Telehealth versus face-to-face delivery of speech language pathology services: a systematic review and meta-analysis

Author:

Scott Anna MaeORCID,Clark JustinORCID,Cardona MagnoliaORCID,Atkins TiffanyORCID,Peiris RuwaniORCID,Greenwood HannahORCID,Wenke RachelORCID,Cardell ElizabethORCID,Glasziou PaulORCID

Abstract

ABSTRACTBackgroundThere is an increasing demand for the provision of speech language pathology (SLP) services via telehealth. Therefore, we systematically reviewed randomized controlled trials comparing telehealth to face-to-face provision of SLP services.MethodsWe searched Medline, Embase, and Cochrane, clinical trial registries, and conducted a citation analysis to identify trials. We included randomized trials comparing similar care delivered live via telehealth (phone or video), to face-to-face. Primary outcomes included: % syllables stuttered (%SS) (for individuals who stutter); change in sound pressure levels monologue (for individuals with Parkinson’s disease); and key function scores (for other areas). Where data were sufficient, mean differences were calculated.ResultsNine randomized controlled trials were included; 8 evaluated video and 1 evaluated phone telehealth. Risk of bias was generally low or unclear, excepting blinding. There were no significant differences at any time-point up to 18 months for %SS (mean difference, MD 0.1, 95% CI –0.4 to 0.6, p=0.70). For people with Parkinson’s disease, there was no difference between groups in change in sound pressure levels (monologue) (MD 0.6, 95% CI –1.2 to 2.5, p=0.49). Four trials investigated interventions for speech sound disorder, voice disorder, and post-stroke dysphagia and aphasia; they found no differences between telehealth service delivery and face-to-face delivery.ConclusionsEvidence suggests that the telehealth provision of SLP services may be a viable alternative to their provision face-to-face, particularly to people who stutter and people with Parkinson’s disease. The key limitation is the small number of randomized controlled trials, as well as evidence on the quality of life, well-being and satisfaction, and economic outcomes.

Publisher

Cold Spring Harbor Laboratory

Reference40 articles.

1. Living with acquired dysarthria: the speaker’s perspective;Disabil Rehabil,2011

2. Psychosocial outcomes at 15 years of children with a preschool history of speech-language impairment

3. Speech and language therapy interventions for children with primary speech and/or language disorders;Cochrane Database Syst Rev,2017

4. Totten AM , Womack DM , Eden KB , McDonagh MS , Griffin JC , Grusing S , et al. Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016.

5. World Health Organization. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth 2009. Geneva, Cataloguing WL; 2010. Contract No.: ISBN 978 92 4 156414 4.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3