving quest
theme in which students
navigate various
locations and earn
“rewards” linked to
social competencies.
Children practice and
record conversation
scripts.
91. Prepositions
House of Learning Preposition Remix Speech with Milo:
Prepositions
A preposition describes a relationship between other words in a sentence.
Text
92. Sequencing
“Beginning readers and those that have not had much opportunity to work on their sequencing skills have a
tendency to retell a story by starting with the end, since it is the part that they read or heard most recently.”
Cookie Doodle
Create cookies &
describe steps used
before eating it.
iSequences
It contains sets of 3
steps on over 100 items.
Making Sequences
Includes 15 story
sequences
93. Verbs
From basic verb demonstrations to advanced tense/sentence levels
Speech with Milo iPractice Verbs Tense Builder Verb Quest
94. Syntax
Sentence Maker Sentence Magic
“Syntax refers to the rules that govern how
words combine to create meaningful
utterances.”
Syntax City
Do-Does
He-She
Is-are
Regular & Irregular
plurals
Past Tense
Combine words to
create phrases -
500 phrases
Combine words to
create phrases
2-3 words/phrase
Sentence Ninja
34 levels of sentence
building
95. WhQuestions
Question it WhQuestions
What, where, who,
how, when, why
Sort words by type
WhQuestions Cards
Kiddie questions
Flashcards - tap to
flip Several activities
96. Some more language...
Fun & Functional
Expedition
with plurals Go-Togethers
Identify and
describe the
function or use of
real-world objects
categorization,
association, and
naming skills by
interacting with
pictures and audio
$19.99$9.99 $9.99
Plurals
98. Phonological Awareness
Profile of Phonological
Awareness
Phonological
Awareness
Lab
Dora Rhyming
Rhymes
First Sounds
Last Sounds
Inside Sounds
Matching
pictures that rhyme
Assessment of phonological
awareness skills
Auditory Rhyming
Inclusion
Exclusion
Phonological Awareness provides children who are beginning to read understanding of the
relationship between spoken and written language
100. Documents on the Web:
Apps for SLPs: A 24 page list of apps
Articulation Apps for Speech Therapists
iLiteracy Model for teaching ALL
101. Whetton, C, Sainsbury, M (2007) (NFER) ‘e-Assessment for Improving Learning’, Paper presented at the 33rd International Association for
Educational Assessment Conference,16 – 21 September 2007, Baku, Azerbaijan
Pittard, Vanessa (2009) Becta Research: Young People, Schools and Technology-Supported Learning. Powerpoint presentation. In:
ALT-C 2009 "In dreams begins responsibility" - choice, evidence and change, 8 - 10 September 2009, Manchester.
Classroom ideas for learning with the iPad: http://www.scribd.com/doc/56797794/iPads-for-Learning-Getting-Started
Sweeney, Sean (2011) APP-titude: Tech to Ease IEP Pain.http://www.asha.org/Publications/leader/2012/120403/APP-titude-
-Tech-to-Ease-IEP-Pain/
Whetton, C, Sainsbury, M (2007) (NFER) ‘e-Assessment for Improving Learning’, Paper presented at the 33rd International Association for
Educational Assessment Conference,16 – 21 September 2007, Baku, Azerbaijan
Pittard, Vanessa (2009) Becta Research: Young People, Schools and Technology-Supported Learning. Powerpoint presentation. In: ALT-C 2009 "In
dreams begins responsibility" - choice, evidence and change, 8 - 10 September 2009, Manchester.
Fernandes, Barbara ( 2011).The cost and advantages of implementing the iPad as a learning tool for speech therapy & Special education
Fernandes, Barbara (2011). Embracing the need for a revolution in education through iTechnology:Understanding the iLiteracy model for
teaching all.
Text/Paper Resources:
Justice, L. M. & Fey, M. E. (2004, September 21). Evidence-Based Practice in Schools : Integrating Craft and Theory with Science and Data. The ASHA Leader.
Schaber, T. & Wakefield, L. (2013) "Angry Birds Data Narrative: Case-Study of SLP using E3BP process for eliciting present progressive tense in a 3rd grader
with autism." Field Notes, 1-7.
Trisha O’Connell, Geoff Freed, and Madeleine Rothberg, Carl and Ruth Shapiro Family National Center for Accessible Media WGBH Educational
Foundation - Using Apple Technology to Support Learning for Students with Sensory and Learning Disabilities
https://www.apple.com/education/docs/L419373A-US_L419373A_AppleTechDisabilities.pdf