{"title":"Beyond access: the intersecting role of AAC, literacy, and technology.","authors":"Jordyn Zimmerman","doi":"10.1080/07434618.2025.2504499","DOIUrl":"10.1080/07434618.2025.2504499","url":null,"abstract":"<p><p>As the digital landscape continues to evolve, access to communication, literacy, and technology have become essential for citizenship, community inclusion, and social and emotional well-being. This paper reflects my personal experience on these topics, exploring the challenges faced by people who lack access to robust language-based expressive augmentative and alternative communication (AAC) tools. Drawing on my background as an educator, I discuss the implications of failing to provide such access, highlighting its effect on literacy skills and social inclusion. I also argue that many AAC technologies are insufficient and must be re-designed to account for learning. Thus, this paper calls for a more user-centered design approach across the board-where AAC users are not merely participants, but leaders in the design and development process, ensuring this work is reflective of people's needs and serves to meaningfully include in our increasingly digital world.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"264-266"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532653","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":"Embracing change in AAC technology: the keyboard to my success.","authors":"Tim Jin","doi":"10.1080/07434618.2025.2508484","DOIUrl":"10.1080/07434618.2025.2508484","url":null,"abstract":"<p><p>My name is Tim Jin, and I use an augmentative and alternative communication (AAC) device by typing with my toes. My communication journey has spanned almost four decades. Communication was the key to my success, just as important as a good education. Over the years, I have used numerous AAC devices. My parents and therapists always knew my devices would need to change as technology advanced. Each system has its unique operating system so programming an AAC device can be challenging as requirements change across systems. Hopefully one day, we will have a universal interface, ensuring seamless functionality. I would also like to see improved word prediction that uses artificial intelligence to make communication more effective and efficient. AAC must adapt to the user rather than the user adjusting to the device. AAC users know their needs best, and those needs change over time so periodic reassessment is important. Ongoing innovation is required to empower individuals with disabilities. Let us strive for more independence and accessibility in all aspects of life, providing everyone with the necessary tools to express themselves and fully participate in society.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"295-296"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201307","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":"\"It's caused our whole family to enjoy each other:\" a family's perspective on the impact of disability and AAC on the family system.","authors":"Jessica Caron, Tara O'Neill Zimmerman, Megan Meneskie, Salena Babb, Meghan Wendelken","doi":"10.1080/07434618.2025.2546876","DOIUrl":"https://doi.org/10.1080/07434618.2025.2546876","url":null,"abstract":"<p><p>This study explored the lived experiences of family members of a focal child (Nick), a 6-year old child with cerebral palsy who used AAC. The aim of this study was to gain the family system's perspective on the impact of CP and AAC on their lives and their family system. A qualitative case study design utilized semi-structured interviews of eight members of the family system, including Nick. Participants described how Nick's intrinsic skills and challenges were a driving force behind life and intervention priorities. Each family member had unique roles and relationships within the family microsystem, as well as influences from the school and community. The family used a variety of communication strategies, including relying on unaided communication to resolve communication breakdowns and planning outings intentionally to make accommodations for Nick and his AAC use. Ultimately, the family perspectives revealed how they were an interdependent family system that adapted to changed circumstances (i.e., the introduction of AAC) to achieve a healthy family homeostasis. Collaborative teaming with families characterized by open communication and an understanding of the demands and needs of family life must be prioritized by professionals implementing AAC in order to ensure optimal communication, participation, and family outcomes.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986109","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":"Effect of AAC intervention on communication within social routines from preschool-age emerging symbolic communicators with developmental disabilities.","authors":"Syndey Miller, Christine Holyfield, Brenna Griffen, Elizabeth Lorah, Nicolette Sammarco Caldwell, Jessica Caron","doi":"10.1080/07434618.2025.2524359","DOIUrl":"https://doi.org/10.1080/07434618.2025.2524359","url":null,"abstract":"<p><p>Preschool-age children learn, build social connections, and develop language through social interactions. Preschool-age emerging symbolic communicators with developmental disabilities require augmentative and alternative communication (AAC) intervention to communicate linguistically (i.e., using language) in social interactions. The current study evaluated the effect of an AAC intervention including high-tech color photo visual scene displays (VSDs) and least-to-most prompting on linguistic communication in social routines within song singing activities from six preschoolers who were emerging symbolic communicators and had developmental disabilities, including autism. The study used a multiple baseline across participants single-subject research design. All six participants demonstrated increased linguistic communication in the social routines as the result of the AAC intervention, though variability in communication was observed across and within participants. Furthermore, increases in communication within the routines largely maintained after prompting was removed in the maintenance phase. Increases also largely generalized to linguistic communication using a high-tech grid display featuring the same color photos from the VSDs as representation. More research is needed, but the current intervention is a promising approach to supporting emerging symbolic communicators in communicating linguistically in social routines.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568303","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}
