Health Economic Studies

Discover the latest research focused on high-tech AAC users, their networks and society from the international studies “Exploring the Benefits of Assistive Communication”.

Exploring the Benefits of Assistive Communication

Starting in 2023, Dynavox Group commissioned the research firm Augur to conduct an independent study in Sweden on high-tech AAC. The study participants included people with conditions causing communication impairments, with a primary focus on ALS/MND, autism and cerebral palsy. It also included their network of family and caregivers. From 2024 - 2025, they conducted a similar study in Germany. These studies, entitled “Exploring the Benefits of Assistive Communication” also included health economic models. The studies show the qualitative benefits and quantitative impact of high-tech AAC on users, their networks, and society. More studies are planned in the near future.

A woman holding a tablet stands next to a man in a wheelchair, engaged in conversation, in a room setting.

About the Studies

The studies in Sweden and Germany are based on the same core survey but differ in design, data inputs, and context. Both studies reveal consistent patterns, with respondents highlighting similar benefits and barriers to high-tech AAC use across both countries.

Combined Key Insights

The studies in both Sweden and Germany show that high-tech AAC tools significantly enhance users’ quality of life by enabling more effective communication, self-expression, greater independence, improved health outcomes, and stronger personal relationships. These improvements contribute to increased work capacity for both users and caregivers, while also reducing healthcare costs. The result is a notable return on investment:

Circle with the Swedish flag design featuring a yellow cross on a blue background.

Sweden

  • 3× return on investment

  • 75% increased ability to work for caregivers

  • 14% decreased sick-leave for users

  • 11% decreased health care utilization for users

Circular German flag illustration, featuring horizontal black, red, and yellow stripes.

Germany

  • 1.4× return on investment

  • 79% increased ability to work for caregivers

  • 25% decreased sick-leave for users

  • 6% decreased health care utilization for users

Approach

The purpose of these studies is to use evidence-based research to deepen understanding of the benefits and challenges of assistive communication and to improve access to AAC. The methodology consists of both qualitative and quantitative research.

Blue graphic with text about assistive communication’s quality of life impact

Quality of life impact

Measured psychological, physical, social and environmental factors.

Blue graphic with text about assistive communication’s economic impact

Economic impact

Measured societal costs and gains after introduction of high-tech AAC tools. 

Study Subjects and Areas

The following is a breakdown of the main study participants, along with the perspectives and focus areas evaluated in the studies:

High-tech AAC users

People with disabilities who use assistive communication regularly, evaluating the extent to which high-tech AAC has improved their lives.

The user network

People who interact regularly with high-tech AAC users, such as family, caregivers, assistants and clinicians, evaluating the impact such tools have on them.

Society at large

Society in countries where the studies took place, evaluating how assistive communication can lead to higher quality of life and improved cost efficiency.

Methodology

The studies used a multi-method approach for a holistic understanding. The participant sample included users with cerebral palsy, autism, ALS, and their network – ensuring input from a diverse range of people:  

  • Digital interviews exploring subjective needs, behaviors and feelings of using assistive communication technology with: 

    • high-tech AAC users and/or  

    • caregivers and professionals

  • An open-access online survey of high-tech AAC users, caregivers and assistants exploring the current user situation. Depending on the target group, different sets of questions were asked:

    • Users and assistants were asked mandatory questions about their high-tech AAC tool, their current and estimated health care use and work ability with and without their tool, and optional questions about its usage and perceived benefits.

    • Caregivers were asked the same questions about the user, and additional questions about the network’s work ability with and without the user’s high-tech AAC tool, plus optional questions about its perceived benefits.

  • A quantitative analysis measuring the costs and gains for society following the introduction of high-tech AAC tools, for users overall across three diagnostic groups: cerebral palsy, autism and ALS/MND.