Stephanie Lackey, Véronique Légaré, T Claire Davies, Petra Karlsson, Shane Pinder, Beata Batorowicz
{"title":"\"It is about more than just equipment\": service providers' vision for AAC services in Ontario, Canada.","authors":"Stephanie Lackey, Véronique Légaré, T Claire Davies, Petra Karlsson, Shane Pinder, Beata Batorowicz","doi":"10.1080/07434618.2026.2650281","DOIUrl":"https://doi.org/10.1080/07434618.2026.2650281","url":null,"abstract":"<p><p>Without appropriate support, communication disabilities can limit social participation in education, employment, and community engagement. Augmentative and alternative communication (AAC) services can help to mitigate barriers to participation. Research on AAC services is growing internationally, however, remains limited in Canada. The purpose of this study was to explore the perspective of service providers on AAC services in Ontario. A total of 21 participants, comprised of speech language pathologists, occupational therapists, and a communicative disorders assistant participated in focus groups. Authors used Appreciative Inquiry, a strengths-based approach to organizational change, guided by four phases: Discovery, Dream, Design, and Destiny. Using reflexive thematic analysis, the authors generated four themes that reflected areas of change in AAC services: expanding the reach of AAC services; aligning service delivery with client needs; leveraging the strengths of service providers; and focusing on the lived experience. Findings highlight key areas for improvement including enhancing professional autonomy, increasing service availability, and providing interventions in natural environments. Participants envisioned service delivery grounded in client-centeredness, efficiency, equity, accessibility, and support for service providers. This study provides a critical evidence base to guide future research and drive informed recommendations for transforming AAC service practices and policies across Ontario.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794953","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":"Survey of AAC knowledge of practitioners in special schools in Tianjin area in China.","authors":"Mengxuan Wu, Jie Wu, Rajinder Koul","doi":"10.1080/07434618.2026.2650277","DOIUrl":"https://doi.org/10.1080/07434618.2026.2650277","url":null,"abstract":"<p><p>Augmentative and alternative communication (AAC) systems support individuals with significant communication challenges. In mainland China, AAC implementation remains limited, particularly within school settings due to a shortage of certified speech-language pathologists (SLPs). This study surveyed AAC-related knowledge, practices, and training needs among special education personnel in Tianjin, China, where educators often serve as de facto AAC providers. A 10-item questionnaire was administered to 383 teaching and non-teaching staff across ten special schools (response rate: 64.6%). The survey explored self-reported AAC competence, populations served, preferred training formats, and reading materials. Respondents reported limited knowledge of AAC, especially in low- and high-tech modalities. Most participants expressed a strong desire for training, favoring mentorship and workshops. Those with experience supporting students with autism, intellectual disabilities, and cerebral palsy showed stronger preferences for evidence-based materials and structured training. Principal component analysis (PCA) revealed a uniformly high interest across training topics, indicating broad foundational needs. Findings highlight the urgent need for accessible, entry-level AAC training tailored to the educational context in China. Results can inform national policy, curriculum development, and cross-sector collaboration to build sustainable AAC capacity.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795017","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}
Gloria Ledwaba, Margaret Chauke, Jacomina Motitswe
{"title":"Implementation of augmentative and alternative communication in South African rural special schools.","authors":"Gloria Ledwaba, Margaret Chauke, Jacomina Motitswe","doi":"10.1080/07434618.2026.2650282","DOIUrl":"https://doi.org/10.1080/07434618.2026.2650282","url":null,"abstract":"<p><p>Augmentative and Alternative Communication (AAC) is a critical aspect when ensuring learning and participation in children with complex communication needs. Several studies focused on the use of AAC in well-advanced classrooms; however, less is known about AAC implementation in a rural school setting. This study adopted a qualitative approach. Purposive sampling was used to recruit 21 teachers as participants from two special schools in Mpumalanga Province, South Africa. Data collection involved focus group interviews, and thematic analysis was conducted. The findings shed light on several factors negatively affecting the use of AAC in schools. A lack of support from stakeholders, diversity of learner population, overcrowded classrooms, and limited AAC resources emerged as some of the significant factors affecting the use of AAC in the schools. Upholding effective educational support for children with complex communication needs requires not only training for teachers, but prioritizing other factors, such as the availability of necessary educational resources, and promoting collaboration among stakeholders.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794989","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}
Aimee Dietz, Mounia El Jaouhari, Chitrali R Mamlekar
{"title":"Retrospective insights into AAC interface design and spoken language in chronic aphasia.","authors":"Aimee Dietz, Mounia El Jaouhari, Chitrali R Mamlekar","doi":"10.1080/07434618.2026.2633132","DOIUrl":"https://doi.org/10.1080/07434618.2026.2633132","url":null,"abstract":"<p><p>This retrospective case series examined the impact of personally relevant photographs and accompanying text on the spoken discourse of four people with chronic aphasia (PWA) using a high-tech AAC system with visual scene displays (VSDs). Analysis of the informativeness and syntactic complexity of the participants' narrative retells revealed individualized patterns of spoken language performance for each PWA, underscoring the complexity of these findings. Although personally relevant photographs and text supported communicative success in the original study, they did not consistently translate into superior spoken language performance in the current analysis. These findings highlight the importance of future research that more carefully control extraneous variables that were not feasible to address in this retrospective case series. Finally, the results suggest that direct instruction may be necessary to maximize spoken output while simultaneously supporting communication during moments of word retrieval difficulty.