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DIY Communication Device

First Steps Towards Augmented and Alternative Communication (AAC)

Category:Everyday Life Hacks and DIYs
  • Easy
  • ~15 min
  • 2 people
  • $($1–20)
Also helpful for:TBIStrokeAutism

Overview

Communication difficulties occur across many populations and for many reasons. A child with autism may struggle to express wants and needs. Someone who has experienced a stroke may have difficulty finding words. In these situations, a low-tech AAC device can be a helpful and affordable at-home support.  

Augmentative and Alternative Communication (AAC) refers to any form of communication that supplements or replaces spoken language. AAC systems range in levels of technology depending on the user’s needs: 

  • High-tech AAC includes electronic devices such as tablets with speech-generating software. 

  • Low-tech AAC includes simple tools such as paper boards with commonly used words or pictures. 

This guide explains how to create a low-tech AAC board. These devices can be helpful for individuals who: 

  • Have mild to moderate word-finding difficulties 

  • Struggle to produce certain phrases 

  • Cannot access, afford, or easily transport a high-tech device 

Accessibility Snapshot

Cognitive, Fatigue, & Focus

  • Step-by-step
  • Pausable
  • Low exertion

Mobility & Reach

  • Seated-friendly
  • No overhead reach
  • No floor-level work
  • No climbing
  • Balance-safe
  • Adjustable placement

Motor Control & Strength

  • Low force
  • No heavy lifting
  • One-handed friendly

Sensory & Environmental

  • Hearing not required
  • Low-noise & low-vibration
  • Low sensory load

Materials

  • 1 × Writing utensil ($2)
  • 1 × *Paper ($5)
  • 1 × Glue stick ($2) (optional)
  • 1 × Printer access (optional)
Paper - number of pieces will vary based on user preference 

Steps

  1. Step 1: Identify the User’s Needs

    Determine how the board will be used.  

    • Is it needed for daily communication?  

    • Is it for a specific setting (e.g., ordering at a drive-thru)?  

    Choose categories based on the user’s needs. Examples include:  

    • Morning or bedtime routine  

    • Food choices  

    • General greetings and expressions  

    • Medical needs  

    • School or work phrases  

    Set aside one sheet of paper for each category. You can label the top of each sheet according to what it will be used for.  

  2. Step 2: Create a Grid

    Turn the paper to landscape orientation. Determine how many words or phrases you would like on each board. Draw a grid on the page. The grid can range from:  

    • 2 × 2 (4 squares)  

    • Up to 4 × 4 (16 squares)  

    Avoid exceeding 16 squares, as too many options may be visually overwhelming. Make sure each square is clearly outlined and evenly spaced. A ruler or straight-edged object can ensure this, but it is not necessary.  

  3. Step 3: Add Words or Pictures

    Inside each square, write a word or phrase the user may need. You may also: 

    • Draw simple pictures  

    • Print images and glue them into each square  

    For example, a snack board might include pictures of crackers, fruit, yogurt, or juice.   

  4. Step 4: Place the Boards Strategically

    Store each board in a location that makes sense for its use:  

    • Food boards in the kitchen  

    • Routine boards in the bedroom  

    • General communication boards in a backpack or bag  

    Placement should match the user’s daily routine and lifestyle. 

  5. Step 5: Practice Using the Board

    Encourage the user to point to the word or picture that represents what they want to communicate.  

    Model use when needed. For example, you can point to a square while saying the word aloud to demonstrate how it works.  

Important Considerations

  • Communication disorders are best treated by a speech-language pathologist.   

  • If a low-tech device is not adequate, consult a healthcare professional about moving towards a higher tech option or enrolling in speech therapy.  

  • If the user has limited mobility or motor control, keep the AAC board at an accessible location.  

Troubleshooting

n/a

Adaptations

  • For a more clean and professional look, you can design an AAC board electronically and print it out. Just change the page orientation to landscape. 

  • Boards can be laminated for increased durability.  

Reviewed by: Xander Rouk

Version: v1.1

Adapted from: n/a

Medical disclaimer: The information in this guide is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have about a medical condition or care plan. Read our Safety & Policies for more.