Sophie Adams, Kate Zakrzewski, Tahlia King, Savannah Vecchio, Jacqueline Lim, Clancy Conlon
{"title":"A scoping review of augmentative and alternative communication use in children with childhood apraxia of speech.","authors":"Sophie Adams, Kate Zakrzewski, Tahlia King, Savannah Vecchio, Jacqueline Lim, Clancy Conlon","doi":"10.1080/07434618.2026.2619162","DOIUrl":"https://doi.org/10.1080/07434618.2026.2619162","url":null,"abstract":"<p><p>Prior research has highlighted the positive impact of augmentative and alternative communication (AAC) on speech and language development for children who cannot use speech alone. However, little is known about AAC use specifically for children with childhood apraxia of speech (CAS). Therefore, the purpose of this scoping review was to identify and synthesize twenty years of research investigating AAC use in children with CAS and determine gaps. A systematic search strategy was employed to identify relevant literature in five databases. Abstract and full-text screening was conducted by all authors. Forward and backward citation chaining was completed resulting in a total of 11 eligible studies. Study results were synthesized within three categories: therapy focused, profile and perspective studies. All studies highlighted that early AAC intervention may optimize communication outcomes for children with CAS. Therapy focused studies demonstrated that AAC fulfills a complementary role in the management of CAS. Perspective studies demonstrated that there are a variety of factors which influenced a SLP's decision making surrounding AAC implementation for children with CAS. While prior systematic reviews have demonstrated the positive impact of AAC on speech production broadly, this review uniquely focuses on AAC use in children with CAS.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146129136","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}
Annemarie Murphy, Sabrina Schaly, Darryl Chiu, Amelia Mitchell, Christina Shen, Geetika Maddirala, Tarkeshwar Singh, Alistair McEwan, Petra Karlsson
{"title":"Access technologies for people with significant motor impairment with potential to impact speed and/or accuracy of communication: a scoping review.","authors":"Annemarie Murphy, Sabrina Schaly, Darryl Chiu, Amelia Mitchell, Christina Shen, Geetika Maddirala, Tarkeshwar Singh, Alistair McEwan, Petra Karlsson","doi":"10.1080/07434618.2026.2619160","DOIUrl":"https://doi.org/10.1080/07434618.2026.2619160","url":null,"abstract":"<p><p>Individuals with significant communication and physical impairments often rely on augmentative and alternative communication (AAC) to facilitate independent communication across a range of communication partners and settings. Due to physical impairments, many individuals require alternate methods to access AAC systems, known as access technologies. While access technologies have advanced, they remain considerably slower than verbal communication. This scoping review explored recent advances in access technologies published between 2019 and 2024, focusing on technologies that facilitate communication speed and/or accuracy for individuals of any age with physical disabilities. Forty-six studies met inclusion criteria, covering a range of technologies such as brain-computer interfaces (BCIs), eye-tracking technology, and novel applications, such as a mixed reality AAC environment and multimodal access approaches (e.g., integrated eye-tracking with switch scanning, hybrid BCI eye-tracking). Despite technological progress, fewer than one-third of studies addressed the role of communication partners in setup and support, highlighting a gap in user-centred design. Findings are discussed in terms of practical applications and emerging directions for technology development. Implications for clinical practice and future research include the need for inclusive design, improved usability, and greater consideration of communication partner involvement in AAC access solutions.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146129159","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 knowledge and training experiences of Australian support workers assisting clients who cannot use speech alone to be heard and understood.","authors":"Clancy Conlon, Emma Files, Jane Edwards","doi":"10.1080/07434618.2025.2603337","DOIUrl":"10.1080/07434618.2025.2603337","url":null,"abstract":"<p><p>The introduction of the National Disability Insurance Scheme (NDIS) in 2013, increased the need for disability support workers in Australia. However, there are no mandatory qualification or training requirements for support workers. Therefore, this study aimed to investigate the knowledge, training experiences and training needs of Australian support workers assisting NDIS participants who cannot rely on speech alone to be heard and understood. A total of 240 support workers responded to a convergent mixed methods survey disseminated online. While the majority of respondents had accessed some form of training, there was a strong desire for further training. Support workers reported a range of barriers to accessing further training including time and scheduling limitations, financial viability and the format and mode of training currently available. Support workers' self-perceived knowledge was variable between respondents. When asked to describe the strategies they used to assist individuals who cannot use speech alone to be heard and understood, support workers provided access to augmentative and alternative communication systems and supported comprehension and/or expression. The implications for policy makers, employers and research are reported and discussed.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146129133","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}
Kelsey Steffen, Janice Light, Lateef McLeod, Tracy Rackensperger, David McNaughton
