Artificial Intelligence, Extended Reality, and Automation in Speech-Language Pathology: Integrating Technology Into Clinical Practice

Michelle Boisvert, PhD, CCC-SLP is a doctoral-level clinician providing and supervising high-quality speech and language services on-site and remotely in a public school and private practice setting. Dr. Boisvert received her PhD in Communication Disorders from the University of Massachusetts Amherst in 2012, where she investigated the viability, use, and effectiveness of telepractice for the online delivery of speech and language services, specifically for individuals with autism spectrum disorders. Her research helped validate this method of service delivery and has informed her clinical and entrepreneurial work post graduation. Driven by a passion for leveraging technology to ensure access to high-caliber services and to enhance workload efficiency, Dr. Boisvert subsequently cofounded and developed the software easyReportPRO.com, a division of WorldTide, Inc. The customizable easyReportPRO is an innovative online platform designed to streamline report writing for speech-language pathologists (SLPs) using customizable, automated templates. With a focus on continuous improvement and a drive to advance tech-based resources for SLPs and related fields, Dr. Boisvert has always been committed to bridging the gap between clinical work and technology, offering SLPs tangible and practical solutions to reduce manual tasks and improve professional outcomes. Dr. Boisvert has published several articles in peer-reviewed journals on the topic of telepractice and is the former editor for the Perspectives on Telepractice (a journal published by Perspectives of the American Speech-Language-Hearing Association’s Special Interest Groups [ASHA’s SIG 18]). Dr. Boisvert provides training on the use of telepractice and has spoken at national and international conferences on this topic. She also offers professional training on entrance and exit criteria for speech and language services for students in U.S. public schools, specialist and teacher collaboration methods, as well as caseload management strategies that incorporate the use of artificial intelligence, extended reality, and automation.Nerissa Hall, PhD, CCC-SLP is cofounder of Commūnicāre, LLC, and the Speech Language and Literacy Center at Tate Behavioral, Inc. Dr. Hall’s love for applied technology started as an undergraduate studying psychology at the University of Massachusetts Amherst where she was encouraged to apply for an internship with the speech-language pathologists working for the Department of Developmental Services (DDS). Her volunteer experience turned into a dual major (psychology and communication disorders) and a speech-language pathology assistant position with DDS, where she assumed responsibility for designing and developing lite-tech augmentative and alternative communication (AAC) systems, as well as programming and implementing high-tech speech-generating devices for adults with complex communication needs. Dr. Hall went on to get her master’s and PhD degrees from the University of Massachusetts Amherst. Her clinical work and experiences, upbringing in Cape Town, South Africa, plus her desire to ensure access to high-quality AAC services irrespective of geographical locale, evolved into her clinical work and research interests focusing on AAC, tele-AAC (AAC service delivery online), and the innovative use and application of current and available technology to support access and enhancement of AAC for people with complex communication needs. During her doctoral program, Dr. Hall cofounded Commūnicāre, LLC (a private practice focusing on AAC), with her mentor and colleague, Hillary Jellison. Together they developed a specialty practice, pioneering innovative AAC assessment, intervention, and consultation work. They extended their reach by incorporating synchronous (real-time) and asynchronous (overtime) telepractice to diversify their methodology and application of clinical services through collaborative research and service delivery. Since graduating, Dr. Hall has continued to grow her practice, merging with behavioral health leaders at Tate Behavioral, where clinical practice is merged with rigorous data collection to systematically explore innovative technologies and refine service delivery outcomes for neurodivergent individuals with complex communication needs, benefiting from AAC. Dr. Hall has presented nationally regarding AAC, tele-AAC, and artificial intelligence (AI). She has served as a LEND Fellow, adjunct faculty at Elms, Cambridge College, and UMass-Amherst. Dr. Hall coedited Tele-AAC: Augmentative and Alternative Communication Through Telepractice and Fundamentals of AAC: A Case-Based Approach to Enhancing Communication, and is passionate about advancing the field to ensure meaningful outcomes for individuals with complex communication needs, those using AAC, and the teams and communities that support them.

• ContentsForeword by Martin Hall, PhDIntroductionAcknowledgmentsAbout the EditorsContributorsReviewersSection I. Fundamentals of Integrating Technology Into Clinical PracticeChapter 1. Digital Generations in Speech-Language Pathology Michelle Boisvert, Nerissa Hall, and Gareth WalkomChapter 2. Ethical Considerations for New and Future TechnologiesEllen R. Cohn, Jack Gareis, and Karen Golding-KushnerChapter 3. Cultural Considerations in Technology AdoptionLesley Edwards-GaitherChapter 4. Practical Considerations for Clinical Applications of Innovative TechnologyMai Ling ChanChapter 5. A Framework for Integrating Technology Into Clinical PracticeMichelle Boisvert and Nerissa HallSection II. Artificial Intelligence in Speech-Language PathologyChapter 6. Foundations of Artificial Intelligence in Speech-Language PathologyYao Du, Lori Price, and Kathryn LubniewskiChapter 7. Applications of Artificial Intelligence–Assisted Therapy Through Case StudiesMichelle Boisvert and Nerissa HallChapter 8. The Future of Artificial Intelligence in Speech-Language PathologyLori Price, Kathryn Lubniewski, and Yao DuSection III. Extended Reality in Speech-Language PathologyChapter 9. Foundations of Extended Reality in Speech-Language PathologyJennine Harvey-Northrop, Yi-hsiang Isaac Chang, Gabriela Fonseca Pereira, and Megan E. CuellarChapter 10. Applications of Extended Reality Through Case StudiesGareth WalkomChapter 11. The Future of Extended Reality in Speech-Language PathologyJennine Harvey-Northrop, Yi-hsiang Isaac Chang, Gabriela Fonseca Pereira, and Megan E. CuellarSection IV. Automation in Speech-Language PathologyChapter 12. Foundations of Automation in Speech-Language PathologyMichelle Boisvert and Nerissa HallChapter 13. Applications of Automated Workload Management Through Case StudiesMichelle BoisvertChapter 14. The Future of Automation in Speech-Language PathologyMichelle BoisvertSection V. Integrating Innovative Technology Throughout Clinical PracticeChapter 15. Technology Applications Along the Service Delivery Continuum in Speech-Language PathologyK. Todd HoustonChapter 16. Developing Skills for the Next Generation of Speech-Language PathologistsErik X. Raj, Emma G. Rizzuto, and Gina N. DeliaChapter 17. iCARE: A Framework for Systematic Implementation of Innovative TechnologyMichelle Boisvert and Nerissa HallAppendix. Digital Tools and Technologies for SLPs: A Curated Resource Guide