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01-04-2020 | Pathology | Original Article

Telepractice for the Delivery of Pediatric Feeding Services: A Survey of Practice Investigating Clinician Perceptions and Current Service Models in Australia

Authors: Madeline K. Raatz, Elizabeth C. Ward, Jeanne Marshall

Published in: Dysphagia | Issue 2/2020

Abstract

The provision of speech-language pathology (SLP) services via telepractice is expanding. However, little is known about the use of telepractice to deliver pediatric feeding services. The current study aimed to investigate SLPs perceptions, and current use of, telepractice in pediatric feeding. An electronic survey was distributed to SLPs with pediatric feeding experience within Australia. Questions pertained to general demographics, feeding experience, telepractice experience and perceptions of telepractice. Most questions were multiple choice, with some short response questions. Eighty-four complete responses were received. Overall, 41% of the cohort were interested in providing telepractice services but only 20% reported experience delivering pediatric feeding services via telepractice. Most telepractice users reported commencing telepractice services within the last 12 months. Most clinicians identified a range of age groups and feeding services that they believed could be offered via telepractice and a range of benefits to telepractice feeding services were identified. Benefits included natural environment, reduced distance and travel, opportunities to increase services and increased supervision and support. Although most respondents reported access to technology, most had difficulty accessing this on a daily basis to establish regular telepractice services. Clinician concerns regarding the safety and efficacy of conducting pediatric feeding assessments via telepractice were also identified. Overall, although the delivery of pediatric feeding services via telepractice remains limited, many clinicians were interested in using telepractice and had positive perceptions regarding its use. Continued efforts to enhance clinician access to technology and further evidence for the efficacy of this service delivery model for pediatric feeding will aid clinical implementation.

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Lindberg L, Bohlin G, Hagekull B. Early feeding problems in a normal population. Int J Eat Disord. 1991;10:395–405.CrossRef

Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev. 2008;14:118–27.CrossRef

Berlin KS, Davies WH, Silverman AH, Rudolph CD. Assessing family-based feeding strategies, strengths, and mealtime structure with the feeding strategies questionnaire. J Pediatr Psychol. 2011;36:586–95. https://doi.org/10.1093/jpepsy/jsp107.CrossRefPubMed

Wilson L, Lincoln M, Onslow M. Availability, access, and quality of care: inequities in rural speech pathology services for children and a model for redress. Int J Speech Lang Pathol. 2002;4:9–22. https://doi.org/10.1080/14417040210001669191.CrossRef

O’Callaghan AM, McCallister L, Wilson L. Consumers’ proposed solutions to barriers to access of rural and remote speech pathology services. Adv Speech-Lang Pathol. 2005;7:58–64. https://doi.org/10.1080/14417040500125277.CrossRef

Burgess A, Purdy S, Jackson B. Allied health professionals’ perspectives of working with dysphagia in a rural paediatric team. N Z Med Assoc. 2016;129:87–9.

Grillo EU. Results of a survey offering clinical insights into speech-language pathology telepractice methods. Int J Telerehabilitation. 2017;9:25–30. https://doi.org/10.5195/IJT.2017.6230.CrossRef

The Speech Pathology Association of Australia Ltd: Telepractice in speech pathology position statement; 2014.

American Speech-Language-Hearing Association. Telepractice. 2018. https://www.asha.org/Practice-Portal/Professional-Issues/Telepractice/. Accessed 7 Aug 2018.

10.

Burns CL, Hill AJ, Ward EC. Supporting head and neck cancer management: use of technology. In: Ward EC, van As-Brooks CJ, editors. Head and neck cancer: treatment, rehabilitation, and outcomes. 2nd ed. San Diego: Plural Publishing Inc.; 2014. p. 549–60.

11.

Hill AJ, Miller L. A survey of the clinical use of telehealth in speech-language pathology across Australia. J Clin Pract Speech-Lang Pathol. 2012;14:110–7.

12.

Burns CL, Kularatna S, Ward EC, et al. Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer. Head Neck. 2017;39:2470–80. https://doi.org/10.1002/hed.24916.CrossRefPubMed

13.

Collins A, Burns CL, Ward EC, et al. Home-based telehealth service for swallowing and nutrition management following head and neck cancer treatment. J Telemed Telecare. 2017;23:866–72. https://doi.org/10.1177/1357633X17733020.CrossRefPubMed

14.

Moffatt JJ, Eley DS. Barriers to the up-take of telemedicine in Australia—a view from providers. Rural Remote Health. 2011;11:1–6.

15.

May J, Erickson S. Telehealth: why not? Perspectives of speech-language pathologists not engaging in telehealth. J Cin Pract Speech-Lang Pathol. 2014;16:147–51.

16.

Hines M, Lincoln M, Ramsden R, et al. Speech pathologists’ perspectives on transitioning to telepractice: what factors promote acceptance? J Telemed Telecare. 2015;21:469–73. https://doi.org/10.1177/1357633X15604555.CrossRefPubMed

17.

