Telehealth delivery of Rapid Syllable Transitions (ReST) treatment for childhood apraxia of speech

Thomas, Donna; McCabe, Patricia; Ballard, Kirrie J.; Lincoln, Michelle

doi:10.1111/1460-6984.12238

Cited by 49 publications

(50 citation statements)

References 30 publications

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“…In the Australian context, a 2014 Senate inquiry found that not only were there fewer speech-language pathologists (SLPs) working outside urban areas, but also the ratio of therapists per 100 000 people declined as rurality increased (Community Affairs References Committee 2014). Telehealth is one way of addressing some of the barriers associated with staffing and access issues and it has been shown to be an acceptable and viable alternative to face-to-face speech-language services in a range of specialties, including dysphagia assessment and intervention (Collins et al 2017, Sharma et al 2013, stuttering therapy (O'Brian et al 2014, Bridgman et al 2016, and assessment and intervention for speech-sound disorders, including childhood apraxia of speech (Grogan-Johnson et al 2013, Thomas et al 2016, Waite et al 2012. Telehealth has also been used to provide formal assessments of child language with young children with no known language difficulties (Waite et al 2010), as well as children with reading difficulties (Sutherland et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Telehealth and autism: Are telehealth language assessments reliable and feasible for children with autism?

Sutherland

Trembath

Redoblado-Hodge

et al. 2018

Intl J Lang & Comm Disor

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Background Access to timely and appropriate speech–language pathology (SLP) services is a significant challenge for many families. Telehealth has been used successfully to treat a range of communication disorders in children and adults. Research examining the use of telehealth for children with autism has focused largely on diagnosis, parent‐implemented interventions, and behavioural interventions involving interactions between clinicians and parents. There is, however, very limited research into the use of telehealth directly to assess or intervene with children with autism. This paper reports the outcomes of a study of telehealth language assessments with primary school‐aged children with autism. Aims To evaluate the reliability and feasibility of telehealth language assessments for school‐aged children with autism. Methods & Procedures The language skills of 13 children with autism aged 9–12 who attended mainstream schools or support classes were assessed using the Clinical Evaluation of Language Fundamentals—4th Edition. An SLP delivered and scored four subtests of the assessment via telehealth from a remote location. A second SLP at the same location as the child co‐scored the online subtests to provide a measure of reliability and delivered the remaining subtests. The local SLP completed checklists in both conditions to provide observations regarding behaviour. Parent feedback was elicited via survey. Outcomes & Results There was strong interrater reliability between the telehealth and face‐to‐face conditions (correlation coefficients ranged from r = 0.919 to 0.990 across the subtests and Core Language Score) and good agreement between clinicians on all measures. Analysis using the Wilcoxon Signed Rank test indicated no significant differences in children's behaviour between the telehealth and face‐to‐face conditions, although variation between individuals was observed. Parents provided generally positive feedback about the use of telehealth for the assessments. Conclusions & Implications The findings of this study provide preliminary support the use of telehealth assessments of school‐aged children with autism. Comparison of telehealth and face‐to‐face assessment scores showed high agreement and correlation, and while the children showed individual differences in their behaviour during the telehealth sessions, there was no clear difference between the conditions at the group level. The findings suggest that telehealth may present a reliable and feasible approach to the assessment of language for children with autism in some circumstances as a primary or adjunct service model, while acknowledging that individual differences among these children may be important to consider when planning both assessment and intervention via telehealth.

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Section: Introductionmentioning

confidence: 99%

Telehealth and autism: Are telehealth language assessments reliable and feasible for children with autism?

