Comparison

Conversation Therapy vs Keyword Understanding

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Conversation Therapy

This app provides a tool to spark conversation and help individuals with speech or language impairments practice therapy strategies. It offers thousands of customizable conversation starters, supports one-on-one or group sessions, and tracks progress.

Highlights
  • Thousands of conversation starters
  • Customizable settings
  • Supports one-on-one and group sessions
  • Audio recording and progress tracking
  • Multiple languages supported
  • Vivid photo prompts
Read full description

Work more effectively toward your speech therapy goals. Help people who have had a stroke, live with autism, or have a speech or language impairment get talking with an app that sparks conversation. The best way to improve talking is by talking! - Get a tool that helps adults, teens, and children put therapy strategies into practice - Improve language, social skills, speech, and thinking while using this powerful speech therapy app - Carryover the lessons from speech therapy at home with an app that’s easy for everyone to use - Focus on what matters – stop racking your brain for fresh topics and let the app guide you - Take things in any direction with thousands of possible conversation starters - Create the right experience for each person with customizable settings - Talk one-on-one, host groups of up to 4 at a time, and track improvement with ease ** SEE HOW IT CAN HELP – download the Lite version for FREE! ** Coming up with fresh, attention-grabbing conversation starters every day is surprisingly hard, even for speech therapy professionals. Think of this app as your talk facilitator, taking the pressure and planning out of starting and maintaining dialogue while you monitor how your clients use their speech strategies. "This is the app that is going to pave the way for converting speech therapists to the digital age." - Ryan Knoblauch, SLP, The Speech Knob GETTING STARTED IS AS EASY AS 1, 2, 3 Target higher-level expressive language, pragmatic, problem-solving, speech, and cognitive-communication goals with open-ended conversation starters. Here’s how it works. 1) CHOOSE YOUR CATEGORIES. Tailor your experience with specific topics like Food or Health, or select all topics for free-flowing discussion that could go anywhere! You can always change the settings to see only age-appropriate categories for children, teens, or adults. 2) START THE CONVERSATION. Look at the picture, then touch any of the 10 buttons to see a question. The questions on the left are simpler (like “What is…?”) while the ones on the right are more complex (“How do you know…?”). Hear the question aloud, record your own audio, and score answers as you go. 3) USE YOUR STRATEGIES. While taking turns discussing the answers to the questions, use your word-finding strategies, smooth speech techniques, or other personalized therapy approaches to communicate more clearly. ALL DONE? E-mail an automatically generated summary of your results, along with any audio, or share the results to a PDF, file storage, printer, or copy/paste. GET EVERY FEATURE YOU NEED IN ONE EASY APP - 275+ vivid photos, with 10 questions per photo, for over 2,750 possible questions - 10 languages: English, Dutch, Filipino, Finnish, French, German, Italian, Portuguese, Spanish, Zulu - 11 categories full of real-world topics including daily life, hobbies, current events, social issues, health concerns, and much more - Record audio at any time with just a tap - Perfect for treating language, cognitive-communication, pragmatic, and speech disorders - Great as stimulus material to work on fluency, articulation, eye contact, and word-finding strategies in spontaneous speech - No subscriptions, no monthly bills, no Wi-Fi needed BETTER DISCUSSIONS MEAN BETTER PRACTICE. Inspire curiosity and creativity while motivating people to keep improving – DOWNLOAD IT NOW! Looking for something different in a speech therapy app? We offer a wide range to choose from. Find the right one for you at tactustherapy.com/find

About

Keyword Understanding

This app helps users of all ages improve their ability to understand spoken and written directions. It features various activities targeting vocabulary, basic concepts, and sequential instructions, making it beneficial for individuals with listening comprehension or processing difficulties.

Highlights
  • Follow spoken and written directions
  • Improve vocabulary and basic concepts
  • Target auditory attention and working memory
  • Activities for one and two-step directions
  • Temporal and sequential direction practice
  • Comprehension check for vocabulary and concepts
Features
Read full description

