Augmentative and alternative communication in the SUS: a scoping review and proposal of indicators in assistive technology
DOI:
https://doi.org/10.12957/reuerj.2026.95324Keywords:
Public Health, Quality Indicators, Health Care, Cerebral Palsy, Communication, Self-Help DevicesAbstract
Objective: to map evidence on the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP), analyzing the effectiveness of interventions and the barriers to their implementation, as well as proposing quality indicators for monitoring public healthcare services. Method: a scoping review was conducted in accordance with JBI and the PRISMA extension, with searches carried out in October 2025 across six databases. Of the 714 records identified, 22 studies were included. Results: evidence indicates that AAC is effective in expanding expressive skills and promoting participation among children with CP. A total of 20 quality indicators were proposed, organized into four dimensions: participation, access, training, and technology. Final considerations: AAC constitutes a strategic component in public health policies. The proposed indicators may support managers in monitoring equity, quality, and evidence-based decision-making.
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