Does Telepractice Benefit Everyone?
Factors That Determine Candidacy for Telepractice
Ramachandar, S., Ph.D1 , Parfitt, M., MA, LSLS Cert. AVEd2, and Moncrieff, D., Ph.D3 Southern Connecticut State University1, DePaul School for Hearing & Speech2, University of Memphis3
PURPOSE OF THE STUDY
To identify factors that are related to positive outcomes in therapy delivered through a telepractice platform
BACKGROUND AND RATIONALE
- Telepractice can be an effective method to offer parent education to families who have limited access to qualified professionals.
- A number of factors including time constraints, issues with technology and inherent child features can influence the success of the therapy provided through telepractice.
- When considering a telepractice option for a client it would be beneficial for clinicians to know which factors consistently resulted in positive outcomes for students and which factors were often indicators of limited success.
- This is a follow-up analysis of data obtained from our study investigating the efficacy of parent education via telepractice in listening and spoken language skills of children with hearing loss.
- 27 families of children with hearing loss between the ages of 2 and 7 years were recruited for the original study.
- 16 Families received telepractice sessions (5 families completed the study)
- 11 families in face -to –face group (6 completed the study)
- Sessions were conducted once per week for 45-60 minutes by a licensed SLP under the supervision of a Listening & Spoken Language Specialist.
- Services were provided for approximately 9 months.
- Pre and post intervention measures included:
- Standardized language testing of child
- Video of parent child interaction with observable parent skills rating by clinician
- Parent completion of a self-report questionnaire
- No statistical difference between post language scores between groups.
- No statistical difference between between post SPISE: Self-Efficacy and Parental Involvement scores between groups.
FACTORS THAT HINDERED SUCCESSFUL TELEPRACTICE OUTCOMES
(in order of impact degree)
- Technical difficulties
- Family factors (i.e. Both parents working, Siblings, Relocation, Motivation Commitment to facilitating spoken language, Presence of additional speech services)
- Child factors (i.e. Attention)
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