Two-sided perspective on tele-speech therapy: Experiences of stuttering patients, and their parents

Jahromi, Maryam Eslami; Farokhzadian, Jamileh; Ahmadian, Leila

doi:10.1080/10400435.2021.1937378

Cited by 11 publications

(10 citation statements)

References 31 publications

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“…Ongoing, consistent intervention is therefore crucial. The disruption to face-to-face interactions caused by the COVID-19 pandemic resulted in SLTs rapidly exploring alternative forms of service delivery, such as telerehabilitation, to ensure continued access to service as far as possible (Campbell & Goldstein, 2021 ; Elsami Jahromi, Farokhzadian, & Ahmadian, 2021 ; Kraljević, Matić, & Dokoza, 2020 ; Sutherland et al, 2021 ; Theodoros, 2008 ; Tohidast, Mansuri, Bagheri, & Azimi, 2020 ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Internet or network availability, access to appropriate devices for both clinician and client or caregiver, the health professionals’ attitude towards telerehabilitation, ethical and legal issues and the challenges of multilingualism and multiculturalism (Chifamba, 2018 ; Hlayisi, 2016 ; Sinsky, Jerzak, & Hopkins, 2021 ). Nevertheless, there are significant benefits of telerehabilitation in SLT beyond the current focus on reduction of risk of infection through face-to-face contact, such as better access for people in rural and remote areas (Grillo, 2017 ), more cost-effective service delivery (Macoir et al, 2021 ) and more efficient use of time and resources (Elsami Jahromi et al, 2021 ; Khoza-Shangase et al, 2021 ); all are important considerations for the profession in South Africa.…”

Section: Literature Reviewmentioning

confidence: 99%

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The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder

Karrim

Flack

Naidoo

et al. 2022

SAJCD

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Background: There has been an increased emergence of the use of telerehabilitation by speech-language therapists (SLTs) in South Africa since the COVID-19 pandemic in 2020.Objectives: To explore the criteria that SLTs use when recommending telerehabilitation for children with autism spectrum disorder (ASD), the technical skills required, strategies used by SLTs, the restrictions encountered when conducting telerehabilitation and the views of SLTs on telerehabilitation in comparison to face-to-face therapy for children with ASD.Method: A descriptive, phenomenological, qualitative study design was utilised. Purposive and snowball sampling techniques were employed. Six SLTs from the private sector, who had experience providing telerehabilitation to children with ASD, were recruited from three provinces in South Africa. Data were gathered via semistructured online interviews and analysed using thematic analysis.Results: Two out of five themes that emerged from this study are presented in this paper, i.e. approaches to telerehabilitation and the benefits of telerehabilitation. Results revealed that telerehabilitation was used to provide assessment and therapy during the COVID-19 pandemic lockdowns as an alternative method of service delivery. Assessment and treatment strategies included synchronous and asynchronous methods, family collaboration, social stories, frequent breaks and interactive sessions. Telerehabilitation reduced the client’s and SLT’s travel costs and increased caregiver and clinician satisfaction. Client progress and increased awareness of SLT were viewed as further benefits.Conclusion: Telerehabilitation was found to be beneficial to most children with ASD, and in most cases, the benefits far outweighed the challenges encountered. Clinical implications included the need for caregiver support in facilitating effective carryover, an increase in SLTs’ knowledge and the opportunity to provide services to a broader geographical range. Limitations of the study are included.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder

Karrim

Flack

Naidoo

et al. 2022

SAJCD

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“…The significant results included items related to perceived benefits, time and motivation as being impactful to the respondents and therefore for the successful adoption of video therapy in the context of SLT. These factors can have both inhibiting and facilitating outcomes in the adoption and future use of video therapy in SLT, which has also been demonstrated in numerous previous studies (Bilda et al, 2020;Lauer, 2020;Schwinn et al, 2020;Tenforde et al, 2020;Barthel et al, 2021a,b;Eslami Jahromi et al, 2022;Shahouzaie and Gholamiyan Arefi, 2022;Bayati and Ayatollahi, 2023). Hastall et al (2017), for example, argued that attention to human-driven factors can promote the adoption of technologythat is, video therapy adoption in SLT in the context of this study.…”

Section: Discussionmentioning

confidence: 55%

Technology use in speech and language therapy: digital participation succeeds through acceptance and use of technology

Leinweber,

Alber,

Barthel

et al. 2023

Front. Commun.