Sutherland

Trembath

Redoblado-Hodge

et al. 2018

Intl J Lang & Comm Disor

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“…Desses, cinco foram excluídos por não responderem a pergunta norteadora, desta forma um artigo tornou-se elegível segundo os critérios PRISMA utilizados para o desenvolvimento desta pesquisa. Procedeu-se a leitura criteriosa na íntegra do estudo e após a aplicação dos critérios de elegibilidade, o estudo (Thomas et al, 2016) Research, Society and Development, v. 9, n. 11, e1559119685, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i11.9685 A pesquisa (Thomas et al, 2016) -DEAP;Dodd et al 2006 Test of Polysyllables -Gozzard et al 2006 Clinical Evaluation of Language Fundamentals-Preschool Second Edition -(CELF-P2;Wiig et al 2004) ou a versão australiana da 4ª edição (CELF-4;Semel et al 2006) Goldman-Fristoe Test of Articulation 2 -2) (GFTA-2; Goldman e Fristoe 2000)…”

Section: Resultsunclassified

“…Os pais ficaram muito satisfeitos com o tratamento por telessaúde e relataram que seus filhos estavam motivados a participar de sessões de videoconferência. Os clínicos relataram altos níveis de satisfação com o tratamento em telessaúde (Thomas et al, 2016). Os cuidadores e os terapeutasficaram satisfeitos com o tratamento de telessaúde.…”

Section: Resultsunclassified

Efetividade da Telessaúde em pacientes com distúrbios dos sons da fala: uma revisão sistemática

Gonçalves

Oliveira

2020

RSD

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Objetivo: Apresentar evidências científicas com base em revisão sistemática da literatura (PRISMA) com relação ao atendimento com telessaúde em crianças com apraxia de fala na infância visando responder a seguinte pergunta de pesquisa: Qual a efetividade da telessaúde em crianças com apraxia de fala na infância. Metodologia: Para a seleção dos estudos foi utilizada a combinação baseada no Medical Subject Heading Terms (MeSH): [(telehealth) OR (telepractice) OR (telerehabilitation) OR (teletherapy) OR (apraxia childhood speech) OR (dyspraxia) AND (child OR paediatric)]. Foram utilizadas as bases de dados Medline (Pubmed), LILACS, SciELO e BIREME. O período de busca dos artigos compreendeu os últimos 5 anos (2015 a 2020). Os desenhos dos estudos selecionados foram do tipo descritivo, transversal, coorte e estudo de caso, os quais estavam relacionados com o objetivo da pesquisa. Após a leitura dos artigos na íntegra, foram extraídos dados de identificação e métodos dos artigos para posterior análise. Resultados: Foram recuperados 969 artigos, após a fase de exclusão, sete artigos inicialmente atenderam aos critérios de inclusão, sendo que um trabalho respondeu à pergunta norteadora. Conclusão: Verificam-se indicações promissoras da eficácia do tratamento por telesaúde em pacientes com diagnóstico de Apraxia de Fala Infantil (AFI). No entanto, é importante ressaltar que os resultados ainda são considerados incipientes, necessitando assim de uma ampliação dos estudos, com metodologias de intervenções randomizadas, buscando analisar a efetividade da telessaúde para estes pacientes.

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“…A number of narrative reviews have concluded that therapy for childhood speech and language impairment via telepractice is feasible and valid (149,151,152,(159)(160)(161). However, there are no published systematic reviews describing the use of telepractice for paediatric speech and language screening.…”

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

confidence: 99%

“…These studies report that SLPs are often reluctant to provide direct services due to concerns regarding the efficacy of assessment and therapy interventions delivered via telepractice. It is interesting that this perception continues despite a growing evidence base in the area of speech pathology telepractice (32,(147)(148)(149)(150)(151)(152)(153)(154)(155)(156)(157)(158)(159)(160)(161).…”

Section: Suitability Of Patient Groups and Services For Telepractice mentioning

confidence: 99%

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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Telehealth delivery of Rapid Syllable Transitions (ReST) treatment for childhood apraxia of speech

Abstract: This phase 1 study provides promising indications of the efficacy of ReST treatment when delivered four times per week via telehealth, and warrants further large-scale investigation.

Cited by 49 publications

References 30 publications

Telehealth and autism: Are telehealth language assessments reliable and feasible for children with autism?

Telehealth and autism: Are telehealth language assessments reliable and feasible for children with autism?

Efetividade da Telessaúde em pacientes com distúrbios dos sons da fala: uma revisão sistemática

Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

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