Top AAC Programs and Devices to Know About

How do you know which AAC will be appropriate for your child? We asked speech-language pathologist (SLP) and AAC specialist Ali Steers for insights into the most common AAC programs and devices. (Check out more from Steers in these frequently asked questions about Augmentative and Alternative Communication (AAC)!)

Steers suggests testing a program or device before committing to it whenever possible to ensure it will work for your child. Working with a knowledgeable SLP will help you start narrowing down the best AAC system (such as apps or speech-generating devices), as there are many options currently available on the market.

Direct selection programs and devices

The child will directly point to, press, give, or gaze at an image or word they wish to select.

• Picture Exchange Communication System (PECS), and other image-based systems, such as Circle of Friends and communication books like PODD

  • Note that while these can be helpful when a child is young, they tend not to be sustainable over time as a child grows.

• Letter and alphabet boards

• iPads with language system apps installed, such as:

  • GoTalk NOW Plus

  • LAMP Words for Life

  • Proloquo2Go

  • Proloquo4Text

  • TouchChat

Dedicated devices

• Tobii Dynavox’s I-110

• Prentrom’s Accent series

Tactile or auditory devices

Options such as Enabling Device’s Tactile Symbol Communicator provide AAC for children who are visually impaired.

Standard USB joystick or mouse

A joystick or mouse can be used to control the pointer on some AAC devices such as those in the PCR Accent series.

Head pointing devices

Head pointing is a great option for users who need a hands-free device.

• NuPoint’s Head Tracking for Accent 1400 works by placing a reflective dot on the user’s face, which is tracked by the device and used to control the pointer on screen.

• Pointer sticks that are worn on the user’s head are also available.

Eye-gaze devices

Eye-gaze devices are most beneficial for children who don’t have the fine motor control to use direct-select or switch control systems. Eye gaze has recently become available on iPads but can be less reliable than when used with a dedicated device. The success of the software will often depend on the quality of the iPad’s camera.

• Apple Eye Tracking for iOS 18 (iPad and iPhone)

• PRC’s Look Eye Tracking systems

• The I-Series by Tobii Dynavox

• The MegaBee Eye Pointing Communication Tablet

Switch scanning

Switch scanning, such as Enabling Devices Announcer, can be auditory or visual, depending on the needs of your child.

Steers tells us that “for individuals who would not be good candidates for using their eyes or their hands, they’ll be controlling a screen with, ideally, two switches. Maybe they’re on both sides of their face, and they’re using one switch to scan and the other switch to pick.”