Aural Rehabilitation via Telepractice During COVID-19: A Global Perspective on Evolving Early Intervention Practices


  • Rebecca Claridge MED-EL, Fürstenweg 77a, Innsbruck
  • Nicholas Kroll MED-EL, Fürstenweg 77a, Innsbruck



Aural Rehabilitation, Early Intervention, Hearing Impairment, Lesson Kits, Telepractice


Introduction: Pre-pandemic, telepractice was not globally implemented despite its effectiveness. Clinicians reported challenges related to technology, confidence, and inadequate resources. Objectives: To document global telepractice, identify current obstacles and measure the impact of a possible solution. The timing of this research facilitated tracking telepractice changes during the pandemic. Methods: Two surveys measured practitioners’ experience and attitude towards telepractice. Survey 1 was completed in February-March 2020. Participants then received two specialized lesson kits to trial if desired. Survey 2 was a follow-up after 4-6 weeks. Results: Between surveys, the proportion of participants providing telepractice increased from 47.6% to 91.7%. The lesson kits were trialled by 74.3%. Their use had a positive impact on three of the top five factors affecting the delivery of telepractice: parent coaching, clinician experience and accessing resources. Conclusion: Telepractice was rapidly adopted globally during the pandemic. The specialized resources were helpful in overcoming some of the barriers to delivery.



American Speech-Language-Hearing Association. (2016). 2016 SIG 18 telepractice survey results.

Aschendorff, A., Arndt, S., Kroger, S., Wesarg, T., Ketterer, M. C., Kirchem, P., Pixner, S., Hassepass, F., & Beck, R. (2020). Quality of cochlear implant rehabilitation under COVID-19 conditions. HNO.

Ayas, M., Ali Al Amadi, A. M. H., Khaled, D., & Alwaa, A. M. (2020). Impact of COVID-19 on the access to hearing health care services for children with cochlear implants: a survey of parents. F1000Res, 9, 690.

Behl, D. D., Blaiser, K., Cook, G., Barrett, T., Callow-Heusser, C., Brooks, B. M., Dawson, P., Quigley, S., & White, K. R. (2017). A multisite study evaluating the Benefits of early intervention via telepractice. Infants & Young Children, 30(2), 147-161.

Blaiser, K. M., Behl, D., Callow-Heusser, C., & White, K. R. (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.

Cason, J. (2009). A pilot telerehabilitation program: delivering early intervention services to rural families. International Journal of Telerehabilitation, 1(1), 29-38.

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), 39-46.

Cole, B., Pickard, K., & Stredler-Brown, A. (2019). Report on the use of telehealth in early intervention in Colorado: Strengths and challenges with telehealth as a service delivery method. International Journal of Telerehabilitation, 11(1), 33-40.

Constantinescu, G. (2012). Satisfaction with telemedicine for teaching listening and spoken language to children with hearing loss. Journal of Telemedicine and Telecare, 18(5), 267-272.

Constantinescu, G., Waite, M., Dornan, D., Rushbrooke, E., Brown, J., McGovern, J., Ryan, M., & Hill, A. (2014). A pilot study of telepractice delivery for teaching listening and spoken language to children with hearing loss. Journal of Telemedicine and Telecare, 20(3), 135-140.

Dham, R., Arumugam, S. V., Dharmarajan, S., Sunil, M., Paramasivan, V. K., & Kameswaran, M. (2020). Interrupted cochlear implant habilitation due to COVID-19 pandemic-ways and means to overcome this. International Journal of Pediatric Otorhinolaryngology 138, 110327. 10.1016/j.ijporl.2020.110327

Dorsey, E. R., & Topol, E. J. (2016). State of telehealth. New England Journal of Medicine, 375(2), 154-161.

Ekberg, S., Danby, S., Theobald, M., Fisher, B., & Wyeth, P. (2019). Using physical objects with young children in face-to-face and telehealth speech and language therapy. Disability and Rehabilitation, 41, 1664 - 1675.

Fairweather, G. C., Lincoln, M. A., & Ramsden, R. (2016). Speech-language pathology teletherapy in rural and remote educational settings: Decreasing service inequities. International Journal of Speech-Language Pathology, 18(6), 592-602.

Flett, O. (2001). Working with families of young hearing impaired children from a distance: The Taralye experience. Australian Journal of Education of the Deaf, 7, 41-42.

Fong, R., Tsai, C. F., & Yiu, O. Y. (2020). The implementation of telepractice in speech language pathology in Hong Kong During the COVID-19 pandemic. Telemedicine and e-Health.

Hill, A., & Miller, L. E. (2012). A survey of the clinical use of telehealth in speech-language pathology across Australia. Journal of Clinical Practice in Speech-Language Pathology, 14(3), 110-117.

Keck, C. S., & Doarn, C. R. (2014). Telehealth technology applications in speech-language pathology. Telemedicine and e-Health, 20(7), 653-659.

