Effect of telepractice on pediatric cochlear implant users and provider vowel space: A preliminary report

Kondaurova, Maria V.; Zheng, Qingyin; Donaldson, Cheryl W.; Smith, Alan F.

doi:10.1121/10.0016866

Cited by 5 publications

(1 citation statement)

References 118 publications

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“…It is a limitation in that this excluded a number of observational studies that have evaluated telehealth service delivery and show positive outcomes in populations frequently seen by speech language pathologists including aphasia, primary progressive aphasia and cognitive-communication disorders, were excluded from the review. (35)(36)(37)(38)(39)(40) On the other hand, the restriction of includable studies is a strength in terms of allowing the meta-analyses to have been conducted. The study also excluded studies that provided asynchronous treatment, which excluded trials comparing face to face with asynchronous treatment modalities.…”

Section: Discussionmentioning

confidence: 99%

Telehealth versus face-to-face delivery of speech language pathology services: a systematic review and meta-analysis

Scott,

Clark,

Cardona

et al. 2024

Preprint

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Background There is an increasing demand for the provision of speech language pathology (SLP) services via telehealth. Therefore, we systematically reviewed randomized controlled trials comparing telehealth to face-to-face provision of SLP services. Methods We searched Medline, Embase, and Cochrane, clinical trial registries, and conducted a citation analysis to identify trials. We included randomized trials comparing similar care delivered live via telehealth (phone or video), to face-to-face. Primary outcomes included: % syllables stuttered (%SS) (for individuals who stutter); change in sound pressure levels monologue (for individuals with Parkinson's disease); and key function scores (for other areas). Where data were sufficient, mean differences were calculated. Results Nine randomized controlled trials were included; 8 evaluated video and 1 evaluated phone telehealth. Risk of bias was generally low or unclear, excepting blinding. There were no significant differences at any time-point up to 18 months for %SS (mean difference, MD 0.1, 95% CI -0.4 to 0.6, p=0.70). For people with Parkinson's disease, there was no difference between groups in change in sound pressure levels (monologue) (MD 0.6, 95% CI -1.2 to 2.5, p=0.49). Four trials investigated interventions for speech sound disorder, voice disorder, and post-stroke dysphagia and aphasia; they found no differences between telehealth service delivery and face-to-face delivery. Conclusions Evidence suggests that the telehealth provision of SLP services may be a viable alternative to their provision face-to-face, particularly to people who stutter and people with Parkinson's disease. The key limitation is the small number of randomized controlled trials, as well as evidence on the quality of life, well-being and satisfaction, and economic outcomes.

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Section: Discussionmentioning

confidence: 99%

Telehealth versus face-to-face delivery of speech language pathology services: a systematic review and meta-analysis

Scott,

Clark,

Cardona

et al. 2024

Preprint

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Identifying data elements and key features to design a telerehabilitation system for speech and language disorders in children with hearing impairments in Iran: A cross‐sectional study

Ebrahimi,

Zakerabbasali,

Oryadi

et al. 2024

Health Science Reports

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Background and AimsDesigning and implementing telerehabilitation systems would require the identification of data elements to meet disabled people's needs. An in‐depth study on the identification and validation of data elements can help design and implement telerehabilitation systems successfully. Therefore, this study aimed to identify and validate data elements to design a telerehabilitation system for the speech and language disorders of hearing‐impaired children in Iran.MethodsThis descriptive cross‐sectional study was conducted in three steps including literature review, focused group discussion, and Delphi technique implementation to extract and validate data elements. In the first step, the literature on electronic databases was reviewed to extract the data elements of telerehabilitation systems, and nine studies were selected based on the inclusion criteria. In the second step, a focused group discussion was held to review and classify the extracted data elements. Finally, the Delphi technique was employed to validate the drafted data elements.ResultsIn total, 352 data elements were extracted from the literature review. Finally, 102 data elements in 10 categories (Demographic and Clinical information of the disabled person, Clinical history, Demographic information of the provider, Customization of exercises, Reminders, Online and offline counseling, and training, Reporting, Key features of the system, Evaluation of the progress of the disabled person) were classified and validated by experts as essential data elements to design a telerehabilitation system for the speech and language disorders of hearing‐impaired children.ConclusionsThe necessary data elements were proposed as the foundations to design a telerehabilitation system for the speech and language disorders of hearing‐impaired children. These data elements help design and implement telerehabilitation systems successfully so that such systems can easily be provided for children with hearing disabilities.

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Empatica E4 Assessment of Child Physiological Measures of Listening Effort During Remote and In-Person Communication

Kondaurova,

Smith,

Mishra

et al. 2024

Am J Audiol

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Purpose: Telepractice is a growing service model that delivers aural rehabilitation to deaf and hard-of hearing children via telecommunications technology. Despite known benefits of telepractice, this delivery approach may increase patients' listening effort (LE) characterized as an allocation of cognitive resources toward an auditory task. The study tested techniques for collecting physiological measures of LE in normal-hearing (NH) children during remote (referred to as tele-) and in-person communication using the wearable Empatica E4 wristband. Method: Participants were 10 children (age range: 9–12 years old) who came to two tele- and two in-person weekly sessions, order counterbalanced. During each session, the children heard a short passage read by the clinical provider, completed an auditory passage comprehension task, and self-rated their effort as a part of the larger study. Measures of electrodermal activity and blood volume pulse amplitude were collected from the child E4 wristband. Results: No differences in child subjective, physiological measures of LE or passage comprehension scores were found between in-person sessions and telesessions. However, an effect of treatment duration on subjective and physiological measures of LE was identified. Children self-reported a significant increase in LE over time. However, their physiological measures demonstrated a trend indicating a decrease in LE. A significant association between subjective measures and the passage comprehension task was found suggesting that those children who reported more effort demonstrated a higher proportion of correct responses. Conclusions: The study demonstrated the feasibility of collection of physiological measures of LE in NH children during remote and in-person communication using the E4 wristband. The results suggest that measures of LE are multidimensional and may reflect different sources of, or cognitive responses to, increased listening demand. Supplemental Material: https://doi.org/10.23641/asha.27122064

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Effect of telepractice on pediatric cochlear implant users and provider vowel space: A preliminary report

Cited by 5 publications

References 118 publications

Telehealth versus face-to-face delivery of speech language pathology services: a systematic review and meta-analysis

Telehealth versus face-to-face delivery of speech language pathology services: a systematic review and meta-analysis

Identifying data elements and key features to design a telerehabilitation system for speech and language disorders in children with hearing impairments in Iran: A cross‐sectional study

Empatica E4 Assessment of Child Physiological Measures of Listening Effort During Remote and In-Person Communication

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