A Comprehensive Guide to Choosing the Right AAC Device for Your Needs

When selecting an Augmentative and Alternative Communication (AAC) device, it’s essential to consider portability, voice output options, symbol customization, and cost. The right device can significantly enhance communication, independence, and quality of life for individuals with communication challenges. This guide compares key features of popular AAC devices and provides reviews to help you make an informed decision.

Key Features of AAC Devices: A Comparison

Device Type	Portability	Voice Output Options	Symbol Customization	Cost Range
High-Tech SGDs	Lightweight, tablet-like devices	Multiple voices, adjustable pitch, tone, and volume	Extensive, customizable symbols and text options	$5,000–$15,000+
Mid-Tech Devices	Moderate portability, less compact than high-tech	Limited pre-recorded messages or digitized speech	Some customization for phrases and symbols	$500–$3,000
Low-Tech Boards	Highly portable, paper-based	No voice output	Fully customizable symbols or drawings	$20–$200
App-Based Solutions	Portable via smartphones or tablets	Synthesized or digitized voices available through the app	Varies by app; some offer extensive symbol libraries	$50–$300 (app only)
Single-Message Devices	Compact, designed for portability	One pre-recorded message per device	Not customizable	$50–$300

Device Reviews: High-Tech, Mid-Tech, and Low-Tech Options

High-Tech Speech-Generating Devices (SGDs)

Tobii Dynavox I-Series

Pros: Advanced eye-tracking technology, durable design, multiple access methods.
Cons: Expensive, requires training for setup and use.
Best For: Individuals with severe physical disabilities, such as ALS or cerebral palsy.
Cost: $10,000–$15,000.

PRC Accent Devices

Pros: Large vocabulary sets, Minspeak® symbol system, multiple screen sizes.
Cons: Heavier than some competitors, steep learning curve for Minspeak®.
Best For: Pediatric and adult users needing robust, customizable systems.
Cost: $7,000–$12,000.

Mid-Tech AAC Devices

GoTalk Series

Pros: Easy to use, multiple message layers, lightweight.
Cons: Limited symbol library, no dynamic display.
Best For: Schools and individuals requiring simple communication solutions.
Cost: $100–$300.

QuickTalker Series

Pros: Portable, customizable for up to 20 messages, good for temporary use.
Cons: No synthesized voice, limited memory capacity.
Best For: Children or adults who need basic communication support.
Cost: $150–$400.

Low-Tech Communication Boards

Picture Exchange Communication System (PECS)

Pros: Affordable, effective for beginners, promotes visual learning.
Cons: Time-intensive setup, limited flexibility.
Best For: Young children and individuals with autism or developmental delays.
Cost: $100–$300 (initial setup).

Custom Paper-Based Boards

Pros: Fully customizable, no upfront device cost.
Cons: No voice output, dependent on user’s partner for interaction.
Best For: Temporary or supplementary AAC needs.
Cost: $20–$100.

Key Considerations for Choosing the Right AAC Device

Portability: High-tech SGDs are heavier but offer advanced features. Low-tech boards are extremely lightweight but may not meet complex communication needs.
Voice Output Options: High-tech SGDs provide synthesized speech, while mid-tech devices rely on pre-recorded messages. Low-tech boards have no voice output.
Customization: High-tech SGDs allow extensive customization. Low-tech solutions offer manual customization but lack flexibility over time.
Cost: Low-tech solutions are budget-friendly but limited. High-tech SGDs require significant investment but may be covered by Medicaid, Medicare, or grants.

Final Thoughts

Choosing the right AAC device depends on the user’s specific needs, preferences, and communication goals. Whether it’s a high-tech SGD with cutting-edge features or a simple low-tech communication board, the best device is one that empowers the individual to express themselves effectively. Explore funding options and consult with a speech-language pathologist to ensure the chosen device is both functional and sustainable for long-term use.

Let us know in the comments which AAC devices you’ve found most effective or if you have tips for navigating the funding process!