{"title":"Mental health and mental health problems among users of AAC: a scoping review.","authors":"Jørn Østvik, Mats Granlund, Astrid Røsland Seim","doi":"10.1080/07434618.2024.2434680","DOIUrl":"10.1080/07434618.2024.2434680","url":null,"abstract":"<p><p>Functional communication is crucial for mental health and for coping with mental health problems. People with disabilities are at increased risk of mental health problems, and people who use augmentative and alternative communication (AAC) are reported to be at greater risk of depression and anxiety than people without impairments. This scoping review summarizes existing knowledge about the mental health and mental health problems of people who use AAC. The review includes nine publications, published between 2001 and 2022. These mainly report on adults and elderly people who use AAC. Four of the nine publications included people who use AAC due to acquired impairments. None of the studies reported the prevalence of mental health problems and only a few addressed factors of positive mental health. The results indicate a shortage of theoretical accounts for most of the publications included, and the publications are not built on each other. The scarcity of knowledge is discussed in relation to the idea that the need for communicative support is a need based on communicative functioning rather than any diagnostic category and thus not visible in much of the health literature based on diagnostic categories. Several implications for practice and research are suggested.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"320-332"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878347","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}
Camryn Terblanche, Tyler T Schnoor, Michal Harty, Benjamin V Tucker
{"title":"The development of synthetic child speech in three South African languages.","authors":"Camryn Terblanche, Tyler T Schnoor, Michal Harty, Benjamin V Tucker","doi":"10.1080/07434618.2024.2374312","DOIUrl":"10.1080/07434618.2024.2374312","url":null,"abstract":"<p><p>It is well-known that children with expressive communication difficulties have the right to communicate, but they should also have the right to do so in whichever language they choose, with a voice that closely matches their age, gender, and dialect. This study aimed to develop naturalistic synthetic child speech, matching the vocal identity of three children with expressive communication difficulties, using Tacotron 2, for three under-resourced South African languages, namely South African English (SAE), Afrikaans, and isiXhosa. Due to the scarcity of child speech corpora, 2 hours of child speech data per child was collected from three 11- to 12-year-old children. Two adult models were used to \"warm start\" the child speech synthesis. To determine the naturalness of the synthetic voices, 124 listeners participated in a mean opinion score survey (Likert Score) and optionally gave qualitative feedback. Despite limited training data used in this study, we successfully developed a synthesized child voice of adequate quality in each language. This study highlights that with recent technological advancements, it is possible to develop synthetic child speech that matches the vocal identity of a child with expressive communication difficulties in different under-resourced languages.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"333-344"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581307","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":"Parent-implemented AAC verb symbol intervention with children with ASD.","authors":"Cindy Gevarter, Erin Gallegos","doi":"10.1080/07434618.2024.2408422","DOIUrl":"10.1080/07434618.2024.2408422","url":null,"abstract":"<p><p>A multiple-probe across participants design was used to examine whether three young children diagnosed with autism spectrum disorder (ASD) could learn to use verb symbols presented on an AAC application to request actions. Using researcher coaching (involving joint planning, descriptive instructions, and guided practice) parents of participants were taught to (a) embed opportunities for children to request actions in daily home routines, (b) model AAC responses, (c) use a prompt hierarchy with a time delay, and (d) contingently reinforce correct aided AAC responses. Following intervention delivered by parents, all three participants increased their use of verb symbols to request actions and parents implemented procedures with high fidelity. There were, however, individualized differences in rate of acquisition, variability of responding, readiness for fading supports, and moving to more advanced skills. One of the three participants was able to master two-step responses involving navigation to a category folder. Generalization of requesting actions to labeling actions was limited.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"369-381"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478851","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}
Miriam C Boesch, M Alexandra Da Fonte, Gillian C Neff, Kaitlyn R Shaw, Liann L Mathew, Jennifer F Lipof
