Teletherapy is transforming the way speech-language pathologists (SLPs) support individuals with communication differences who rely on Augmentative and Alternative Communication (AAC) systems. By using digital platforms, SLPs can offer interactive, face-to-face therapy that meets clients wherever they are. This approach is especially beneficial for AAC users—including autistic individuals, those with Down syndrome, or anyone with a speech or language disorder—because it removes barriers related to location and accessibility.
Effective teletherapy requires thoughtful planning and adaptation. Sessions are most effective when designed to be interactive and personalized, providing each AAC user with ongoing opportunities to practice and expand their communication skills. In the following sections, we discuss strategies to foster and maintain engagement, offer creative activities, tailor sessions to diverse needs, tackle common challenges, and make effective use of advanced speech-generating devices. These insights will help SLPs and caregivers create teletherapy experiences that are focused, engaging, and conducive to communication growth.
Teletherapy for AAC Users
Teletherapy utilizes video and audio platforms to bring speech and language services directly into clients’ homes or their schools. For AAC users, this method combines convenience with personalized support, allowing SLPs to observe how users interact with their devices in familiar environments. Through virtual sessions, caregivers and families, as well as school professionals, can join the process, providing additional support and reinforcing learning outside of formal sessions.
This remote method not only overcomes geographical obstacles but also supports tailored intervention. SLPs can adapt activities in real time, address technical and access issues, and model communication strategies that integrate naturally into daily routines. In short, teletherapy transforms everyday environments into effective learning spaces where AAC users can build confidence and enhance their expressive language skills.
Why Engagement Is Key for AAC Users in Teletherapy
Active engagement is essential for AAC users to make progress. When users are involved and motivated during therapy sessions, they are more inclined to experiment with new vocabulary and express themselves in varied ways. Engagement drives communication practice and supports users in utilizing their devices confidently.
Interactive activities that spark curiosity and align with individual interests tend to yield better results. Personalized sessions—whether incorporating a favorite hobby or using common household objects— can increase overall engagement, making the learning experience more relevant and enjoyable for participants. Engaged users are more likely to participate in reciprocal communication, moving beyond simple responses towards more meaningful language use.
Caregivers also benefit when sessions are engaging, as dynamic and clear therapy activities provide practical strategies they can reinforce at home. In this way, sustained engagement transforms routine sessions into opportunities for valuable language practice, building a strong foundation for long-term communication success.
Benefits of High-Tech AAC Devices in Teletherapy
High-tech AAC devices, such as QuickTalker Freestyle™, offer unique benefits during teletherapy sessions. With customizable interfaces, these devices allow vocabulary and layouts to be tailored to a user’s specific needs. Features like personalized categories and dynamic, research-backed page sets help users focus on communication that is effective for them.
Experience a Device
Experience a Device
These devices support a wide range of options—from storing an vocabulary to providing realistic speech output—empowering users to meaningfully communicate. Some AAC systems provide Integrated monitoring tools that enable SLPs to adjust settings based on user feedback in real time, fostering independence and confidence in communication.
Creative and Interactive Teletherapy Activities for AAC Users Utilizing High-Tech Devices
Designing activities that leverage high-tech AAC devices is essential for keeping AAC users engaged in teletherapy. These innovative tools can dramatically enhance each session by providing tailored support, real-time adjustments, and dynamic communication options. Here’s how they work within various interactive activities:

Language and Vocabulary Development
- Utilizing dynamic interfaces: High-tech AAC devices such as QuickTalker Freestyle™ offer customization of vocabulary, categories, and personalized phrases. Interfaces can be customized to include phrases like “I want __,” or “let’s play ____” which allow users to produce phrases while naturally advancing their vocabulary development. Vocabulary and grammatically features can be expanded as the user’s language develops.
Social Skills Through Role-Play
- Simulating real-life interactions: By employing role-play scenarios, users can practice social communication with high-tech devices. re-set phrase options or choices can support common exchanges, like ordering food or greeting friends. These devices allow users to feel more confident during social interactions.
