Department of Speech and Hearing Science, The Ohio State University, Columbus.
Division of Clinical Therapies and Inpatient Rehabilitation Program, Nationwide Children's Hospital, Columbus, OH.
Am J Speech Lang Pathol. 2023 May 4;32(3):989-998. doi: 10.1044/2023_AJSLP-22-00241. Epub 2023 Apr 11.
Teen Online Problem Solving (TOPS) is an evidence-based teletherapy program designed to promote neurocognitive, behavioral, and psychosocial recovery following brain injury through family-centered training. To date, TOPS has been primarily administered by neuropsychologists and clinical psychologists. This clinical focus article discusses a quality improvement project to adapt the TOPS training and manual for use by speech-language pathologists (SLPs) and reports feedback from SLPs following TOPS training and after delivering the program with adolescents who experienced neurological insults.
SLPs were invited to participate in TOPS training. Trainees were asked to complete posttraining surveys, active therapist questionnaires, and follow-up surveys directed to SLPs who had completed the intervention with at least one patient.
To date, a total of 38 SLPs completed TOPS training, 13 have implemented TOPS with at least one adolescent. Eight SLPs and 16 psychologists/trainees responded to follow-up surveys to share their perspectives on the program. Perceptions of clinicians delivering the program did not differ significantly in most respects. SLPs rated the ease of understanding nonverbal communication higher than psychologists. Seven SLPs responded to an SLP-specific survey about their experiences administering TOPS, noting a range of advantages and some limitations in their open-ended responses.
Training SLPs to deliver TOPS has the potential to increase service provision to adolescents with acquired brain injury who have cognitive communication difficulties and their families.
青少年在线问题解决（TOPS）是一种基于证据的远程治疗计划，旨在通过以家庭为中心的培训，促进脑损伤后的神经认知、行为和心理社会康复。迄今为止，TOPS 主要由神经心理学家和临床心理学家管理。本临床焦点文章讨论了一个质量改进项目，该项目旨在改编 TOPS 培训和手册，供言语语言病理学家（SLP）使用，并报告 SLP 接受 TOPS 培训后的反馈，以及在为经历过神经损伤的青少年实施该项目后的反馈。
邀请言语语言病理学家参加 TOPS 培训。培训师被要求在培训后完成调查、积极治疗师问卷，并在至少一名患者完成干预后向 SLP 发送后续调查。
迄今为止，共有 38 名 SLP 完成了 TOPS 培训，其中 13 名 SLP 已经对至少一名青少年实施了 TOPS。8 名 SLP 和 16 名心理学家/学员对后续调查做出了回应，分享了他们对该计划的看法。在大多数方面，实施该计划的临床医生的看法没有显著差异。SLP 对理解非言语交流的容易程度的评价高于心理学家。7 名 SLP 对特定于 SLP 的调查做出了回应，说明了他们在实施 TOPS 方面的一系列优势和一些限制。
培训 SLP 提供 TOPS 服务有可能增加对有认知沟通困难的后天脑损伤青少年及其家庭的服务提供。
