Teaching Parents Read, Ask, Answer, Prompt Strategies via Telepractice: Effects on Parent Strategy Use and Child Communication

Cheri Dodge-Chin, Sandra Shigetomi-Toyama, Emily D. Quinn

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Purpose: This study aimed to explore the feasibility of a telepractice communication partner intervention for children who use augmentative and alternative communication (AAC) and their parents. Method: Five children (aged 3;4–12;9 [years;months]) with severe expressive communication impairments who use AAC and their parents enrolled in a ran-domized, multiple-probe design across participants. A speech-language pathol-ogist taught parents to use a least-to-most prompting procedure, Read, Ask, Answer, Prompt (RAAP), during book reading with their children. Parent instruction was provided through telepractice during an initial 60-min workshop and five advanced practice sessions (M = 28.41 min). The primary outcome was par-ents’ correct use of RAAP, measured by the percentage of turns parents applied the strategies correctly. Child communication turns were a secondary, ex-ploratory outcome. Results: There was a functional relation (intervention effect) between the RAAP instruction and parents’ correct use of RAAP. All parents showed a large, imme-diate increase in the level of RAAP use with a stable, accelerating (therapeutic) trend to criterion after the intervention was applied. Increases in child communication turns were inconsistent. One child increased his communication turns. Four children demonstrated noneffects; their intervention responses overlapped with their baseline performance. Conclusions: Telepractice RAAP strategy instruction is a promising service delivery for communication partner training and AAC interventions. Future research should examine alternate observation and data collection and ways to limit communication partner instruction barriers.

Original languageEnglish (US)
Pages (from-to)237-255
Number of pages19
JournalLanguage, Speech, and Hearing Services in Schools
Issue number2
StatePublished - Apr 2022

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing


Dive into the research topics of 'Teaching Parents Read, Ask, Answer, Prompt Strategies via Telepractice: Effects on Parent Strategy Use and Child Communication'. Together they form a unique fingerprint.

Cite this