Perspectives of Speech-Language Pathologists on the Use of Telepractice in Schools: Quantitative Survey Results

Tucker, Janice K.

doi:10.5195/ijt.2012.6100

Cited by 41 publications

(81 citation statements)

References 16 publications

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“…This is consistent with other studies that have found that exposure to telepractice is associated with more positive beliefs regarding its use (175,176,182,183,219). Tucker (175) has suggested that SLPs with greater awareness, experience, and confidence in the use of telepractice will be more willing to implement it with their patients.…”

Section: Speech-language Pathologists' Experiences Of Providing Telepsupporting

confidence: 90%

“…A number of papers have confirmed the efficacy of fluency management via telepractice (211,(221)(222)(223)(224)(225)(226), and previous surveys by ASHA (176) and Tucker (175) found that 46% and 29% of SLPs (respectively) have provided fluency services via telepractice. Most respondents had used custom-built hardware-based equipment, presumably because most large tertiary hospitals have access to this technology.…”

Section: Speech-language Pathologists' Experiences Of Providing Telepmentioning

confidence: 79%

“…• negative perceptions (175,176,180) • reduced understanding (176,180) • a lack of training (179,180,183) • a need for assessment and therapy tools that have been adapted for the telepractice environment (175,182,183) • a desire for more professional standards, research evidence, and guidelines (175,176,178,180,182) • concerns about equipment and technology (175,(178)(179)(180)(181)(182)(183) • a lack of information and communications technology (ICT) support (182) • concerns about time required for consults, and to establish a telepractice service (176,179) • a lack of funding and difficulty with reimbursement (175,176,(178)(179)(180)182) • concerns about patient confidentiality (176)…”

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

confidence: 99%

“…Paediatric SLPs identified an additional barrier: concerns regarding their ability to build relationships with children, caregivers, and teachers during telepractice consults (175,183).…”

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

confidence: 99%

“…It is encouraging to see in the literature that many SLPs hope to use telepractice in the future despite these barriers (176,178,180,181), and that the majority of current users view telepractice positively (175,183) and would like to use it more often with their patients (176,182). No studies have reported data regarding rates of telepractice adoption among SLPs who work in tertiary children's hospitals, so it is not clear how many CMC currently receive telepractice services, or what the specific challenges and opportunities are for telepractice use among this group of children.…”

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

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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Section: Speech-language Pathologists' Experiences Of Providing Telepsupporting

confidence: 90%

Section: Speech-language Pathologists' Experiences Of Providing Telepmentioning

confidence: 79%

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

confidence: 99%

“…Paediatric SLPs identified an additional barrier: concerns regarding their ability to build relationships with children, caregivers, and teachers during telepractice consults (175,183).…”

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

confidence: 99%

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

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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Exploring factors influencing the use of an eHealth intervention for families of children with hearing loss: An application of the COM-B model

Nickbakht

Meyer

Scarinci

et al. 2020

Disability and Health Journal

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Background: Prior to developing a successful eHealth intervention, it is important that we explore stakeholders' capacity to adapt to eHealth. Objective: To explore what factors influence the use eHealth services from the perspectives of families of children with hearing loss and professionals who support families as they transition into early intervention. Methods: A qualitative study incorporating semi-structured in-depth interviews was conducted with families (n = 17) and professionals (n = 11). Interview topic guides were developed based on the COM-B model of behaviour change to explore barriers and facilitators related to capability, opportunity, and motivation. Results: The COM-B model captured several factors that may influence the use eHealth interventions for families of children with hearing loss. The capability factors included computer literacy and familiarity with social media. The opportunity factors wereaccess to online resources, reliable Internet, and affordable equipment. Professionals' and families' preferences and a culture of face-to-face services were also identified as barriers for using eHealth. The motivation factors included families' and professionals' confidence in using technology and beliefs that there were benefits (e.g., saving travel) associated with using eHealth services. In contrast, beliefs that eHealth may be difficult to set up and not able to replace in-person communication identified as barriers to families and professionals adopting eHealth interventions. 4Conclusion: Findings of this study indicated that implementation of an eHealth intervention could be facilitated by addressing the barriers in stakeholders' capabilities, opportunities (e.g., equipment and social support), and motivation (e.g., negative beliefs about eHealth) before developing eHealth services.

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Stuttering therapy through telepractice in Turkey: A mixed method study

Cangi

Toğram

2020

Journal of Fluency Disorders

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Highlights Considering the quantitative findings, the telepractice and in-person groups showed a performance on an equivalent level. The greatest majority of the participants reported that they had adapted to telepractice and that this method was appropriate for them, despite barriers. For the clinician, loss of time, cost, and effort occurred more than expected for telepractice service. Some qualifications, such as experience, psychological factors, and lifestyle, have emerged as suitable candidate criteria for telepractice and the success of treatment. This delivery method can be a great alternative when in-person services cannot be carried out in circumstances such as rural life or global disasters like COVID-19 Pandemic.

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Perspectives of Speech-Language Pathologists on the Use of Telepractice in Schools: Quantitative Survey Results

Cited by 41 publications

References 16 publications

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

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

Exploring factors influencing the use of an eHealth intervention for families of children with hearing loss: An application of the COM-B model

Stuttering therapy through telepractice in Turkey: A mixed method study

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