Factors influencing the success of telepractice during the COVID-19 pandemic and preferences for post-pandemic services: An interview study with clinicians and parents

被引:12
作者
Kwok, Elaine Yuen Ling [1 ]
Pozniak, Kinga [1 ,2 ]
Cunningham, Barbara Jane [1 ,3 ]
Rosenbaum, Peter [1 ,2 ]
机构
[1] McMaster Univ, Inst Appl Hlth Sci, CanChild, Room 408,1400 Main St West, Hamilton, ON L8S 1C7, Canada
[2] McMaster Univ, Dept Pediat, Hamilton, ON, Canada
[3] Elborn Coll, Sch Commun Sci & Disorders, London, ON, Canada
关键词
communication; early intervention; qualitative; telehealth; SPEECH-LANGUAGE PATHOLOGY; QUALITATIVE RESEARCH; TELEMEDICINE; PERSPECTIVES;
D O I
10.1111/1460-6984.12760
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Background There has been a significant uptake in the use of telepractice during the coronavirus SARS-CoV-2 (COVID-19) pandemic. This study explored the experiences of speech and language therapists (SLTs), assistants (SLTAs) and parents with telepractice during the COVID-19 pandemic. Aims (1) To identify factors that influenced success of telepractice; and (2) to describe clinicians' and parents' preferences for the future mode of service delivery for preschoolers with communication disorders. Methods & Procedures The study was conducted in partnership with one publicly funded programme in Ontario, Canada, that offered services to preschoolers with speech, language and communication needs at no cost. SLTs (N = 13), assistants (N = 3) and parents (N = 13) shared their experiences and perspectives during semi-structured videoconference interviews. Outcomes & Results Factors that influenced the success of telepractice were reported in three categories: the setting (i.e., where and how telepractice was being delivered); the nature of telepractice (i.e., the services that were provided via telepractice); and the individuals (i.e., who was involved in telepractice). These factors were reported to interact with each other. As the needs for each child and family are unique, parents and clinicians reported a preference for a hybrid and flexible service delivery model in the future. Conclusions & Implications The themes identified in this study can be used by clinicians and managers to consider factors that influence the success of telepractice for children and families. WHAT THIS PAPER ADDS What is already known on the subject? Studies conducted before the COVID-19 pandemic showed that telepractice was an effective and acceptable service approach. However, some clinicians and parents reported wanting to resume in-person visits. The provision of telepractice services to families with children with communication disorders increased significantly during COVID-19. What this paper adds to existing knowledge? Parents and clinicians shared factors that influenced the success of telepractice during semi-structured interviews. Factors were identified in three categories: the setting (i.e., where and how telepractice was being delivered); the nature of telepractice (i.e., the services that were provided via telepractice); and the individuals (i.e., who were involved in telepractice). As each child's and family's needs are unique, parents and clinicians reported a preference for a hybrid and flexible service delivery model in the future. What are the potential or actual clinical implications of this work? SLTs and SLT managers can use the factors identified to discuss with parents and decide whether telepractice may be well suited to the needs of each child and family.
引用
收藏
页码:1354 / 1367
页数:14
相关论文
共 36 条
  • [1] Uptake of telepractice among speech-language therapists following COVID-19 pandemic in India
    Aggarwal, Komal
    Patel, Ravi
    Ravi, Rohit
    [J]. SPEECH LANGUAGE AND HEARING, 2021, 24 (04) : 228 - 234
  • [2] A Systematic and Quality Review of Parent-Implemented Language and Communication Interventions Conducted via Telepractice
    Akemoglu, Yusuf
    Muharib, Reem
    Meadan, Hedda
    [J]. JOURNAL OF BEHAVIORAL EDUCATION, 2020, 29 (02) : 282 - 316
  • [3] American Speech-Language-Hearing Association (ASHA), 2021, CONS SPEECH LANG COG
  • [4] Anderson K., 2014, Perspectives on Telepractice, V4, P52, DOI [DOI 10.1044/TELES4.2.52, 10.1044/teles4.2.52]
  • [5] A Multisite Study Evaluating the Benefits of Early Intervention via Telepractice
    Behl, Diane D.
    Blaiser, Kristina
    Cook, Gina
    Barrett, Tyson
    Callow-Heusser, Catherine
    Brooks, Betsy Moog
    Dawson, Pamela
    Quigley, Suzanne
    White, Karl R.
    [J]. INFANTS & YOUNG CHILDREN, 2017, 30 (02) : 147 - 161
  • [6] Braun V., 2006, Qualitative research in psychology, V3, P77, DOI [10.1191/1478088706qp063oa, doi:10.1191/1478088706qp063oa, DOI 10.1191/1478088706QP063OA]
  • [7] Interpretive description: A flexible qualitative methodology for medical education research
    Burdine, Julie Thompson
    Thorne, Sally
    Sandhu, Gurjit
    [J]. MEDICAL EDUCATION, 2021, 55 (03) : 336 - 343
  • [8] Pediatric Teleheath: Opportunities Created by the COVID-19 and Suggestions to Sustain Its Use to Support Families of Children with Disabilities
    Camden, Chantal
    Silva, Mindy
    [J]. PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS, 2021, 41 (01) : 1 - 17
  • [9] Connelly F.M., 1990, ED RES, V19, P2, DOI DOI 10.3102/0013189X019005002
  • [10] Developing and Using a Codebook for the Analysis of Interview Data: An Example from a Professional Development Research Project
    DeCuir-Gunby, Jessica T.
    Marshall, Patricia L.
    McCulloch, Allison W.
    [J]. FIELD METHODS, 2011, 23 (02) : 136 - 155