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629704","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":"The effects of symbol format and symbol placement on identification accuracy and activation time.","authors":"Kris L Brock, Haley Jenkins, Elena Dukhovny","doi":"10.1080/07434618.2025.2495901","DOIUrl":"10.1080/07434618.2025.2495901","url":null,"abstract":"<p><p>The aim of this study was to determine whether animation improved symbol identification accuracy and activation time in consistent and variable grids. A 2 x 2 counterbalanced factorial design was used to determine the effects of symbol format (animated and static) and placement (variable and consistent) on identification accuracy, averaged activation time (s), and activation time change (s) from trial one to trial four in 42, 18- to 58-year-old adults without disabilities. A repeated measures ANOVA was conducted, and analyses revealed significant main effects for symbol format and placement and a significant interaction. Animated symbols were identified with greater accuracy than static symbols, while static symbols were selected on average .26 s faster than animated symbols. However, animated symbols in the consistent placement condition had greater identification accuracy and faster activation time by the 4th trial compared to all other conditions. The synergistic effects of animation and consistent symbol placement suggest that speech-language pathologists should use these features as tools to facilitate speed and accuracy of word production on speech-generating devices.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"14-31"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510292","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}
Kevin M Pitt, Andrea Mikuls, Ciara L Ousley, Jamie B Boster, Maryam Mahmoudi, John McCarthy, Jeremy Burnison
{"title":"Considering whether brain-computer interfaces have prospective potential to support children who have the physical abilities for touch-based AAC access: a forum manuscript.","authors":"Kevin M Pitt, Andrea Mikuls, Ciara L Ousley, Jamie B Boster, Maryam Mahmoudi, John McCarthy, Jeremy Burnison","doi":"10.1080/07434618.2025.2495897","DOIUrl":"10.1080/07434618.2025.2495897","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"5-13"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial: AAC research to practice: Continuing our development.","authors":"MaryAnn Romski, Rose A Sevcik","doi":"10.1080/07434618.2026.2625063","DOIUrl":"https://doi.org/10.1080/07434618.2026.2625063","url":null,"abstract":"","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":"42 1","pages":"1"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147319298","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}
Krista M Wilkinson, Dawn J Sowers, Robert Sainburg
{"title":"Visual-perceptual features of augmentative and alternative communication displays affect efficiency of motor reaching by individuals with Down syndrome: a pilot study.","authors":"Krista M Wilkinson, Dawn J Sowers, Robert Sainburg","doi":"10.1080/07434618.2025.2495904","DOIUrl":"10.1080/07434618.2025.2495904","url":null,"abstract":"<p><p>Individuals with Down syndrome often have speech and language impairments that interfere with their ability to use speech to meet their full range of communication needs. Visual communication supports in the form of augmentative and alternative communication (AAC) are often a solution for individuals who require support to their own natural speech, including those with Down syndrome. Messages are produced via touch or reach to communication symbols presented on these AAC displays. While a line of past research has detailed the influence of AAC display design on the efficiency with which individuals with and without disabilities can find target symbols within an array, few studies have examined how different AAC displays might influence touch/reaching. Yet critical clinical implications arise if display design is resulting in inefficient (and fatiguing) motor/reaching behavior. This pilot study evaluated how visual-perceptual characteristics of AAC displays affected the efficiency and quality of reaches by six individuals with Down syndrome and six individuals without disabilities matched on age, gender, and hand preference.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"42-55"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewer thank you.","authors":"","doi":"10.1080/07434618.2026.2626126","DOIUrl":"https://doi.org/10.1080/07434618.2026.2626126","url":null,"abstract":"","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":"42 1","pages":"77"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147319296","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 access in action: evaluating AAC supports for young children in a community museum.","authors":"Amy L Yacucci, Sarah L Ballard","doi":"10.1080/07434618.2025.2604825","DOIUrl":"https://doi.org/10.1080/07434618.2025.2604825","url":null,"abstract":"<p><p>This utilization-focused evaluation study aimed to describe augmentative and alternative communication (AAC) supports to enhance communication accessibility for children with significant communication support needs in a children's museum. Most of the participants had a diagnosis of autism spectrum disorder (ASD), which informed the design and interpretation of AAC strategies implemented in the museum setting. Utilizing feedback from museum staff and parents of children with communication disabilities, the study sought to identify practical strategies to improve the effectiveness of AAC supports in creating more inclusive community spaces. A utilization-focused evaluation framework guided the assessment of embedded-aided communication supports within the museum, ensuring that findings were relevant and actionable for stakeholders. The evaluation revealed three key insights: (a) the importance of communication access through multiple modalities, (b) the role of social awareness in supporting inclusive communication, and (c) the need for enhanced communication partner training and education. Additionally, while parent and museum staff participants recognized the benefits of the communication access program, they also identified limitations and areas for improvement. This study provides recommendations for future research and practice, emphasizing the value of stakeholder-driven evaluations in promoting communication accessibility in community settings.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196313","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}