title: Where are teachers' voices? A research agenda to enhance the communicative interactions of students with multiple and severe disabilities at school.
abstract: OBJECTIVE
  Despite the importance of communication for educational participation, researchers have observed low frequencies of communication between teachers and students with multiple and severe disabilities (MSD). Little is known about reasons for these low frequencies. This article explores the literature to develop a new research agenda for approaching this issue.
  
  
  METHODS
  Selected studies were reviewed, including qualitative studies involving teachers of students who use augmentative and alternative communication (AAC) in mainstream classrooms.
  
  
  RESULTS
  Teachers identified a broad range of issues that influence their ability to educate students who use AAC or demonstrate other significant communication needs. These factors include teachers' attitudes, perceptions and beliefs and broader contextual factors, such as administrative support at the institutional level. However, to date, there has been little research with teachers of students with MSD about factors influencing communication with their students.
  
  
  CONCLUSIONS
  A broad range of potential factors may impact upon teachers' ability to communicate with their students. Further research involving teachers of students with MSD is needed to explore the range of potential factors influencing low frequencies of communication. This research may contribute to an understanding of how best to support teachers to enhance communication access for students with MSD in the classroom.
authors.affiliation: School of Education, The University of Newcastle, Callaghan, Australia. Tania.Debortoli@studentmail.newcastle.edu.au
authors.forename: Tania
authors.initials: T
authors.lastname: De Bortoli
authors.forename: Michael
authors.initials: M
authors.lastname: Arthur-Kelly
authors.forename: Bernice
authors.initials: B
authors.lastname: Mathisen
authors.forename: Phil
authors.initials: P
authors.lastname: Foreman
authors.forename: Susan
authors.initials: S
authors.lastname: Balandin
mesh_terms: D000293:Adolescent; D001290:Attitude; D002648:Child; D003142:Communication; D019988:Children with Disabilities; D006801:Humans; D012107:Research Design; D013663:Teaching