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accesssig 12 augmentative alternative communicationarticle31 mar 2016the intersection culture icfcy personal environmental factors alternative augmentative communication danai kasambira fannin danai kasambira fannin school allied health communicative disorders northern illinois universitydekalb il google scholar articles author httpsdoiorg101044persp1sig1263 sectionsaboutfull textpdf toolsadd favoritesdownload citationtrack citations sharefacebooktwitterlinked clinicians facilitate successful use alternative augmentative communication aac clinically competent providers however address needs extend beyond technical aac use help clients experience full participation achieved clients considering individual cultural factors affect participation article describes personal environmental factors world health organizations whos international classification functioning disability health children youth version icfcy 2007 encompass cultural characteristics eg familyhome school recreational social 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