Adaptation to Technology Use in Families of Children With Complex Communication Needs: An Integrative Review and Family Theory Application

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West, P., Van Riper, M., Wyatt, G., Lehto, R., Douglas, S. N., & Robbins, L. (2020). Adaptation to Technology Use in Families of Children With Complex Communication Needs: An Integrative Review and Family Theory Application. Journal of Family Nursing, 26(2), 153-178. https://doi.org/10.1177/1074840720915536

Publication date: 1 May 2020 Added to AutiHub: 27 Oct 2026 Type: Article Article language: English
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Authors

Publication authors
6
Publication authors identified as autistic
1 / 6 (16.7%)
  1. Patricia West
  2. Marcia Van Riper
  3. Gwen Wyatt
  1. Rebecca Lehto
  2. Sarah N. Douglas *
  3. Lorraine Robbins

Abstract

Families with children who have developmental disabilities and complex communication needs (CCNs) face challenging demands affecting family adaptation. Many children with CCNs use augmentative and alternative communication (AAC) devices to support communication, yet little is known about family adaptation to such technology. To fill this gap, an integrative review, guided by the Resiliency Model of Family Stress, Adjustment, and Adaptation was conducted to assess conceptual foundations and the state of the science of family adaptation among children utilizing AAC. Web-based searches were conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and the Mixed Methods Appraisal Tool. Thirty-three studies met eligibility. Findings demonstrated that to enhance the science underpinning family adaptation to AAC use, future research should be grounded conceptually and address important components of the Resiliency Model. Work in this emerging area will identify and facilitate nursing efforts to assist families as they adapt to communication technology.

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Cited references
68
With a DOI
57
Without a DOI, from raw bibliography text
11
0 / 68 (0.0%) cited references include at least one author identified as autistic.
References with data to complete
10 / 68 (14.7%)
References with detected author names
59 / 68 (86.8%)
Without detected author names
9
Without a structured title
8
Without a stable identifier
11
References with raw author names still to review
7
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
204
From DOI or external metadata
204
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
24
19 / 204 (9.3%) names are linked to an author already present in AutiHub. 185 / 204 (90.7%) names are not yet linked.
Names linked to a person identified as autistic
0 / 204 (0.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 0 / 19 (0.0%). Distinct people identified as autistic: 0 / 169 (0.0%).
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