Onwi, NadwahRomli, Muhammad HibatullahSingh, Susheel Kaur Dhillon JoginderSalim, Mazatulfazura SfDada, ShakilaNazan, Ahmad Iqmer Nashriq Mohd2026-02-022026Nadwah Onwi, Muhammad Hibatullah Romli, Susheel Kaur Dhillon Joginder Singh, Mazatulfazura SF Salim, Shakila Dada & Ahmad Iqmer Nashriq Mohd Nazan (05 Jan 2026): Aphasia telepractice in action: insights and opportunities from Malaysian speech- language pathologists, Aphasiology, DOI: 10.1080/02687038.2025.2610413.0268-7038 (print)1464-5041 (online)10.1080/02687038.2025.2610413http://hdl.handle.net/2263/107766BACKGROUND : 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.en© 2026 Informa UK Limited, trading as Taylor & Francis Group. This is an electronic version of an article published in Aphasiology, vol. , no. , pp. , 2026, doi : 10.1080/02687038.2025.2610413. Aphasiology is available online at : https://www.tandfonline.com/loi/paph20.AphasiaTelepracticeSpeech-language pathologistQualitative studyInsightsPostprint Article