Higher tech devices allow for multiple sets of pages and a much larger vocabulary to be recorded onto them. The most complex devices are much more computer-like, and allow for the widest possible variety of vocabulary and options. No tech Try attaching a small flashlight, such as a Maglight, to the side of a baseball cap with Velcro. The flashlight beam should correspond as closely as possible with her eye and head direction to add clarity to her eye gaze. If successful, it can lead to activation of a voice output device such as the alpha talker, using an infrared beam from an optical headpointer which connects to small lighted areas.
Some girls can also reach for, touch, or hand a desired object or picture to an adult.
If choice-making seems random, you can combine a favorite with something neutral. Low tech Many girls make use of single switch talkers, such as the BIGmack, placed strategically in their classroom or home, by the garage door, the bathroom, or on the refrigerator, for example. A switch can be attached to it for easier access, or add a switch activated toy which turns on for the duration of the message. All of the devices in the low tech range use digitized speech, which is speech recorded onto a computer chip. Objects or pictures can be velcroed or taped onto each square.