Participant satisfaction and directions for growth in online group speech rehabilitation for individuals with Parkinson's disease.

Purpose: With increased access to telehealth platforms and considering the heterogeneity of Parkinson's disease, understanding the contributors of patients' satisfaction with online group speech rehabilitation programs becomes essential for patient retention and adherence with continuous practice. The purpose of this study was to examine elements of an existing online group speech treatment program that contribute to participant satisfaction and determine patient-centred considerations for further growth.

Method: Ten individuals with Parkinson's disease enrolled in Speech for PD, an online university- and community-based program, participated in focus groups. The semi-structured interviews were video-recorded and transcribed. Data were analysed qualitatively following reflexive thematic analysis.

Result: Three themes were constructed: The importance and power of social connectedness, voice and cognitive-linguistic exercises as essential elements, and recommendations for growth; which emphasised the role of biofeedback and self-management techniques, as well as continued practice and in-person social gatherings.

Conclusion: Online group speech treatment programs may significantly contribute to increased social connectedness in individuals with Parkinson's disease. Participant satisfaction may also be enhanced through targeting not only the reported voice and speech deficits in Parkinson's disease but also cognitive-linguistic skills in group format. Elements of success and considerations for growth of an existing program, Speech for PD, are discussed.