Studies have investigated the use of eye-tracking technology to assess cognition in individuals with Rett syndrome, but few have looked at this access method for communication for this group. Loss of speech, decreased hand use, and severe motor apraxia significantly impact functional communication for this population. Eye gaze is one modality that may be used successfully by individuals with Rett syndrome. This multiple case study explored whether using eye-tracking technology, with ongoing support from a team of augmentative and alternative communication (AAC) therapists, could help four participants with Rett syndrome meet individualized communication goals. Two secondary objectives were to examine parents' perspectives on (a) the psychosocial impact of their child's use of the technology, and (b) satisfaction with using the technology. All four participants were rated by the treating therapists to have made improvement on their goals. According to both quantitative findings and descriptive information, eye-tracking technology was viewed by parents as contributing to participants' improved psychosocial functioning. Parents reported being highly satisfied with both the device and the clinical services received. This study provides initial evidence that eye-tracking may be perceived as a worthwhile and potentially satisfactory technology to support individuals with Rett syndrome in communicating. Future, more rigorous research that addresses the limitations of a case study design is required to substantiate study findings.

This pilot investigation compared participants' performance using traditional versus computerized presentation and response methods on a subtest of the Test of Aided-Symbol Performance™ (TASP). Participants were between 6 years and 21 years of age and were using some form of augmentative and alternative communication (AAC). Investigators used a within-subject crossover design, with participants randomly assigned to the administration condition they experienced first. Two months later, participants experienced the second condition. Results showed no significant difference in performance regardless of the administration condition, which supported the investigators' hypothesis. Accepting computerized presentation and response methods for the TASP would allow this measure to be used more broadly and expand the current methods of confidently evaluating options for AAC recommendations.

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