One Does Not Simply ‘Mm-hmm’: Exploring Backchanneling in the AAC Micro-Culture

Backchanneling (e.g., "uh-huh", "hmm", a simple nod) encompasses a big part of everyday communication; it is how we negotiate the turn to speak, it signals our engagement, and it shapes the flow of our conversations. For people with speech and motor impairments, backchanneling is limited to a reduced set of modalities, and their Augmentative and Alternative Communication (AAC) technology requires visual attention, making it harder to observe non-verbal cues of conversation partners. We explore how users of AAC technology approach backchanneling and create their own unique channels and communication culture. We conducted a workshop with 4 AAC users to understand the unique characteristics of backchanneling in AAC. We explored how backchanneling changes when pairs of AAC users communicate vs when an AAC user communicates with a non-AAC user. We contextualize these findings through four in-depth interviews with speech-language pathologists (SLPs). We conclude with a discussion about backchanneling as a micro‑cultural practice, rethinking embodiment and mediation in AAC technology, and providing design recommendations for timely multi-modal backchanneling while respecting different communication cultures.