High-tech Augmentative and Alternative Communication (AAC) has been rapidly advancing in recent years due to the increased use of large language models (LLMs) like ChatGPT, but many of these techniques are integrated without the inclusion of the users' perspectives. Autistic adults have been particularly neglected in the design of AAC tools. We conducted in-depth interviews with 12 autistic adults to find the pain points of current AAC and determine what technological advances they might find helpful. We found 8 different categories of themes from our interviews: input flexibility, output flexibility, selecting or adapting AAC, contexts for AAC use, benefits, access as an adult, stumbling blocks for continued use, and control of communication. In this paper, we go through these categories in depth -- comparing each to prior work -- and then highlight novel findings to suggest possible research directions.

翻译：近年来，由于ChatGPT等大型语言模型（LLMs）的广泛应用，高科技增强与替代沟通（AAC）技术发展迅速，但许多技术在设计时并未充分纳入用户视角。自闭症成人在AAC工具的设计过程中尤其被忽视。我们通过对12名自闭症成人进行深度访谈，探究当前AAC技术的痛点，并确定哪些技术进步可能对他们有所帮助。从访谈中我们归纳出8类主题：输入灵活性、输出灵活性、AAC的选择与适配、AAC使用情境、使用效益、成人获取途径、持续使用的障碍以及沟通控制权。本文深入剖析这些类别——将每项发现与既有研究进行对比——进而聚焦创新性发现，以提出潜在的研究方向。