Telepractice Shows Potential for AAC Partner Training in Nonspeaking Autistic Individuals

Remote AAC Partner Training Emerges as Option

For nonspeaking autistic individuals, augmentative and alternative communication (AAC) systems — ranging from picture cards (low-tech) to tablet-based apps (high-tech) — provide vital tools for self-expression. A 2024 randomized controlled trial examined telepractice (remote therapy via video) for training communication partners like parents and caregivers, finding comparable outcomes to in-person training when combined with initial device setup sessions.

This comes amid broader discussions about AAC implementation. The Autistic Self Advocacy Network has emphasized the importance of centering nonspeaking individuals' preferences in research design. Meanwhile, a 2023 single-case study with three participants suggested potential social communication benefits from high-tech AAC systems, though larger studies are needed.

While a 2016 narrative review noted some studies found AAC use accompanied verbal gains, the authors cautioned about limited evidence quality.

Understanding the Evidence

Research on AAC's relationship to speech development shows mixed results. While a 2016 narrative review noted some studies found AAC use accompanied verbal gains, the authors cautioned about limited evidence quality. Experts stress the need for individualized approaches, as motor planning differences or sensory processing needs may affect AAC modality suitability.

Successful telepractice implementation requires hybrid models, as the JSLHR study involved in-person device setup alongside remote sessions. Families considering telepractice should assess technology access and comfort with digital platforms, while ensuring the nonspeaking individual's communication preferences remain central.