{"title":"Crossing the communication chasm.","authors":"Melissa Crisp-Cooper","doi":"10.1080/07434618.2025.2499681","DOIUrl":"https://doi.org/10.1080/07434618.2025.2499681","url":null,"abstract":"<p><p>This paper focuses on reducing social isolation for people who cannot rely on spoken words to communicate. It is based on my experiences and perspectives. Technology has made social inclusion easier and harder. Sending emails or texts has opened doors. Technology has also sped up communication. It can be hard to find space in conversations. I use different communication methods depending on the situation, my message, or the listener. Using my voice with patient, familiar communication partners is the best way to express myself. Talking to others can be a frustrating experience. Sometimes I ask others to revoice my words. Paid communication supporters are difficult to find, train, and retain. For messages to new communication partners, I pre-type my thoughts into my AAC. The robotic voice is not my voice. It is another piece of technology that highlights how differently we interact with the world. We can advocate for a world where all AAC users are valued and included by: designing technology that adapts to the needs of each user; funding qualified communication supporters; implementing stronger employment policies; creating access to AAC that goes beyond functional needs; building community; and educating communication partners to assume competence and be patient listeners.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-3"},"PeriodicalIF":2.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heidi Koester, Susan Koch Fager, Jessica Gormley, Erik Jakobs, Kelli Johnsen, Jon Brumberg
{"title":"Supporting effective alternative access for individuals with physical disabilities: state of the science, emerging technologies, and future research directions.","authors":"Heidi Koester, Susan Koch Fager, Jessica Gormley, Erik Jakobs, Kelli Johnsen, Jon Brumberg","doi":"10.1080/07434618.2025.2499676","DOIUrl":"https://doi.org/10.1080/07434618.2025.2499676","url":null,"abstract":"<p><p>Alternative access methods accommodate an individual's specific physical disability, by adjusting the typical keyboard/mouse/touchscreen interface or using an alternative interface such as head controls, eye trackers, or switches. Ideally, they allow for efficient and comfortable use of any computing device, such as laptops, tablets, and smartphones. This paper reviews the literature to address two main questions: how well do existing access methods meet users' needs? And what is the best way to choose the \"right\" access method(s) for a given individual? We report on typing speeds for various access methods across 57 studies, as well as experimental multimodal access methods across 34 papers. Results support the intuitive understanding that the access method affects the end user's experience and productivity. We also reviewed 33 papers and resources related to alternative access assessment and service provision. Existing evidence remains emerging and suggests that use of a systematic, user-centered approach to alternative access assessment may reap significant benefits, including better team performance and improved user satisfaction. Yet although many alternative access assessment resources are available, providers may not always use them. While today's alternative access methods can be an impactful means of enabling participation for people with physical disabilities, there is room for improvement, both in the access methods themselves, as well as their associated service provision and support. To identify and implement these improvements, the field needs research and development that is fully inclusive of people with disabilities in all phases of the work. We list some additional priorities for future work.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janice Light, Christine Holyfield, David McNaughton, Dana Nieder, Jamie Preece
{"title":"Overcoming barriers to literacy for individuals who need or use AAC: lived experiences, key research findings, and future directions.","authors":"Janice Light, Christine Holyfield, David McNaughton, Dana Nieder, Jamie Preece","doi":"10.1080/07434618.2025.2502032","DOIUrl":"https://doi.org/10.1080/07434618.2025.2502032","url":null,"abstract":"<p><p>Literacy supports participation in education, employment, healthcare, and community living, and enhances communication for individuals who need or use augmentative and alternative communication (AAC). Research has demonstrated that individuals with developmental disabilities who need or use AAC can successfully acquire a wide range of literacy skills when provided with effective tools and evidence-based, adapted instruction delivered by trained professionals. Unfortunately, individuals who need or use AAC typically face significant barriers to literacy learning: (1) They may be excluded from literacy instruction or only have access to instruction that requires spoken responses severely limiting their participation; (2) Their service providers may not be trained to provide effective instruction; and (3) They may not have access to AAC that supports the transition to literacy. Future research is urgently required to: develop and evaluate adapted assessment and instruction; improve professional training; and ensure uptake of evidence-based literacy instruction in schools. Future technology development is required to: support the transition from graphic symbols to literacy; build a text-rich environment to support literacy learning; and assist service providers in instructional decision making and material adaptation. Future research and development must prioritize inclusion of individuals who use AAC in meaningful roles to maximize relevancy and impact.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Krista M Wilkinson, Dawn J Sowers, Lynn R Elko, Mitchell Case, Sharon Redmon, Kevin Williams, Tanuj Namdeo, Syed Billah
