Comparing Traditional Service Delivery and Telepractice for Speech Sound Production Using a Functional Outcome Measure

Coufal, Kathy L.; Parham, Douglas F.; Jakubowitz, Melissa; Howell, Cassandra; Reyes, Jared

doi:10.1044/2017_ajslp-16-0070

Cited by 46 publications

(35 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies have found that therapy delivered via connected health had comparable results with faceto-face therapy for children with speech sound disorders (Grogan-Johnson et al 2013, Gabel et al 2013, Coufal et al 2018. In the present study, connected health was used to monitor progress, allowing the CSLT to assess the child's production of sounds and to discuss, advise and problem solve with the trained parents on the therapy process.…”

Section: Discussionmentioning

confidence: 87%

“…Connected health is another alternative service delivery model addressing the issue of inadequate access to speech and language therapy (Coufal et al 2018). It is a subdivision of telemedicine and characterized by the use of consumer technologies to engage with patients outside a hospital setting (Sweeney et al 2016-17).…”

Section: Introductionmentioning

confidence: 99%

“…It is a subdivision of telemedicine and characterized by the use of consumer technologies to engage with patients outside a hospital setting (Sweeney et al 2016-17). Coufal et al (2018) compared connected health therapy with face-to-face therapy in a large-scale retrospective study of children between the ages of 6 and 9 years with speech sound disorders, and found no difference in outcomes between the two groups. Other studies have reported similar findings (Grogan-Johnson et al 2013, Gabel et al 2013, Lee 2018.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Randomized controlled trial comparing Parent Led Therapist Supervised Articulation Therapy (PLAT) with routine intervention for children with speech disorders associated with cleft palate

Sweeney¹,

Hegarty

Powell³

et al. 2020

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

Background A total of 68% of pre‐school children with cleft palate have speech problems requiring speech therapy. There is a lack of access to regular targeted therapy. Parent training leads to positive outcomes in early communication skills in cleft palate and non‐cleft speech disorders. Connected health has been used to address inadequate access to therapy, providing intervention to those who would not otherwise receive therapy. Aims To evaluate the speech, activity and participation outcomes of Parent Led, Therapist Supervised, Articulation Therapy (PLAT) compared with routine speech therapy intervention in parent–child dyads. Methods & Procedures A total of 44 children, aged 2.9–7.5 years, were included in a two‐centre, two‐phase randomized controlled trial. Informed consent and assent were obtained. Participants and speech and language therapists (SLTs) were unblinded to the groups. Parents, in the parent‐trained group (n = 23), attended 2 days’ training, received a detailed speech therapy programme, and undertook intervention over 12 weeks supported by the cleft specialist SLT using FaceTime and one face‐to‐face session. In the control arm (n = 21), parent–child dyads received six therapy sessions over 12 weeks with a research SLT, comparable with usual care. Speech recordings were undertaken pre‐ and post‐intervention. Percent consonant correct (PCC) was analysed by external SLTs blinded to the time and group. Activity and participation were measured using the Intelligibility in Context Scale (ICS) and Focus on Outcomes for Children Under Six (FOCUS) questionnaire. Outcomes & Results There was no evidence of an interaction between Time and Group or an overall statistical difference between groups for PCC scores. There was a statistically significant difference over time for both groups (words: p < 0.002; confidence interval (CI) = 9.38–16.27; d = 0.57; sentences: p < 0.002; CI = 16.04–25.97; d = 0.23). Effect sizes were medium for words and small for sentences. For intelligibility and participation, there was no evidence of an interaction between Time and Group or an overall statistical difference between groups. A statistically significant difference over time was found for intelligibility (F = 29.97, d.f. = 1, 42, p < 0.001, 95 % CI = 1.45–3.15 d = 0.46) and for participation (F = 14.19, d.f. = 1, 41, p < 0.001 95% CI = 7.63–25.03; d = 0.36) with FOCUS results indicating clinically meaningful (parent‐led group) and significant (control group) change in participation. Conclusions & Implications PLAT can be as effective as routine care in changing speech, activity and participation outcomes for children with cleft palate, when supported by a specialist cleft SLT using connected health.