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IntroductionIn Germany, as around the world, the use of digital media in speech and language therapy became part of the service during the COVID-19 pandemic. This resulted in a need for empirical studies on the use and acceptance of digital media technologies, to determine users' requirements and concerns regarding the newly mandated technologies, in order to support its expansion in education and training going forward. “Acceptance” has been previously identified as an important aspect behind successful technology adoption. Therefore, two online questionnaire studies were conducted to explore how technology use is accepted among speech and language therapists in Germany.MethodsStudy 1 involved a questionnaire about video therapy with 15 question groupings, examining technology acceptance and competence. From 841 initial respondents, 707 complete responses were included in the analysis. Study 2 involved a different questionnaire, examining technology acceptance and digital media in therapy. In total, 79 individuals participated in the second survey. Study 1 data were analyzed to identify unifying factors underlying respondent attitudes and was followed up with a logistical regression; Study 2 data were analyzed with multiple linear regression.ResultsIn Study 1, external inhibiting and facilitating conditions were identified which had an impact on attitudes toward video therapy adoption and its intended future use. In Study 2, the modified model of the Unified Theory of Acceptance and Use of Technology (UTAUT) explained 58.8% of the variability in therapist's Behavioral Intention to Use digital media. Here, Performance Expectancy was a significant predictor.ConclusionsBoth studies investigated facilitating and inhibiting factors for the implementation of digital media including video therapy in future speech therapy services. Results demonstrated that the use is accepted in therapy. Therefore, optimal conditions—both institutional and individual—are needed to enable digital participation for therapists and patients. In future education and training, trainers should focus on the functional aspects of the technologies to be used, in order to positively influence Performance Expectancy in a targeted manner and thus increase the therapists' intention to use digital technology in therapy, which in turn promotes patients' digital participation.

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“…In a qualitative study, participants reported challenges including less patient engagement, difficulty regarding sharing information within the care team, and greater inefficiency when providing mental health [ 31 ]. Another study [ 32 ] negative experiences and challenges of participants consisted of low-quality of technology infrastructure for tele-speech therapy including low quality of shared images and videos, ineffective communication, insufficient sympathy, indirect communication, and technology incompetency.…”

Section: Discussionmentioning

confidence: 99%

Determining the effect of tele-rehabilitation on patients with stutter using the goal attainment scaling (GAS)

Jahromi

Ahmadian

2021

BMC Med Inform Decis Mak

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Background Lack of proper and timely patients' access to speech pathologists can affect the treatment and follow-up process; therefore, patients do not achieve the expected therapeutic goals. The aim of this study was to determine the effect of tele-rehabilitation on the stuttering patients using the goal attainment scaling (GAS). Methods This interventional study was carried out on patients who visited the rehabilitation centers affiliated to the Jahrom Welfare Office. They underwent remote speech therapy using Skype. To evaluate the treatment outcomes of the stuttering patients, GAS was used. Results The participants' speech and lingual skills improved using videoconferencing. The mean score of total GAS for patients was 53.08. Of 112 health goals, patients reached the expected or higher than expected levels in 78 goals. Conclusions Rehabilitation through video conferencing was effective for patients with stuttering, improved their speech, and decreased their stuttering. Since, application of remote rehabilitation services can provide regular access to healthcare services, it can lead to improving patient treatment provide more frequent and faster treatment follow-up.

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Two-sided perspective on tele-speech therapy: Experiences of stuttering patients, and their parents

Cited by 11 publications

References 31 publications

The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder

The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder

Technology use in speech and language therapy: digital participation succeeds through acceptance and use of technology

Determining the effect of tele-rehabilitation on patients with stutter using the goal attainment scaling (GAS)

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