Korfmacher, J., Green, B., Staerkel, F., Peterson, C., Cook, G., Roggman, L., Faldowski, R. A., & Schiffman, R. (2008). Parent involvement in early childhood home visiting. Child & Youth Care Forum, 37(4), 171-196.

Madden, N., Emeruwa, U. N., Friedman, A. M., Aubey, J. J., Aziz, A., Baptiste, C. D., Coletta, J. M., D'Alton, M. E., Fuchs, K. M., Goffman, D., Gyamfi-Bannerman, C., Kondragunta, S., Krenitsky, N., Miller, R. S., Nhan-Chang, C. L., Saint Jean, A. M., Shukla, H. P., Simpson, L. L., Spiegel, E. S., Yates, H. S., Zork, N., & Ona, S. (2020). Telehealth uptake into prenatal care and provider attitudes during the COVID-19 pandemic in New York City: A quantitative and qualitative analysis. American Journal of Perinatology, 37(10), 1005-1014.


McCarthy, M., Duncan, J., & Leigh, G. (2012). Telepractice: The Australian Experience in an International Context. Volta Review, 112(3).

McCarthy, M., Leigh, G., & Arthur-Kelly, M. (2019a). Comparison of Caregiver Engagement in Telepractice and In-person Family-Centered Early Intervention. The Journal of Deaf Studies and Deaf Education, 25(1), 33-42.

McCarthy, M., Leigh, G., & Arthur-Kelly, M. (2019b). Telepractice delivery of family-centered early intervention for children who are deaf or hard of hearing: A scoping review. Journal of Telemedicine and Telecare, 25(4), 249-260.

McCarthy, M., Leigh, G., & Arthur-Kelly, M. (2020). Practitioners' self-assessment of family-centered practice in telepractice versus in-person early intervention. Journal of Deaf Studies and Deaf Education

MED-EL GmbH. (2020a). MED-EL Remote Lesson Kits. Retrieved from

MED-EL GmbH. (2020b). MED-EL Themed Lesson Kits. Retrieved from

Moeller, M. P., Carr, G., Seaver, L., Stredler-Brown, A., & Holzinger, D. (2013). Best Practices in family-centered early intervention for children who are Deaf or hard of hearing: An international consensus statement. The Journal of Deaf Studies and Deaf Education, 18(4), 429-445.

Mohan, H. S., Anjum, A., & Rao, P. K. S. (2017). A survey of telepractice in speech-language pathology and audiology in India. International Journal of Telerehabilitation, 9(2), 69-80.

Olsen, S., Fiechtl, B., & Rule, S. (2012). An evaluation of virtual home visits in early intervention: Feasibility of "virtual intervention." Volta Review, 112, 267-281.

Olusanya, B. O. (2006). Early hearing detection and intervention in developing countries: Current status and prospects. Volta Review, 106(3).

Saile, T., & Gregori, J. (2020). Masken und ihre akustischen Nebenwirkungen. Retrieved from

Saunders, G. H., & Roughley, A. (2020). Audiology in the time of COVID-19: Practices and opinions of audiologists in the UK. International Journal of Audiology, 1-8.

Sharma, S. D., Cushing, S. L., Papsin, B. C., & Gordon, K. A. (2020). Hearing and speech benefits of cochlear implantation in children: A review of the literature. International Journal of Pediatric Otorhinolaryngology 133, 109984.

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare, 26(5), 309-313.

Stredler-Brown, A. (2017). Examination of coaching behaviors used by providers when delivering early intervention via telehealth to families of children who are Deaf or hard of hearing. Perspectives of the ASHA Special Interest Groups, 2(9), 25-42.

Tohidast, S. A., Mansuri, B., Bagheri, R., & Azimi, H. (2020). Provision of speech-language pathology services for the treatment of speech and language disorders in children during the COVID-19 pandemic: Problems, concerns, and solutions. International Journal of Pediatric Otorhinolaryngology 138, 110262.

United Nations. (2020). World economic situation and prospects 2020. Retrieved from

Wales, D., Skinner, L., & Hayman, M. (2017). The efficacy of telehealth-delivered speech and language intervention for primary school-age children: A systematic review. International Journal of Telerehabilitation, 9(1), 55-70.

Yang, H.-W., Burke, M., Isaacs, S., Rios, K., Schraml-Block, K., Aleman-Tovar, J., Tompkins, J., & Swartz, R. (2020). Family perspectives toward using telehealth in early intervention. Journal of Developmental and Physical Disabilities.

Yellowlees, P., Nakagawa, K., Pakyurek, M., Hanson, A., Elder, J., & Kales, H. C. (2020). Rapid conversion of an outpatient psychiatric clinic to a 100% virtual telepsychiatry clinic in tesponse to COVID-19. Psychiatric Services, 71(7), 749-752.




How to Cite

Claridge, R., & Kroll, N. (2021). Aural Rehabilitation via Telepractice During COVID-19: A Global Perspective on Evolving Early Intervention Practices. International Journal of Telerehabilitation, 13(1).



Clinical Practice - COVID 19