Visual scene displays (VSDs) are becoming an increasingly popular method of message representation within augmentative and alternative communication (AAC) supports; however, design factors can influence the effectiveness of these images as communication supports. One issue that has come to light in recent years is the fact that selecting…

Many adults with Down syndrome (DS) experience difficulty with speech production, and intelligibility challenges and communication breakdowns are common. Augmentative and alternative communication (AAC) intervention can provide important supports for persons with these complex communication needs but must be customized to address the goals,…

This theoretical review article describes "situated discourse analysis" (SDA) and explores its implications for communication sciences and disorders. Drawing on situated theories of cognition and communication, SDA aims to understand "real-time communicative processes" of people engaging in complex "sociocultural…

Individuals who use augmentative and alternative communication (AAC) occupy complex sociocultural and sociolinguistic territories. They are immersed in spoken language communities but to participate as speakers in conversational interactions, they may rely on atypical communication modes, including systems for generating speech that set them apart…

Individuals with amyotrophic lateral sclerosis (ALS) in later stages may rely on a variety of modalities to communicate. The current study used conversational analysis techniques to examine naturalistic face-to-face interaction between a man with late-stage ALS and his wife to understand the types of accommodations they made to ensure that…

Artificially intelligent tools have given us the capability to use technology to address ever more complex challenges. What are the capabilities, challenges, and hazards of incorporating and developing this technology for augmentative and alternative communication (AAC)? "Artificial intelligence" (AI) can be defined as the capability of…

Adolescents with intellectual and developmental disabilities (IDD) who also possess limited speech capabilities often display poor language and academic skills in adolescence. However, as with all adolescents, they have personal goals and should have equal access to participation across facets of life including but not limited to education.…

Purpose: Study purposes were to (a) examine achievement goal tendencies and learning mode preferences of adults who were unfamiliar with augmentative and alternative communication (AAC) facilitation, and (b) determine whether age and gender have an effect on these variables. Recruitment of untrained individuals allowed the researchers to simulate…

Personalized augmentative and alternative communication (AAC) intervention refers to an approach in which intervention is tailored to the individual's needs and skills, the needs and priorities of the individual's family and other social environments, the evidence base, and the individual's response to intervention. This approach is especially…

Communication supports for people with motor speech disorders can include strategies and technologies to supplement natural speech efforts, resolve communication breakdowns, and replace natural speech when necessary to enhance participation in all communicative contexts. This article emphasizes communication supports that can enhance…

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that results in loss of most motor functions by the time of death. Most persons with ALS experience a dysarthria that eventually renders oral/vocal communication unintelligible. This article reviews the communication needs of persons with ALS and the range of communication…

This article describes comprehensive, high-quality writing instruction for students with developmental disabilities. The Enriched Writers' Workshop combines differentiated writing process instruction with social communication instruction and cognitive strategy instruction for students with complex writing needs across a wide range of ages. It…

This article describes methods that have been developed to provide augmentative and alternative communication communicators with better access to narrative conversation. It begins by highlighting the need to provide access to conversational narrative for people with complex communication needs, arguing that this type of conversation plays an…

People with communication disabilities experience problems in accessing the justice system. In this article we describe the development of a multimedia package designed to train legal personnel to identify and reduce communication barriers to their services. The training package is being developed collaboratively by a diverse team that included…

The field of augmentative and alternative communication's (AAC) missing link is the discrepancy between what the research community identifies as needs and what the clinical community, including the AAC user, believes to be the AAC user's needs. An unrealistic picture of the AAC user occurs, developing a top-down effect of limited outcomes,…