MedConcerns vs SpeakSteps
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
MedConcerns
This app aids individuals with communication disorders, such as aphasia, in expressing their medical needs. It combines visual aids, spoken output, and text to facilitate clearer conversations between patients and healthcare providers. The tool is designed for ease of use without requiring prior training.
- Aphasia-friendly medical assessment
- Nonverbal symbols, spoken output, and print
- Whiteboard, yes/no board, and topic boards
- Customizable concerns and needs boards
- Picture-based communication with text
- Simplified text and bold print
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When communication is challenging, MedConcerns makes it easier. MedConcerns was created by a speech therapist and a physician for people living with aphasia, motor speech disorders, dementia, or other conditions that affect communication; people who often have something urgent to say and no easy way to say it. It helps them express what they're experiencing, like pain, emotions, and fatigue, even when speaking or writing is difficult. For family members and caregivers, it means finally having a tool that helps bridge that gap together. Available in English and Spanish. Easily switch between the two in Settings. How it works MedConcerns guides individuals through communicating their concerns one step at a time, using proven communication support strategies, including simplified text, clear icons, and accessible response options. Spoken audio plays with each selection to reinforce meaning. The app automatically asks follow-up questions to gather important details, like symptoms, context, onset, and changes from baseline, verifying each response along the way. At the end, each response tapped and confirmed is summarized on one screen, ensuring shared understanding between the individual and those supporting them. The app's approach to communication support and mental health screening is grounded in evidence-based methods. What individuals can express Concerns and symptoms such as: - Pain: where it is, how it feels, how bad it is, when it happens, and whether it's new or a change. - Emotions and mental health: including a mood check, emotion identification, and a mental health screener designed for people who can't use standard questionnaires. - Fatigue and sleep - Appetite and swallowing - Breathing and coughing - Medication - Vision and hearing - Bowel and bladder - Illness - Wounds and incisions - Trach and feeding tube - And more… Additional tools - Needs Board — quickly express basic wants, needs, and comfort concerns - Topic Board — broader communication with providers and caregivers beyond symptoms - Yes/No Board — simple, clear responses to support conversation and decision-making - Whiteboard — free-form space for writing, typing, drawing, adding icons from the app, or uploading images from your own device - Education pages — built-in guidance about aphasia, apraxia, and communication strategies as well as mental health resources for people with aphasia. Customizable for every user MedConcerns is easy to customize. A few simple changes in settings can make it more individualized and accessible: - Choose the number of icons shown on each screen - Remove irrelevant symptom choices - Select gender of body image and voice options - Switch between English and Spanish - Add your own custom icons to the Topic and Needs boards A note on mental health People with aphasia experience depression and anxiety at high rates. It can be challenging to express these symptoms and feelings. MedConcerns' expanded mental health section was built to make it easier to communicate on this vital topic. It includes a mood scale, emotion identification, and a structured screener using simple present-tense questions with visual support. The screener draws on current evidence for best practices in mental health screening for people with aphasia and communication disorders. Mental health resources, including information on community support and strategies, are available from the dropdown menu. Built from real experience MedConcerns was created by a speech therapist and physician who saw the problem firsthand, and knew that the right tools could make a difference. For clinics, hospitals, or teams Need access for multiple staff or shared devices? MedConcerns Pro offers facility plans with multi-user licensing, onboarding support, and implementation guidance. Contact us at info@medconcerns.com or visit medconcerns.com to learn more.
SpeakSteps
This app offers a customizable Augmentative and Alternative Communication (AAC) solution for children with language delays. It empowers them to express needs, feelings, and thoughts through an engaging, visual interface, supporting participation in daily activities at home, school, or during therapy.
- Easy-to-use AAC sentence building
- Customizable vocabulary
- Quick access to frequent words/phrases
- Personalized social stories
- Visual timer for transitions
- Engaging visual design
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SpeakSteps — Upgrade Your AAC Upgrade your AAC without starting over. SpeakSteps is an augmentative and alternative communication (AAC) app designed to help children communicate their wants, needs, thoughts, and feelings. Built for families, caregivers, and therapy professionals, SpeakSteps combines customizable digital communication boards with tools that support communication, independence, and everyday participation. Upgrade Existing AAC Layouts with AI Already have communication boards or layouts? SpeakSteps uses an AI-powered scanner to help transfer existing layouts into personalized digital AAC boards, reducing the time and effort needed to build vocabulary from scratch. Features AI-Powered AAC Scanner Scan existing AAC communication boards and layouts to help create personalized digital boards in SpeakSteps. Sentence-Building Ribbon Combine selected words to build messages and express thoughts more easily. Voice Capture Capture words that may be difficult to understand, helping caregivers and communication partners better understand a child's intended message. Interactive Practice Game Give children an engaging way to practice using their AAC device and become more familiar with communicating through it. Progress Tracker Track the number of words and sentences a child uses with SpeakSteps over time, helping families and therapy professionals monitor communication activity and celebrate progress. Customizable Vocabulary Add, edit, and organize words and communication options around each child's needs, interests, and daily routines. Quick Words Keep frequently used words and phrases easy to access. Social Stories Create personalized stories to help children prepare for everyday experiences, understand routines, and navigate new situations. Visual Timer Provide a visual representation of time to support waiting, transitions, activities, and daily routines. Designed for Everyday Communication Whether at home, school, or in therapy, SpeakSteps offers flexible tools to support communication throughout a child's day. Personalize vocabulary and boards to fit individual needs and build a communication experience that grows with the child. SpeakSteps is designed to support AAC communication and does not replace individualized guidance from a qualified speech-language pathologist or other appropriate professional.
Screenshots
Verdict
The clearest difference is price: SpeakSteps at Free against MedConcerns's $74.99. SpeakSteps also leads on update cadence (every 3 days vs every 2 months). On rating, review sentiment, ratings volume and ads there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
SpeakSteps is free to download; MedConcerns costs $74.99 up front. Neither carries in-app purchases, so what you see is what you pay.
On the App Store both sit at effectively the same score — 5.0 for MedConcerns against 5.0 for SpeakSteps. Both are backed by a comparable volume of ratings — 4 and 3 respectively. Written reviews split almost evenly too, at 100% and 100% positive.
MedConcerns ships an update every 2 months, SpeakSteps every 3 days. The most recent releases landed on October 24, 2026 and October 26, 2026 respectively.
| Parameter | MedConcerns | SpeakSteps |
|---|---|---|
| Price | $74.99 | Free — better |
| Rating | 5.0 (4 ratings) | 5.0 (3 ratings) |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| Number of ratings | 4 — better | 3 |
| Update frequency | Every 2 months | Every 3 days — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Paid | Free — better |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 15.6 | 15.1 — better |
| Further details — not scored | ||
| Size | 313 MB | 143 MB |
| Age rating | 4+ | 17+ |
| Developer | Communication Rescue Services LLC | Michael Coldiron |
Customer experience
MedConcerns
SpeakSteps
In-app purchases
MedConcerns
No in-app purchases
SpeakSteps
No in-app purchases
Questions
Is MedConcerns free?
Is SpeakSteps free?
Which has better reviews, MedConcerns or SpeakSteps?
Do MedConcerns or SpeakSteps have ads?
Which is updated more often, MedConcerns or SpeakSteps?
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