Background: Children and youth with severe physical disabilities and complex communication needs might have decreased participation in school and community life. Recent studies have shown that using eye-gaze assistive technology (AT) with support from social environments, engagement of main caregivers and team collaboration could help their voices been heard based on ICF framework. However, the research evidences are insufficient.

Purpose: This paper describes the study protocol that aims to investigate the feasibility of eye-gaze AT for participation and communication/social interaction in daily living in children and youth with severe physical disabilities and complex communication needs in Taiwan.

Methods: A nonconcurrent multiple probe design with mixed methods will be conducted from September 2019 to August 2020. The eye gaze AT intervention will be implemented in daily activities with support from the multi-professional team to explore the acceptability and implementation in Taiwan’s contexts. The research data will be collected at baseline, at 3 months, 6 months, and at 7 months since provision of the eye-gaze AT, encompassing quantitative outcomes on children’s daily participation and social communication and qualitative interviews with parents and service providers.

Expected results: This study expects to provide a preliminary evidence of eye-gaze AT implementation in Taiwan and bring new knowledge in both a national and international perspective.