Perspectives of Indian Speech-Language Pathologists on Implementing Augmentative and Alternative Communication...

Area of Science:

• Speech-Language Pathology
• Autism Spectrum Disorder Research
• Assistive Technology

Background:

• Augmentative and Alternative Communication (AAC) implementation for nonverbal Autism Spectrum Disorder (nvASD) is debated, particularly in diverse contexts like India.
• Existing Western-based AAC guidelines may not suit the Indian cultural and linguistic landscape.

Purpose of the Study:

• To explore Indian Speech-Language Pathologists' (SLPs) perspectives on AAC implementation for individuals with nvASD.
• To identify current practices, attitudes, and challenges faced by SLPs in India regarding AAC.

Main Methods:

• A cross-sectional study involving questionnaire development, validation, and online administration to 93 Indian SLPs.
• The survey assessed AAC candidacy, cultural adaptation, selection, collaboration, evaluation, integration, and barriers.

Main Results:

• SLPs prioritize communication prerequisites and vocabulary selection over partner training before AAC introduction.
• AAC is used for intervention and communication, integrating goal-oriented approaches with other strategies.
• Key challenges include resource limitations, inadequate training, and poor interdisciplinary collaboration, while parental involvement is crucial.

Conclusions:

• Indian SLPs recognize AAC's value for nvASD but face significant implementation barriers.
• There is a critical need for culturally adapted AAC guidelines, specialized clinician training, and supportive policies in India.
• Improving AAC access and outcomes requires addressing systemic and practical challenges within the Indian context.