Development and preliminary evaluation of a grid design application for adults and children using scanning and bci-based augmentative and alternative communication

Augmentative and alternative communication (AAC) supports offer communication aids for individuals with severe speech and physical impairments. This study presents the development and proof of concept for an iPad application designed to evaluate the design preferences of both adults and children for AAC scanning and emerging P300-brain-computer interface access to AAC (BCI-AAC), both of which utilize item highlighting. Developed through a multidisciplinary and iterative process, the application incorporates customizable highlighting methods and display options for spelling-based and pictorial symbol interfaces. Initial testing involved five participants, including two adults with physical impairments and three children without physical impairments. Participants created unique interface displays using picture overlays, motion, and other highlighting methods. Feedback indicated strong usability and enjoyment during application use. Recommendations included expanded sound options and pre-made templates. This study demonstrates preliminary proof of concept for the application and supports the need for further research to explore user preferences and optimize communication outcomes across various AAC modalities. While BCI-AAC technology remains in its early stages, its integration into this application helps promote user-centered BCI-AAC development.