Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

Weidner, Kristen; Lowman, Joneen

doi:10.1044/2019_persp-19-00146

Cited by 158 publications

(138 citation statements)

References 73 publications

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“…A systematic review with 31 articles regarding adult telepractice services found that about 3% correspond to voice clinical practice. 53 Although telepractice is somehow the most appropriate approach during a pandemic scenario, it may not be appropriate in all circumstances or for all conditions that the patient presents. In this sense, the eligibility for the provision of services using this modality must be well considered before starting.…”

Section: Telepractice Generalitiesmentioning

confidence: 99%

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Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

et al. 2021

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Summary Introduction Since the beginning of the new pandemic, COVID-19 health services have had to face a new scenario. Voice therapy faces a double challenge, interventions using telepractice, and delivering rehabilitation services to a growing population of patients at risk of functional impairment related to the COVID-19 disease. Moreover, as COVID-19 is transmitted through droplets, it is critical to understand how to mitigate these risks during assessment and treatment. Objective To promote safety, and effective clinical practice to voice assessment and rehabilitation in the pandemic COVID-19 context for speech-language pathologists. Methods A group of 11 experts in voice and swallowing disorders from five different countries conducted a consensus recommendation following the American Academy of Otolaryngology-Head and Neck Surgery rules building a clinical guide for speech-language pathologists during this pandemic context. Results The clinical guide provides 65 recommendations for clinicians in the management of voice disorders during the pandemic and includes advice from assessment, direct treatment, telepractice, and teamwork. The consensus was reached 95% for all topics. Conclusion This guideline should be taken only as recommendation; each clinician must attempt to mitigate the risk of infection and achieve the best therapeutic results taking into account the patient's particular reality.

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Section: Telepractice Generalitiesmentioning

confidence: 99%

“…Forms of telepractice may be synchronous, asynchronous, or a hybrid approach. 53 Those modalities can be used for the assessment and treatment. Synchronous methods are known as real-time interactions using telepractice between patient and clinician.…”

Section: Telepractice Generalitiesmentioning

confidence: 99%

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

et al. 2021

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“…2014). An acoustic speech processor may be useful for measures of loudness, pitch and duration data (Weidner and Lowman 2020); and controlling noise and microphone position can reduce random error (Jannetts et al . 2019).…”

Section: Service Delivery/clinical Implicationsmentioning

confidence: 99%

COVID‐19 and ENT SLT services, workforce and research in the UK: A discussion paper

Patterson

Govender

Roe

et al. 2020

Intl J Lang & Comm Disor

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Background The COVID‐19 pandemic and the UK government's subsequent coronavirus action plan have fundamentally impacted on every aspect of healthcare. One area that is severely affected is ear, nose and throat (ENT)/laryngology where speech and language therapists (SLTs) engage in a diverse range of practice with patients with a range of conditions, including voice disorders, airway problems, and head and neck cancers (HNCs). A large majority of these patients are in high‐risk categories, and many specialized clinical practices are vulnerable. In addition, workforce and research issues are challenged in both the immediate context and the future. Aims To discuss the threats and opportunities from the COVID‐19 pandemic for SLTs in ENT/laryngology with specific reference to clinical practice, workforce and research leadership. Methods & Procedures The relevant sections of the World Health Organisation's (WHO) health systems building blocks framework (2007) were used to structure the study. Expert agreement was determined by an iterative process of multiple‐group discussions, the use of all recent relevant policy documentation, and other literature and shared documentation/writing. The final paper was verified and agreed by all authors. Main Contribution The main threats to ENT/laryngology SLT clinical services include increased patient complexity related to COVID‐19 voice and airway problems, delayed HNC diagnosis, reduced access to instrumental procedures and inequitable care provision. The main clinical opportunities include the potential for new modes of service delivery and collaborations, and harnessing SLT expertise in non‐instrumental assessment. There are several workforce issues, including redeployment (and impact on current services), training implications and psychological impact on staff. Workforce opportunities exist for service innovation and potential extended ENT/SLT practice roles. Research is threatened by a reduction in immediate funding calls and high competition. Current research is affected by very limited access to participants and the ability to conduct face‐to‐face and instrumental assessments. However, research opportunities may result in greater collaboration, and changes in service delivery necessitate robust investigation and evaluation. A new national set of research priorities is likely to emerge. Conclusions & Implications The immediate impact of the pandemic has resulted in major disruption to all aspects of clinical delivery, workforce and research for ENT/laryngology SLT. It is unclear when any of these areas will resume operations and whether permanent changes to clinical practice, professional remits and research priorities will follow. However, significant opportunity exists in the post‐COVID era to re‐evaluate current practice, embrace opportunities and evaluate new ways of working.

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“…Telepractice is an effective service delivery model across a spectrum of disorders, including childhood speech and language disorders, 7,8 fluency disorders, 9,10 neurogenic communication disorders, [11][12][13] and dysphagia. 14,15 Most areas of speech language pathology practice have evidence supporting the use of telepractice as a model of service delivery, with adaptation using technologies, for example, the use of both synchronous and store-and-forward components.…”

mentioning

confidence: 99%

The Implementation of Telepractice in Speech Language Pathology in Hong Kong During the COVID-19 Pandemic

Fong

Tsai²,

Yiu

2021

Telemedicine and e-Health

108

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Introduction: The aim of this study was to investigate the accelerated emergence of telepractice in speech language pathology during the coronavirus disease 2019 (COVID-19) pandemic in Hong Kong-a small city with limited accessibility concern that telepractice has not been widely implemented. Method: An online survey of speech therapists in Hong Kong was conducted between February and March in 2020. The survey comprised up to 15 questions to assess participants' demographics, existing service delivery in telepractice, perception, and their training and knowledge on telepractice. Results: One hundred thirty-five speech (n = 135) speech language pathologists responded to the survey. About one-third (34.8%; n = 47) of participants reported having provided services through telepractice, whereas 72.3% of them started in <3 months and half of them considered it was less effective than face-to-face service. Among the other participants (n = 88), 83% of them indicated that unsuitable patient type and age as the main reason for not providing telepractice. The majority of participants had no prior training for delivering telepractice, and focused on technology when asked about their desired training. Knowledge of participants on telepractice was found only to align fairly with international guidelines. Discussions: The survey findings suggested that telepractice provision in Hong Kong was different from that of other countries where telepractice has been well established, due to the accelerated emergence by the COVID-19 pandemic. Conclusions: The study showed how the development of telepractice would be like in a short time frame, and findings on perception and desired training could be a reference for a better establishment of this model of service.

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Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

Cited by 158 publications

References 73 publications

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

COVID‐19 and ENT SLT services, workforce and research in the UK: A discussion paper

The Implementation of Telepractice in Speech Language Pathology in Hong Kong During the COVID-19 Pandemic

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