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The Evolution of Telepractice Use during the COVID-19 Pandemic: Perspectives of Pediatric Speech-Language Pathologists

Author

Listed:
  • Ying Hao

    (Department of Communication Sciences and Disorders, University of Mississippi, Oxford, MS 38677, USA)

  • Saijun Zhang

    (Department of Social Work, University of Mississippi, Oxford, MS 38677, USA)

  • Austin Conner

    (Department of Social Work, University of Mississippi, Oxford, MS 38677, USA)

  • Na Youn Lee

    (Department of Social Work, University of Mississippi, Oxford, MS 38677, USA)

Abstract

The study investigated how pediatric speech-language pathologists (SLPs) applied telepractice to compensate for the loss of in-person services and the dynamics of telepractice use during the COVID-19 pandemic in a rural state. We conducted interviews with 10 SLPs and then a statewide survey in which 51 SLPs participated. The qualitative interviews revealed themes including changes in service environment due to the pandemic (e.g., transition to telepractice, losing clients), challenges in the transition to telepractice (e.g., limited training, difficulty engaging clients), worsening wellbeing of clinicians and clients, and SLPs’ perspectives and suggestions towards telepractice in the future. Survey results showed service disruptions and transition dynamics during the pandemic. SLPs’ weekly caseloads reduced from an average of 42.3 clients prior to the pandemic to 25.9 and 23.4 from March to May and from June to September 2020, respectively, and then recovered to 37.2 clients from October to December 2020. In contrast, the number of telepractice caseloads sharply increased from 0.2 clients per week prior to the pandemic to 14.8 from March to May 2020. The weekly telepractice caseloads then declined to 5.5 clients from June to September and 7.9 clients from October to December 2020. In the months right after the pandemic outbreak (i.e., March to May), client children struggled with treatment gains and behavioral wellbeing. However, their outcomes gradually improved by October to December and approached pre-pandemic levels. About one-third of the SLPs reported that they would be more likely or much more likely to use telepractice in the future regardless of the pandemic. However, only about a quarter perceived telepractice as comparable to in-person services. We concluded that the transition from in-person services to telepractice substantially mitigated service disruptions right after the pandemic outbreak and that telepractice’s substitute role evolved over time.

Suggested Citation

  • Ying Hao & Saijun Zhang & Austin Conner & Na Youn Lee, 2021. "The Evolution of Telepractice Use during the COVID-19 Pandemic: Perspectives of Pediatric Speech-Language Pathologists," IJERPH, MDPI, vol. 18(22), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12197-:d:683922
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    References listed on IDEAS

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    1. Nathaniel Scherer & Ibone Verhey & Hannah Kuper, 2019. "Depression and anxiety in parents of children with intellectual and developmental disabilities: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-18, July.
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    3. Saijun Zhang & Meirong Liu & Yeefay Li & Jae Eun Chung, 2021. "Teens’ Social Media Engagement during the COVID-19 Pandemic: A Time Series Examination of Posting and Emotion on Reddit," IJERPH, MDPI, vol. 18(19), pages 1-17, September.
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    Cited by:

    1. Saijun Zhang & Ying Hao & Yali Feng & Na Youn Lee, 2022. "COVID-19 Pandemic Impacts on Children with Developmental Disabilities: Service Disruption, Transition to Telehealth, and Child Wellbeing," IJERPH, MDPI, vol. 19(6), pages 1-12, March.

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