Dunkley C, Pattie L, Wilson L, McAllister L. A comparison of rural speech-language pathologists’ and residents’ access to and attitudes towards the use of technology for speech-language pathology service delivery. Int J Speech Lang Pathol. 2010;12:333–43. https://doi.org/10.3109/17549500903456607.CrossRefPubMed

18.

Taylor OD, Armfield NR, Dodrill P, Smith AC. A review of the efficacy and effectiveness of using telehealth for paediatric speech and language assessment. J Telemed Telecare. 2014;20:405–12. https://doi.org/10.1177/1357633X14552388.CrossRefPubMed

19.

Mashima PA, Doarn CR. Overview of telehealth activities in speech-language pathology. Telemed e-Health. 2008;14:1101–17. https://doi.org/10.1089/tmj.2008.0080.CrossRef

20.

Regina Molini-Avejonas D, Rondon-Melo S, de La Higuera Amato CA, Samelli AG. A systematic review of the use of telehealth in speech, language and hearing sciences. J Telemed Telecare. 2015;21:367–76. https://doi.org/10.1177/1357633X15583215.CrossRef

21.

Ciccia AH, Whitford B, Krumm M, McNeal K. Improving the access of young urban children to speech, language and hearing screening via telehealth. J Telemed Telecare. 2011;17:240–4. https://doi.org/10.1258/jtt.2011.100810.CrossRefPubMed

22.

Kantarcigil C, Sheppard JJ, Gordon AM, et al. A telehealth approach to conducting clinical swallowing evaluations in children with cerebral palsy. Res Dev Disabil. 2016;55:207–17. https://doi.org/10.1016/j.ridd.2016.04.008.CrossRefPubMed

23.

Malandraki GA, Roth M, Sheppard JJ. Telepractice for pediatric dysphagia: a case study. Int J Telerehabilitation. 2014;6:3–16. https://doi.org/10.5195/IJT.2014.6135.CrossRef

24.

Clawson B, Selden M, Lacks M, et al. Complex pediatric feeding disorders: using teleconferencing technology to improve access to a treatment program. Pediatr Nurs. 2008;34:213–6.PubMed

25.

American Speech-Language-Hearing Association: 2014 SIG 18 Telepractice services survey results; 2014.

26.

Patton MQ. Qualitative research and evaluation methods. 3rd ed. California: Sage Publications; 2002.

27.

Health Workforce Australia: Australia’ s health workforce series- speech pathologists in focus; 2014.

28.

Verdon S, Wilson L, Smith-Tamaray M, McAlliste L. An investigation of equity of rural speech-language pathology services for children: a geographic perspective. Int J Speech Lang Pathol. 2011;13:239–50. https://doi.org/10.3109/17549507.2011.573865.CrossRefPubMed

29.

Theodoros D. A new era in speech-language pathology practice: innovation and diversification. Int J Speech Lang Pathol. 2012;14:189–99. https://doi.org/10.3109/17549507.2011.639390.CrossRefPubMed

30.

Ward EC, Sharma S, Burns C, et al. Validity of conducting clinical dysphagia assessments for patients with normal to mild cognitive impairment via telerehabilitation. Dysphagia. 2012;27:460–72. https://doi.org/10.1007/s00455-011-9390-9.CrossRefPubMed

31.

Sharma S, Ward EC, Burns C, et al. Assessing swallowing disorders online: a pilot telerehabilitation study. Telemed e-Health. 2011;17:688–95. https://doi.org/10.1089/tmj.2011.0034.CrossRef

32.

Burns CL, Ward EC, Hill AJ, et al. A pilot trial of a speech pathology telehealth service for head and neck cancer patients. J Telemed Telecare. 2012;18:443–6. https://doi.org/10.1258/jtt.2012.GTH104.CrossRefPubMed

33.

Ward E, Crombie J, Trickey M, et al. Assessment of communication and swallowing post-laryngectomy: a telerehabilitation trial. J Telemed Telecare. 2009;15:232–7. https://doi.org/10.1258/jtt.2009.081204.CrossRefPubMed

34.

United States. Standards for privacy of individually identifiable health information (HIPAA). Washington, DC: Department of Labor, Employee Benefits Security Administration; 2004.

35.

Gray L, Smith A, Armfield N, et al: Telehealth business case, advice, and options - Final report. Brisbane, Australia; 2011.

36.

Department of Health and Ageing: Telehealth Technical Standards Position Paper; 2012.

Title: Telepractice for the Delivery of Pediatric Feeding Services: A Survey of Practice Investigating Clinician Perceptions and Current Service Models in Australia
Authors: Madeline K. Raatz
Elizabeth C. Ward
Jeanne Marshall
Publication date: 01-04-2020
Publisher: Springer US
Keywords: Pathology
Dysphagia
Dysphagia
Dysphagia
Published in: Dysphagia / Issue 2/2020
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-019-10042-9

ACC 2024 Congress

Springer Medicine

Telepractice for the Delivery of Pediatric Feeding Services: A Survey of Practice Investigating Clinician Perceptions and Current Service Models in Australia

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

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