What is it about?
Aphasia is a language difficulty that can occur after a stroke or other brain injury. It can affect speaking, understanding, reading, and writing, making it harder for people to stay connected with others. Online aphasia groups have become increasingly common and offer opportunities for conversation, friendship, support, and participation from home. This paper presents international guidance on how to create and run successful online aphasia groups. Researchers, clinicians, group facilitators, and people involved in aphasia support worked together to identify what helps these groups work well and what challenges need to be addressed. The guidance highlights many benefits of online groups. They can increase access to support, particularly for people who live far from services, have mobility difficulties, or find travelling challenging. Online groups can help reduce isolation, build confidence, encourage communication, and create a sense of belonging. The paper also recognises potential barriers, including difficulties with technology, internet access, fatigue, and the challenges of communicating online. To overcome these barriers, groups should provide technology support, use accessible communication methods, and create welcoming environments where everyone can participate. Key recommendations include providing clear information before people join, ensuring facilitators are trained to support communication, encouraging different ways to communicate, and adapting activities to participants' needs and interests. Well-designed online aphasia groups can play an important role in helping people with aphasia stay connected, participate in meaningful activities, and access ongoing social and emotional support.
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Why is it important?
Many people with aphasia experience loneliness, reduced social participation, and difficulties accessing ongoing support. Online aphasia groups can help people stay connected, share experiences, build confidence, and continue communicating with others in meaningful ways. They can also make support more accessible for people who live in rural areas, have mobility challenges, or cannot easily travel to in-person groups. As online services become more common, it is important to understand how to make these groups inclusive, accessible, and effective. This guidance provides practical recommendations to help organisations, clinicians, volunteers, and community groups create positive online experiences that enable people with aphasia to participate fully and benefit from social connection and peer support.
Perspectives
This international collaboration provides practical guidance and resources. It will be useful for people who are setting up, revising, or considering getting started in running online groups for the aphasia community. We hope you find it helpful and accessible and that is supports connection for you and your community.
Abi Roper
Read the Original
This page is a summary of: Best Practice International Guidelines on Online Communities of Aphasia Groups, American Journal of Speech-Language Pathology, October 2026, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2026_ajslp-26-00043.
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