NIH Highlighted Topic: Developing and Evaluating Evidence-Based Practice for Users of Augmentative and Alternative Communication (AAC)

Below is a brief summary. Please check the full solicitation before applying (link in resources section).

Executive Summary:

The National Institutes of Health (NIH) is encouraging innovative research focused on improving evidence-based practices and measurement tools for users of augmentative and alternative communication (AAC). This highlighted topic aims to advance technologies, assessments, interventions, and clinical strategies that improve communication outcomes, accessibility, literacy, quality of life, and long-term support for individuals who cannot rely on spoken language as their primary means of communication.

More than 5 million individuals in the United States with developmental, acquired, or degenerative communication disorders—including cerebral palsy, amyotrophic lateral sclerosis (ALS), and minimally verbal or non-speaking autistic individuals—may benefit from AAC technologies and communication systems. NIH is particularly interested in projects that use community-engaged research and user-centered design approaches to develop more personalized, adaptive, and effective AAC solutions.

Areas of interest include communication outcome measurement tools, AI-enabled AAC systems, speech-generating devices, literacy support technologies, communication partner training, clinical implementation strategies, and tools that help tailor AAC systems to an individual’s evolving needs across their lifespan. Projects leveraging mixed methods research, predictive analytics, digital health technologies, and precision assessment frameworks are highly encouraged.

Funding is available through the NIH SBIR/STTR Program, which currently provides up to approximately $323,090 for Phase I projects and up to $2,153,927 for Phase II projects, with opportunities for additional commercialization and follow-on funding depending on project impact and scalability.

This highlighted topic is supported primarily by the National Institute on Deafness and Other Communication Disorders (NIDCD) and the Office of Research on Women’s Health (ORWH), both of which are seeking innovative technologies and evidence-based interventions that improve communication accessibility, patient outcomes, and quality of life for AAC users.

How much funding would I receive?

Awards provide up to $323,090 for Phase I projects (up to 2 years) and $2,153,927 for Phase II projects (up to 3 years). Some topics approved by NIH may exceed these limits. Fast-Track and Phase IIB (follow-on) options allow continuous or extended funding beyond Phase II.

What could I use the funding for?

Funding may support the research, development, validation, and commercialization of technologies, clinical tools, software platforms, and evidence-based interventions related to augmentative and alternative communication (AAC).

Eligible activities may include:

  • Development of speech-generating devices and AAC communication platforms

  • AI and machine learning tools for adaptive communication support

  • Personalized AAC assessment and recommendation systems

  • Precision measurement tools for tracking communication outcomes

  • Digital health platforms supporting AAC users and caregivers

  • Literacy instruction technologies for AAC users

  • Mobile applications supporting non-speaking and minimally verbal individuals

  • Predictive analytics and communication profiling systems

  • User-centered design and accessibility research for AAC technologies

  • Tools supporting communication partner engagement and training

  • Clinical software for AAC implementation and therapy management

  • Mixed-methods research platforms for communication needs analysis

  • Technologies supporting lifelong AAC adaptation and personalization

  • Remote monitoring and telehealth solutions for speech and communication therapy

  • Assistive technologies supporting autism, ALS, cerebral palsy, and related conditions

  • Research evaluating quality-of-life and well-being outcomes for AAC users

  • Prototype development, validation studies, and usability testing

  • Commercialization planning and implementation strategy development

Funding may also support personnel, software development, usability studies, clinical testing, cloud infrastructure, AI model development, accessibility design, data collection, intellectual property protection, regulatory preparation, and commercialization activities necessary to advance a scalable and commercially viable AAC solution aligned with NIH priorities.

Are there any additional benefits I would receive?

Beyond the formal funding award, awardees gain several strategic advantages:

  • Government Validation and Credibility:
    Being selected for an NIH-backed SBIR grant signals technical excellence and alignment with national health and biomedical priorities. This validation builds investor and partner confidence.

  • Enhanced Visibility and Market Recognition:
    Awardees are featured in NIH and HHS announcements, helping attract partnerships, media attention, and future contracting opportunities.

  • Access to the Federal Innovation Ecosystem:
    Recipients join a national network of researchers and agencies advancing life science innovation, often opening doors to collaborations with NIH laboratories and federal health programs.

  • Stronger Commercial and Exit Potential:
    By maturing technology through nondilutive funding, companies strengthen valuation, de-risk commercialization, and increase attractiveness for acquisition or follow-on private investment.

What is the timeline to apply and when would I receive funding?

Applications are accepted each year on January 5th, April 5th, and September 5th. Funding is received approximately 9 months after submission.

Where does this funding come from?

Funding comes from the U.S. Department of Health and Human Services, with statutory set-asides requiring NIH, CDC, and FDA to devote portions of their extramural R&D budgets (3.2% for SBIR, 0.45% for STTR) to support small business innovation.

Who is eligible to apply?

Applicants must be U.S. small business concerns (SBCs) that:

  • Are organized for profit with a U.S. place of business.

  • Have ≤ 500 employees including affiliates.

  • Are > 50% owned by U.S. citizens or permanent residents, qualifying U.S. entities, or combinations thereof.

What companies and projects are likely to win?

Projects that demonstrate:

  • A clear unmet medical or public-health need,

  • Strong scientific rationale and feasibility,

  • High commercialization potential, supported by a realistic market and regulatory strategy, and

  • Alignment with an NIH Institute’s or CDC/FDA Center’s specific research mission (e.g., infectious disease, digital health, diagnostics, therapeutics, or data analytics).

Competitive applicants often have an early prototype, preliminary data, and a defined path to market adoption.

Are there any restrictions I should know about?

  • Companies must complete multiple federal registrations (SAM.gov, Grants.gov, eRA Commons, SBA Company Registry) before applying.

  • Foreign entities are not eligible.

  • Disclosure of foreign affiliations and compliance with national security screening are mandatory. Currently we do not recommend any sort of foreign affiliation.

How long will it take me to prepare an application?

For a first-time applicant, preparing a competitive submission will likely take 120–200 hours in total.

How can BW&CO help?

Our team specializes in complex federal R&D proposals and can:

  • Triple your likelihood of success through proven strategy and insider-aligned proposal development

  • Reduce your time spent on the proposal by 50–80%, letting your team focus on technology and operations

  • Ensure you are targeting the best opportunity for your project and positioning your company for long-term growth.

Review solicitation here.

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