학술논문

Parent/Caregiver Views of the Effectiveness of Speech-Language Pathology for Children Born With Cleft Palate Delivered via Telemedicine During COVID-19.
Document Type
Article
Source
Language, Speech & Hearing Services in Schools. Apr2022, Vol. 53 Issue 2, p307-316. 10p. 3 Charts, 1 Graph.
Subject
*PARENT attitudes
*THERAPEUTICS
*KRUSKAL-Wallis Test
*SPEECH therapy
*ATTITUDE (Psychology)
*CLEFT palate
*MEDICAL care
*FISHER exact test
*QUALITATIVE research
*CHI-squared test
*SOCIAL classes
*QUESTIONNAIRES
*DESCRIPTIVE statistics
*RESEARCH funding
*CONTENT analysis
*DATA analysis software
*TELEMEDICINE
*COVID-19 pandemic
*COMMUNICATION education
Language
ISSN
0161-1461
Abstract
Purpose: The purpose of this study was to describe and examine parent views of speech-language pathology (SLP) for children born with cleft palate delivered via telemedicine during the COVID-19 pandemic in the United Kingdom (UK). Method: Parents were asked whether they found this method of delivery "very effective," "somewhat effective," or "not at all effective." Free text was then invited. There were 212 responses. Ordinal chi-square, Kruskal-Wallis, or Fisher's exact tests examined associations between parent views of effectiveness and biological variables and socioeconomic status. Free text responses were analyzed using qualitative content analysis. Results: One hundred and forty (66.0%) respondents reported that SLP delivered via telemedicine was "somewhat effective," 56 (26.4%) "very effective," and 16 (7.6%) "not at all effective." There was no evidence of an association between parent reported effectiveness and any of the explanatory variables. Parentreported challenges impacting on effectiveness included technology issues and keeping their children engaged with sessions. Importantly, telemedicine was viewed as "better than nothing." Conclusions: Most parents reported that they felt SLP delivered via telemedicine during the first few months of the COVID-19 pandemic in the UK was at least "somewhat effective." It is important to interpret this in the context of there being no other method of service delivery during this time and that this study only represents families who were able to access SLP delivered via telemedicine. Further work is needed to identify which children with cleft palate might benefit from SLP delivered via telemedicine to inform postpandemic service provision. [ABSTRACT FROM AUTHOR]