Voices From the Field: Strategies for Effective Telepractice for Children With Autism Who Use Augmentative and Alternative Communication

Abstract

Purpose: Providing telepractice services to young children with autism who use augmentative and alternative communication (AAC) can present many challenges for speech-language pathologists (SLPs). At the same time, telepractice can be a valuable service delivery option with unique benefits, such as improving partnerships with families, integrating AAC services with other educational services, promoting communication skills in natural settings, and addressing the need for clinicians with AAC experience in locations that have been underserved. The purpose of this study was to learn from SLPs utilizing telepractice about the strategies they found most effective in serving children learning to use aided AAC, particularly young children with autism. Method: Participants were 230 SLPs who responded to a national survey about using telepractice to serve children who use aided AAC. The survey occurred during the COVID-19 pandemic, when more SLPs than ever before were navigating how to use telepractice effectively. Open-ended survey questions asked SLPs about advice and strategies they found to increase effectiveness. These responses were analyzed using an iterative, team-based approach to qualitative content analysis. Results: SLPs raised strategies to support the effectiveness of telepractice in three areas: (a) Be strategic about how to provide services. (b) Communicate and collaborate with others. (c) Keep learning and hold onto reasonable expectations. Conclusions: Telepractice can be an advantageous service delivery option for SLPs serving children with autism who use aided AAC. These strategies can help SLPs navigate challenges and support the effectiveness of their services.