Look up Deathproof's WIP thread. He did more with voice changers than most. He didn't start from scratch but put a ton of effort in.
Hearing can be a challenge. I have my Aker for voice amplification, but it doesn't' do anything to pick up sound. It's only one way. Aker is probably the standard voice amp. The speaker fits into a pouch and the headset fits under the helmet pretty easily.