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RERC on AAC

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    • Archives (2014-2020)
      • R1: Brain-computer interface
      • R2: Supporting transition to literacy
      • R3: Visual cognitive processing demands
      • D1: Multimodal technologies
      • D2: Interactive video visual scene displays
      • D3: Smart Predictor app
      • D4: Cognitive demands checklist
  • Research
    • R1: Video Visual Scene Display (VSD) Intervention
    • R2: AAC Literacy Decoding Technology
      • Design of the transition to literacy (T2L) decoding feature
    • R3: Motion to improve AAC user interface displays
    • Consumer & Technology Forums
      • Communication with Direct Support Professionals: The Experiences of AAC Users (2024)
      • The participation of people who rely on AAC in the pre-service preparation of communication, education, and medical professionals (2023)
      • The patient-provider experiences of people with CP who use AAC (2022)
  • Development
    • D1: Access Assistant Software to Improve Alternative Access Services
    • D2: Smart Select: a new switch access method
    • D3: mTraining in AAC for Communication Partners
  • Training
    • T1: Mentored Research and Lab Experiences
    • T2: Rehabilitation Engineering Student Capstone Projects
    • T3: Student Research and Design Challenges
    • T4: Doctoral Student AAC Research Think Tank
    • T5: Webcasts & Instructional Modules
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D1) Developing multimodal technologies to improve access (2014-2020)

eye w dotsProject Leaders:  T. Jakobs (InvoTek), D. Hershberger (Saltillo), S. Fager, J. Light, D. Beukelman, D. Erdogmus
Consumer Team: J. Baker, A. Wilson, M. Cuttlers, B. Arnold

Grant is 10 years old and has severe cerebral palsy. He is fully included with his typical peers in a grade 5 classroom. He is currently struggling to keep pace with the curriculum, not because of the learning required, but rather because of his slow access to AAC and other technologies. He lacks the range and precision of movement in any single modality to use direct selection and has to rely on scanning, a very inefficient method of access. He is exhausted by the end of the school day. He requires a better, more efficient access technique.

Challenge: Significant advances in AAC access technologies  have enabled more individuals with complex communication needs (CCN) who have severe motor impairments to operate computer technology using eye tracking, head tracking, and touch sensitive interfaces. However, all of these methods rely on a single access modality. There are significant challenges associated with using a single access modality (e.g., using eye gaze alone) to control technology, including fatigue, over-use injuries, and inefficiency.
Goals: In this development project, we will create new integrated access methods that combine multiple access modalities  to control smart technologies (smartphones, tablet devices, and computers).
Objectives:  RERC on AAC engineers will build on our prior work and will integrate multiple access modalities such as speech, gestures, eye tracking, and head tracking to best meet the needs of individuals with CCN and severe motor impairments. Evaluation will focus on comparing multimodal access strategy to single access modalities to determine the impact on rate, efficiency of access, and personal preference of these individuals. Specifically, we will test two hypotheses:

  1. These individuals will demonstrate increased accuracy and efficiency using multimodal access strategies compared to a single modality; and
  2. They will report higher ratings of consumer satisfaction for multimodal access compared to single mode access. The evaluation will be conducted in a series of separate but parallel studies, each designed to test the effects of multimodality access on three populations with severe motor impairments who require alternate access:
    • children with CP,
    • adults with CP, and
    • adults with cervical spinal cord injury.

Multimodal project example: Eye-tracking and switch scanning

In the video below,  a prototype access method that combines eye-tracking with switch scanning is demonstrated. The eye-tracking is used to locate a larger grouping of letters. Once the target letter highlighted within the larger group, the switch is selected to begin scanning all letters within this group. The target letter is then selected with the switch. With this approach, the individual using the system is not required to have optimal eye-tracking capabilities. The eye-tracking narrows the set of letters that are to be scanned reducing the need to scan all letters on the onscreen keyboard.


 
 Resources
Fager, S., Jakobs, T., & Beukelman, D. (2015, November). Integrating Speech Recognition Into AAC Technology. Presentation at the annual conference of the American Speech and Hearing Association, Denver CO. Handout as a pdf
Fager, S. & Jakobs, T. (January, 2015). Integrating speech recognition into AAC technology. Presentation at Annual Conference of the  Assistive Technology Industry Association (ATIA), Orlando, FL. Handout as a pdf

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Recent Posts

  • The first word in accessibility is “access” (Regan, 2025)
  • Alternative ways to access AAC technologies (Ramirez, 2025)
  • Future of AAC technologies: priorities for inclusive innovation (Williams & Holyfield, 2025)
  • Nothing about AAC users without AAC users: a call for meaningful inclusion in research, technology development, and professional training (Blasko et al., 2025)
  • To include us in our own worlds: AAC is not optional (Koloni, 2025)

Recent Publications and Presentation

Patrick Regan and a quote from his article in the AAC journal

The first word in accessibility is “access” (Regan, 2025)

Patrick Regan (2025) is President-Elect of USSAAC, and he also plays leadership roles in ISAAC, and in outreach programs for the Bridge School. Patrick experiences Spinal Muscular Atrophy, and has used a wide variety of AAC to communicate. In this paper, he describes “access challenges that I have experienced as someone who uses AAC, how my team and I have resolved them, and what challenges I face now.”

Now free at the AAC journal
https://doi.org/10.1080/07434618.2025.2513912

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ASHA (2024) handouts and virtual posters

ATIA (2025) handouts

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ASHA 2025

 

 

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The contents of this website were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90REGE0014) to the Rehabilitation Engineering Research Center on Augmentative and Alternative Communication (RERC on AAC). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.