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Explore methods used in peer-reviewed literature for obtaining self-expression of well-being information from children with severe motor and communication impairment (SMCI). A comprehensive search was conducted on 22 August 2019 through academic databases CINAHL; Embase; MEDLINE; PsycINFO; InSpec; Compendex. Search strategies were informed by keywords under the following areas (1) population children with SMCI, (2) assessment methods alternative to natural speech, paper and pencil report or standardized keyboard use (e.g., eye gaze) and (3) target i