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Augmentative and alternative communication (AAC) supports autistic adults who speak, addressing speech differences and communication needs. Research should prioritize AAC for autistic adults, exploring diverse strategies and overcoming barriers.

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Area of Science:

  • Neurodevelopmental Disorders
  • Communication Sciences
  • Assistive Technology

Background:

  • Augmentative and alternative communication (AAC) technologies are increasingly available and used by autistic individuals.
  • Existing research predominantly focuses on AAC for nonspeaking autistic children, neglecting autistic adults, particularly those who speak.
  • Speaking autistic adults often utilize AAC to supplement speech, sharing valuable community knowledge on strategies and challenges.

Purpose of the Study:

  • To provide an overview of speech differences in autistic adults that necessitate AAC support.
  • To discuss the technologies and strategies employed by speaking autistic adults for communication.
  • To explore barriers to AAC adoption and use among autistic adults and offer recommendations.

Main Methods:

  • Review of existing literature and community knowledge regarding AAC use in autistic adults.
  • Analysis of speech variations and communication needs experienced by speaking autistic adults.
  • Identification and categorization of AAC strategies, tools, and barriers based on reported experiences.

Main Results:

  • Autistic adults use AAC to address speech difficulties that vary with environment and content.
  • Strategies include low-cost tools, mobile applications, and signed languages; barriers include lack of awareness, misconceptions, and cost.
  • Prioritizing overall communication over speech is crucial for effective AAC implementation.

Conclusions:

  • Mainstream and diverse communication technologies can effectively support autistic adults' communication needs.
  • Addressing barriers such as awareness and cost is essential for wider AAC adoption.
  • Further research is needed on AAC effectiveness and barriers for autistic adults.