School of Communication Science and Disorders, Florida State University, Tallahassee.
School of Information, Florida State University, Tallahassee.
Lang Speech Hear Serv Sch. 2022 Apr 11;53(2):290-306. doi: 10.1044/2021_LSHSS-21-00023. Epub 2021 Dec 10.
The main objective of this study was to gain insight into school-based speech-language pathologists' (SLPs') perspectives on and experiences with telepractice as a service delivery model at the onset of the COVID-19 global pandemic. A better understanding of the facilitating and challenging factors that belie telepractice-based services will guide the creation of training and resource development to further support remote speech-language services in schools.
Four focus group sessions using a semistructured format were conducted with 22 school-based SLPs from 14 states in the United States. The focus groups provided an opportunity for SLPs to reflect on their telepractice experiences, including pros and cons, necessary knowledge and skills, factors impacting telepractice service delivery, and student and family participation. Inductive thematic analysis was used to describe the collective experiences and perspectives of the participants.
Three themes regarding telepractice emerged: technology use, locus of control for decision making, and student and family engagement. Participants reported experiencing a range of successes and challenges when attempting to meet students' needs and identified gaps in resources and school capacity for telepractice.
The findings revealed how school SLPs experienced telepractice service delivery during the remote learning portion of the 2019-2020 school year due to the onset of the COVID-19 pandemic. The study increases our understanding of factors that facilitated and challenged the effective delivery of speech-language services via telepractice. To assist SLPs in future telepractice efforts, implications for professional development and further research are provided.
本研究的主要目的是深入了解学校言语治疗师（SLP）在 COVID-19 大流行初期对远程医疗服务模式的看法和经验。更好地理解远程医疗服务背后的促进和挑战因素，将为培训和资源开发提供指导，以进一步支持学校的远程言语服务。
在美国 14 个州，采用半结构式格式进行了 4 次焦点小组会议，共有 22 名学校 SLP 参加。焦点小组为 SLP 提供了一个反思远程医疗实践经验的机会，包括优缺点、必要的知识和技能、影响远程医疗服务提供的因素以及学生和家庭的参与情况。采用归纳主题分析来描述参与者的集体经验和观点。
出现了三个与远程医疗相关的主题：技术使用、决策的控制点以及学生和家庭的参与。参与者报告在尝试满足学生需求时经历了一系列成功和挑战，并确定了远程医疗的资源和学校能力方面的差距。
研究结果揭示了学校 SLP 在 2019-2020 学年远程学习期间因 COVID-19 大流行而经历的远程医疗服务提供情况。该研究增加了我们对通过远程医疗有效提供言语服务的促进和挑战因素的理解。为了帮助 SLP 在未来的远程医疗工作中，提供了专业发展和进一步研究的影响。