{"title":"Directions for inclusive AAC research: a scoping review focused on adults with cerebral palsy.","authors":"Kelsey Steffen, Janice Light, Lateef McLeod, Tracy Rackensperger, David McNaughton","doi":"10.1080/07434618.2025.2605479","DOIUrl":"10.1080/07434618.2025.2605479","url":null,"abstract":"<p><p>Traditionally, alternative and augmentative communication (AAC) research has been led by researchers without lived experience using AAC. However, it is important to include AAC users as equitable partners to ensure that research addresses their priorities. This scoping review aimed to identify the extent and nature of AAC user involvement in research focused on adults with cerebral palsy (CP) who use AAC. A systematic search identified 57 data-based studies from the last 22 years that focused on adults with CP who used AAC. Seven (12%) of those studies involved at least one AAC user in at least one research process (conceptualization of the problem, design of study materials and procedures, implementation of the study, data analysis, or dissemination of results). The studies provided examples of advisory, collaborative group, and people-led approaches to involve AAC users in these research processes. Most of the studies utilized qualitative methods (n = 5), although there were also examples of survey (n = 1) and intervention (n = 1) research. Strategies from these studies, along with supporting literature, offer practical guidance for involving AAC users in all stages of future research. Building on these insights, this review outlines future directions for advancing inclusive research.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109466","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":"\"Juntos pudimos, juntos podemos\": learning from hispanic caregiver perspectives on AAC service delivery.","authors":"Karla Armendariz, Krista Wilkinson","doi":"10.1080/07434618.2025.2604815","DOIUrl":"https://doi.org/10.1080/07434618.2025.2604815","url":null,"abstract":"<p><p>Families engaging with AAC bring diverse cultural and linguistic backgrounds that influence how services and systems are experienced. In the United States, Hispanic families constitute a rapidly growing population whose voices and experiences are still rarely reflected in AAC research. The present work explored the perspectives of six Hispanic mothers regarding their children's AAC services and system design. A phenomenological approach was used to capture mothers' lived experiences. Semi-structured interviews were conducted in English or Spanish, depending on the participant's preference, and then transcribed, translated, and thematically analyzed using the Braun & Clarke thematic analysis. Three overarching themes were identified. Navigating AAC services irrespective of cultural responsiveness described systemic challenges such as limited provider training, financial barriers, and families managing AAC independently. The role of culture in service delivery reflected how values such as familismo, personalismo, and respeto shaped mothers' perspectives. Cultural and linguistic considerations in AAC system design addressed visual representation, voice output, unique vocabulary, and dual-language navigation. The findings of the study contribute to conversations regarding AAC service delivery by documenting how cultural values and linguistic diversity shape family engagement with services and design features of communication systems.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954885","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}
Jamie B Boster, Bridgett Collins, Lisa Helderman, Jamie Braden, Cara Rigdon, Jordyn Rolniak
{"title":"Co-treatment as an approach to providing services to children who use augmentative and alternative communication: lessons learned from a model program.","authors":"Jamie B Boster, Bridgett Collins, Lisa Helderman, Jamie Braden, Cara Rigdon, Jordyn Rolniak","doi":"10.1080/07434618.2025.2603334","DOIUrl":"https://doi.org/10.1080/07434618.2025.2603334","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the current study was to explore how speech-language pathologists (SLPs) and occupational therapists (OTs) approach co-treatment sessions for children who use augmentative and alternative communication (AAC). Given a lack of research to date on co-treatment between SLPs and OTs, an initial investigation into the relationship between the professions in this setting was warranted.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 10 dyads of SLPs and OTs with experience treating children who use AAC together. Interviews were conducted either in-person or virtually and then were transcribed for thematic analysis. Reliability measures were completed.</p><p><strong>Results: </strong>Four primary themes emerged from the interviews with 16 subthemes. Results indicated that SLPs and OTs consider their caseload and activities when preparing before sessions. During sessions, considerations include AAC use, communication strategies, and safety. After sessions, SLPs and OTs debrief and educate caregivers. Benefits and barriers to co-treatment were also noted.</p><p><strong>Conclusion: </strong>SLPs and OTs noted a number of factors that impact their co-treatment sessions with AAC users. Results of the study demonstrate that SLPs and OTs can collaborate with this population and feel that the model of care is beneficial.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145902253","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}
Sonia Elliott, Margaret Wallen, Michelle McInerney, Avril Parry, Petra Karlsson
