A pilot study of online assessment of childhood speech disorders

Waite, Monique; Cahill, Louise; Theodoros, Deborah; Busuttin, Sarah; Russell, Trevor

doi:10.1258/135763306779380048

Cited by 69 publications

(134 citation statements)

References 11 publications

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“…Two of these studies randomly allocated participants to an in-person-or telepractice-led condition, and these studies also randomly allocated SLP roles (34,35). The other studies did not use randomisation to allocate participants or assign SLP roles (33,(36)(37)(38)41). …”

Section: Resultsmentioning

confidence: 99%

“…Four studies investigated the reliability of telepractice assessment by measuring intra-and/or interrater reliability (34)(35)(36)40). Three papers included a parent satisfaction survey (33,38,41).…”

Section: Methodsmentioning

confidence: 99%

“…The remaining papers completed comprehensive assessment via telepractice using both formal and informal tools (33)(34)(35)(36)(37)41). All of the formal speech and language screeners and assessments used in the studies are validated tools (185)(186)(187)(188)(189)(190)(191)(192)(193)(194).…”

Section: Speech and Language Assessment Toolsmentioning

confidence: 99%

“…All of the formal speech and language screeners and assessments used in the studies are validated tools (185)(186)(187)(188)(189)(190)(191)(192)(193)(194). Four papers examined language screening/assessment (35,(39)(40)(41), three papers examined speech screening/assessment (33,34,36), and two papers considered both speech and language screening/assessment (37, 38).…”

Section: Speech and Language Assessment Toolsmentioning

confidence: 99%

“…There is a growing body of research that supports telepractice for speech pathology service delivery (32), however, only one study to date has investigated the use of telepractice for screening or assessment with CMC (33). There is also limited evidence to support telepractice speech and language screening among the broader paediatric population (34)(35)(36)(37)(38)(39)(40)(41). Thus, the overall aim of my thesis is to investigate the role of telepractice for remote speech and language screening of CMC.…”

Section: Chapter 1 Introductionmentioning

confidence: 99%

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Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

Taylor¹

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Effective communication is vital for healthy development and successful educational and vocational outcomes. For children with medical complexity (CMC), the interaction between medical complexity and a speech and language impairment may put them at particular risk for adverse effects. It is important that these children are promptly assessed and diagnosed so that intervention can be started early. Medical complexity is rare in childhood, thus CMC usually access speech pathology services through tertiary facilities where staff have specialist experience and resources, and work as part of a coordinated tertiary team. Unfortunately these facilities are typically located in metropolitan centres, which may compromise service accessibility for CMC living in rural and remote locations.A potential solution to improve service accessibility is remote speech and language screening using telepractice. Telepractice screening allows the speech-language pathologist (SLP) to distinguish those children who need further assessment at the tertiary hospital from those with normal speech and language. This model is increasingly used for the delivery of tertiary medical services, however, there is little research to support the use of telepractice for paediatric speech and language screening, and very few studies have included CMC. Thus, the overall purpose of this research project was to investigate the role of telepractice for remote speech and language screening of CMC. To achieve this aim, two studies were carried out.The first study was an international survey of tertiary SLPs that aimed to describe access difficulties experienced by CMC, and to investigate the rate of telepractice adoption among SLPs who work with CMC. The survey was administered in 2011 (n = 46) and repeated in 2015 (n = 47). This survey identified widespread access difficulties experienced by CMC, highlighting a need for alternative service delivery models such as telepractice. Telepractice adoption among tertiary SLPs more than doubled between 2011 and 2015 (p < 0.05), and in 2015 the rates of telepractice adoption were higher (40%) than previously reported for the general speech pathology profession. Tertiary SLPs were willing to use telepractice with their CMC patients, and considered a wide range of patient groups and service types to be appropriate for telepractice delivery. However, some SLPs were reluctant to use telepractice for direct services such as screening, and a number of barriers to telepractice adoption were identified, including inability poor audio and image quality, lack of experience with telepractice, concerns about behaviour management and use of hands-on techniques, and concerns about the caregiver's inability to assist during telepractice sessions.ii The second study was an exploratory method comparison study that aimed to investigate the feasibility, validity, and acceptability of speech and language screening via telepractice for CMC.This study compared in-person speech and language screening with two telepractice screening ...

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