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SIG 18 Telepractice
Research Article
14 December 2022

Student Clinicians' Views of Telepractice and In-Person Service Delivery

Publication: Perspectives of the ASHA Special Interest Groups
Volume 7, Number 6
Pages 2122-2145

Abstract

Purpose:

The purpose of this study was to compare graduate student clinicians' self-reported perceptions of in-person versus telepractice service delivery based on preparation/training, treatment process, client and clinician engagement, data collection, and client progress.

Method:

This study used mixed methodology to answer three research questions: (a) What are the differences between students clinicians' perceptions pre– and post–in-person and telepractice service delivery, (b) What are the differences between student clinicians' views of in-person and telepractice service delivery, and (c) How do changes in the pre- and post-surveys represent the student clinicians' views of in-person versus telepractice service delivery? Graduate students completed pre- and post-surveys and participated in focus groups following 16 weeks of telepractice or in-person service delivery.

Results:

Overall, findings revealed more similarities than differences between telepractice and in-person service delivery based on students' self-report before and after treatment. Similarities included preparation methods, use of evidence-based practice, amount of family involvement, and client progress. Differences included amount of time to prepare for the session, establishing rapport, and collecting data. In the end, participants' self-efficacy and implementation readiness increased for both service delivery models.

Conclusion:

Findings from this study provide a foundation for graduate training by relating telepractice to in-person service delivery models.

