The process of telepractice implementation during the COVID-19 pandemic: a narrative inquiry of preschool speech-language pathologists and assistants from one center in Canada

Background Many professional services were pressed to adopt telepractice in response to the global coronavirus SARS-CoV-2 (COVID-19) pandemic. The need to adopt a new service delivery approach quickly created different implementation challenges. This study explored the lived experiences of frontline clinicians who successfully transitioned their in-person speech-language therapy services to telepractice through an implementation science lens. Methods The study was conducted in partnership with one publicly funded program in Ontario, Canada that offers services to preschoolers with speech, language and communication disorders. Sixteen frontline speech-language pathologists and assistants at this organization shared their lived experience transitioning to telepractice during the pandemic during videoconference interviews. A narrative inquiry approach was used to analyze interview transcripts to identify the processes (or steps) this program took to implement telepractice and to understand the facilitators and barriers to telepractice implementation during the pandemic. Results The following six stages were identified from clinicians’ narratives: abrupt lockdown; weeks of uncertainty; telepractice emerged as an option; preparation for telepractice; telepractice trials; and finally, full implementation of telepractice. The stages of events offered significant insights into how government public health measures influenced clinicians’ decisions and their processes of adopting telepractice. In terms of barriers, clinicians reported a lack of knowledge, skills and experience with telepractice and a lack of technological support. The organization’s learning climate and team approach to transitioning services were identified as the main facilitator of implementation. Conclusions Findings suggest a need for better coordination of public health measures and professional services, which would have eased clinicians’ stress and facilitated an earlier transition to telepractice. Fostering an organization’s learning climate may improve organization’s resilience in response to emergency situations.

Auditory-Perceptual Judgement of Speech-Language Pathologists in Fricative Distortion by EPG Task

Objectives: In a clinical setting, a ‘trained ear’ is the essentials for speech–language pathologists (SLPs) because most SLPs rely on the auditory - perceptual method during assessment and treatment for speech difficulties. However, transcribing distortion errors using only auditory-perceptual judgement is a difficult task. This study investigated the auditory– perceptual ability in terms of distortion errors for pre and present SLPs.Methods: Sixty pre and present SLPs completed a survey, then performed a perceptual judgement task which was manufactured by electropalatography (EPG). The task consisted of 30 questions, including distorted (dentalized, palatalized, lateralized) and normal speech samples of Korean fricative /s/ with different types of vowels (/ɑ/, /u/) and lengths (1-syllabled, 2- syllabled, sentence).Results: There was no significant difference in the distortion task among three groups. All participants had the highest score in “dentalization”, the lowest in “lateralization”, and all distortion types were perceived better in the /u/ context than /ɑ/. Also, SLPs tended to judge “lateralization” errors as “normal articulation” and many of the participants perceived “palatalization” as “lateralization”.Conclusion: The results of this study indicated that active auditory training for SLPs is necessary to improve auditory perceptual ability, and suggests that EPG could be a useful instrument for the auditory training program.

Discussions on Auditory-Perceptual Evaluation Performed in Patients With Voice Disorders

The auditory-perceptual evaluation of speech-language pathologists (SLP) in patients with voice disorders is often regarded as a touchstone in the multi-dimensional voice evaluation procedures and provides important information not available in other assessment modalities. Therefore, it is necessary for the SLPs to conduct a comprehensive and in-depth evaluation of not only voice but also the overall speech production mechanism, and they often encounter various difficulties in the evaluation process. In addition, SLPs should strive to avoid bias during the evaluation process and to maintain a wide and constant spectrum of severity for each parameter of voice quality. Lastly, it is very important for the SLPs to perform a team approach by documenting and delivering important information pertaining to auditory-perceptual characteristics in an appropriate and efficient way through close communication with the laryngologists.

Adolescents on the Autism Spectrum: Music Therapists’ Work with Speech-Language Pathologists

Adolescents on the autism spectrum may experience challenges with multiple domains of communication that impact their quality of life. Both music therapists and speech-language pathologists (SLPs) implement activities to address these challenges. Empirical evidence suggests that incorporating music into treatment can be an effective way to improve communication. The purpose of this article is to provide suggestions for music therapists assisting adolescents on the autism spectrum to improve their communication skills and ways to collaborate with SLPs in doing so. In this paper, we discuss interprofessional collaborative models (e.g., interdisciplinary, transdisciplinary) and competencies (e.g., coordination, adaptability), as well as music-based clinical experiences that appeal to adolescents, and target improvement of communication skills for learners with complex communication needs.

Strategies for Teachers to Support Children Who Stutter: Perspectives of Speech-Language Pathologists

Purpose: This study assessed how speech-language pathologists (SLPs) believe teachers can best support school-age children who stutter (CWS) in the classroom. Method: An online survey adapted from the Personal Appraisal of Support for Stuttering–Parent was given to 122 SLPs licensed in the State of Oklahoma. The median age of the participants was 43 years (interquartile range [IQR] = 16), and the average number of CWS the participants reported treating was 14 (IQR = 14). The participants rated the helpfulness of supports teachers can use as they interact with CWS (e.g., “Tell the child to slow down”). The participants rated 41 items on a 1–5 Likert scale, with 1 indicating unhelpful and 5 indicating very helpful , followed by a “not sure” category. Results: The three items rated most helpful were for teachers to collaborate with the child's SLP, to be patient when the child talks, and to know how to react when the child stutters. The three items rated least helpful were for teachers to be bothered by the child's stuttering, to laugh at the child because of the child's stuttering, and to use a fast rate of speech. The two items with the greatest response variability were for teachers to tell the child to think about what to say before speaking and to tell the child what to do when stuttering. The variability suggests inconsistency in the SLPs' beliefs about the helpfulness of those actions. Conclusion: Findings from this study contribute to the literature on supporting CWS and the development of educational materials for classroom teachers.