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Assessment and Communication for People with Disorders of Consciousness
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The first word in accessibility is "access".

Patrick Regan1

  • 1Anchorage, Alaska, USA.

Augmentative and Alternative Communication (Baltimore, Md. : 1985)
|June 14, 2025
PubMed
Summary

Augmentative and Alternative Communication (AAC) users face evolving access challenges. Addressing these requires integrated assistive technology (AT) for full societal participation.

Area of Science:

  • Assistive Technology
  • Rehabilitation Engineering
  • Communication Sciences

Background:

  • Augmentative and Alternative Communication (AAC) is often viewed solely as a speech prosthesis.
  • AAC and assistive technology (AT) are crucial for daily activities, including work, healthcare, and community engagement.
  • Technological advancements and changing user needs necessitate adaptive AT solutions.

Purpose of the Study:

  • To detail personal experiences with AAC access challenges.
  • To describe methods used to overcome these challenges.
  • To identify current and future access barriers for AAC users.

Main Methods:

  • Personal narrative and reflection on AAC/AT use.
  • Description of adaptive strategies and technological solutions.
Keywords:
AACAlternative accessSpinal muscular atrophyfunctional communicationtechnology development

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  • Analysis of evolving access needs over time due to conditions like spinal muscular atrophy.

    • Main Results:

    • Significant challenges exist in accessing diverse communication tools and technologies.
    • Past solutions have been effective but are often system-specific.
    • Ongoing needs require integrated AT for seamless use across various contexts and positions.

    Conclusions:

    • AAC and AT are vital for comprehensive societal participation, not just speech.
    • There is a critical need for research into evolving user access requirements.
    • Future AT development should focus on integrated solutions for enhanced user independence and participation.