Aphasia telepractice in action: insights and opportunities from Malaysian speech-language pathologists

Abstract

Background: Telepractice leverages telecommunications technologies to deliver rehabilitation services remotely, offering increased accessibility and flexibility for patients. For individuals with aphasia, it represents as a valuable alternative to conventional in-person therapy, particularly for those facing geographical, mobility, or logistical barriers. As this service model gains global traction, understanding its implementation within specific cultural and healthcare contexts is essential. Aim: This study aimed to explore the practices and experiences of Malaysian speech-language pathologists (SLPs) in delivering telepractice services to individuals with aphasia. Methods: Semi-structured interviews were conducted with six practicing SLPs from a rehabilitation hospital in Malaysia. The interviews were transcribed verbatim and analyzed using an inductive thematic analysis to identify key themes. Results: Six female therapists (M = 33.83 years, SD = 7.47, range = 29 to 45), all of whom held degrees in the field of speech-language pathology from two local universities and had an average of 10 years of clinical experience, participated in the study. Two major themes emerged: (1) current practices in aphasia telepractice; and (2) systemic and practice-level barriers. A hybrid aphasia therapy model was reported to be use in this facility, allowing individuals to choose between in-person and telepractice sessions. Several challenges were identified, including limited culturally relevant digital resources, insufficient technical support, and unstable internet connectivity. Conclusions: This study highlights the adaptability and dedication of Malaysian SLPs in delivering telepractice services for aphasia despite notable systemic and technological barriers. Addressing these challenges offers a critical opportunity to enhance service delivery and accessibility of speech-language pathology services for individuals with aphasia.