“…In addition, AAC users are dependent on others being aware of and using the recommended method of AAC (Enderby et al, ; Harding, ; McCarthy & Light, ). Children who have profound and multiple learning disabilities (PMLD) tend to be pre‐verbal communicators and require considerable help and support from carers in accessing communication opportunities in their environment and in the interpretation of their non‐verbal communication (Brooks & Meltzoff, ; Downing, ; Harding, ; Harding et al, ; Ware, ). Children who have PMLD are likely to have additional physical, visual and auditory difficulties which may present further challenges for the adoption of AAC equipment (Millar et al, ; Rowland & Schweigert, ).…”