In-Home Synchronous Telespeech Therapy to Improve Functional Communication in Chronic Poststroke Aphasia: Results from a Quasi-Experimental Study

Macoir, Joël; Martel‐Sauvageau, Vincent; Boissy, Patrick; Tousignant, Marilyn; Tousignant, Michel

doi:10.1089/tmj.2016.0235

Cited by 43 publications

(29 citation statements)

References 22 publications

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“…In recent years, studies on aphasia telerehabilitation using both synchronously (real-time) and asynchronously (delayed) approaches have been conducted ( 11 , 12 ). Customized internet videoconferencing technology offers much promise to aphasia services, with studies supporting speech and language therapy by videoconference as a viable alternative in both individual one-to-one sessions ( 13 – 15 ) and group-based interventions ( 16 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

Technical Features, Feasibility, and Acceptability of Augmented Telerehabilitation in Post-stroke Aphasia—Experiences From a Randomized Controlled Trial

et al. 2020

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Background: Post-stroke aphasia is a communication disorder where existing evidence favors intensive therapy methods. Telerehabilitation represents a service model for geographically remote settings, or other barriers to clinic attendance or to facilitate an augmentation of therapy across a continuum of care. Evidence to support efficiency, feasibility, and acceptability is however still scarce. Appraising aphasia telerehabilitation in controlled trials beyond its effectiveness, by investigating feasibility and acceptability, may facilitate implementation into clinical practice. Methods: In our pilot randomized controlled trial, we investigated the feasibility and acceptability of speech and language therapy by videoconference, in addition to usual care, in people with aphasia following stroke. To improve functional, expressive language, a tailored intervention was given 1 h per day, five times per week over four consecutive weeks. Feasibility measures included evaluation of technical setup using diary logs. Acceptability was investigated by examining adherence and satisfaction with therapy alongside evaluation of data safety and privacy. Results: Feasibility and acceptability data were collected in relation to 556.5 h of telerehabilitation delivered to 30 participants over a 2-years intervention period by three speech-language pathologists. Protocol adherence was high, with a tolerable technical fault rate; 86 faults were registered over 541 video sessions. Most (80%; n = 30) of the participants experienced zero to three faults. The main cause of technical failures was flawed internet connection, causing delayed or interrupted therapy. Total satisfaction with telerehabilitation was rated good or very good by 93.1% (n = 29) of participants and two of three speech-language pathologists. Within a moderate variance of technical failure, participants experiencing more faults were more satisfied. No serious events regarding security and privacy were reported. Our model is feasibly and ready to be implemented across a range of clinical settings and contexts. Øra et al. Feasibility of Aphasia Telerehabilitation Conclusions: Synchronous telerehabilitation for post-stroke aphasia is feasible and acceptable and shows tolerable technical fault rates with high satisfaction among patients and pathologists. Within a low rate of faults, satisfaction was not negatively influenced by fault frequency. Access to clinical and technical expertise is needed when developing telerehabilitation services. Telerehabilitation may be a viable service delivery model for aphasia rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Technical Features, Feasibility, and Acceptability of Augmented Telerehabilitation in Post-stroke Aphasia—Experiences From a Randomized Controlled Trial

et al. 2020

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“…Telepractice for speech-language pathology can be used across many settings such as schools, medical centers, outpatient clinics, universities, clients' homes, and more (American Speech-Language Hearing Association, n.d.). Additionally, SLPs have used telepractice to treat populations across the scope of practice, ranging from dysphagia (e.g., Cassel, 2016), stuttering (e.g., McGill et al, 2019), and autism (e.g., Iacono et al, 2016) to aphasia (e.g., Macoir et al, 2017). Despite this documented utility of telepractice in speech-language pathology, and the push toward telepractice resulting from the coronavirus (COVID-19) global pandemic, some clinicians and clients continue to report apprehension to adopting this service delivery modality due to discomfort with technology.…”

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confidence: 99%

A User's Guide for Understanding and Addressing Telepractice Technology Challenges via ZOOM

