Considering whether brain-computer interfaces have prospective potential to support children who have the physical abilities for touch-based AAC access: a forum manuscript.

Abstract

Augmentative and alternative communication (AAC) may help address communication challenges for both those with developmental disabilities (DD) and intellectual and developmental disabilities (IDD). This forum manuscript explores the possibility of various future applications of brain-computer interface technology for AAC control (BCI-AAC) by children who have the physical abilities to utilize touch-based AAC access. Due to the early status of BCI-AAC research, the forum focuses on those with DD, though considerations for those with IDD are also discussed. Departing from the prevalent focus on severe speech and physical impairments (SSPI), this work shifts the spotlight toward children who may employ touch selection for AAC access, exploring the challenges and prospective possibilities within this population. Applying the International Classification of Functioning, Disability, and Health (ICF) framework, we explore potential BCI-AAC considerations across Activities and Participation, Functions and Structures, Environmental Factors, and Personal Factors. Proposing prospective BCI-AAC strategies, such as leveraging brain activity for functional intent recognition and emotion detection, this paper is designed to fuel discussion on tailoring AAC interventions to the diverse profiles of children with DD and IDD. Acknowledging the significant hurdles faced by BCI-AAC technology, we support the inclusive consideration of individuals in BCI-AAC development. While not seeking to lay a definitive roadmap, this forum aims to serve as a catalyst for future interdisciplinary dialogues, including those who use AAC and their support network, laying the groundwork for considering diverse BCI-AAC applications in children.