{"title":"Perspectives of people with cerebral palsy and communication partners about eye-gaze control technology opportunities and service provision in Australia: a qualitative study.","authors":"Sonia Elliott, Margaret Wallen, Michelle McInerney, Avril Parry, Petra Karlsson","doi":"10.1080/07434618.2025.2604826","DOIUrl":"https://doi.org/10.1080/07434618.2025.2604826","url":null,"abstract":"<p><p>Eye-gaze control technology (EGT) can facilitate communication and participation for people with physical disabilities or those who use augmentative and alternative communication (AAC). Clinical guidelines for EGT in cerebral palsy (CP) were published in 2021, but users' perspectives on service provision and outcomes remain underexplored. This study aimed to investigate these perspectives in the Australian context. Using a qualitative descriptive approach, semi-structured videoconference or email interviews were conducted with three adults with CP who use EGT and four communication partners. Data were analyzed using reflexive thematic analysis. Two themes were derived: 'EGT Has Opened the Doors for Us' and 'Navigating the EGT Journey', with subthemes 'The Integral Role of Support Systems' and 'Building Skills and Confidence'. Participants described how EGT enabled previously inaccessible forms of communication and participation, fostering autonomy and social connection. They also reported inconsistencies in assessments, trials, and support. Implementing EGT was characterized as a long and complex journey, involving challenges such as navigating funding systems, managing technical issues, and building skills and confidence. Findings revealed that access to EGT alone was insufficient; outcomes were shaped by the consistency of support, clinician expertise, and opportunities for users to build confidence over time. This study highlights the need for consistent application of EGT clinical guidelines to ensure equitable access, while allowing flexibility in how and when ongoing support is provided, reflecting user priorities and the complexity of EGT implementation in practice.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145902214","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":"Validation of the psychometric properties of the FIATS-AAC-Br: internal consistency reliability, test-retest reliability and convergent validity.","authors":"Carolina Cristina Alves Lino, Gerusa Ferreira Lourenço","doi":"10.1080/07434618.2025.2603336","DOIUrl":"https://doi.org/10.1080/07434618.2025.2603336","url":null,"abstract":"<p><p>The Family Impact of Assistive Technology Scale for Augmentative and Alternative Communication (FIATS-AAC) was developed to assess the impact of AAC systems on children and adolescents with complex communication needs based on family reports. A first study was conducted regarding the theoretical validation process of the scale, including initial translation, reconciled translation, content validity by experts, back-translation, and face validity. This article describes the steps taken for the preliminary validation of the psychometric properties of the cross-culturally adapted version of the scale into Brazilian Portuguese, the FIATS-AAC-Br. For the research development, FIATS-AAC-Br, the Participant Characterization Questionnaire developed for the research, and the Pediatric Quality of Life Inventory (PedsQL<sup>™</sup>) - Family Impact Module were used to assess the convergent validity of the scale as a comparative measure. Reliability analysis, including assessment of internal consistency and scale stability, was performed with 30 participants who completed both the Participant Characterization Questionnaire and the FIATS-AAC-Br. Cronbach's alpha calculation indicated excellent internal consistency from scale total (α = 0.94). The Intraclass Correlation Coefficient (ICC) demonstrated high stability for both the total FIATS-AAC-Br (ICC = 0.96; 95% CI = 0.92-0.98) and its 13 dimensions. Convergent validity was assessed with Pearson's Correlation Coefficient between the FIATS-AAC-Br and the PedsQL<sup>™</sup>, demonstrating a significant positive correlation (Pearson <i>r</i> = 0.719, <i>p</i> < 0.001). These results contribute to establishing a measuring tool for professionals and services working with AAC in monitoring proposed interventions.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893565","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":"Hearing stakeholder voices in the design of a non-electronic sepedi graphic symbol-based AAC resource.","authors":"Ngwanamashiane Rahab Mothapo, Kerstin Tönsing, Gloria Soto","doi":"10.1080/07434618.2025.2588554","DOIUrl":"https://doi.org/10.1080/07434618.2025.2588554","url":null,"abstract":"<p><p>The design of non-English Augmentative and Alternative Communication (AAC) resources is an urgent necessity. Human centered design (HCD) may be a useful framework for involving stakeholders in establishing design requirements for a non-electronic Sepedi graphic symbol-based AAC resource. This framework foregrounds the voice of stakeholders in the design process to counter the hegemony of Western Anglo-centric methodologies and approaches. This study aimed to obtain initial input on the need for and design requirements of a non-electronic Sepedi GS-based AAC resource from the stakeholders. A qualitative descriptive design was used. The perspectives of 21 stakeholders including special school teachers, speech-language therapists, parents of participants in need of AAC, Sepedi linguists and adults using AAC were obtained via focus groups and interviews. Recordings were transcribed and analyzed using qualitative content analysis. Participants highlighted a need for a culturally and linguistically appropriate AAC resource. They furthermore indicated that the resource should promote communication access, social inclusion and the development of various communication and language skills. The school and the home environment were identified as primary contexts of use. Specific suggestions regarding the vocabulary, the graphic symbols, the lay-out and organization of the vocabulary as well as the physical properties of the resource were obtained. The participants highlighted a need for a team to design and develop the resource. The study showed that diverse stakeholders could contribute meaningfully to the design process of an AAC resource for young individuals from a Sepedi language background.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145728112","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":"Editorial: another exciting year for <i>Augmentative and Alternative Communication</i>.","authors":"Rose A Sevcik, MaryAnn Romski","doi":"10.1080/07434618.2025.2579993","DOIUrl":"https://doi.org/10.1080/07434618.2025.2579993","url":null,"abstract":"","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":"41 4","pages":"319"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688947","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}