Speech and language therapy planning in telepractice

Authors

Keywords:

telepractice, speech and language therapy, planning, adaptations, activity limitations

Abstract

Telepractice is the provision of interventions (diagnosis, therapy, counseling and mentoring) from a distance, in which telecommunications provide the medium for the interactions between the speech therapist, the patient, the latter’s relatives and other professionals. The transition from direct to remote form of speech therapy work requires a reformulation of therapeutic goals and an adaptation of the tasks and the means to achieve them, so as to ensure maximum effectiveness of therapy. The aim of the present study is to establish how the impact of telepractice on the components of therapeutic planning is assessed in cases where remote work is the only possible form of speech therapy intervention as well as what is the professionals’ subjective assessment of its advantages and disadvantages based on their own experience. Twenty-three speech therapists from all kinds of spheres were interviewed: education, healthcare, social assistance and private practice. The obtained results can serve as a starting point in the planning of speech therapy strategies in the conditions of telepractice and in the understanding of their main components: temporal, technical and technological, content-related and methodological.

 

References:

Boyadzhieva-Deleva, E. (2020). Speech and language therapy in a state of emergency: advantages and disadvantages of telepractice. Knowledge International Journal, vol. 40, No.4, 681-686, ISSN 2545-4439 (for printed version), ISSN 1857-923X (for e-version).

Goranova, E. (2020). Telepractice and the biofeedback methodology in assistance to an individual who stutters. A case study. Special Education and Speech & Language Therapy, vol. 1, ISSN 2683-1384, 91-104.

American Speech-Language-Hearing Association, ASHA. (2019). Telepractice: An Overview. Available from: https://www.asha.org/practice-portal/professional-issues/telepractice/#collapse_2.html.

Bachmeyer-Lee, M.H., Kirkwood, C.A., Sheehan, C.M., Gibson, A.L., Shuler, N.J., & Keane, J.A. (2020). Utilizing in-vivo feedback for caregivers training of pediatric feeding protocols. Journal of Applied Behavioral Analysis, DOI: 10.1002/jaba.693.

Curtiss, S., Pearson, J., Akamoglu, Y., Fisher, K.W., Snodgrass, M., Meyer, L., Meadan, H., & Halle, J. (2016). Bringing instructional strategies home: reaching families online. Teaching Exceptional Children, 48(3), 159-167. DOI: 10.1177/0040059915605816.

Freckmann, A., Hines, M., & Lincoln, M. (2017). Clinicians' perspectives of therapeutic alliance in face-to-face and telepractice speech-language pathology sessions. International Journal of Speech and Language Pathology, Jun; 19(3): 287-296. DOI: 10.1080/17549507.2017.1292547.

Grillo, E. (2017). Results of a survey offering clinical insights into speech-language pathology Telepractice methods. International Journal of Telerehabilitation, 9(2), 25-30. DOI: 10.5195/ijt.2017.6230.

Hall, N., Boisvert, M., & Steele, R. (2013). Telepractice in the assessment and treatment of individuals with aphasia: a systematic review. International Journal of Telerehabilitation, 5(1), 27-38. DOI: 10.5195/ijt.2013.6119.

Krikheli, L., Carey, L.B., McDonald, C.E., & Malik, N. (2017). Telehealth use in Speech-Language Pathology: An exploratory scoping review (prepared for Cabrini Health, Victoria). Melbourne: La Trobe University, Participatory Field Placement Report, pp. 1–52. Retrieved from http://hdl.handle.net/1959.9/563260.

Macoir, J., Sauvageau, V.M., Boissy, P., Tousignant, M., & Tousignant, M. (2017). In-home synchronous telespeech therapy to improve functional communication in chronic poststroke aphasia: Results from a quasi-experimental study. Telemedicine Journal and E-Health, 23, 630–639. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/28112589.

Overby, M. (2018). Stakeholders’ qualitative perspectives of effective telepractice pedagogy in speech-language pathology. International Journal of Language and Communication Disorders, January-February, 53(1), 101-112. DOI: 10.1111/1460-6984.12329.

Raatz, M., Ward, E., & Marshall, J. (2020). Telepractice for the delivery of pediatric feeding services: a survey of practice investigating clinician perceptions and current service models in Australia. Dysphagia, vol. 35, 378–388. DOI: 10.1007/s00455-019-10042-9.

Rangarathnam, B., McCullough, G., Pickett, H., Zraick, R.I., Tulunay-Ugur, O., & McCullough, K. (2015). Telepractice versus in-person delivery of voice therapy for primary muscle tension dysphonia. American Journal of Speech-Language Pathology, vol. 24, 386-399. DOI: 10.1044/2015_AJSLP-14-0017.

Snodgrass, M.R., Chung, M.Y., Biller, M.F., Appel, K.E., Meadan, H., & Halle, J.W. (2017). Telepractice in speech-language therapy: the use of online technologies for parent training and coaching. Communication Disorders Quarterly, 38(4), 242–254. DOI: 10.1177/1525740116680424.

Wales, D., Skinner, L., & Hayman, M. (2017). The efficacy of telehealth-delivered speech and language intervention for primary school-age children: A systematic review. International Journal of Telerehabilitation, 9(1), 55–70. DOI: 10.5195/ijt.2017.6219.

Weidner, K., & Lowman, J. (2020). Telepractice for adult speech-language pathology services: a systematic review. Perspectives of the ASHA Special 326 Interest Groups, Vol. 5, 326–338. DOI: 10.1044/2019_PERSP-19-00146.

Author Biography

Elena Boyadzhieva-Deleva, Sofia University "St. Kliment Ohridski"

Head Assist. Prof. Elena Boyadzhieva-Deleva, PhD Sofia University “St. Kliment Ohridski” Faculty of Educational Studies and the Arts Department of Special Education and Speech Therapy. Science interests: Developmental and acquired speech disorders, developmental language disorders, early intervention and prevention of communication disorders, oral motor speech therapy, diagnostics in speech disorders Number of Publications: 50 (1 monography, 3 student books and science articles).

Published

2025-09-09