Visual Exploration Activities
- Interactive visual: Sharing visual scenes or setting a fun virtual background provide the perfect opportunity for targeting goals and having conversations. Users can describe visuals using AAC and can target descriptive language skills. Some platforms allow for a shared whiteboard or coloring page, so that the therapist and user can create art together. Using AAC to describe what is being made or select the next color to use provide great opportunities for interactive device use.
Game-Based Learning
- Augmenting traditional games: High-tech AAC devices can increase engagement and language opportunities during simple games that can be played during a virtual session. Devices can store specific game-related phrases, such as terms that would be used during bingo or scavenger hunts. Users learn turn-taking and game-based vocabulary by utilizing the customized vocabulary with their AAC device.
- Online games that can be shared via screen sharing provide a great opportunity for interaction and device use, as the user can tell you what to do next in game or select a person game they want to play.
- Additionally, using toys like blocks or puzzles promotes playful, engaging learning experiences and provides an opportunity for the therapist to provide coaching to caregivers to promote device use while they are playing.
Music and Rhythm Interaction
- Encouragement through musical prompts: During teletherapy, videos can be a strong tool that support engagement and provide opportunities for device use. AAC devices can be pre-set with musical phrases (e.g., let’s listen to music, turn it up) or song selections that encourage device use through fun, song-based interaction. Music is a perfect opportunity for call and response. Program lyrics or words from popular songs on to the device so the user can sing along (e.g., “round and round” for Wheels on the Bus or animal sounds for Old McDonald) Tailoring content based on user’s preferences enhances enthusiasm and benefits social and emotional well-being as it increases opportunities for participation.
These creative activities, enriched by high-tech AAC devices, provide a multifaceted approach to teletherapy, facilitating improved communication skills and engagement in AAC users.
Adapting Activities for Different Communication and Developmental Levels
Since AAC users exhibit diverse communication abilities, tailoring activities is essential. Techniques such as large icons, core vocabulary buttons, and high-contrast visuals may help emerging communicators navigate the AAC device with ease.
For advanced AAC users, activities that encourage sentence building and detailed descriptions are beneficial. SLPs might develop tailored vocabulary pages that encompass both core words and relevant supplementary language, gradually increasing the complexity to build their language repertoire and confidence.
Adaptations may also be necessary for users facing visual, sensory, or motor challenges. Adjustments like grid size adaptation, alternative access methods, motor based learning, and grouping of vocabulary terms can contribute to a smoother, more accessible learning experience.
Tips for Speech-Language Pathologists Conducting Successful Teletherapy
Effective teletherapy sessions blend preparation, flexibility, and caregiver involvement. Here are some practical tips:
Build Rapport:
Begin sessions with friendly check-ins to create a welcoming atmosphere, using simple questions to encourage natural conversation.
Plan Session Structure:
Outline goals and activities for each session while maintaining the flexibility to adapt based on the client’s interests and responses. Start with familiar tasks to build a positive tone before introducing more challenging exercises.
Collaborate with Caregivers or Professionals:
Active involvement from the caregivers or school professionals as facilitators in teletherapy is highly beneficial. Help family members by sharing strategies that they can reinforce at home during and beyond the sessions, or offer strategies for implementing the device in the classroom. This might include integrating vocabulary practice into daily routines such as mealtime or play.
Utilize Real-Life Contexts:
The more realistic the device experience is, the stronger the carryover is. Incorporate everyday scenarios into activities, building practical communication skills.
Allow Extra Response Time:
Recognize that AAC users may need additional time to operate their devices. Patience, coupled with modeling possible responses, can promote independence.
Solicit Feedback:
End sessions by asking users or caregivers what activities were most engaging, helping to tailor future sessions to meet preferences and needs.
A balanced session that combines clear objectives with flexibility can create a dynamic environment where AAC users thrive.
