{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:10:37Z","timestamp":1787317837572,"version":"build-2736575974"},"reference-count":72,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002081","name":"Irish Research Council","doi-asserted-by":"publisher","award":["EBPPG\/2019\/139"],"award-info":[{"award-number":["EBPPG\/2019\/139"]}],"id":[{"id":"10.13039\/501100002081","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Key Word Signing (KWS) is one system that can be used to support the communication needs of children with Down syndrome (DS) who attend mainstream school. The success of KWS in schools is mediated by staff experiences and perceptions of KWS. The current study is one of the first to explore KWS use in mainstream schools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore the perceptions and experiences of teachers and special needs assistants (SNAs) with reported varying levels of experience, using KWS with children with DS and their peers in the first year of mainstream primary school. Secondly, we aimed to explore how those perceptions and experiences evolved throughout the year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods &amp; Procedures<\/jats:title>\n                    <jats:p>\n                      Five mainstream schools were recruited where children with DS attended. A speech and language therapy (SLT) researcher taught 25 key word signs to the relevant class in each school at four time points across the year. Five teachers and eight SNAs from participating schools engaged in a series of semi\u2010structured interviews to explore their perceptions\/experiences of using KWS (\n                      <jats:italic>L\u00e1mh<\/jats:italic>\n                      ) over the course of the year. Longitudinal data were analysed using inductive qualitative content analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes &amp; Results<\/jats:title>\n                    <jats:p>Four categories were generated from the data: Challenges, Facilitators, Benefits, and Incorporation into the whole school environment. Findings suggest that the supported introduction of KWS in school by an SLT researcher can assist inclusive educational practices; facilitate children's comprehension and expression; reduce frustration in children with DS; and facilitate interaction with peers. Results also indicate an increasingly positive attitude among teachers and SNAs towards KWS as the year progressed. Teachers reported the absence of a pedagogical framework as an obstacle to the integration of KWS into the curriculum, while SNAs highlighted inconsistent access to funded entry\u2010level training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions &amp; Implications<\/jats:title>\n                    <jats:p>Overall, using KWS was a positive experience that supported communication in children with DS in mainstream school. However, future training should embed knowledge on key facilitators and consider how challenges can be addressed to maximize the potential of all children with communication needs attending mainstream primary school.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:sec>\n                      <jats:title>What is already known on the subject<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>It is well established that the use of KWS is beneficial in supporting the language and communication needs of children with DS. It is also accepted that if KWS is to be effective as a system of communication, the system needs to be understood and used by the communicative partners of those who rely on it. However, many staff in mainstream schools (with children with DS in attendance) have had limited exposure to KWS, little to no experience of using KWS and limited support available to help them create a signing environment.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>What this paper adds to the existing knowledge<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>This study provides a current account of the perceptions and experiences of teachers and SNAs to the use of KWS in mainstream primary schools in Ireland. Through qualitative approaches it identifies a number of benefits, facilitators and challenges to the use of KWS in schools, as well as the need for KWS to be incorporated into a whole\u2010school approach to communication. Lastly, the study indicates that with ongoing support over the course of the school year, staff attitudes towards KWS changed and became increasingly positive.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>What are the potential or actual clinical implications of this work?<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>To facilitate the successful implementation of KWS in schools there is a need to develop a whole school\u2010tiered intervention approach to KWS in mainstream schools. This study also highlights the need for ongoing support for school staff to use KWS to ensure successful implementation.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.13149","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T05:08:41Z","timestamp":1734930521000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Staff perceptions and experiences of using Key Word Signing with children with Down syndrome and their peers in the first year of mainstream primary education"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7084-9862","authenticated-orcid":false,"given":"Norma","family":"O'Leary","sequence":"first","affiliation":[{"name":"Department of Speech and Hearing Sciences University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caoimhe","family":"Lyons","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing Sciences University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9715-3788","authenticated-orcid":false,"given":"Pauline","family":"Frizelle","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing Sciences University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,23]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.20158"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100605\u20109"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.702166"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010018\u20101144\u20105"},{"key":"e_1_2_13_6_1","volume-title":"Analyzing qualitative data: systematic approaches","author":"Bernard H.R.","year":"2017"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.15700\/201412071114"},{"key":"e_1_2_13_8_1","first-page":"188","volume-title":"Addressing barriers to learning: A South African perspective","author":"Bornman J.","year":"2017"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12162"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09575140802393702"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3102\/0013189x005009005"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3104\/essays.294"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13603116.2017.1390000"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1108\/TLDR\u201007\u20102018\u20100023"},{"key":"e_1_2_13_15_1","volume-title":"Towards inclusive education for children with disabilities: a guideline","author":"UNESCO Office Bangkok and Regional Bureau for Education in Asia and the Pacific","year":"2009"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20103156.2008.00503.x"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13603116.2017.1412515"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20103148.2011.00673.x"},{"key":"e_1_2_13_19_1","volume-title":"Manual sign acquisition in children with developmental disability","author":"Dark L.","year":"2019"},{"issue":"1","key":"e_1_2_13_20_1","first-page":"53","article-title":"L\u00e1mh Signs combined\u2019\u2014investigating a whole\u2010school approach to augmentative and alternative communication (AAC) Intervention through research in practice","volume":"31","author":"Dolly A.","year":"2021","journal-title":"REACH: Journal of Inclusive Education in Ireland"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2007.04569.x"},{"key":"e_1_2_13_22_1","doi-asserted-by":"crossref","unstructured":"Emmorey K.(2002)Language cognition and the brain: insights from sign language research.London:Lawrence Erlbaum Associates.https:\/\/doi.org\/10.4324\/9781410603982","DOI":"10.4324\/9781410603982"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/00313831.2016.1212252"},{"key":"e_1_2_13_24_1","unstructured":"Faragher R. 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