Lillian Krikheli, Nicholas Jackson, Kaela Gomizel, Nicole Jackson
{"title":"\"It's like saving for a rainy day\": perceptions of voice banking for people living with Motor Neurone Disease.","authors":"Lillian Krikheli, Nicholas Jackson, Kaela Gomizel, Nicole Jackson","doi":"10.1080/07434618.2026.2729996","DOIUrl":"https://doi.org/10.1080/07434618.2026.2729996","url":null,"abstract":"<p><p>This exploratory qualitative study examined how people living with Motor Neurone Disease (PlwMND) and their partners perceived voice banking and related voice preservation counseling within a specialist Australian service. Semi-structured interviews were conducted in 2022 with five PlwMND and two partners. Participants represented varying levels of engagement with voice banking, including individuals who had completed voice banking and those who had not commenced and therefore discussed voice banking conceptually. Participants described voice banking as a means of preserving identity and social connection, while also identifying uncertainty about timing, emotional readiness, and the practical demands of early action. Variable clinician knowledge, service navigation challenges, and confusion between voice preservation methods highlight the importance of informational counseling experiences. Findings are interpreted as reflections of participant perceptions at a specific point in time and within a single service context, rather than evaluations of current technological capability. The study highlights the importance of proactive, accurate, and staged informational counseling that reflects evolving voice preservation technologies and local service pathways.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dawn J Sowers, Savanna Brittlebank, Holly Panfil, Olivia McAllister, Bethany Frick Semmler, Krista Wilkinson, Janice Light
{"title":"Improving the design of AAC displays: preliminary study of the effects of targeted motion and decluttering on visual attention and symbol learning by individuals with Down syndrome.","authors":"Dawn J Sowers, Savanna Brittlebank, Holly Panfil, Olivia McAllister, Bethany Frick Semmler, Krista Wilkinson, Janice Light","doi":"10.1080/07434618.2026.2748035","DOIUrl":"https://doi.org/10.1080/07434618.2026.2748035","url":null,"abstract":"<p><p>This study investigates the effects of targeted motion (i.e., smooth movement of a selected AAC symbol from its location to the center of the display) and decluttering of the AAC display on visual fixation duration and accuracy of symbol identification by participants with Down syndrome across three sessions. In each session, participants were first asked to find a target symbol in a grid display with and without targeted motion of selected symbols; data on their visual fixation duration were collected using the Tobii Spectrum Pro. Then they were asked to identify target picture symbols from a unique grid in response to the spoken name of the symbol. Visual fixation duration to target symbols was significantly greater in the condition with targeted motion and decluttering of the display compared to the static display condition across all three sessions. It was difficult for many participants to identify symbols accurately in both of the display conditions; participants demonstrated continued improvements across the three sessions with targeted motion displays while their performance seemed to plateau with the static displays that mimic those used in current practice. Targeted motion may be a powerful tool to increase visual attention to key aspects of AAC displays, but further investigation is required to fully understand how to harness motion to support learning and use of AAC displays.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susan S Johnston, Nino Tsintsadze, Ashley Raines, Casey Parten
{"title":"AAC opportunity barriers and supports in the country of Georgia: professional perspectives.","authors":"Susan S Johnston, Nino Tsintsadze, Ashley Raines, Casey Parten","doi":"10.1080/07434618.2026.2748024","DOIUrl":"https://doi.org/10.1080/07434618.2026.2748024","url":null,"abstract":"<p><p>Despite the potential benefits of augmentative and alternative communication (AAC), individuals who use or may benefit from AAC may encounter opportunity barriers that influence communication participation. Although prior research has examined AAC opportunity barriers, a context-specific examination has not been conducted in the Country of Georgia, an upper-middle-income country with a distinct post-Soviet history and evolving disability-related policies and perceptions. This integrated mixed-methods study investigated AAC-related opportunity barriers and facilitators identified by 55 professionals serving individuals who use or may benefit from AAC in Georgia who completed a survey; 13 survey participants also participated in one of two focus groups. Quantitative survey data were analyzed descriptively. Qualitative survey responses and focus-group transcripts were analyzed using a framework-guided content analysis. Integrated findings revealed barriers related to policy (e.g., limited professional regulation, inconsistent funding, and inequitable access to training and services), practice (e.g., workforce shortages, fragmented coordination, and limited opportunities for AAC implementation support), attitudes (e.g., beliefs that AAC may hinder spoken language development), and knowledge and skill (e.g., practitioner knowledge and skills in AAC assessment and system selection). Findings also highlighted practitioner burnout and emerging facilitators including collaboration, resilience, advocacy, and optimism regarding the future of AAC services in Georgia.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-25"},"PeriodicalIF":1.6,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dmitri Katz, Andrea Zisman, Anthony Johnston, Mohamed Bennasar, Anas Muhammad, Asmail Muftah
