A Guide to AAC and Communication Devices

Augmentative and alternative communication, usually shortened to AAC, is any tool that helps a person communicate when speech alone is not enough. It covers people who have no speech at all and people whose speech is hard for others to understand, across conditions like cerebral palsy, autism, stroke and motor neurone disease. Good AAC does not replace a person, it gives them a reliable voice, and the right device is the one that fits how they move, see and think today, with room to grow.

Communication devices step up in stages. A single-message device plays one recorded phrase when pressed, perfect for a first taste of cause and effect or for one important message like a greeting. Multi-message devices offer a handful of phrases side by side. Sequencers play a series of messages in order, one press at a time, which suits routines, jokes and stories. Leveled or grid communicators hold many messages across several layers, growing with the user. And tactile communicators use touchable symbols instead of pictures, so they work for people who are blind or have low vision as well as limited speech.

How a person activates the device matters as much as the device itself. Many people press the buttons directly. Others cannot, and use a separate switch, a large button placed wherever they have reliable movement, from a hand to a head. A sip and puff switch lets someone operate a device with breath alone. When you choose, start from the person's most consistent movement and their vision, then pick the number of messages they need now rather than the most a device can hold. Everything below is real equipment we supply, priced in euros.

Our team's picks

  1. Start with one clear message

    Big Talk is a large, robust single-message communicator: record a phrase, and one firm press plays it back. The simplest way to introduce cause and effect, or to give someone one reliable message like a greeting or a request.

    A round, dome-shaped single-button communicator switch with a large colored top surface.

    Big Talk

    View Product
    Cognitive & LearningCommunication & AAC

    Easy one-message communicator with 20 seconds of recording time, available in five colors.

    Price: US$159.83
  2. A few messages side by side

    The Talkable 4 holds four recorded messages on one device, so a person can choose between a small set of phrases. A natural next step once a single message is mastered, and still simple enough to learn quickly.

    A compact four-button All-Talk communicator with large square buttons holding picture icons under a clear cover.

    Talkable 4 (4-Message Communicator)

    View Product
    Cognitive & LearningCommunication & AAC

    A compact four-message AAC communicator with built-in icon holders and a free clear cover.

    Price: US$209.51
  3. A four-cell direct-select board

    The Cheap Talk 4-Switch Module presents four clear cells for direct selection, with space for symbols or photos above each message. A dependable, affordable classroom communicator for building early vocabulary.

    A small rectangular electronic module with four input jacks for connecting external switches and recording controls on top.

    Cheap Talk 4-Switch Module

    View Product
    Cognitive & LearningCommunication & AAC

    Self-contained recorder-talker module that accepts up to four external switches for four messages.

    Price: US$136.07
  4. For routines, stories and jokes

    The Small Talk Sequencer plays a series of messages in order, one press at a time. Ideal for step-by-step routines, taking part in a story, or delivering the punchline of a joke, all with a single button.

    A small square communicator with a large round red activation switch plate under a clear cover.

    Small Talk Sequencer

    View Product
    Cognitive & LearningCommunication & AAC

    Compact AAC communicator with single, sequential and random message modes, holding up to 250 messages.

    Price: US$188.99
  5. Grows with the user

    The Communication Builder holds many messages across multiple levels, so vocabulary can expand without buying a new device. A strong long-term choice for a user who is ready to move beyond a fixed set of phrases.

    A portable AAC device with a single rectangular message window in a removable frame and recording controls along the side.

    Communication Builder

    View Product
    Cognitive & LearningCommunication & AAC

    Progressive AAC device with 5 interchangeable frames (1, 2, 4, 8, 16 windows) and 8 minutes of push-button recording.

    Price: US$308.87
  6. For users who are also blind or low vision

    The Totally Tactile Communicator uses touchable objects and symbols instead of pictures, so it works for people who have limited speech and limited sight. The key device for making AAC accessible without relying on vision.

    A large round communicator on a Lazy Susan base with six brightly colored pie-slice plates, each bearing a raised tactile design.

    Totally Tactile Communicator

    View Product
    Cognitive & LearningVision & BlindnessCommunication & AAC

    Communicator for visually impaired users with brightly colored, raised-design tactile plates on a rotating base.

    Price: US$408.23
  7. Operate a device with breath

    A sip and puff switch lets someone activate a communicator or toy by sipping or blowing on a tube, using breath control when hand movement is not reliable. Pair it with a device that has a switch socket to open up access.

    A sip-and-puff switch with a straw mouthpiece on a long flexible gooseneck attached to a three-way mounting clamp.

    Sip and Puff Switch

    View Product
    Mobility & PhysicalCognitive & LearningCommunication & AAC

    A battery-free oral switch letting people who cannot use touch switches control two devices by sipping or puffing.

    Price: US$224.63

Still deciding?

The best device is the one matched to how a person moves, sees and communicates now. Our full communication range has more single-message aids, sequencers, leveled communicators, tactile devices and switches.

Browse all communication and AAC products

Frequently asked questions

What does AAC mean?

AAC stands for augmentative and alternative communication. It covers any method that supports or replaces speech, from simple picture boards and single-message buttons to multi-level electronic communicators. Augmentative means it adds to whatever speech a person has; alternative means it can stand in for speech entirely. The aim is always a reliable voice, not a replacement for the person.

How do I choose the right communicator?

Start with two things: how the person moves most reliably, and how well they see. That tells you whether they can press buttons directly or need a separate switch, and whether they need pictures or touchable tactile symbols. Then choose the number of messages they need right now rather than the maximum a device can hold, since a device with too many cells can overwhelm a new user. You can always step up later.

What is a switch, and when is it needed?

A switch is a large, easy-to-press button that plugs into a communicator or a switch-adapted toy, placed wherever a person has reliable movement, such as a hand, elbow, knee or head. It is needed when someone cannot press the device's own buttons directly. A sip and puff switch goes further, letting a person activate a device using breath alone. The switch becomes their key to the device.

Can someone who is blind use a communication device?

Yes. Tactile communicators use touchable objects and raised symbols instead of on-screen pictures, so a person who is blind or has low vision can find and select messages by touch. This matters for the many people who have both a communication need and a sight condition. The tactile device above is built for exactly this.

Do these devices need programming?

Most of the devices here are record-and-play: you hold a button and speak to record a message, and it plays back when pressed, so anyone can set them up in minutes with no software. Leveled communicators take a little longer to organise across their layers, but still record by voice. Product pages describe how each device is set up, and prices are shown live in euros.