Perspectives of Speech-Language Pathologists on the Use of Telepractice in Schools: The Qualitative View
Telepractice in speech-language pathology shows the potential to mitigate the current shortage of speech-language pathologists (SLPs) available to serve a growing number of persons with communication disorders. Since a majority of American Speech-Language-Hearing Association (ASHA) certified SLPs work in schools and the population of communicatively impaired clients in schools continues to grow, research into the use of telepractice in the educational setting is warranted. This article reports upon the perspectives of SLPs regarding the use of telepractice in school settings. In-depth qualitative interviews were conducted with five SLPs experienced in the delivery of telepractice. Four major themes emerged: barriers, benefits, reasons for acceptance and use of telepractice, and suggestions to resolve telepractice professional issues.
Alverson, D., Holtz, B., D’lorio, J., DeVany, M., Simmons, S., & Poropatich, R. K. (2008). One size doesn’t fit all: Bringing telehealth services to special populations. Telemedicine and e-Health, 14, 957- 963. doi: 10.1089/tmj.2008.0115
American Speech-Language-Hearing Association. (2002). Survey report on telepractice use among audiologists and speech-language pathologists. Retrieved from American Speech-Language-Hearing Association website: http://www.asha.org/uploadedFiles/practice/telepractice/SurveyofTelepractice.pdf
American Speech-Language-Hearing Association. (2005a). Knowledge and Skills Needed by Speech-Language Pathologists Providing Clinical Services via Telepractice [Knowledge and Skills]. doi: 10.1044/policy.KS2005-00077. Retrieved from American Speech-Language-Hearing Association website: http://www.asha.org/policy/KS2005-00077.htm
American Speech-Language-Hearing Association. (2005b). Speech-Language Pathologists Providing Clinical Services via Telepractice: Position Statement [Position Statement]. doi: 10.1044/policy.PS2005-00116. Retrieved from American Speech-Language-Hearing Association website: http://www.asha.org/docs/html/PS2005-00116.html
American Speech-Language-Hearing Association. (2005c). Speech-Language Pathologists Providing Clinical Services via Telepractice: Technical Report [Technical Report]. doi: 10.1044/policy.TR2005-00152. Retrieved from American Speech-Language-Hearing Association website: http://www.asha.org/policy/TR2005-00152.htm
American Speech-Language-Hearing Association. (2010). Professional Issues in Telepractice for Speech-Language Pathologists [Professional Issues Statement]. doi:10.1044/policy.PI2010-00315. Retrieved from American Speech-Language-Hearing Association website: http://www.asha.org/policy/PI2010-00315.htm
Bernard, H. R., & Ryan, G. W. (2010). Analyzing Qualitative Data Systematic Approaches. Retrieved from http://www.sagepub.com/upm-data/30485_Chapter3.pdf
Brennan, D., & Barker, L. M. (2008). Human factors in the development and implementation of telerehabilitation systems. Journal of Telemedicine and Telecare, 14, 55–58. doi: 10.1258/jtt.2007.007040
Bulik, R. J. (2008). Human factors in primary care telemedicine encounters. Journal of Telemedicine and Telecare, 14, 169-172. doi: 10.1258/jtt.2007.007041
Bureau of Labor and Statistics. United States Department of Labor (2010-2011). Occupational Outlook Handbook, 2010-2011 Edition, Speech-Language Pathologists. Retrieved from http://www.bls.gov/oco/ocos099.htm
Castrogiovanni, A. (2008). Incidence and prevalence of communication disorders and hearing loss in children - 2008 edition. American Speech-Language-Hearing Association. Retrieved from http://www.asha.org/research/reports/children.htm
Creswell, J. W. (2008). Educational research: Planning, conducting, and evaluating quantitative and qualitative research (3rd ed.). Upper Saddle River, NJ: Pearson Publishing.
Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed methods research. Thousand Oaks, CA: Sage Publications, Inc.
Dunkley, C., Pattie, L., Wilson, L., & McAllister, L. (2010). A comparison of rural speech-language pathologists’ and residents’ access to and attitudes towards the use of technology for speech-language pathology service delivery. International Journal of Speech-Language Pathology, 12, 333-343. doi: 10.3109/17549500903456607
Fink, A. (2003). The survey kit (2nd ed.).Thousand Oaks, CA: Sage Publications.
Forducey, P. (2006, August). Speech telepractice program expands options for rural Oklahoma schools. The ASHA Leader Online. Retrieved from http://www.asha.org/Publications/leader/2006/060815/060815f.html
Grogan-Johnson, S., Alvares, R., Taylor, J., Gabel, R., Rowan, L., & Allendar, N. (2009). Providing telepractice services to children in rural Ohio – year 2. Retrieved from http://www.ehhs.kent.edu/telepractice/research.htm
Hjelm, N. M. (2005). Benefits and drawbacks of telemedicine. Journal of Telemedicine and Telecare, 11, 60-69
Juenger, J. M. (2009a, July). Telepractice in speech/language: How to get there from here. Session presented at the American Speech-Language-Hearing Association (ASHA) Schools Conference, Kansas City, MS.
Juenger, J. M. (2009b, September 22). Telepractice in the schools. The ASHA Leader, 14(12), 20-21.
Mashima, P. A., & Doarn, C. R., (2008). Overview of telehealth activities in speech-language pathology. Telemedicine and e-Health, 14, 1101-1117. doi: 10.1089/tmj.2008.0080
Morton, J., Mullin, P., & Biemer, P. (2008). Using reinterview and reconciliation methods to design and evaluate survey questions. Survey Research Methods, 2(2), 75-82.
Pennsylvania Department of Education. (2008). Public Schools Professional Personnel Statistics. Retrieved from http://www.education.state.pa.us/portal/server.pt/community/data_and_statistics/7202
Polovoy, C. (2008, July 15). Telepractice in schools helps address personnel shortages. The ASHA Leader, 13(9), 22-24.
Scheideman-Miller, C., Clark, P. G., Moorad, A., Post, M. L., Hodge, B. G., & Smeltzer, S. (2003). Efficacy and sustainability of a telerehabilitation program. Hawaii International Conference of System Sciences, 6, 1-11. doi: 10.1109/HICSS.2003.1174380
Scheideman-Miller, C., Clark, P. G., Smeltzer, S. S., Cloud, C., Carpenter, J., Hodge, B., & Prouty, D. (2002). Two year results of a pilot study delivering speech therapy to students in a rural Oklahoma school via telemedicine. Retrieved from http://www.hicss.hawaii.edu/HICSS_35/HICSSpapers/PDFdocuments/HCTMD06.pdf
Schwartz, H. & K. Drager. (2008). Training and knowledge of autism among speech-language pathologists: A survey. Journal of Speech-Language-Hearing in Schools, 39, 66-77.
Whitten, P., & Holtz, B. (2008a). A series of papers for those yearning to propel telehealth to new heights. Telemedicine and e-Health, 14, 952-956. doi: 10.1089/tmj.2008.0129
Whitten, P., & Holtz, B. (2008b). Provider utilization of telemedicine: The elephant in the room. Telemedicine and e-Health, 14, 995-997. doi: 10.1089/tmj.2008.0126
Copyright (c) 2012 Janice K. Tucker
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.