{"title":"Ability adaptive AAC: toward a modular, open-source framework.","authors":"Dmitri Katz, Andrea Zisman, Anthony Johnston, Mohamed Bennasar, Anas Muhammad, Asmail Muftah","doi":"10.1080/07434618.2026.2716643","DOIUrl":"https://doi.org/10.1080/07434618.2026.2716643","url":null,"abstract":"<p><p>Technological advances in high-tech Augmentative and Alternative Communication (AAC) have expanded access for many individuals with complex communication needs; however, people with profound motor or cognitive impairments often remain underserved. Embodied communication is an essential component of human interaction, and prior research has demonstrated that individualized movements, postures, and vocalizations can be modeled computationally as communicative signals. Yet commercially available high-tech AAC systems generally treat embodied actions as mechanisms for accessing symbol-based interfaces rather than as communicative expressions in their own right. This design-oriented research note presents A3CP (Ability-Adaptive Augmentative Communication Platform), a modular AAC architecture for interpreting individualized, embodied communication through user-specific machine learning and communication partner clarification. An initial feasibility prototype was used to explore workflows for capturing and labeling embodied, communicative behaviors and training user-specific machine learning models. Findings from this exploratory work informed an architectural framework for coordinating multimodal input, uncertainty handling, communication partner clarification, and longitudinal user-specific model adaptation. Claims are limited to architectural specification and technical feasibility. This work provides an architectural foundation for future co-design and empirical investigation of AAC systems that can learn individualized, embodied communication.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148979266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cultural, familial, and technological factors influencing AAC implementation for non-speaking autistic children in the Arab community in Israel.","authors":"Khaloob Kawar","doi":"10.1080/07434618.2026.2716671","DOIUrl":"https://doi.org/10.1080/07434618.2026.2716671","url":null,"abstract":"<p><p>This study examined the cultural, familial, educational, and technological factors influencing how Arab parents of non-speaking autistic children understand and implement augmentative alternative communication (AAC) within their sociocultural context in the Arab community in Israel. Although AAC can enhance communication, participation, and emotional expression, it remains underused in many minority and multilingual communities. Using a qualitative, phenomenologically informed design and reflexive thematic analysis, the study involved in-depth guided semi-structured interviews with 20 Arab parents of non-speaking autistic children (ages 6-9). Trustworthiness was supported through triangulation, peer debriefing, reflexive memos, and member checks. Five overarching themes were identified: (1) parental attitudes, emotions, and meaning-making around AAC; (2) the central role of the family and sociocultural environment, including stigma and extended-family influences; (3) institutional and educational factors shaping AAC exposure, training, and continuity; (4) linguistic and technological accessibility, particularly the scarcity and limited cultural fit of Arabic-language AAC tools; and (5) parental agency and resilience amidst structural constraints and cultural expectations. Findings underscore that AAC implementation is culturally situated and structurally constrained, highlighting the need for culturally responsive AAC training, Arabic- and dialect-sensitive AAC resources, and coordinated systemic support for Arab families in Israel.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148979309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth M Leatherman, Nancy C Brady, Jane R Wegner
{"title":"Preservice speech-language pathologists' learning outcomes with speech-generating devices.","authors":"Elizabeth M Leatherman, Nancy C Brady, Jane R Wegner","doi":"10.1080/07434618.2025.2519417","DOIUrl":"10.1080/07434618.2025.2519417","url":null,"abstract":"<p><p>Despite the need to improve preservice training in AAC, there is a limited understanding of what teaching and learning methods are effective in developing preservice speech-language pathologists' (SLPs') competence in AAC. One component of professional preparedness to provide AAC services includes competence with AAC systems. This study aimed to determine if a self-guided hands-on learning opportunity with a speech-generating device (SGD) was effective in developing preservice SLPs' competence with that system. Fifteen undergraduate students majoring in speech-language hearing spent up to 75-minutes exploring an SGD and related support materials. Following self-guided hands-on learning, they were asked to demonstrate a variety of operational and linguistic features of the SGD to assess their learning. Learning outcomes were analyzed descriptively. Participants demonstrated most of the SGD features that were assessed in this study, though they demonstrated fewer linguistic features than operational features. There were no significant differences in performance for participants who had previous clinical experience. Results indicated that self-guided hands-on learning opportunities facilitated students' knowledge and skills with features of SGDs. The paper concludes with implications and recommendations for facilitating hands-on learning with SGDs during preservice training.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"204-217"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vuledzani P Ndanganeni, Kerstin Tonsing, Juan Bornman
{"title":"Social validity assessment of instructional approaches for parents of children who require augmentative and alternative communication: a scoping review.","authors":"Vuledzani P Ndanganeni, Kerstin Tonsing, Juan Bornman","doi":"10.1080/07434618.2025.2531006","DOIUrl":"10.1080/07434618.2025.2531006","url":null,"abstract":"<p><p>Training parents to support augmentative and alternative communication (AAC) implementation for children with severe communication disabilities is a critical component of family-centered intervention. Social validity ensures that training goals, procedures, and outcomes are acceptable and meaningful to stakeholders and is essential for achieving sustainable, long-term improvements. The findings indicate an increasing emphasis on social validity assessments since 2020. This review examined social validity assessment practices in parent-implemented AAC intervention training. Three theoretical and four practical components of social validity assessments were analyzed across 30 records reporting on 28 studies. Results demonstrate increased attention to social validity assessment since 2020. However, significant conceptual and methodological limitations persist. Theoretical frameworks underlying social validity assessments are frequently poorly conceptualized, with only half of the authors providing a clear rationale for their assessments. Definitions lack coherence across studies. Maintenance data and stakeholder perceptions were collected, and perspectives were predominantly gathered post-intervention and primarily from parents rather than children. These findings reveal shortcomings in current social validity assessment approaches. Therefore, rigorous theoretical grounding and methodological sophistication are needed to ensure social validity assessment transcends tokenistic inclusion, thus becoming a purposeful and integral component of intervention research.