Speech-language pathology teletherapy in rural and remote educational settings: Decreasing service inequities

Fairweather, Glenn Craig; Lincoln, Michelle; Ramsden, Robyn

doi:10.3109/17549507.2016.1143973

Cited by 102 publications

(167 citation statements)

References 26 publications

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“…A handful of telehealth studies examining stakeholder perspectives have been conducted in speech-language pathology for school-aged children [7][8][9][10][11] and occupational therapy early intervention. 12 No studies investigate barriers to communitybased multidisciplinary paediatric allied health telehealth from a multi-stakeholder perspective.…”

Section: Introductionmentioning

confidence: 99%

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

Campbell

Theodoros

Russell

et al. 2019

Australian J Rural Health

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Objective: To examine allied health client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services to facilitate adoption. Design: A qualitative design employed semistructured interviews with the three key stakeholder groups. Setting: Stakeholders were associated with BUSHkids (The Royal Queensland Bush Children's Health Scheme), a not-for-profit organisation serving children and families in Queensland, Australia. Participants: Thirty-nine stakeholders (12 clients, 16 providers and 11 community referrers). Main outcome measures:Participants were asked about familiarity with telehealth, willingness to use telehealth and perceived barriers and facilitators to telehealth acceptability. Result: Fifty-nine percent of participants had experienced telehealth and 77 percent were willing to use it. Participants perceived that technology problems were a barrier to telehealth, that children would not be able to concentrate on or enjoy telehealth sessions, that relationships and communication would be inferior to in-person sessions, and that telehealth was inappropriate for disciplines employing physical touch. Participants identified access to health services as a key benefit of telehealth, said that technology problems could be worked around, and said that telehealth services could be supported with internal partners (eg, assistants) and external partners (eg, local medical centres).They also identified a variety of telehealth benefits to families (eg, convenience, privacy). Conclusion: Overall, telehealth was acceptable to stakeholders. Providers need training to facilitate child participation online and identify alternatives to physical touch. Co-learning opportunities should be used to address low provider and referrer self-efficacy. K E Y W O R D Sallied health, children, perceptions, stakeholders, telehealth 420 |

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Section: Introductionmentioning

confidence: 99%

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

Campbell

Theodoros

Russell

et al. 2019

Australian J Rural Health

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“…The speech-language pathology telehealth program CNS has been described in Fairweather, Lincoln and Ramsden (2016) 33 . Speech-language pathologists in Sydney provided therapy interventions remotely via low-bandwidth videoconferencing, with email follow-up.…”

Section: The Telehealth Programmentioning

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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“…45,[99][100][101][102][103][104][105][106][107][108][109][110][111][112][113] Many focus specifically on the clinical use of Skype, 91,[114][115][116][117][118][119][120][121][122][123] either on its own or in combination with other technologies [e.g. WhatsApp (WhatsApp Inc., Mountain View, CA, USA) messaging 124 or FaceTime 125,126 ]. A handful of papers examine the perceived…”

Section: Evidence Relating To the Use Of Virtual Consultationsmentioning

confidence: 99%

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Shaw

Wherton

Vijayaraghavan

et al. 2018

Health Serv Deliv Res

148

186

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Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 13/59/26. The contractual start date was in March 2015. The final report began editorial review in July 2017 and was accepted for publication in November 2017. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health and Social Care. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Depar...

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Speech-language pathology teletherapy in rural and remote educational settings: Decreasing service inequities

Cited by 102 publications

References 26 publications

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

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

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

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