Tele Speech-Language Pathology and Audiology in India - A Short Report


Keywords: Telepractice, telerehabilitation, telemedicine, speech language pathology, audiology


Background: The discipline of Speech-Language Pathology and Audiology is half-a-century old in India. Speech language pathologists and audiologists (SLPs and AUDs) have identified the need to ‘reach-the-unreached’ in India by using a telehealth model for rehabilitation of persons with communication disorders. The aim of this paper is to present a panoramic view of telepractice in India right from its emergence to its current state, drawing support from a review of published work by SLPs and AUDs in India. Methods: A questionnaire was developed to elicit responses on barriers for telepractice and similarities and differences in face-to-face and telepractice of speech-language pathology service delivery. Using survey research design, 17 speech-language pathologists practicing in India were purposively selected for the study. Results: 15 questionnaires were completed. Most respondents (53.3% - 86.6%) reported technical issues as barriers for telepractice. Face-to-face and telepractice of speech language pathology service delivery was reported to be different in terms of instructions for caregivers, documentation, face validity, acceptance and responsibility on caregivers. Many participants felt that more sensitivity and caution, special ICT skills for clinician and caregiver/client, exclusive software, dedicated professionals to trouble shoot technical issues are additional requirements for telepractice. Concerns about client confidentiality were expressed and lack of direct feedback and environmental distractions at client end were reported as challenges in telepractice delivery. Conclusions: The study demonstrates that service delivery through telemodel is mostly positively embraced in India, despite the challenges.



Author Biographies

Yashaswini - Rangaswamy, All India Institute of Speech and Hearing, Manasa Gangothri, Mysore

Tele-Center for Persons with Communciation Disorders

Prema K.S. Rao, All India Institute of Speech and hearing, Manasa Gangothri, Naimisham campus, Mysore- 570006

Tele-Center for persons with Communication Disorders


American Speech-Language-Hearing Association. (2017). Telepractice 2017. Available at: accessed 25 July 2017.

Theodoros D. Speech-language pathology and telerehabilitation. In Kumar S, Cohn ER, editors. Telerehabilitation. London: Springer-Verlag; 2013;311-324.

Cason J. Telerehabilitation: An adjunct service delivery model for early intervention services. Int J Telerehab 2011;3(1):19-28.

McCarthy M. Using technology to support children with sensory disability in remote areas: The RIDBC Teleschool model. Telecom J Austral 2011;61(2):27.1–27.7.

Baharav E, Reiser C. Using telepractice in parent training in early autism. Telemed E Health 2010;16(6):727-731.

Hermann V, Herzog M, Jordan R, et al. Telerehabilitation and electrical stimulation: An occupational-based, client centered stroke intervention. Am J Occup Therapy 2010;64(1):73–81.

Kelso G, Fiechtl B, Olsen S, Rule S. The feasibility of virtual home visits to provide early intervention: A pilot study. Infants Young Children 2009;22(4):332-340.

Verburg G, Borthwick B, Bennett B, Rumney P. Online support to facilitate the reintegration of students with brain injury: Trials and errors. Neurorehab 2003;18(2):113-123.

Brown J. The State of Telepractice in 2014. ASHALead 2014;19(12):54-57. Available at: accessed 25 July 2017.

Plantak Vukovac D, Novosel-Herceg, Orehovački T. Users' Needs in Telehealth Speech-Language Pathology Services. In Vogel X, Guo C, Barry M, Lang H, Linger, Schneider C, editors. Information Systems Development: Transforming Healthcare through Information Systems (ISD2015 Proceedings). Hong Kong, SAR: Department of Information Systems; 2015 Available at: accessed 25 July 2017.

Digital India Program. (2018). Ministry of Electronics and Information Technology, Government of India, 2018. Available at: accessed 28 May 2018.

Annual report 2008-2009. (2009). All India Institute of Speech and Hearing Available at: accessed 26 September 2018

Goswami SP, Bhutada A, Jayachandran K. Telepractice in a person with aphasia. JAIISH 2012;31:159-167.

Ramkumar V, Selvakumar K. Telemedicine in a tertiary care hospital in South India - A thirteen year review. J Int Soc Telemed eHealth 2016;4:e29(1-6).

Mohan HS, Anjum A, Rao PKS. A survey of telepractice in speech-language pathology and audiology in India. Int J Telerehab 2017;9(2):69-80.

Basavaraj V. Ethical guidelines for bio-behavioural research. Mysore: All India Institute of Speech and Hearing, 2009.

ASHA. (2002). Survey of telepractice use among audiologists and speech –language pathologists 2002. Available at: accessed 25 July 2017.

Tucker JK. Perspectives of speech-language pathologists on the use of telepractice in schools: quantitative survey results. Int J Telerehab 2012;4(2):61-72.

Tucker JK. Perspectives of speech-language pathologists on the use of telepractice in schools: the qualitative view. Int J Telerehab a 2012;4(2):47-60.

Rao PKS, Yashaswini R. Telepractice in speech-language pathology and audiology: Prospects and challenges. JISHA; (in press)

1Specialplace: for speech and language enrichment. (2018). Available at: accessed 25 May 2018.

Helping hands organization. (2018). Available at: accessed 25 May 2018.

Scope of practice in Audiology and Speech-language pathology. (2015).Rehabilitation Council of India 2015. Available at: accessed on 25 May 2018.

Malik R, Gatla R, Yashaswini R. Terms and conditions for enrolment. In: Savithri SR, Prema KS, editors. Teleservices: Terms and Conditions. Mysuru: AIISH;2017;4-8.

1SpecialPlace: for speech and language enrichment. (2018). Available at: accessed 25 May 2018.

How to Cite
Rangaswamy, Y., & Rao, P. (2018). Tele Speech-Language Pathology and Audiology in India - A Short Report. Journal of the International Society for Telemedicine and EHealth, 6(1), e19 (1-8). Retrieved from
Original Research