{"title":"Consideration of artificial intelligence applications for interpreting communicative movements by individuals with visual and/or motor disabilities.","authors":"Krista M Wilkinson, Dawn J Sowers, Lynn R Elko, Mitchell Case, Sharon Redmon, Kevin Williams, Tanuj Namdeo, Syed Billah","doi":"10.1080/07434618.2025.2495905","DOIUrl":"10.1080/07434618.2025.2495905","url":null,"abstract":"<p><p>Access to speech-language therapies that promote optimal communication outcomes is a fundamental right outlined by the United Nation's Article 19 of the Convention on the Rights of Persons with Disabilities as well as the Communication Bill of Rights of the National Joint Committee on the Communication Needs of Persons with Severe Disabilities. For many individuals, augmentative and alternative communication (AAC) offers an important set of supports for realizing this critical human right. Yet despite a strong evidence base, many AAC systems are not tailored to the support needs of individuals with visual and/or motor impairments. In this paper we explore the potential for artificial intelligence to interpret body-based communicative movements (including gestures) into speech output. The team, which includes individuals with motor impairments, developed and tested a prototype application that shifts the burden of access off the AAC user and onto the application, through the use of body-based sensors. The effort demonstrated proof of concept that the prototype could learn meaningful idiosyncratic gestures and ignore unintentional ones. Movement sensors interpreted the gestures regardless of the user's or communication device's position, reducing constraints on its usability, potentially increasing the flexibility of AAC access. Dedicated research is needed to confirm this possibility.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Danielle T Nader, Antara Satchidanand, Sofia Benson-Goldberg, Jeff Higginbotham
{"title":"Using microanalysis to capture interactions involving aided AAC technologies.","authors":"Danielle T Nader, Antara Satchidanand, Sofia Benson-Goldberg, Jeff Higginbotham","doi":"10.1080/07434618.2025.2498990","DOIUrl":"10.1080/07434618.2025.2498990","url":null,"abstract":"<p><p>Individuals with communication disabilities often use augmentative and alternative communication technologies (AAC-T) to facilitate in-person conversations. However, social interactions using AAC-T are complex and frequently characterized by delays and miscommunications. Microanalysis involving detailed video-based transcription is a valuable method for studying these interactions, providing insights into how participants use AAC-T to achieve mutual understanding and manage conversational flow. Microanalytic transcription's iterative and interpretive nature requires thoughtful decision-making about what is transcribed and how this information is represented. This article describes an approach to conducting microanalytic transcription of interactions mediated by AAC-T. This includes decision making about the level of transcription detail to include, approaches to training transcribers, and maintaining accuracy of transcription conventions. Relevant considerations will be presented in both developing this approach and training student transcribers to translate theoretical knowledge of transcription to operational skills. Implications and considerations for future research adopting similar approaches to microanalysis are discussed.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Move to learn: considerations for providing upright, hands-free, self-initiated mobility to children with severe physical and communication disabilities.","authors":"Fei Luo, Sarah W Blackstone","doi":"10.1080/07434618.2025.2495903","DOIUrl":"https://doi.org/10.1080/07434618.2025.2495903","url":null,"abstract":"<p><p>Development in children is sometimes described as a series of isolated milestones, e.g., first smile, first word, sitting, crawling, first step, and so on, even though that is not actually how human development unfolds. Rather, many of the skills that emerge during childhood are better understood using neuroplasticity, dynamic systems theory, and embodied cognition. Based on these findings and theories, we explore the potential impact that upright, hands-free, self-initiated mobility can have on children with severe physical and communication disabilities who use augmentative and alternative communication, specifically focusing on their growth in communicative competence. We discuss research that demonstrates the benefits to children with different physical abilities when they engage in upright, hands-free, self-initiated mobility. This article reflects the World Health Organization's International Classification of Functioning, Disability and Health for Children and Youth by considering the importance of identifying functional communication needs and goals, taking into account participation barriers, communication limitations, and personal and environmental factors. We advocate for adopting family-centered, interprofessional collaborative service delivery models that more directly align with current theories of human development. Finally, we call for the adoption of implementation science to help bridge the existing gaps between theory and evidence-based practices.