McGill

Fiddler

2021

Perspect ASHA SIGs

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Purpose Telepractice has been used as an alternative service delivery model in speech-language pathology across various settings and the scope of practice. Despite its utility and increasing demands resulting from the COVID-19 global pandemic, some clinicians and clients continue to report apprehension to adopting telepractice service delivery model due to discomfort with technology. Among currently available telepractice platforms, “ZOOM” is one of the popular platforms among speech-language pathologists (SLPs) in the United States because of its usability and subscription cost. However, many challenges have been experienced by clinicians and clients when ZOOM is used. The purpose of this article was twofold. The first goal of this article was to address barriers and challenges to implement successful telepractice SLP services. The second goal of this article was to develop four step-by-step troubleshooting manuals (one for client and one for clinician in both English and Spanish) to enhance its utility for users. Conclusion Preliminary qualitative data showed that the manuals developed by the authors were useful and functional for graduate SLP students. Supplemental Material https://doi.org/10.23641/asha.14044091

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“…Diese technischen Entwicklungen bieten neue Möglichkeiten, auch im Rahmen der Hörrehabilitation nach einer Cochleaimplantation. In der neurologischen Rehabilitation finden sich bereits Konzepte, die eine computerbasierte Rehabilitation enthalten [8,11,14,28]. Erste Untersuchungen, so unter anderem von Choi et al, konnten über eine hohe Zufriedenheit von Aphasikern mit einer computerbasierten Therapie und eine signifikante Verbesserung ihrer sprachlichen Funktionen im Follow-up berichten [8].…”

Section: Introductionunclassified

“…Erste Untersuchungen, so unter anderem von Choi et al, konnten über eine hohe Zufriedenheit von Aphasikern mit einer computerbasierten Therapie und eine signifikante Verbesserung ihrer sprachlichen Funktionen im Follow-up berichten [8]. Ähnlich positive Erfahrungen beschrieben auch Macoir et al, welche die kommunikativen Funktionen von 20 Aphasiepatienten nach einem 3-wöchigen Training über die Plattform Oralys Tele Therapy untersuchten [28]. Dabei scheint ein teletherapeutisches Training einer Face-to-face-Therapie, wie Dial et al nachwiesen, im Hinblick auf den Therapieerfolg vergleichbar zu sein [11].…”

Section: Introductionunclassified

Neue Wege in der Hörrehabilitation nach Cochleaimplantation

Völter

Schirmer

Röber

et al. 2020

HNO

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Neue Wege in der Hörrehabilitation nach Cochleaimplantation Die Anzahl schwerhöriger Menschen nimmt-bedingt durch die demographische Entwicklung-rasant zu. Damit verbunden steigt auch die Anzahl an Cochleaimplantationen und derer, die sich in einer hörtherapeutischen Rehabilitation befinden. Bislang findet diese überwiegend stationär oder ambulant im direkten Kontakt mit einem Therapeuten statt. Digitale Hörtrainingsprogramme und computerbasierte teletherapeutische Hörplattformen bieten hier neue Chancen der Rehabilitation. Vorgestellt werden soll ein erster Prototyp für erwachsene Cochlea-Implantat(CI)-Träger.

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In-Home Synchronous Telespeech Therapy to Improve Functional Communication in Chronic Poststroke Aphasia: Results from a Quasi-Experimental Study

Abstract: This study provides additional arguments about the benefits of telerehabilitation for poststroke patients with aphasia. It showed that multimodal language therapy delivered through synchronous telerehabilitation had positive effects on functional communication in chronic aphasia.

Cited by 43 publications

References 22 publications

Technical Features, Feasibility, and Acceptability of Augmented Telerehabilitation in Post-stroke Aphasia—Experiences From a Randomized Controlled Trial

Technical Features, Feasibility, and Acceptability of Augmented Telerehabilitation in Post-stroke Aphasia—Experiences From a Randomized Controlled Trial

A User's Guide for Understanding and Addressing Telepractice Technology Challenges via ZOOM

Neue Wege in der Hörrehabilitation nach Cochleaimplantation

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