Graham Pullin, Kevin Williams, Darryl Sellwood, Jamie Preece, Emma Sullivan, Meredith Allan, Todd Hutchinson, Katie Brown, Fin Tams-Gray, Jeff Higginbotham
{"title":"Discussing future AAC: technology, interactions and ownership.","authors":"Graham Pullin, Kevin Williams, Darryl Sellwood, Jamie Preece, Emma Sullivan, Meredith Allan, Todd Hutchinson, Katie Brown, Fin Tams-Gray, Jeff Higginbotham","doi":"10.1080/07434618.2025.2524364","DOIUrl":"https://doi.org/10.1080/07434618.2025.2524364","url":null,"abstract":"<p><p>The ISAAC 2023 Conference held in Cancun, Mexico included a discussion panel entitled \"Imagining alternative futures for AAC together: what interactions do we want with each other?\" Ten participants were in conversation with each other and a capacity audience for two hours, between them vocalizing, revoicing, using speech synthesis and speaking unaided. This paper summarizes the preparation for, holding of and reflections on this discussion. The context-and the reason for framing it in terms of \"alternative\" futures-was the dominance of predictions of brain-to-speech implants in mainstream media coverage of developments in AAC. A motivation for calling the panel was a feeling amongst the authors that this dominance was stifling debate about what other futures different people who use AAC might want. Three themes emerged in early conversations between the authors: technology, interactions and ownership-the many connotations of each will be presented. Before the discussion panel, participants met on-line across Australia, the United Kingdom and the United States. These meetings were recorded and edited into short films and used to structure the in-person discussion. Transcripts from the films and samples of the discussion are included, along with questions and implications for the field of AAC. This paper is primarily about the discussion that took place in Cancun: for the record and for those who were unable to attend. The paper ends with links to other outputs that resulted from the panel: a paper about making and owning one's voice and its future; and a manifesto imagining alternative futures with augmented communication that draws on concepts of technoableism.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562603","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":"Investigating the iconicity of the AAC graphic symbols of Mulbery, ParticiPics and Talking Mats.","authors":"Eliada Pampoulou, Stella Tsigka, Evgenia Kadi, Elpida Kanari, Savvina Georgiou","doi":"10.1080/07434618.2025.2524362","DOIUrl":"https://doi.org/10.1080/07434618.2025.2524362","url":null,"abstract":"<p><p>Despite the fact that iconicity has been widely investigated, there is a lack of research focusing on collections of symbols that have relatively recently been developed. Since iconicity is related to symbols, referents, individuals, and instructional effects, which often interplay with each other, it is important to investigate some of these effects in isolation. For this study, the iconicity of Mulberry, ParticiPics and Talking Mats collections of symbols was investigated. Participants were 50 Greek-speaking undergraduate students unfamiliar with these particular graphic symbols. A mixed-method methodology focused on a 5-Likert scale that participants used to score the iconicity of the symbols presented from the three collections was adopted. This was followed by semi-structured interviews with all the participants. The statistical analysis of iconicity ratings across the three sets of symbols generated non-significant results for both comparisons: there was no statistically significant difference in iconicity ratings among the focal symbols. The comparison between verbs and nouns across the three symbol sets also showed no significant difference in iconicity ratings. Factors influencing the iconicity of symbols include color, component complexity, outline shape, static animation and word concreteness. These findings should be disseminated to symbol developers and clinicians.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562604","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}
Lesley A Shawler, Juhi Kidwai, Valerie Boyer, Grace Lafo, Karli Wright, Denise Croft
{"title":"How to select AAC: further evidence from children with autism spectrum disorder and complex communication needs.","authors":"Lesley A Shawler, Juhi Kidwai, Valerie Boyer, Grace Lafo, Karli Wright, Denise Croft","doi":"10.1080/07434618.2025.2519409","DOIUrl":"https://doi.org/10.1080/07434618.2025.2519409","url":null,"abstract":"<p><p>Up to 30% of autistic children may not develop natural speech, making augmentative and alternative communication (AAC) a critical tool to support functional and symbolic communication. This study aims to evaluate proficiency and preferences for various AAC modalities among young autistic children with complex communication needs (CCN). The study explores the integration of interdisciplinary protocols and family-centered assessments to inform AAC modality selection. Eight children were assessed using multiple high- and low-tech AAC modalities. A single-case multi-element design was employed to assess modality proficiency, followed by a concurrent-operant design to measure preference. Caregivers were consulted regarding their preferences. All participants demonstrated proficiency with at least one AAC modality, and caregiver preferences generally aligned with their child's preference. Findings corroborate past research highlighting the importance of integrating objective data and participant preferences in the AAC-selection processes. A structured, interdisciplinary approach, involving both child and caregiver input, facilitates more individualized AAC interventions, improving communication outcomes. Future research should explore formalized caregiver preference assessments to enhance long-term adherence and outcomes.