{"title":"Supporting students with complex communication needs: special education teachers' reflections on their training.","authors":"Miriam C Boesch, M Alexandra Da Fonte, Gillian C Neff, Kaitlyn R Shaw, Liann L Mathew, Jennifer F Lipof","doi":"10.1080/07434618.2024.2440764","DOIUrl":"10.1080/07434618.2024.2440764","url":null,"abstract":"<p><p>Special education teachers support students with complex communication needs across the day. Yet, evidence suggests that these professionals are entering the field without being fully prepared to support these students by having the knowledge and skill to implement augmentative and alternative communication practices. The lack of preparedness from these professionals creates barriers for students with complex communication needs, their families, and other team members. To gather information from special education teachers' point of view, a nationwide survey was disseminated with the purpose of identifying the most beneficial component of their training to support students with complex communication needs. Five themes were identified from the views of 792 special education teachers, with the most beneficial components of their training consisting of 'access to content,' followed by 'opportunities to practice.' Recommendations, practical implications, and future research directions are discussed.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"382-394"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014690","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":"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":"304-317"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452802/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Ableism impacts people who use AAC.","authors":"Lateef McLeod","doi":"10.1080/07434618.2025.2489662","DOIUrl":"10.1080/07434618.2025.2489662","url":null,"abstract":"<p><p>Ableism is a form of oppression with pernicious consequences for people who use AAC. Historically, Ableist ideologies led to attempts to erase disability from the social fabric (e.g., the Eugenics movement). Speechism is the prejudice and discrimination of people because their language, use of language, or mode of expression is deemed inferior. Speechism and Ableism obstruct the true reality of the experiences of people who use AAC. Ableism presumes that the abled-bodied experience is the only legitimate and valid experience and does not recognize that many disabled people experience their lives very differently. This perspective makes invisible the ableist experiences that disabled people have to face in many facets of our lives. This problem is compounded for people who use AAC who may face challenges explaining the full extent and impact of these ableist experiences. As an AAC community, we must confront Ableism in our field and industry by always prioritizing the lived experiences of people who use AAC in the development of AAC technology and policy. People who use AAC must be at the decision table regarding everything that involves us as a community. We can have an anti-ableist future only if disabled people lead the way.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"200-202"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janice Light, Susan K Fager, Jessica Gormley, Glenda Watson Hyatt, Erik Jakobs
{"title":"Dismantling societal barriers that limit people who need or use AAC: lived experiences, key research findings, and future directions.","authors":"Janice Light, Susan K Fager, Jessica Gormley, Glenda Watson Hyatt, Erik Jakobs","doi":"10.1080/07434618.2025.2508490","DOIUrl":"10.1080/07434618.2025.2508490","url":null,"abstract":"<p><p>Society generally, and communication partners specifically, wield substantial power in determining access to augmentative and alternative communication (AAC) tools and controlling the opportunities for participation afforded to people who cannot rely on speech alone to be heard and understood. This paper integrates the lived experiences of people who need or use AAC with key research findings related to policy, practice, technology, attitude, knowledge, and skill barriers in society that limit people who need or use AAC. Future research and technology development is urgently required to dismantle societal barriers to ensure access to AAC and meaningful opportunities to participate in all aspects of society - education, employment, healthcare, leisure, family, and community.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"230-244"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A personal commentary about disability inclusion, and representation in research.","authors":"Anjali J Forber-Pratt","doi":"10.1080/07434618.2025.2499685","DOIUrl":"10.1080/07434618.2025.2499685","url":null,"abstract":"<p><p>This paper is a personal commentary about disability inclusion and representation in research that was based on remarks given in person at the Future of AAC Research Summit on May 13, 2024. Drawing upon her experiences as a Paralympic medalist, disabled woman, person of color, researcher, and activist, the author describes the critical need for (1) diverse researchers as the generators of the science; (2) diverse individuals as study participants; and (3) diverse representation in the knowledge translation materials we produce and disseminate about the research. We need all of these, and we are stronger for them. Our science is better with this intentionality; it makes people feel seen by the research we are doing and signals its relevancy.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":" ","pages":"195-199"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129297","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":"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":"283-294"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122432/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Crossing the communication chasm.","authors":"Melissa Crisp-Cooper","doi":"10.1080/07434618.2025.2499681","DOIUrl":"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":"223-225"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091667/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}