“This app is great for children with processing difficulties which need to improve their ability to follow directions with a variety of embedded concepts.” ~ Smart Speech Therapy blog “Every child I have used it with has been very engaged by the lovely, brightly-colored pictures, and has quite happily kept on listening and following the instructions.” ~ Speech Blog UK “It can be used for informal assessments, language therapy and home practice. It can also be used to target auditory attention and working memory for cognitive-communication goals.” ~ Speaking of Apps blog Keyword Understanding is a professional speech and language therapy app that targets the ability to understand sentences and follow spoken and written directions of increasing difficulty. Children and adults are asked to follow directions in their everyday lives. In order to follow directions, the child or adult requires a strong knowledge of vocabulary, basic concepts and the ability to process and retain the information they have listened to or read. WHO IS KEYWORD UNDERSTANDING FOR? - Parents - Teachers - Speech language pathologists / Speech and language therapists - Children with reduced attention and listening comprehension or auditory processing difficulties  - Children with receptive language delay, developmental language delay or autism - Adults with mild to moderate aphasia due to stroke or traumatic brain injury - Adults with cognitive-communication difficulties due to stroke or traumatic brain injury  WHAT COMPREHENSION ACTIVITIES ARE INCLUDED IN KEYWORD UNDERSTANDING? Comprehension Check: This activity helps you identify where comprehension breaks down. It checks the understanding of individual vocabulary items, and the basic concepts of size and color. Object, Size & Color: This activity works on the understanding of the basic concepts of size and color as well as the ability to follow one and two-step directions of increasing difficulty. 2 keyword level: Touch the green car 3 keyword level: Touch the big red mug 4 keyword level: Touch the green vase and the yellow cushion 6 keyword level: Touch the small pink gloves and the big blue comb Before & After: This activity works on the ability to understand and follow temporal directions (directions which include the concepts before/after in a variety of positions in the sentence). “Before you touch the t-shirt, touch the phone” “After you touch the lamp, touch the vase”, “Touch the flower before you touch the box”, “Touch the sock after you touch the bucket”. First & Then: This activity works on the ability to understand and follow sequential directions (directions which include the concepts first/then in the sentence). “First touch the ladder, then touch the bike”.  WHAT LANGUAGE & COGNITIVE SKILLS DOES KEYWORD UNDERSTANDING TARGET? - Vocabulary - Listening / Auditory Comprehension - Reading Comprehension - Working Memory - Attention to Detail - Language Processing - Basic Concepts / Adjectives (size, color) - Temporal Directions (Before/After) - Sequential Directions (First… Then)  FEATURES 3 modes: - Listening/ Auditory Only: Match the spoken direction to the picture(s) - Reading Only: Match the written direction to the picture(s) - Listening and Reading: Match the spoken and written directions to the picture(s) Keyword Understanding lets you: - Choose from a variety of vocabulary items in different sizes and five different colors allowing for thousands of following directions tasks - Follow directions of increasing difficulty and length - Add individual user profiles - Automatically track correct and incorrect responses of each user - Email a detailed result summary after a session or at a later date - Receive audio feedback for correct answers only, incorrect answers only or both All Aptus Speech Therapy apps participate in the 50% off Volume Purchase Program.  Visit our website for more details about our other speech and language therapy apps.

Screenshots

Conversation Therapy4 screens
Keyword Understanding4 screens

Verdict

The call

The clearest difference is review sentiment: Conversation Therapy at 100% against Keyword Understanding's 25%. Conversation Therapy also leads on ratings volume (120 vs 3) and iOS requirement (9.0 vs 15.0). Keyword Understanding's advantage is price ($17.99 vs $29.99) and rating (5.0 vs 4.8). On update cadence, ads, in-app purchases and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Conversation Therapy costs $29.99 and Keyword Understanding $17.99 up front. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

Keyword Understanding holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: Conversation Therapy has 120 ratings behind it against 3, so its average is the more settled of the two. Written reviews complicate that: 100% of Conversation Therapy's written reviews are positive against 25% of Keyword Understanding's, so the app with the better star average is not the one people write more warmly about.

UpkeepUpdate frequency

Conversation Therapy ships an update every 7 months, Keyword Understanding every 10 months. The most recent releases landed on October 12, 2026 and October 8, 2026 respectively.

Scorecard6 real differences · 4 level
Conversation Therapy versus Keyword Understanding: the parameters behind the verdict, then further details
ParameterConversation TherapyKeyword Understanding
Price$29.99$17.99 — better
Rating4.8 (120 ratings)5.0 (3 ratings) — better
Positive reviews100.0% of reviews — better25.0% of reviews
Number of ratings120 — better3
Update frequencyEvery 7 months — betterEvery 10 months
AdsNoNo
In-app purchasesNoNo
MonetizationFree with in-app purchases — betterPaid
DevicesiPhone, iPad, iPodiPhone, iPad, iPod
Requires iOS9.0 — better15.0
Further details — not scored
Size89 MB64 MB
Age rating12+4+
DeveloperTactus Therapy Solutions Ltd.Aptus Speech and Language Therapy Limited

Customer experience

Conversation Therapy

All ratings120 ratings
Positive95.8%
Neutral2.5%
Negative1.7%
Written reviews16 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

Keyword Understanding

All ratings3 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews4 reviews
Positive25.0%
Neutral0.0%
Negative75.0%

In-app purchases

None

Conversation Therapy

No in-app purchases

None

Keyword Understanding

No in-app purchases

Questions

Is Conversation Therapy free?
Conversation Therapy costs $29.99, with no in-app purchases.
Is Keyword Understanding free?
Keyword Understanding costs $17.99, with no in-app purchases.
Which has better reviews, Conversation Therapy or Keyword Understanding?
Keyword Understanding is rated higher. Conversation Therapy averages 4.8 out of 5 from 120 ratings, while Keyword Understanding averages 5.0 from 3 ratings.
Do Conversation Therapy or Keyword Understanding have ads?
Neither Conversation Therapy nor Keyword Understanding shows ads.
Which is updated more often, Conversation Therapy or Keyword Understanding?
Conversation Therapy ships an update every 7 months, and Keyword Understanding every 10 months. Most recently, Conversation Therapy was updated on October 12, 2026 and Keyword Understanding on October 8, 2026.

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