Identifying Gaps in AAC Services for Children: Perspectives from Speech-Language Pathologists

Augmentative and alternative communication (AAC), which includes any method of communication other than or in addition to spoken language (e.g., signs, pictures, speech-generating devices), is associated with improved social engagement and communication outcomes for children with speech and language differences. However, many children receive access to AAC after the recommended age for early intervention. AAC service provision is within the scope of practice for speech-language pathologists/therapists (SLPs/SLTs), but many report feeling unprepared to implement AAC. While previous research has explored barriers to AAC implementation within specialized clinical settings, there is a gap in understanding the extent to which SLPs/SLTs outside of specialized AAC clinics use AAC in their practice. Furthermore, it remains unclear where support is most needed and what knowledge is missing to best support SLPs/SLTs in using AAC in their everyday practice. This study aims to: (1) describe the training and education SLPs/SLTs have received in AAC, (2) explore if and how SLP/SLTs are using AAC, (3) identify barriers to implementing all forms of AAC (e.g., low- and high-tech) in practice across countries and practice settings, and (4) determine which tools might help improve SLPs/SLTs’ confidence in using AAC in practice. We will conduct a large-scale global survey open to all SLPs/SLTs working with a pediatric population (children and youth, birth to 18 years). A maximum of 500 SLPs/SLTs will participate. The survey includes a combination of closed and open-ended questions. Data will be analyzed using descriptive statistics and deductive content analysis.