Maximizing the Benefits of High-Tech Devices in Teletherapy

High-tech AAC devices like the QuickTalker Freestyle™ provide several advantages when integrated into teletherapy sessions. Consider these focused strategies:
- Custom Vocabulary Setup: Work with caregivers to pre-load the device with vocabulary that aligns with user interests or session goals.This preparation minimizes navigation challenges and reduces downtime.
- Streamlined Device Layout: Select a speech application that organizes device pages in an easy to navigate way, providing access to core words and phrases. Clearly grouped related terms—such as “animals” or “favorite activities”—can enable quicker access and enhance ease of use.
- Encourage Exploration: Allocate time during sessions for users to explore new icons or functions, which builds familiarity and independence in using the device.
- Reinforce Core Vocabulary: Consistent integration of foundational words and phrases can solidify a base from which more elaborate communication strategies develop.
- Tailor Activities to Interests: Personalizing vocabulary sets based on each user’s interests, whether related to sports, animals, or hobbies, can boost motivation and engagement.
- Coaching the Team: Offer brief coaching sessions with family members, or for school based professionals such as teachers or paraprofessionals, to demonstrate device optimization and utilization, ensuring continuous support beyond individual sessions.
Addressing Challenges in Teletherapy for AAC Users
Teletherapy has revolutionized the way speech-language pathologists (SLPs) support AAC users by bringing therapy directly into their homes. However, despite its many advantages, teletherapy presents unique challenges that can affect the success of sessions. Understanding and strategically addressing these hurdles is beneficial in fostering an effective environment for AAC users, and ensuring that their communication needs are met.
Key Challenges and Solutions:
Technical Difficulties:
- Prepare backup plans for connectivity issues.
- Ensure devices are updated and fully charged before sessions.
- Share troubleshooting guides with caregivers for quick assistance.
Maintaining Engagement:
- Diversify session activities to match varying energy levels.
- Alternate between interactive and calmer exercises to prevent burnout and maintain interest.
Alternative Access Methods:
- Have the support person present adjust device settings or positioning to accommodate motor challenges.
- Collaborate with occupational therapists and caregivers for optimal equipment setup.
Customized Navigation:
- Streamline device layout for quick access to essential vocabulary.
Balancing Structure and Flexibility:
- Plan goal-oriented tasks but stay open to adapting activities based on user interest to maintain motivation.
Enhancing Caregiver Support:
- Clearly define the caregiver’s or paraprofessional’s role during sessions.
- Conduct brief demonstrations to empower caregivers in reinforcing strategies at home.
Modeling the Device:
- Use alternatives to in-person modeling such as having the speech application on your computer and sharing the screen, setting a core board as your virtual background, or having your own physical device to use.
- Coach caregivers or support team on how to model during the session on the device.
Efficiently managing these challenges in teletherapy for AAC users involves a proactive approach by SLPs caregivers, and other professionals. By adopting flexible strategies and fostering collaboration, teletherapy sessions can remain dynamic and rewarding. Emphasizing adaptable solutions caters to the diverse needs of AAC users, facilitating meaningful engagement and communication progress in a supportive, home-based or school-based setting.
Strategies for Overcoming Teletherapy Challenges for AAC Users
Teletherapy offers an innovative platform for SLPs, caregivers, and teams to support AAC users’ communication development in practical, everyday contexts. Research and expert opinions suggest that when teletherapy is tailored to the individual and employs engaging activities along with advanced technology, like the QuickTalker Freestyle™, it has the potential to produce outcomes comparable to traditional in-person sessions for many users. However, its effectiveness can vary depending on the specific needs being addressed and the resources available. Focused planning, interactive activities, and collaborative support contribute to a dynamic therapeutic experience that builds communication skills and promotes independence.
For those interested in enhancing teletherapy or exploring the benefits of high-tech solutions like the QuickTalker Freestyle™, consider scheduling a consultation with the team at AbleNet. Reach out today and take a confident step toward transforming your teletherapy sessions into highly effective, positive experiences.