Enhancing Communication Access in Adaptive Aquatics: A Quality Improvement Initiative

Author: Molly Greeley

Field of Study: Speech and Language Pathology

Faculty Mentors: Cody Dew

Easel: 61

Timeslot: Afternoon

Abstract: Children with communication disorders, including Autism Spectrum Disorder and hearing impairment, frequently encounter barriers to safety and engagement during swimming lessons due to the high-stimulation aquatic environment. This quality improvement project aimed to bridge this gap by designing and implementing a waterproof, low-tech augmentative and alternative communication (AAC) board. Utilizing evidence-based speech-language pathology principles, the tool was developed with core vocabulary and aquatic-specific icons to facilitate real-time instructor-student interactions. Through an iterative pilot implementation at a community center swim school, the board was assessed for clinical utility and durability. Preliminary observations indicated a notable increase in student engagement and a reduction in communication-related frustration, while instructors reported improved compliance with safety commands. This project demonstrates that integrating visual supports into non-traditional settings effectively enhances accessibility for neurodiverse learners, supporting the permanent adoption of AAC tools into adaptive physical education curricula to foster greater student success.