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References

American Speech-Language-Hearing Association. (n.d.). Telepractice (Practice Portal) . Retrieved May 16, 2022, from http://www.asha/Practice-Portal/Professional-Issues/Telepractice
American Speech-Language-Hearing Association. (2021a). COVID-19: Guidance for graduate programs, students, and clinical fellows. https://www.asha.org/certification/covid-19-guidance-from-cfcc/
American Speech-Language-Hearing Association. (2021b). Payment and coverage considerations for telepractice services during coronavirus/COVID-19. https://www.asha.org/practice/reimbursement/payment-and-coverage-considerations-for-telepractice-services-during-coronavirus/
Anderson, K., Balandin, S., Stancliffe, R. J., & Layfield, C. (2014). Parents' perspectives on tele-AAC support for families with a new speech generating device: Results from an Australian pilot study. SIG 18 Perspectives on Telepractice, 4(2), 52–60.
Attride-Stirling, J. (2001). Thematic networks: An analytic tool for qualitative research. Qualitative Research, 1(3), 385–405.
Bayati, B., & Ayatolla, H. (2021). Comprehensive review of factors influencing the use of telepractice in stuttering treatment. Healthcare Informatics Research, 27(1), 57–66.
Beukes, E. W., Manchaiah, V., Allen, P. M., Baguley, D. M., & Andersson, G. (2019). Internet-based interventions for adults with hearing loss, tinnitus, and vestibular disorders: A systematic review and meta-analysis. Trends in Hearing, 23, 2331216519851749.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101 ISSN 1478-0887.
Chapey, R., Duchan, J. F., Elman, R. J., Garcia, L. J., Kagan, A., Lyon, J. G., Simmons-Mackie, N., & LPAA Project Group. (2001). Life participation approach to aphasia: A statement of values. In R. Chapey (Ed.), Language intervention strategies in aphasia and related neurogenic communication disorders (4th ed., pp. 235–245). Lippincott Williams & Wilkin.
Constantinescu, G., Theodoros, D., Russell, T., Ward, E., Wilson, S., & Wootton, R. (2011). Treating disordered speech and voice in Parkinson's disease online: A randomized controlled non-inferiority trial. International Journal of Language & Communication Disorders, 46(1), 1–16.
Covert, L. T., Slevin, J. T., & Hatterman, J. (2018). The effect of telerehabilitation on missed appointment rates. International Journal of Telerehabilitation, 10(2), 65–72.
Eslami Jahromi, M., & Ahmadian, L. (2018). Evaluating satisfaction of patients with stutter regarding the tele-speech therapy method and infrastructure. International Journal of Medical Informatics, 115, 128–133.
Fu, S., Theodoros, D. G., & Ward, E. C. (2015). Delivery of intensive voice therapy for vocal fold nodules via telepractice: A pilot feasibility and efficacy study. Journal of Voice, 29(6), 696–706.
González-Cutre, D., Romero-Elías, M., Jiménez-Loaisa, A., Beltrán-Carrillo, V. J., & Hagger, M. S. (2020). Testing the need for novelty as a candidate need in basic psychological needs theory. Motivation and Emotion, 44(2), 295–314.
Grogan-Johnson, S., Schmidt, A. M., Schenker, J., Alvares, R., Rowan, L. E., & Taylor, J. (2013). A comparison of speech sound intervention delivered by telepractice and side-by-side service delivery models. Communication Disorders Quarterly, 34(4), 210–220.
Hatcher, A., & Smith, R. (2021). Early intervention via telepractice for the SLP. Poster presented at Kentucky Speech-Language Hearing Association Conference.
Hill, A. J., Theodoros, D. G., Russell, T. G., Cahill, L. M., Ward, E. C., & Clark, K. M. (2006). An internet-based telerehabilitation system for the assessment of motor speech disorders: A pilot study. American Journal of Speech-Language Pathology, 15(1), 45–56.
Houillon, A., Lorenz, R. C., Boehmer, W., Rapp, M. A., Heinz, A., Gallinat, J., & Obermayer, K. (2013). The effect of novelty on reinforcement learning. Progress in Brain Research, 202, 415–439.
Lincoln, Y. S., & Guba, E. G. (1986). But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. In D. Williams (Ed.), Naturalistic evaluation. New Directions for Evaluation. Jossey-Bass.
Macoir, J., Sauvageau, V. M., Boissy, P., Tousignant, M., & Tousignant, M. (2017). In-home synchronous telespeech therapy to improve functional communication in chronic poststroke aphasia: Results from a quasi-experimental study. Telemedicine and e-Health, 23(8), 630–639.
Martin, N., Thompson, C. K., & Worrall, L. (Eds.). (2008). Aphasia rehabilitation: The impairment and its consequences. Plural.
McCarthy, M., Duncan, J., & Leigh, G. (2012). Telepractice: The Australian experience in an international context. The Volta Review, 112(3), 297–312.
McGill, M., & Dennard, Q. (2021). Graduate students' perspectives toward telepractice at the COVID-19 global pandemic onset. Perspectives of the ASHA Special Interest Groups, 6(4), 841–854.
Morrell, K., Hyers, M., Stuchiner, T., Lucas, L., Schwartz, K., Mako, J., Spinelli, K. J., & Yanase, L. (2017). Telehealth stroke dysphagia evaluation is safe and effective. Cerebrovascular Diseases, 44(3–4), 225–231.
Morse, J. M., Barrett, M., Mayan, M., Olson, K., & Spiers, J. (2002). Verification strategies for establishing reliability and validity in qualitative research. International Journal of Qualitative Methods, 1(2), 13–22.
O'Brian, S., Smith, K., & Onslow, M. (2014). Webcam delivery of the Lidcombe program for early stuttering: A phase I clinical trial. Journal of Speech, Language, and Hearing Research, 57(3), 825–830.
Overby, M. S. (2018). Stakeholders' qualitative perspectives of effective telepractice pedagogy in speech–language pathology. International Journal of Language & Communication Disorders, 53(1), 101–112.
Page, C., Wahl, R., Clements, B., Woody, R., & Napier, K. (2021). Adapting to telepractice: Views of graduate student clinicians. Perspectives of the ASHA Special Interest Groups, 6(6), 1876–1888.
Parmanto, B., Pulantara, I. W., Schutte, J. L., Saptono, A., & McCue, M. P. (2013). An integrated telehealth system for remote administration of an adult autism assessment. Telemedicine and e-Health, 19(2), 88–94.
Peterson, K. M., Piazza, C. C., Luczynski, K. C., & Fisher, W. W. (2017). Virtual-care delivery of applied-behavior-analysis services to children with autism spectrum disorder and related conditions. Behavior Analysis: Research and Practice, 17(4), 286–297.
Rangarathnam, B., Gilroy, H., & McCullough, G. H. (2016). Do patients treated for voice therapy with telepractice show similar changes in voice outcome measures as patients treated face to face? Evidence-Based Practice Briefs, 11(5), 1–6.
Redmond, R., & Curtis, E. (2009). Focus groups: Principles and process. Nurse Researcher, 16(3), 57–69.
Roman, A. M., Kim, S., & Means, J. W. (2021). First-year graduate clinicians' perceptions of synchronous telepractice delivery. Perspectives of the ASHA Special Interest Groups, 6(4), 867–875.
Ryer, J. E., & Poll, G. H. (2020). The effectiveness of hybrid telepractice and in-person fluency treatment for a school-aged child: A case study. Perspectives of the ASHA Special Interest Groups, 5(4), 1085–1097.
Siddique, N., Dhakan, P., Rano, I., & Merrick, K. (2017). A review of the relationship between novelty, intrinsic motivation and reinforcement learning. Paladyn, Journal of Behavioral Robotics, 8(1), 58–69.
Snodgrass, M. R., Chung, M. Y., Biller, M. F., Appel, K. E., Meadan, H., & Halle, J. W. (2017). Telepractice in speech–language therapy: The use of online technologies for parent training and coaching. Communication Disorders Quarterly, 38(4), 242–254.
Sutherland, R., Trembath, D., Hodge, A., Drevensek, S., Lee, S., Silove, N., & Roberts, J. (2017). Telehealth language assessments using consumer grade equipment in rural and urban settings: Feasible, reliable and well tolerated. Journal of Telemedicine and Telecare, 23(1), 106–115.
Sutherland, R., Trembath, D., & Roberts, J. (2018). Telehealth and autism: A systematic search and review of the literature. International Journal of Speech-Language Pathology, 20(3), 324–336.
Sylvan, L., Goldstein, E., & Crandall, M. (2020). Capturing a moment in time: A survey of school-based speech-language pathologists experiences in the immediate aftermath of the COVID-19 public health emergency. Perspectives of the ASHA Special Interest Groups, 5(6), 1735–1749.
Theodoros, D. (2011). Telepractice in speech-language pathology: The evidence, the challenges, and the future. SIG 18 Perspectives on Telepractice, 1(1), 10–21.
Weidner, K., & Lowman, J. (2020). Telepractice for adult speech-language pathology services: A systematic review. Perspectives of the ASHA Special Interest Groups, 5(1), 326–328.
Worrall, L., Sherratt, S., Rogers, P., Howe, T., Hersh, D., Ferguson, A., & Davidson, B. (2011). What people with aphasia want: Their goals according to the ICF. Aphasiology, 25(3), 309–322.

