The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder.

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Saira B Karrim, Penelope S Flack, Urisha Naidoo, Stephanie Beagle, Abigail Pontin
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引用次数: 7

Abstract

Background:  There has been an increased emergence of the use of telerehabilitation by speech-language therapists (SLTs) in South Africa since the COVID-19 pandemic in 2020.

Objectives:  To explore the criteria that SLTs use when recommending telerehabilitation for children with autism spectrum disorder (ASD), the technical skills required, strategies used by SLTs, the restrictions encountered when conducting telerehabilitation and the views of SLTs on telerehabilitation in comparison to face-to-face therapy for children with ASD.

Method:  A descriptive, phenomenological, qualitative study design was utilised. Purposive and snowball sampling techniques were employed. Six SLTs from the private sector, who had experience providing telerehabilitation to children with ASD, were recruited from three provinces in South Africa. Data were gathered via semistructured online interviews and analysed using thematic analysis.

Results:  Two out of five themes that emerged from this study are presented in this paper, i.e. approaches to telerehabilitation and the benefits of telerehabilitation. Results revealed that telerehabilitation was used to provide assessment and therapy during the COVID-19 pandemic lockdowns as an alternative method of service delivery. Assessment and treatment strategies included synchronous and asynchronous methods, family collaboration, social stories, frequent breaks and interactive sessions. Telerehabilitation reduced the client's and SLT's travel costs and increased caregiver and clinician satisfaction. Client progress and increased awareness of SLT were viewed as further benefits.

Conclusion:  Telerehabilitation was found to be beneficial to most children with ASD, and in most cases, the benefits far outweighed the challenges encountered. Clinical implications included the need for caregiver support in facilitating effective carryover, an increase in SLTs' knowledge and the opportunity to provide services to a broader geographical range. Limitations of the study are included.

Abstract Image

语言治疗师为自闭症谱系障碍儿童提供远程康复服务的经验。
背景:自2020年2019冠状病毒病大流行以来,南非语言治疗师(slt)使用远程康复的情况有所增加。目的:探讨slt在推荐自闭症谱系障碍(ASD)儿童远程康复时使用的标准、所需的技术技能、slt使用的策略、进行远程康复时遇到的限制以及slt对ASD儿童远程康复与面对面治疗的看法。方法:采用描述性、现象学、定性研究设计。采用目的性和滚雪球取样技术。从南非的三个省招募了来自私营部门的六名特殊教育教师,他们具有为自闭症儿童提供远程康复的经验。数据通过半结构化的在线访谈收集,并使用主题分析进行分析。结果:本文提出了本研究中出现的五个主题中的两个,即远程康复的方法和远程康复的好处。结果显示,在COVID-19大流行封锁期间,远程康复作为一种替代服务提供方式,用于提供评估和治疗。评估和治疗策略包括同步和异步方法、家庭协作、社会故事、频繁休息和互动会议。远程康复降低了患者和SLT的旅行费用,提高了护理人员和临床医生的满意度。客户的进步和SLT意识的提高被视为进一步的好处。结论:远程康复对大多数ASD儿童是有益的,在大多数情况下,好处远远超过了遇到的挑战。临床意义包括需要护理人员的支持,以促进有效的结转,增加slt的知识,并有机会在更广泛的地理范围内提供服务。包括本研究的局限性。
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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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