Overview of Telehealth Activities in Speech-Language Pathology

Mashima, Pauline A.; Doarn, Charles R.

doi:10.1089/tmj.2008.0080

Cited by 228 publications

(218 citation statements)

References 34 publications

(64 reference statements)

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“…For example, 5 of the 37 reviews did not clearly describe the databases sea rched. 22,25,32,36,49 Information on search strategies was often rudimentary. Of the 37 included reviews, 7 searched only one or two databases or sources, such as the proceedings of a particular conference.…”

Section: Resultsmentioning

confidence: 99%

Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review

Mair

May

O’Donnell

et al. 2012

Bull. World Health Organ.

474

434

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Section: Resultsmentioning

confidence: 99%

Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review

Mair

May

O’Donnell

et al. 2012

Bull. World Health Organ.

474

434

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“…Telehealth is finding increasingly wide application among speech-language pathologists (SLPs) 16 . Its capacity to improve service access, efficiencies and outcomes for an expanding range of difficulties, disorders and populations is well supported by research 17 .…”

Section: Technology As Part Of a Solution To Allied Health Accessmentioning

confidence: 99%

Speech–language pathology telehealth in rural and remote schools: the experience of school executive and therapy assistants

Fairweather

Lincoln

Ramsden

2017

Rural Remote Health

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Introduction: Difficulties in accessing allied health services, especially in rural and remote areas, appear to be driving the use of telehealth services to children in schools. The objectives of this study were to investigate the experiences and views of school executive staff and therapy assistants regarding the feasibility and acceptability of a speech-language pathology telehealth program for children attending schools in rural and remote New South Wales, Australia. The program, called Come N See, provided therapy interventions remotely via low-bandwidth videoconferencing, with email follow-up. Over a 12-week period, children were offered therapy blocks of six fortnightly sessions, each lasting a maximum of 30 minutes. Methods: School executives (n=5) and therapy assistants (n=6) described factors that promoted or threatened the program's feasibility and acceptability, during semistructured interviews. Thematic content analysis with constant comparison was applied to the transcribed interviews to identify relationships in the data. Results: Emergent themes related to (a) unmet speech pathology needs, (b) building relationships, (c) telehealth's advantages, (d) telehealth's disadvantages, (e) anxiety replaced by joy and confidence in growing skills, and (f) supports. Conclusions: School executive staff and therapy assistants verified that the delivery of the school-based telehealth service was feasible and acceptable. However, the participants saw significant opportunities to enhance this acceptability through building into the program stronger working relationships and supports for stakeholders. These findings are important for the future development of allied health telehealth programs that are sustainable as well as effective and fit the needs of all crucial stakeholders. The results © GC Fairweather, MA Lincoln, R Ramsden 2017. A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2 have significant implications for speech pathology clinical practice relating to technology, program planning and teamwork within telehealth programs.

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“…Empirically tested telehealth screening measures may improve early identification and result in enhanced access to early intervention services. 11,12 This study was designed to evaluate the classification accuracy of hybrid telehealth measures when used to screen the language development of Spanish-speaking toddler-age children from rural and underserved communities. An asynchronous model was applied, because of challenges with connectivity in the rural areas where the study was conducted.…”

Section: Current Studymentioning

confidence: 99%

Telehealth Measures Screening for Developmental Language Disorders in Spanish-Speaking Toddlers

Guiberson

2016

Telemedicine and e-Health

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Background: This is the second of two studies that described the use of telehealth language screening measures for use with young Spanish-speaking children. Introduction: The purpose of this study was to describe the classification accuracy of individual telehealth language screening measures as well as the accuracy of combinations of measures used with Spanishspeaking toddler-age children from rural and underserved areas of the country. Materials and Methods: This study applied an asynchronous hybrid telehealth approach that implemented parent-structured play activities with a standard set of stimuli, and interaction with a My First Words e-book. These interactions were recorded with a mini camcorder. In addition, a traditional pen and paper parent questionnaire measure was collected. Sixty-two mostly Spanish-speaking preschool-age children and their parents participated. Twentytwo children had developmental language disorders (DLDs) and 40 had typical language development. Results: Although several of the individual measures were significantly and strongly associated with standardized language scores, only reported vocabulary had classification accuracy values that were desirable for screening for DLDs. An improvement was observed when reported vocabulary was combined with a number of different words children produced during interactions with parents. Conclusions: This research provides additional evidence showing the effectiveness of a hybrid telehealth model in screening the language development of Spanish-speaking children. More specifically, reported vocabulary combined with number of different words produced by a child can provide informative and accurate diagnostic information when screening Spanish-speaking toddler-age children for DLDs. These findings replicate the first study in showing that hybrid telehealth approaches that combine the use of video technology and traditional pen and paper surveys yield strong results, and may be a viable screening alternative when face-to-face access to a bilingual provider is not possible.

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Overview of Telehealth Activities in Speech-Language Pathology

Cited by 228 publications

References 34 publications

Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review

Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review

Speech–language pathology telehealth in rural and remote schools: the experience of school executive and therapy assistants

Telehealth Measures Screening for Developmental Language Disorders in Spanish-Speaking Toddlers

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