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546812","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":"Development of an Arabic core vocabulary list for children utilizing augmentative and alternative communication.","authors":"Maha Mohammed Alkhaldi, Nada A M Alsari","doi":"10.1080/07434618.2025.2519413","DOIUrl":"https://doi.org/10.1080/07434618.2025.2519413","url":null,"abstract":"<p><p>The aim of this study was to identify the most frequently and commonly used words by typically developing Saudi preschool-aged participants, to guide the selection of vocabulary for children using augmentative and alternative communication. A quantitative descriptive observational design was used, and the included 161 participants aged three to six years. The participants were selected from five different regions in Kingdom of Saudia Arabia. The samples were then analyzed to determine the frequency of words used, the commonality of use across regions, and the different parts of speech. The findings revealed that the identified 239 core words covered 91% of the composite sample. Among the 239 core words, 84.5% were content words and 15.5% were function words. The core vocabulary was divided into 11 parts of speech, with nouns being the most frequently occurring, followed by verbs and adjectives. These findings are different from those seen in some other languages where function words were found to be higher. The study also discusses implications, limitations, and directions for future research.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510291","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}
Danielle T Nader, Susan Agostine, Karen A Erickson
{"title":"Moving beyond binary: shades of yes and no in embodied responses.","authors":"Danielle T Nader, Susan Agostine, Karen A Erickson","doi":"10.1080/07434618.2025.2519416","DOIUrl":"https://doi.org/10.1080/07434618.2025.2519416","url":null,"abstract":"<p><p>People communicate using various modalities (e.g., spoken language, gestures, writing, and body movements), known as multimodal or embodied interaction. During in-person interactions, confirmations and rejections are often expressed in nuanced embodied ways through changes in tone, volume, or inflection. For individuals who use augmentative and alternative communication (AAC), linguistic expression of these responses is often limited to binary \"yes\" and \"no\" selections delivered with flat affect using their speech generating devices. This study, part of a larger investigation of in-person interactions involving adults with intellectual and developmental disabilities (IDD) who use AAC devices, centers on a young woman with IDD who lacked access to her AAC device during data collection. While completing as survey-based interaction task with a familiar communication partner, she relied on embodied movements to express confirmation and rejection. Whole-to-part, inductive analysis of recorded interactions led to the development of a coding scheme for these embodied responses. Microanalysis of selected segments revealed that despite communication and physical impairments and an inoperable AAC device, she coordinated body movements to deliver nuanced responses to binary questions. This study highlights the expressive power of embodied communication and offers implications for clinicians and communication partners of individuals who use AAC.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500248","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":"We need to take AAC out of the \"too hard basket.\" An exploration into the attitudes of Australian speech language pathologists toward AAC.","authors":"Clancy Conlon, Robyn Preston, Barbra Zupan","doi":"10.1080/07434618.2025.2516760","DOIUrl":"https://doi.org/10.1080/07434618.2025.2516760","url":null,"abstract":"<p><strong>Background: </strong>The attitudes of speech language pathologists (SLPs) toward AAC are integral to optimal outcomes for AAC users; however, there has been limited research into the attitudes, values and beliefs of SLPs about AAC.</p><p><strong>Aim: </strong>This study sought to explore SLPs' attitudes, beliefs and values about AAC and factors influencing SLP attitudes throughout their clinical journey.</p><p><strong>Method: </strong>One on one, semi-structured interviews were conducted with 25 Australian SLPs. All interviews were conducted via Zoom, transcribed verbatim and analyzed using a deductive, values coding approach.</p><p><strong>Results: </strong>Most SLPs commenced their clinical journey with either no awareness of AAC or a negative attitude toward AAC. However, attitudes were not static, and descriptions of an SLP's clinical journey demonstrated that attitudinal change is achievable. Findings indicated that this change is heavily dependent on factors that influenced the SLP within the personal, social, and historical context.</p><p><strong>Conclusion: </strong>While attitudes toward AAC improved for some SLPs throughout their clinical journey, active steps need to be taken to ensure the majority of SLPs commence their career with a positive attitude toward AAC. Three key recommendations are proposed.</p>","PeriodicalId":520566,"journal":{"name":"Augmentative and alternative communication (Baltimore, Md. : 1985)","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500250","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}