Over the last 30 years, significant advances have been made in the technology supporting augmentative and alternative communication devices. However, technology often brings with it as many problems as solutions. This chapter reports on data collected in interviews with adults who use aided communication. In these interviews, they discuss aspects of their communication world and the opportunities and barriers they face. The chapter highlights some of the diversity of individuals who use, or who choose not to use, aided communication. It also considers the complexity of factors that may critically influence communication experiences and discusses some of these factors within the framework of the International Classification of Functioning, Disability and Health (ICF).
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