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Self-Assessment Instruments Related to Functional Ability for People Who Use Augmentative and Alternative

Irina Savolainen1, Maja Sigurd Pilesjö2

  • 1Department of Speech and Language Pathology, University of Helsinki, Helsinki, Finland.

International Journal of Language & Communication Disorders
|December 11, 2025
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Summary

This review identified 22 self-assessment instruments for augmentative and alternative communication (AAC) users, highlighting a need for instruments addressing emotions, diverse languages, and improved psychometric properties for better rehabilitation outcomes.

Keywords:
Augmentative and alternative communicationScoping reviewSelf‐assessmentSelf‐report

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Area of Science:

  • Rehabilitation Sciences
  • Assistive Technology Research
  • Speech-Language Pathology

Background:

  • Self-determination is a right for all individuals, including those with speech impairments using augmentative and alternative communication (AAC).
  • Self-assessment instruments are crucial for exercising this right but have been historically underrepresented in AAC research.
  • This scoping review addresses the need to explore and characterize existing self-assessment tools in the AAC field.

Purpose of the Study:

  • To identify and characterize self-assessment instruments developed for augmentative and alternative communication (AAC) populations (adults and children).
  • To investigate the availability, administration, and intended purposes of these instruments concerning functional ability.
  • To identify gaps in current self-assessment tools for people who use AAC (PWUAAC).

Main Methods:

  • Adherence to the PRISMA protocol for conducting a scoping review.
  • Inclusion of studies where self-assessment instruments were used by or intended for people who use AAC (PWUAAC).
  • Analysis of instrument aims categorized within the personal factors domain of the International Classification of Functioning (ICF) framework.

Main Results:

  • A total of 22 self-assessment instruments for PWUAAC were identified, with most employing scaled response formats.
  • The primary focus of existing instruments was on assessing thoughts and beliefs of PWUAAC.
  • Identified gaps include a lack of instruments addressing feelings, motives, and non-English languages, alongside a need for enhanced psychometric properties.

Conclusions:

  • The identified instruments provide a foundation for clinical practice and research in AAC.
  • Further development is needed to address identified gaps, particularly in emotional and linguistic diversity and psychometric rigor.
  • Systematic development and utilization of self-assessment tools can enhance autonomy and improve AAC interventions.