It is estimated that approximately 97 million people in the world have complex communication needs and may benefit from alternative and augmentative communication (AAC). Although AAC is considered an evidenced-based intervention, device abandonment remains common, and researchers have attempted to analyze the causes of people abandoning devices.…

The American Speech-Language-Hearing Association (n.d.) suggests that acquisition and use of augmentative and alternative communication (AAC) is dynamic and that learning multiple modalities may be beneficial particularly for those individuals with severe disabilities. Evaluation of response variability after training multiple modalities has yet…

Amyotrophic lateral sclerosis (ALS) commonly results in the inability to produce natural speech, making speech-generating devices (SGDs) important. Historically, synthetic voices generated by SGDs were neither unique, nor age- or dialect-appropriate, which depersonalized SGD use. Voices generated by SGDs can now be customized via voice banking and…

Due to loss of spoken language and resulting complex communication needs, people with Rett syndrome are obvious candidates for communication intervention. To advance evidence-based practice and guide future research efforts, we identified and summarized 16 communication intervention studies published since a previous 2009 review on this topic.…

This tutorial offers speech-language pathologists (SLPs) an opportunity to consider the theoretical constructs of language acquisition theory and the multifactorial determinants that can impinge on the language acquisition process for children with complex communication needs. The system of constraints observed through the lens of optimality…

Augmentative and alternative communication (AAC) strategies benefit learners with complex communication needs (CCN) by allowing them to participate, interact and learn. AAC is realised in the South African Education policy; however, research indicates that many teachers still have limited AAC knowledge. With this study we aimed to describe the…

Communicative competence for people who use augmentative and alternative communication consists of four interrelated domains: linguistic, strategic, social, and operational. Ongoing assessment and progress monitoring within these domains are crucial to (a) providing information to teach targeted skills in a manner contextualized within the…

This review investigated virtual reality and augmented reality (VR/AR) communication interventions for children, adolescents, and adults with communication disability and neurodevelopmental disorders, as well the feasibility of these technologies. A search of five scientific databases yielded 5385 potentially relevant records of which 69 met…

Eye-gaze technology provides access to a computer through the control of eye movements, thus allowing students with severe motor and communication difficulties to communicate and participate in curriculum activities and leisure; however, few studies have investigated whether any challenges exist to its implementation. This study examines the…

Nonvocal alert patients in the intensive care unit (ICU) setting often struggle to communicate due to inaccessible or unavailable tools for augmentative and alternative communication. Innovation of a hand-operated non-touchscreen communication system for nonvocal ICU patients was guided by design concepts including speech output, simplicity, and…

The students with nonverbal autism are challenged in communicating their needs which is fundamental in the everyday life of a person. Augmentative and Alternative Communication (AAC) aids children with a speech impediment in expressing necessities. However, the Philippines might be one of the most numerous smartphone users in the world but it…

Although federal laws require public schools to provide every student in Special Education with a free appropriate public education (FAPE) and an individualized education program (IEP), which provides students' accommodations and services, there is variation in the degree of access that many students have to assistive technology, particularly…

Clinical Question: Do children with complex communication needs show greater improvement in requesting behaviors with the Picture Exchange Communication System® (PECS®) versus a speech-generating device (SGD)? Method: Systematic Review. Sources: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information…

Although functional communication training (FCT) is an effective intervention for increasing appropriate forms of communicative behaviors and decreasing inappropriate forms of communication (i.e., challenging behavior) in students with disabilities, its effectiveness might depend to some extent on the expertise of the interventionist. The purpose…

Despite enormous improvements in AT devices and services in American classrooms, the number of students with special needs, and the complexity of needs that they and their families experience continues to be sky rocketed nationwide. In response to these urgent needs, more advanced and specialized assistive technologies have been developed that…