Provider Perspectives on Telepractice for Serving Families of Children who are Deaf or Hard of Hearing


  • Diane D. Behl National Center for Hearing Assessment and Management, Utah State University
  • Gary Kahn Healthbridge, llc Co-Investigator TACIT Assistant Clinical Professor Department of Biostatistics and Informatics Colorado School of Public Health University of Colorado Denver



Telepractice to deliver remote Part C early intervention (EI) services to families in their home is a rapidly-growing strategy under the Individuals with Disabilities Education Act (IDEA) to meet the needs of infants and toddlers who are deaf or hard of hearing. A survey was completed within a “learning community” comprised of staff from EI programs that were implementing telepractice to learn about their specific implementation strategies and challenges they faced. Twenty-seven individuals representing 11 programs responded. The results showed great variability in hardware and software, with many raising concerns regarding security. Primary challenges reported were internet connectivity and training in skills required to deliver telepractice services. The findings from this survey were valuable in guiding future areas of investigation for the learning community and ultimately improving telepractice in the field.




American Speech-Language-Hearing Association (n.d.). Telepractice: Overview. Retrieved from:

Behl, D., Houston, K.T., Guthrie, W.S., & Guthrie, N.K. (2010). Tele-intervention: The wave of the future fits families’ lives today. Exceptional Parent, 40(12), 23-28.

Behl, D., Houston, K.T., & Stredler-Brown, A. (2012). The value of a learning community to support telepractice for infants and toddlers with hearing loss. Volta Review, 112(3), 313-327.

Blaiser, K., Behl, D., Callow-Heusser, C., & White, K. (2013). Measuring costs and outcomes of tele-intervention when serving families of children who are deaf/hard-of-hearing. International Journal of Telerehabilitation, 5(2), 3-10.

Brown, J. (2014). The state of telepractice in 2014. ASHA Leader, 19(12), 54-57.

Cason, J., Behl, D., & Ringwalt, S. (2012). Overview of states' use of telehealth for the delivery of early intervention (IDEA Part C) services. International Journal of Telerehabilitation, 4(2), 39-45.

Federal Communications Commission (2011). Bringing broadband to rural America: Update to report on rural broadband strategy. Retrieved from

Goldberg, D.M., Dickson, C.L, & Flexer, C. (2010) AG Bell Academy certification program for listening and spoken language specialists: Meeting a world-wide need for qualified professionals. Volta Review, 110(2), 129–143.

Kelso, G., Fiechtl, B., Olsen, S., & Rule, S. (2009). The feasibility of virtual home visits to provide early intervention: A pilot study. Infants and Young Children, 22, 232-240.

Roush, J. (Ed.). (2011). Preface. A strategic analysis of state early hearing detection and intervention programs. Volta Review, 111(2), 81-82.

Stredler-Brown, A. (Ed.) (2012). Preface. Current knowledge and best practices for telepractice, Volta Review, 112(3), 191-193.



How to Cite

Behl, D. D., & Kahn, G. (2015). Provider Perspectives on Telepractice for Serving Families of Children who are Deaf or Hard of Hearing. International Journal of Telerehabilitation, 7(1), 3–12.