a Department of Communication Sciences and Disorders , The Pennsylvania State University , University Park , PA , USA.
b Institute for Rehabilitation Science and Engineering , Madonna Rehabilitation Hospitals , Lincoln , NE , USA.
Augment Altern Commun. 2019 Mar;35(1):1-12. doi: 10.1080/07434618.2018.1556732. Epub 2019 Jan 16.
The field of augmentative and alternative communication (AAC) has witnessed significant changes since its inception. AAC services are now considered for a much greater number of individuals with complex communication needs and there are many more AAC options available as communication supports, including a proliferation of technologies. The scope and options for communication within society have increased substantially to include a wide array of digital and social media. Individuals with complex communication needs have increased expectations for participation and engagement across a full range of environments-education, employment, family, healthcare, and community living. Despite these advances, there remain critical challenges that must be addressed. This paper discusses key advances in the AAC field, delineates challenges, and discusses future directions to address these challenges, specifically as they relate to research and development to enhance AAC interventions and technologies for individuals with complex communication needs and their families.
增材和替代沟通（AAC）领域自成立以来发生了重大变化。现在，更多有复杂沟通需求的人可以获得 AAC 服务，并且有更多的 AAC 选项可用作沟通支持，包括技术的扩散。社会内部的沟通范围和选项大大增加，包括各种数字和社交媒体。有复杂沟通需求的人对在各种环境中的参与和互动的期望增加，包括教育、就业、家庭、医疗保健和社区生活。尽管取得了这些进展，但仍存在必须解决的关键挑战。本文讨论了 AAC 领域的主要进展，划定了挑战，并讨论了未来的方向，以解决这些挑战，特别是与研究和开发有关的挑战，以增强有复杂沟通需求的个人及其家庭的 AAC 干预和技术。
