Randomized controlled trial of a multisite speech pathology telepractice service providing swallowing and communication intervention to patients with head and neck cancer: Evaluation of service outcomes

Burns, Clare L.; Ward, Elizabeth C.; Hill, Anne J.; Kularatna, Sanjeewa; Byrnes, Joshua; Kenny, Lizbeth

doi:10.1002/hed.24706

Cited by 69 publications

(115 citation statements)

References 38 publications

(77 reference statements)

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“…This outcome verifies that synchronous telepractice care can be utilized to provide cost efficient specialist speech pathology services to patients with head and neck cancer at their local health facility. In conjunction with the positive patient outcomes and service benefits previously reported for this clinical model, the data support the telepractice model of care as a valid clinical service model that can help minimize patients' time, costs, and the emotional burden of traveling to a metropolitan center for care.…”

Section: Discussionsupporting

confidence: 65%

“…A full description of the RCT methodology is described elsewhere . In brief, patients with head and neck cancer attending the participating regional services were referred by their local speech pathologist to the metropolitan (Royal Brisbane and Women's Hospital) specialist speech pathologist for support regarding a clinical problem related to their head and neck cancer treatment.…”

Section: Methodsmentioning

confidence: 99%

“…A range of parameters pertaining to the service and costs were collected prospectively, of which only the parameters used in the cost analysis are reported here. Service outcomes and consumer and clinician satisfaction are reported elsewhere . The primary cost measure was the cost to the health service for delivering the intervention, whereas the secondary outcome measures were the costs incurred by the patient and carer (if present) for receiving the speech pathology treatment (including travel and time costs).…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the purpose of the current study was to conduct a health service evaluation to investigate costs to the health service and patients associated with attending the synchronous telepractice service, as compared to the historical support model of care involving speech pathology support between clinicians using asynchronous telepractice methods (telephone/email contact) +/‐ the patient traveling to the local/metropolitan cancer center for face‐to‐face appointments. Further details of the service model and its evaluation have been reported elsewhere . In relation to economic outcomes, it was hypothesized that the new synchronous telepractice model of care would be more cost effective than standard care.…”

Section: Introductionmentioning

confidence: 99%

“…Further details of the service model and its evaluation have been reported elsewhere. 46 In relation to economic outcomes, it was hypothesized that the new synchronous telepractice model of care would be more cost effective than standard care.…”

mentioning

confidence: 99%

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Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer

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Section: Discussionsupporting

confidence: 65%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer

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Speech pathology service enhancement for people with head and neck cancer living in rural areas: Using a concept mapping approach to inform service change

et al. 2021

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Background Speech pathology (SP) services provide swallowing and communication intervention to people with head and neck cancer (HNC) across the continuum of care. However, difficulties exist with access and delivery of services in rural areas. The study aim was to identify actionable goals for SP change, utilizing a concept mapping approach. Methods Eleven SP staff from two regional/remote services completed the concept mapping process. Multivariate analysis and multidimensional scaling were used to develop a final set of prioritized goals for change. Results Between the two participating health services, 30 actionable goals were identified within the “green‐zone” on the go‐zone graph of importance and changeability. Among the most highly rated areas for change was the need to deliver and receive more support for training, mentoring, and supervision to consolidate skills. Conclusions This methodology enabled identification of prioritized, actionable changes to improve SP services for people with HNC living in regional/remote areas.

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Applications of Telemedicine in Speech‐Language Pathology: Evaluation of Patient Satisfaction

et al. 2022

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Objectives The study aimed to evaluate patient satisfaction with speech‐language therapy televisits and to identify factors influencing the level of satisfaction. Methods Participants were recruited from an academic tertiary voice and swallowing center who had completed ≥1 telehealth session of speech‐language therapy with a speech‐language pathologist between March, 2020 and April, 2021. Patient satisfaction was assessed using the Short Assessment of Patient Satisfaction (SAPS), a validated 7‐item survey. Demographic characteristics of participants were collected from a review of patient charts. Results 65/239 patients completed the SAPS survey, representing a response rate of 27%. The average age of study participants was 54.92 ± 16.45 years, with 49.2% identifying as female, 33.9% as male, and 16.9% as trans‐female. The mean SAPS score was 22.60 ± 3.89, with 84.62% of patients satisfied or very satisfied with their visit. Patients were most satisfied with provider respect (3.91 ± 0.34) and care received (3.74 ± 0.64), and least satisfied with visit length (2.32 ± 1.38) and explanation of treatment results (2.62 ± 1.72). Patient satisfaction was positively correlated with younger age and an increased number of televisits. Satisfaction did not differ significantly by gender identity, type of therapy received, insurance type, travel distance, or prior in‐person therapy. Conclusion Clinicians are able to achieve high patient satisfaction with speech‐language therapy when delivered by telehealth. Patient satisfaction remained high across diverse patient populations and range of clinical needs. Clinicians should remain cognizant of the unique limitations of older patients when conducting telehealth visits. Lay Summary Clinicians are able to achieve high patient satisfaction with speech‐language therapy when delivered via telehealth. Satisfaction remained high regardless of gender identity, type of therapy received, type of insurance, travel distance, or completion of prior in‐person therapy. Level of Evidence 4 Laryngoscope, 133:895–900, 2023

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Randomized controlled trial of a multisite speech pathology telepractice service providing swallowing and communication intervention to patients with head and neck cancer: Evaluation of service outcomes

Abstract: A speech pathology telepractice service benefits both the patient and health provider through higher service efficiency and treatment satisfaction. © 2017 Wiley Periodicals, Inc. Head Neck 39: 932-939, 2017.

Cited by 69 publications

References 38 publications

Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer

Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer

Speech pathology service enhancement for people with head and neck cancer living in rural areas: Using a concept mapping approach to inform service change

Applications of Telemedicine in Speech‐Language Pathology: Evaluation of Patient Satisfaction

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