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"311-322"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Communication-related quality of life in adults with acquired neurological disorders who use augmentative and alternative communication: a scoping review of existing tools.","authors":"Stavroulla Grigoriou, Mimi LaValley, Erasmia Kola, Rajinder Koul, Eliada Pampoulou","doi":"10.1080/07434618.2025.2516146","DOIUrl":"10.1080/07434618.2025.2516146","url":null,"abstract":"<p><p>Augmentative and alternative communication (AAC) has potential to significantly enhance the QoL for those with severe communication impairment as a consequence of acquired neurological disorders. Whilst there has been a progress in the research on AAC for individuals with acquired neurological disorders and effects on QoL, there are still unanswered questions that need further investigation, specifically in the area of communication-related quality of life (CRQoL). The purpose of this scoping review is to explore tools to evaluate CRQoL in adults with acquired neurological disorders who use AAC. It examines areas of communication these tools are focused on and methods of access for individuals with acquired communication disorders who might also experience physical, cognitive, and linguistic impairment. Six databases were searched with predetermined search terms. Results indicated that 10 papers used assessment tools related to CRQoL. Gaps in the research included limited data on how communication partners were involved in assessment. Overall, findings indicate a lack of information about how AAC users can access assessment tools with adaptations or communication partner support. Future research should focus on CRQoL tools and access methods for AAC users.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"299-310"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jill E Senner, Wendy Quach, Yoosun Chung, Brian Patterson, Amy Goldman, Sarah Blackstone, Kathleen A Post
{"title":"Utilization of a single preferred AAC system in US schools.","authors":"Jill E Senner, Wendy Quach, Yoosun Chung, Brian Patterson, Amy Goldman, Sarah Blackstone, Kathleen A Post","doi":"10.1080/07434618.2025.2516763","DOIUrl":"10.1080/07434618.2025.2516763","url":null,"abstract":"<p><p>The use of a single preferred communication book, board, app, or device across a school or district is a frequent topic on social media. The purposes of this study were to determine: (1) When a single system is adopted by a school or district, how does frequency of input from stakeholders compare to when a single system is not used; (2) When a single system is used, are data collected; and (3) When a single system is adopted, are criteria specified and what criteria are used to determine which students receive which levels of support? A link to an online survey was shared with professionals providing AAC services in schools. Out of 221 respondents, 17.19% reported using a single system. Those who reported using a single system were statistically less likely to involve other professionals, families, and the student in the decision-making process. Only 28.9% reported always collecting ongoing data, 23.7% reported always having clearly defined criteria for success, and 18.4% reported always having clearly defined criteria for further evaluation. Qualitative themes suggest use of trial and error, clinical judgement, and lack of success are often being used to make decisions about device selection in lieu of data.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"232-240"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine Broomfield, Deborah James, Georgina L Jones, Simon Judge
{"title":"Defining outcomes: exploring the perspectives of people who use aided augmentative and alternative communication to develop the content for a patient-reported outcome measure.","authors":"Katherine Broomfield, Deborah James, Georgina L Jones, Simon Judge","doi":"10.1080/07434618.2025.2524363","DOIUrl":"10.1080/07434618.2025.2524363","url":null,"abstract":"<p><p>Evaluating clinical interventions is an important component of quality assurance and informs decision making about the funding and commissioning of health and care services. Patient-reported outcome measures (PROMs) are tools that evaluate health interventions from the perspective of people receiving care. There is no validated PROM tool that evaluates the impact of augmentative and alternative communication (AAC) interventions. The current study was designed to understand what outcomes are important to people who use aided AAC. The study aimed to generate measurement items and to confirm the conceptual framework for a PROM for AAC. Seventeen participants aged 14 to 72 who use AAC were recruited. Each participant contributed to a one-to-one interview, informed by a topic guide developed in collaboration with a group of people with experience of using AAC. The research team used framework analysis to map data into an analytic framework informed by previous research. Analysis resulted in the development 33 items within seven domains that constitute the content for a PROM for AAC. The domains were mapped onto two conceptual models: Participation, including the Family of Participation-Related Constructs (fPRC), and the Communication Capability Approach. This research contributes rigorously developed PROM content grounded in the voices of people who use AAC and offers two conceptual frameworks to guide future tool development. It also raises critical questions about the theoretical underpinnings of AAC interventions and the need for outcome measures that reflect the evolving aspirations of users. The findings have implications for clinical practice, service delivery, and the ethical development of person-centred outcome measures in AAC.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"241-254"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}