As speech-language pathologists (SLPs) continue to explore new methods of delivering therapy, the integration of Augmentative and Alternative Communication (AAC) through teletherapy has emerged as an effective solution. While there are unique challenges involved—such as technology access, connectivity issues, and the need for personalized adaptation to a digital environment—AAC via teletherapy can still be highly successful. By utilizing digital platforms, SLPs can maintain the essential components of AAC intervention, tailoring the therapy to each individual’s needs. However, successful implementation requires careful planning, including selecting the right tools, ensuring adequate caregiver involvement, and using innovative strategies to keep clients engaged. This article will provide resources, including helpful technology platforms and apps, along with expert tips to assist tele therapists in overcoming common obstacles and maximizing the effectiveness of AAC therapy online. Whether you’re a seasoned tele therapist or just beginning, these insights will empower you to deliver meaningful and impactful communication support to your clients remotely.

AAC Apps with Remote Access

Often SLPs assist with the initial programming of AAC programs/pages, which can be challenging if you do not have hands on access. While it is important to train caregivers on how to properly program an AAC system, it is beneficial for those involved to have access to remote editing. Here are some AAC Apps that have remote editing capabilities!

Most often, speech app pages/vocabularies can be saved and exported to DropBox, file shared with others, and then can be imported onto the QuickTalker Freestyle. However, this may require access to the App on your own iOS device. Several AAC Apps offer SLP licenses you can access on your own device. Additionally, there are some Apps that have unique web based, remote editing- see the list/links below for more information!

• TouchChat
  • Offers program called “Chat Editor” available on windows for remote programming/sharing
  • https://www.youtube.com/watch?v=DerBude58co
• Grid
  • https://www.youtube.com/watch?v=9-gTu2gFCI8
• CoughDrop
  • https://coughdrop.zendesk.com/hc/en-us/articles/360056790491-How-can-I-use-the-remote-modeling-feature-with-an-AAC-user-I-supervise
• TD Snap
  • TD Snap software can be downloaded onto iOS for iPad and Windows for editing/syncing
  • https://www.mytobiidynavox.com/Support/TDSnap

Please reach out to [email protected] for more information about remote editing/use of speech apps, or assistance with this process.

Screen Sharing

If you have access to the AAC App on your own device, it can be helpful to screen share during sessions for use of modeling, or training parents, caregivers, teachers, etc.

• Screen Mirroring
  • How to Share Your iPad Screen via AirPlay in a Meeting
    1. In the meeting window, click Share at the bottom of the screen.
    2. At the top of the sharing options, select Advanced.
    3. Choose iPhone/iPad via AirPlay.
    4. On your iPad, swipe down from the top-right corner to open the Control Center.
    5. Tap the Screen Mirroring icon (two overlapping rectangles).
    6. Select your computer from the list of available devices.
    Note: Make sure both your iPad and computer are connected to the same Wi-Fi network. If usingWindows/PC, a plug-in may be required to utilize AirPlay.
• Document Camera
  • A document camera is a tool that captures and displays physical documents, objects, or images in real time, allowing them to be projected onto a screen or monitor. For a speech therapist conducting virtual sessions, a document camera can be used to display AAC (Augmentative and Alternative Communication) devices or communication boards, showing the client how to use symbols, words, or phrases for effective communication.
• Virtual Backgrounds
  • Check out our lite tech article where you can download a variety of backgrounds to your computer
    • https://support.ablenetinc.com/speech-apps/speech-app-maintenance/the-importance-of-lite-tech-back-ups-for-aac-users/
  • After they are downloaded, you can set this as your Zoom, Teams, or Google Meets background

The Importance of Coaching via Teletherapy

Coaching for AAC use via teletherapy emphasizes the importance of integrating AAC into natural contexts and daily routines to ensure meaningful communication. Modeling AAC consistently is crucial, as it demonstrates to both clients and communication partners how to use the system effectively. Additionally, coaching extends to helping communication partners—such as family members, teachers, or caregivers—become familiar with the AAC system, ensuring they can support the individual in using it confidently throughout their daily interactions. This approach helps create a more seamless, supportive communication environment both during and outside of therapy sessions. When working remotely with schools, advocating for an on-site facilitator for AAC students can be highly beneficial. The facilitator can assist with troubleshooting technical issues and relay strategies and ideas to classroom teachers and paraprofessionals. Additionally, it’s valuable to “push in” to the classroom, offering coaching to teachers and educators on how to effectively integrate the AAC device into the classroom routine, even if you’re not physically present.

Activity Ideas

PinkCat Games: Offers a selection of free games to utilize via teletherapy. You can search or create your own questions, or pick a game to use without questions and incorporate language modeling into the game! To incorporate AAC, try the “Feed The Shark” to model core vocabulary including “eat” “want” and “more” while giving the shark snacks. Play “Build the Monster” and work on prepositions, clothing vocabulary, etc.

Story Builders: Use art work to create your own story then read it together! Incorporate vocabulary from the device such as “draw” “want” “like” “read”, etc.

Virtual Field Trip to the Zoo: Take your client on a virtual field trip to the zoo! Incorporate action words from the AAC device to describe what the animals are doing, name the animals, and model core words such as “go”, “like”, “in”, “out”, etc!

Hidden Pictures: Use the device to label what you see in the picture. Incorporate core vocab and action words such as “I” “see” and “help” while trying to find the hidden images.

Direct Support

We understand that remote editing, teletherapy, and assuring your client has everything they need to be successful with AAC can be overwhelming. We are here to support! Feel free to schedule a meeting with an AbleCARE SLP below:

https://go.oncehub.com/ablecareslp