show abstract

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Randomized controlled trial comparing Parent Led Therapist Supervised Articulation Therapy (PLAT) with routine intervention for children with speech disorders associated with cleft palate

Sweeney¹,

Hegarty

Powell³

et al. 2020

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

show abstract

“…Prior to the pandemic, the primary motivation for implementing telepractice was a lack of access to services provided by an in-person SLP. 13 In the current state, telepractice has become a primary method for service delivery due to safety concerns. In fact, the American Speech-Language-Hearing Association (ASHA) is advocating increased use of the model during the pandemic.…”

Section: School-based Service Delivery Modelsmentioning

confidence: 99%

The Five W's Meet the Three R's: The Who, What, When, Where, and Why of Telepractice Service Delivery for School-Based Speech-Language Therapy Services

Grogan-Johnson

2021

Semin Speech Lang

View full text Add to dashboard Cite

School-based speech-language pathologists (SLPs) are implementing telecommunication technologies for service provision. Telepractice is one among an array of service delivery models that can be successfully implemented in the public-school setting. While many school-based SLPs have been plunged into telepractice with the recent pandemic, this temporary shift to emergency instruction is not the same as fully implementing a telepractice service delivery model. SLPs who recognize the potential application of telecommunications would profit from additional training and experience to take advantage of the benefits of this service delivery model. The purpose of this article is to explore the concept of telepractice as a service delivery model, and to answer the who, what, when, where, and why questions of school-based telepractice. Telepractice is one of several service delivery models that school-based SLPs can confidently utilize to provide effective speech and language therapy services to school-age students.

show abstract

“…https://doi.org/10.12963/csd.20776 988 https://www.e-csd.org Na Yeon Kim, et al • Korean SLPs' Perception on Telepractice 게 엄청난 가능성을 열어줄 긍정적인 치료서비스임을 입증해 왔다 (Fong et al, 2020;Mashima et al, 2003;Tohidast, Mansuri, Bagheri, & Azimi, 2020). 구체적으로는 자폐스펙트럼장애, 언어발달장 애, 유창성장애, 말소리장애, 신경의사소통장애, 연하장애 등 다양 한 의사소통장애 유형에서 그 효과가 보고되었다 (Carey et al, 2010;Coufal, Parham, Jakubowitz, Howell, Reyes, 2018;Grogan-Johnson, Alvares, Rowan, & Creaghead, 2010;Grogan-Johnson et al, 2011;Lewis, Packman, Onslow, Simpson, & Jones, 2008;Morrell et al, 2017;Pullins & Grogan-Johnson, 2017;Weidner & Lowman, 2020).…”

unclassified

Perception of Korean Speech-Language Pathologists on Telepractice Service

Kim¹,

Ha²,

Park³

et al. 2020

Commun Sci Disord

View full text Add to dashboard Cite

Comparing Traditional Service Delivery and Telepractice for Speech Sound Production Using a Functional Outcome Measure

Abstract: These results suggest comparable treatment outcomes between traditional service delivery and telepractice for treatment of children exhibiting speech sound disorders. The findings provide support for the use of telepractice for school-age children.

Cited by 46 publications

References 15 publications

Randomized controlled trial comparing Parent Led Therapist Supervised Articulation Therapy (PLAT) with routine intervention for children with speech disorders associated with cleft palate

Randomized controlled trial comparing Parent Led Therapist Supervised Articulation Therapy (PLAT) with routine intervention for children with speech disorders associated with cleft palate

The Five W's Meet the Three R's: The Who, What, When, Where, and Why of Telepractice Service Delivery for School-Based Speech-Language Therapy Services

Perception of Korean Speech-Language Pathologists on Telepractice Service

Contact Info

Product

Resources

About