#TalkingAAC 2025

Digital assistants can be integrated into weekly speech therapy sessions to teach clients that they are a portal to information that can be accessed at any point through a series of steps. The steps to access digital assistancs vary depending on the user's communication strengths (i.e., using their voice, using direct-selections on an iPad, and/or using their eyes to activate buttons on an iPad through infrared technology). Clients and their families learn to build trust in the technology by using skills learned in therapy for generalization into the home using the same portal.

The perception of digital assistants could be a privacy concern because they have a recording feature, but it can be turned off in a simple procedure where you choose not to save voice recording and opt out of voice recording. For example, to ensure that client and staff privacy are at the forefront of decision making, the following features need to be enabled on Alexa:
Go to Alexa App>Alexa Privacy> Manage your Alexa Data> Don’t Save Recordings
Go to Alexa App>Alexa Privacy>Manage your Alexa Data>Help Improve Alexa>Uncheck “Use of Voice Recordings”

Through the use of digital assistants, clients can learn independence and autonomy in the areas of communication, environmental access, medical support, and/or socialization.

Communication independence and autonomy can look like asking “What’s the date?”, “What is the Day of the week?”, “What is the time?”, “What is the weather?”, “When is the holiday?”.
Environmental independence and autonomy can look like using digital assistants to turn the lights off/on, turn on the TV, open/close doors, run the vacuum, and/or start the laundry.
Medical independence and autonomy can look like asking digital assistants to remind me to take my medicine, ask when a doctor’s appointment occurs, set a wake-up, set a timer, and/or make a to-do list.
Socialization independence and autonomy can look like digital assistants dropping-in on a family or friend, telling a joke, telling the news, playing a game, listening to music, and participating in cooking with recipes.

In addition,digital assistants features can be taught to promote clients’ independent knowledge seeking (Alexa read me a book, Alexa spell____), dual language capabilities (Translation from English to Spanish), and for adaptive listening mode (Recognize different speech patterns like stuttering and gives more time to finish speaking).

Digital assistants are an influential therapy tool that can be used as a portal to access information independently for all communicators.