Assessing children's speech intelligibility and oral structures, and functions via an Internet-based telehealth system

Waite, Monique; Theodoros, Deborah; Russell, Trevor; Cahill, Louise

doi:10.1258/jtt.2012.111116

Cited by 35 publications

(99 citation statements)

References 16 publications

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“…The remaining studies investigated telepractice validity by comparing assessment results gathered by a remote, telepractice SLP with those gathered simultaneously by an in-person SLP. Two of these studies randomly allocated participants to an in-person-or telepractice-led condition, and these studies also randomly allocated SLP roles (34,35). The other studies did not use randomisation to allocate participants or assign SLP roles (33,(36)(37)(38)41).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies investigated the reliability of telepractice assessment by measuring intra-and/or interrater reliability (34)(35)(36)40). Three papers included a parent satisfaction survey (33,38,41).…”

Section: Methodsmentioning

confidence: 99%

“…The remaining papers completed comprehensive assessment via telepractice using both formal and informal tools (33)(34)(35)(36)(37)41). All of the formal speech and language screeners and assessments used in the studies are validated tools (185)(186)(187)(188)(189)(190)(191)(192)(193)(194).…”

Section: Speech and Language Assessment Toolsmentioning

confidence: 99%

“…All of the formal speech and language screeners and assessments used in the studies are validated tools (185)(186)(187)(188)(189)(190)(191)(192)(193)(194). Four papers examined language screening/assessment (35,(39)(40)(41), three papers examined speech screening/assessment (33,34,36), and two papers considered both speech and language screening/assessment (37, 38).…”

Section: Speech and Language Assessment Toolsmentioning

confidence: 99%

“…There is a growing body of research that supports telepractice for speech pathology service delivery (32), however, only one study to date has investigated the use of telepractice for screening or assessment with CMC (33). There is also limited evidence to support telepractice speech and language screening among the broader paediatric population (34)(35)(36)(37)(38)(39)(40)(41). Thus, the overall aim of my thesis is to investigate the role of telepractice for remote speech and language screening of CMC.…”

Section: Chapter 1 Introductionmentioning

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: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Speech and Language Assessment Toolsmentioning

confidence: 99%

Section: Speech and Language Assessment Toolsmentioning

confidence: 99%

Section: Chapter 1 Introductionmentioning

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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Tele-neuropsychological Assessment of Children and Young People: A Systematic Review

Walker

Kirkham

Stotesbury

et al. 2023

J Pediatr Neuropsychol

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The coronavirus pandemic identified a clinical need for pediatric tele-neuropsychology (TeleNP) assessment. However, due to limited research, clinicians have had little information to develop, adapt, or select reliable pediatric assessments for TeleNP. This preliminary systematic review aimed to examine the feasibility of pediatric TeleNP assessment alongside (1) patient/family acceptability, (2) reliability, and (3) the quality of the literature. Between May 2021 and November 2022, manual searches of PubMed, PsycINFO, and Google Scholar were conducted using terms related to “pediatric” and “tele-neuropsychology.” After extracting relevant papers with samples aged 0–22 years, predefined exclusion criteria were applied. Quality assessment was completed using the AXIS appraisal tool (91% rater-agreement). Twenty-one studies were included in the review, with reported qualitative and quantitative data on the feasibility, reliability, and acceptability extracted. Across included studies, TeleNP was completed via telephone/video conference with participants either at home, in a local setting accompanied by an assistant, or in a different room but in the same building as the assessor. Pediatric TeleNP was generally reported to be feasible (e.g., minimal behavioral differences) and acceptable (e.g., positive feedback). Nineteen studies conducted some statistical analyses to assess reliability. Most observed no significant difference between in-person and TeleNP for most cognitive domains (i.e., IQ), with a minority finding variable reliability for some tests (e.g., attention, speech, visuo-spatial). Limited reporting of sex-assigned birth, racialized identity, and ethnicity reduced the quality and generalizability of the literature. To aid clinical interpretations, studies should assess underexamined cognitive domains (e.g., processing speed) with larger, more inclusive samples.

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Binaural speech intelligibility tests conducted remotely over the Internet compared with tests under controlled laboratory conditions

Padilla-Ortiz

Orduña‐Bustamante

2021

Applied Acoustics

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Assessing children's speech intelligibility and oral structures, and functions via an Internet-based telehealth system

Cited by 35 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

Tele-neuropsychological Assessment of Children and Young People: A Systematic Review

Binaural speech intelligibility tests conducted remotely over the Internet compared with tests under controlled laboratory conditions

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