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AAC Device Trial Log

AAC Device Trial Log

Log AAC devices, access methods, feature matching, and patient performance during an AAC evaluation to support a device acquisition recommendation.

Evaluation Context

  • Evaluation date
    Date the AAC trial or evaluation occurred.
  • Evaluation setting
  • Primary reason for AAC evaluation
    Briefly describe the communication need or referral reason. Avoid unnecessary PII.
  • Consent to document trial results and share with the care team
    Confirm that appropriate consent or authorization has been obtained for documenting and sharing this information.

Communication Profile

  • Primary communication mode used today
  • Observed access needs
  • Motor, visual, or cognitive considerations affecting access
    Include only observations relevant to device selection and access method matching.

Devices and Access Methods Trialed

  • Devices trialed

Trial Details

  • Device / system name
    Enter the specific AAC device, app, or communication system trialed.
  • Access method used
  • Feature match rating
    Rate how well the device features matched the user's communication needs.
  • Features that supported communication
  • Barriers or limitations observed
    Document any usability, access, positioning, or feature limitations observed during the trial.

Patient Performance and Outcome

  • Observed level of independence
  • Communication success during trial
  • Tasks completed successfully
  • Trial notes
    Summarize observable performance, prompting needs, and any changes in accuracy, speed, or engagement.

Recommendation and Next Steps

  • Recommended device or system
    Enter the device or system recommended for acquisition, if applicable.
  • Recommended access method
  • Follow-up plan
    Describe any additional trials, training, funding steps, or reassessment needed.
  • What happens after I submit
    After submission, the trial log will be reviewed by the care team or assistive technology team and used to support the device acquisition recommendation and documentation trail.
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