Perspective of Speech and language Pathologist Regarding Augmentative and Alternative Communication Devices for the Improvement of Language Development in Children withIntellectual Disability

Abstract

 Augmentative and Alternative Communication (AAC) includes strategies and devices that support
or replace spoken language for individuals with communication difficulties. It plays a significant
role in promoting functional communication and language development in children with complex
needs. This quantitative cross-sectional study explored Speech-Language Pathologists’ (SLPs)
perspectives on AAC devices for improving language development in children with intellectual
disability in Lahore. Using purposive sampling, 277 SLPs completed the 15-item Role of AAC in
Intellectually Disabled Children (RAAC) questionnaire. Findings showed strong agreement that
AAC compensates for expressive language impairments (M = 4.59) and enhances receptive skills
(M = 4.01), while most disagreed that AAC impedes speech (M = 2.58, reverse-coded). AAC was
also perceived to improve independence and overall lifestyle (M = 4.46) and prevent severe
language delay when introduced early (M = 4.53). Female SLPs reported significantly higher
perception scores than males across domains (p < .05).