Differences in maternal responsive and directive behavior during free play with and without aided AAC

Kara F. Medeiros, Cynthia J. Cress

Research output: Contribution to journalArticle

2 Scopus citations


Maternal directive and responsive behaviors were compared for 25 mothers and children with complex communication needs using two types of toys (familiar and unfamiliar toys). Each type of toy play was conducted with and without a single message speech-generating communication device (SGD) programmed to say “more.” Rate percentages of coded intervals for maternal directive and responsive behaviors were analyzed using repeated measures ANOVAs. Results indicated that mothers used significantly more responsive behaviors when playing with their own familiar toys than with unfamiliar toys, but no differences in directiveness between types of play. Mothers showed no differences in responsivity or directiveness when the SGD was added to play interactions, indicating that the SGD did not introduce task features that detracted from the mothers’ existing levels of responsivity with their children. Clinical implications are discussed.

Original languageEnglish (US)
Pages (from-to)151-161
Number of pages11
JournalAAC: Augmentative and Alternative Communication
Issue number2
Publication statusPublished - Apr 2 2016



  • Children
  • directiveness
  • gestures
  • intentional communication
  • interaction
  • responsivity
  • speech-generating device

ASJC Scopus subject areas

  • Rehabilitation
  • Speech and Hearing

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