The Benefits of Providing Speech Therapy Online – Part 3

07 Dec The Benefits of Providing Speech Therapy Online – Part 3

What does research say about the use of Teletherapy in schools?

“…This Phase 1 clinical trial explored the viability of webcam Internet delivery of Camperdown Program for adolescents who stutter.  They concluded that the service delivery model was efficacious and efficient.  All of the participants and their parents also found it appealing.”

Webcam delivery of the Camperdown Program for adolescents who stutter: A Phase 1 trial Brenda Carey, Sue O’Brian, Mark Onslow, Ann Packman, Ross Menzies; Australian Stuttering Research Centre, The University of Sydney. Language, Speech, and Hearing Services in Schools 2012;43:370.

“Based on the results of this initial investigation, live interactive video conferencing appears to be a viable service delivery model for school-age children who receive speech sound intervention services in the public schools. This alternative delivery model may be utilized to provide needed intervention services to rural school districts that do not have adequate speech-language intervention services available to them.”

A Pilot Exploration of Speech Sound Disorder Intervention Delivered by Telehealth to School-Age Children, Susan Grogan-Johnson, PhD1, Rodney M. Gabel, PhD2, Jacquelyn Taylor, MA3, Lynne E. Rowan, PhD1, Robin Alveres, PhD1, Jason Schenker, PhD4. International Journal of Telerehabilitation Vol 3. No. 1 Spreina 2011 10.5195/lit.2011.6064.

This paper presents results from a study conducted at the Rehabilitation Engineering Research Center (RERC) on Telerehabilitation at the National Rehabilitation Hospital. The study was designed to measure performance by brain-injured subjects, with medical diagnoses of stroke or traumatic brain injury, on a standardized Speech-Language Pathology evaluation conducted in both fact-to-bace and videoconferenc-based telerehabilitation settings.  The Story Retelling Procedure (SRP), which measures connected language production and comprehnsion of spken narratives was administered to each subject in both settings. The primary objectives of this study were to: (1) compare communication as measured by the SRP between experimental settings, and (2) determine if fubject variables (such as age, education, technology experience or gender) had an effect on performance differences between settings.  The rationale was the at any difference in this aspect of performance must be identified and characterized before this model of interventiona can be used clinicially.  Across all subjects (n=40), no significant difference (p>0.05) was found between SRP performance measured in the two settings. Additionally, variables including age, education, technology experience, and gender did not significantly affect the difference between performance in the two settings.  Overall, subjects reported a high level of acceptance of videoconferencing with 34 subjects responding “yes,” 4 responding “no,” and 2 responding “maybe” when asked if they would use videoconferencing again to talk to a clinican. Results of this study confirm the potential for SLP treatment using video conferencing and indicate a need for continued research in the field.

Brennan DM, Georgeadis AC, Baron CR and Barker LM (2004). The effect of videoconference-based telerehab on story retelling performance by brain injured subjects and its implications for remote speech-language therapy. Telemedicne Journal and e-Health, 10(2), 147-154.

“Pre- and post-testing was completed by teachers, parents, and therapist using representative questions from the cognition categories of comprehension, expression, social interaction problem solving and memory.  Therapist noted significant improvements in all five domains.  Teacher reported significant improvements in comprehension and memory.  Parents indicated the greatest improvements in expression and problem solving….Two students achieved their IEP goals and discontinued speech therapy.”

Two Year Results of a Pilot Study Delivering Speech Therapy to Students in a Rural Oklahoma School via Telemedicine.  Cynthia Scheideman-Miller, MHA; Pamela G. Clark, Ph.D.; Sharon S. Smeltzer, M.S., CCC-SLP, Avery Cloud-CIO; Jeff Carpenter; Bob Hodge; David Prouty. Proceedings of the 35th Hawaii International Conference on System Sciences – 2002.

Information gathered and article written by:
Tracy Sippl, M.S., CCC-SLP
Speech/Language Pathologist & Teletherapist

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