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to the forum on the role of basic science in AAC access.","authors":"Krista M Wilkinson, Dawn J Sowers","doi":"10.1080/07434618.2025.2495906","DOIUrl":"https://doi.org/10.1080/07434618.2025.2495906","url":null,"abstract":"<p><p>This introduction to the special forum on basic/foundational research in AAC offers a brief rationale for the importance of the three pillars of evidence-based practice, including scientific evidence, clinical expertise, and client/family insights, and underscores that each pillar can and should offer something and also benefit from the other pillars. It briefly overviews several areas in which basic science has been instrumental in promoting clinical advances and then introduces the articles in the current forum, which each in its own way relates to access. The hope is to promote constructive dialog between scientists, clinicians, and individuals who use AAC to move these ideas forward.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-3"},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identifying P300 brain-computer interface training strategies for AAC in children: a focus group study.","authors":"Kevin M Pitt, Jamie B Boster","doi":"10.1080/07434618.2025.2495912","DOIUrl":"10.1080/07434618.2025.2495912","url":null,"abstract":"<p><p>The integration of Brain-Computer Interface (BCI) technology into Augmentative and Alternative Communication (AAC) systems introduces new complexities in training, particularly for children with diverse cognitive, sensory, motor, and linguistic abilities. Effective AAC training is crucial for enabling individuals to achieve personal goals and enhance social participation. This study aimed to explore potential training strategies for children using P300 based BCI-AAC systems through focus group discussions with experts in AAC and BCI technologies. Participants identified six key themes for effective training: (1) Scaffolding-developing adaptive systems tailored to each child's developmental level, including preteaching, visual display adaptations, and gamification; (2) Verbal Instructions-emphasizing the use of clear, simple language and spoken prompts; (3) Feedback-incorporating immediate feedback and biofeedback methods to reinforce learning; (4) Positioning-ensuring proper trunk stability and addressing electrode placement; (5) Modeling and Physical Supports-using physical cues and demonstrating BCI-AAC use; and (6) Considerations for Visual Impairment-accommodating cortical visual impairment (CVI) with suitable stimuli and environmental adjustments. These insights offer an initial foundation for identifying P300 BCI-AAC training strategies for children. Further systematic research with end users, support networks, and professionals is needed to validate, refine, and expand interventions that support diverse communication needs.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitude matters: barriers to participation and learning for students who use AAC.","authors":"Karen M Congram","doi":"10.1080/07434618.2025.2488457","DOIUrl":"https://doi.org/10.1080/07434618.2025.2488457","url":null,"abstract":"<p><p>Although current best practices of augmentative and alternative communication (AAC) implementation have been established, some studies indicate that there is poor AAC implementation in schools. This qualitative study investigated the barriers to school participation and learning for students who use AAC in Ontario, Canada from the point of view of six parents. After semi-structured interviews were used to gather stories, inductive thematic analysis was used to develop five themes: potential to learn, growth mindset, knowing the student, collaboration, and AAC knowledgeable professionals. This study reinforces the existence of opportunity barriers in schools and extends previous research by identifying the predominance of attitude barriers.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nimisha Muttiah, Kerstin M Tönsing, Amanda Blackwell, Juan Bornman, Karla Armendariz, Kathryn D R Drager
{"title":"Speech-language therapists perspectives on tele-augmentative and alternative communication (tele-AAC) across three low-and middle-income countries.","authors":"Nimisha Muttiah, Kerstin M Tönsing, Amanda Blackwell, Juan Bornman, Karla Armendariz, Kathryn D R Drager","doi":"10.1080/07434618.2025.2476143","DOIUrl":"https://doi.org/10.1080/07434618.2025.2476143","url":null,"abstract":"<p><p>Most individuals with disabilities live in low-and middle-income countries (LMICs) where healthcare services such as speech-language therapy are limited. The challenge of accessing services was compounded by the COVID-19 global pandemic, leaving many people who use augmentative and alternative communication (AAC) vulnerable. The aim of this study was to investigate the nature of tele-AAC across three LMICs as described by speech-language therapists (SLTs). Although studies have been published about speech-language therapy services provided via telepractice, some specifically on AAC services, none of these have examined the impact of having to rapidly pivot to tele-AAC in LMICs. Semi-structured interviews were conducted with 15 SLTs from three LMICs to explore their experiences. SLTs shared the impact that tele-AAC had on their work, their experiences, benefits and challenges including broader challenges of service provision in LMIC contexts.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}