Information & Authors

Information

Published In

Perspectives of the ASHA Special Interest Groups
Volume 7Number 614 December 2022
Pages: 2122-2145

History

  • Received: Mar 8, 2022
  • Revised: May 25, 2022
  • Accepted: Aug 26, 2022
  • Published online: Nov 8, 2022
  • Published in issue: Dec 14, 2022

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Authors

Affiliations

Department of Communication Sciences and Disorders, University of Kentucky, Lexington
Charles Hughes
Department of Clinical Therapeutic Programs, Communication Sciences and Disorders program, Eastern Kentucky University, Richmond
Rachel Woody
Department of Clinical Therapeutic Programs, Communication Sciences and Disorders program, Eastern Kentucky University, Richmond

Notes

Disclosure: The authors have declared that no competing financial or nonfinancial interests existed at the time of publication.
Correspondence to Christen Guffey Page: [email protected]
Editor-in-Chief: Celeste Domsch
Editor: Geralyn M. Schulz

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Citing Literature

  • Reliability and Feasibility of Administering a Child Language Assessment via Telehealth, American Journal of Speech-Language Pathology, 10.1044/2024_AJSLP-23-00182, 33, 3, (1373-1389), (2024).
  • Considerations for paediatric student‐led telepractice in speech‐language therapy: A pilot observational study from South Africa, International Journal of Language & Communication Disorders, 10.1111/1460-6984.12958, 59, 2, (665-677), (2023).

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