National overview of the use of Augmentative and Alternative Communication by music therapists: professional profile, clinical demands, and challenges

Authors

DOI:

https://doi.org/10.33871/2317417X.2026.23.12008

Keywords:

Music Therapy, Augmentative and Alternative Communication, Professional Profile, Professional Training

Abstract

This study aimed to outline the national landscape of Augmentative and Alternative Communication (AAC) use by music therapists in Brazil, investigating professional profiles, clinical demands, and the challenges faced. The methodology consisted of an observational, cross-sectional, and exploratory survey study conducted with 181 music therapists through a questionnaire. The results revealed a predominantly female profile (69.6%), aged 30 to 49 years, and residing in the Southeast region (58.6%). Regarding clinical practice, AAC use was heterogeneous: while a proportion of participants used AAC resources frequently, 19.3% reported using them rarely and 14.9% had never used them. A significant training gap in AAC was identified within music therapy, as 73.5% of participants reported having no additional training in the area. The main difficulties reported were a lack of knowledge on how to use and personalize AAC resources within a musical context. The study mapped AAC use by music therapists in Brazil and highlighted important educational gaps, despite the frequent presence of individuals with Complex Communication Needs (CCN) in music therapy practice. Limitations include low representation from the North and Northeast regions. It is recommended that AAC be incorporated into music therapy curricula and that further studies examine its impact on the autonomy and social participation of individuals with CCN in collaboration with this specialty.

 

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Author Biography

Carolina Lisbôa Mezzomo, Universidade Federal de Santa Maria

Possui graduação em Fonoaudiologia pela Universidade Federal de Santa Maria - UFSM, especialização em Motricidade Orofacial (CEFAC) e Linguagem (PUCRS). É mestre e doutor em Letras pela Pontifícia Universidade Católica do Rio Grande do Sul, área de concentração em Linguística Aplicada. Atualmente, é professora Associada 4 na UFSM atuando no curso de graduação em Fonoaudiologia e no Programa de Pós-Graduação em Distúrbios da Comunicação Humana. Tem experiência na área de Linguagem Infantil e Motricidade Orofacial, com enfoque nos seguintes temas: aquisição fonológica típica e atípica, consciência fonológica, aquisição da linguagem oral típica e atípica, Terapia Assistida por Animais, mediada por cães (cinoterapia) e Práticas Integrativa e Complementares.

References

Presidência da República, Casa Civil, Subchefia para Assuntos Jurídicos. (2009). Decreto nº 6.949, de 25 de agosto de 2009: Promulga a Convenção Internacional sobre os Direitos das Pessoas com Deficiência e seu Protocolo Facultativo, assinados em Nova York, em 30 de março de 2007. Diário Oficial da União. https://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/decreto-/d6949.htm

Chazin, K. T., Ledford, J. R., & Pak, N. S. (2021). A systematic review of augmented input interventions and exploratory analysis of moderators. American Journal of Speech-Language Pathology, 30(3), 1210–1223. https://doi.org/10.1044/2020_AJSLP-20-00102

Fernandes, F., Barbalho, I., Bispo Júnior, A., Alves, L., Nagem, D., Lins, H., Arrais Júnior, E., Coutinho, K. D., Morais, A. H. F., Santos, J. P. Q., Machado, G. M., Henriques, J., Teixeira, C., Dourado Júnior, M. E. T., Lindquist, A. R. R., & Valentim, R. A. M. (2023). Digital alternative communication for individuals with amyotrophic lateral sclerosis: What we have. Journal of Clinical Medicine, 12(16), 5235. https://doi.org/10.3390/jcm12165235

Freire, M., Martelli, J., Sampaio, R., & Parizzi, M. B. (2021). Musicoterapia improvisacional musicocentrada e crianças com autismo: relações entre desenvolvimento musical, ganhos terapêuticos e a teoria da musicalidade comunicativa. Música Hodie, 21. https://doi.org/10.5216/mh.v21.62311

Gadberry, A. L. (2011). A survey of the use of aided augmentative and alternative communication during music therapy sessions with persons with autism spectrum disorders. Journal of Music Therapy, 48(1), 74–89. https://doi.-org/10.1093/jmt/48.1.74

Gadberry, A. L., & Sweeney, A. (2017). An explorative study examining augmentative and alternative communication training in the field of music therapy. Journal of Music Therapy, 54(2), 228–250. https://doi.org/10.-1093/jmt/thx003

Geretsegger, M., Elefant, C., Mössler, K. A., & Gold, C. (2022). Music therapy for people with autism spectrum disorder. Cochrane Database of Systematic Reviews, (5), CD004381. https://doi.org/10.1002/14651858.CD004381.pub4

Kent-Walsh, K., & McNaughton, D. (2005). Communication partner instruction in AAC: Present practices and future directions. Augmentative and Alternative Communication, 21(3), 195–204. https://doi.org/10.1080/07434610500283525

Koshimori, Y., Akkunje, P. S., Tjiandri, E., Kowaleski, J. B., & Thaut, M. H. (2025). Music-based interventions for nonfluent aphasia: A systematic review of randomized control trials. Annals of the New York Academy of Sciences, 1549(1), 92–111. https://doi.org/10.1111/nyas.15387

Light, J., & McNaughton, D. (2014). Communicative competence for individuals who require augmentative and alternative communication: A new definition for a new era of communication? Augmentative and Alternative Communication, 30(1), 1–18. https://doi.org/10.3109/07434618.2014.885080

Martinez, L. S., & Pires, S. C. F. (2022). Profile of speech-language pathology care focused on augmentative and alternative communication. Audiology – Communication Research, 27, e2642. https://doi.org/10.1590/2317-6431-20-22-2642en

Matos, R., & Ferreira, R. N. (2017). Brasil em crise e o emprego formal no Sudeste. Caminhos de Geografia, 18(61), 150–164. https://doi.org/10.14393/RCG186-110

Saussure, F. de. (2006). Curso de linguística geral. Cultrix.

Shi, Z., Wang, S., Chen, M., Hu, A., Long, Q., & Lee Y. (2024). The effect of music therapy on language communication and social skills in children with autism spectrum disorder: A systematic review and meta-analysis. Frontiers in Psychology, 15, 1336421. https://doi.org/10.3389/fpsyg.2024.1336421

Toffolo, M. R. (2010). Improvisação no setting musicoterápico: uma experiência com pacientes adultos cegos. Brazilian Journal of Music Therapy, (10).

Wandin, H., Tegler, H., Svedberg, L., & Johnels, L. (2023). A scoping review of aided AAC modeling for individuals with developmental disabilities and emergent communication. Current Developmental Disorders Reports, 10, 123–131. https://doi.org/10.1007/s40474-023-00275-7

Published

2026-07-06

How to Cite

de Castria Paim, B., do Carmo Oliveira, G., & Lisbôa Mezzomo, C. (2026). National overview of the use of Augmentative and Alternative Communication by music therapists: professional profile, clinical demands, and challenges. InCantare Journal, 23, 1–16. https://doi.org/10.33871/2317417X.2026.23.12008