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Supplemental material, sj-docx-1-jtt-10.1177_1357633X221074499 for Beyond forced telehealth adoption: A framework to sustain telehealth among allied health services by Emma E Thomas, Monica L Taylor, Elizabeth C Ward, Rita Hwang, Renee Cook, Julie-Anne Ross, Clare Webb, Michael Harris, Carina Hartley, Phillip Carswell, Clare L Burns and Liam J Caffery in Journal of Telemedicine and Telecare

Supplemental material, sj-docx-1-jtt-10.1177_1357633X221074499 for Beyond forced telehealth adoption: A framework to sustain telehealth among allied health services by Emma E Thomas, Monica L Taylor, Elizabeth C Ward, Rita Hwang, Renee Cook, Julie-Anne Ross, Clare Webb, Michael Harris, Carina Hartley, Phillip Carswell, Clare L Burns and Liam J Caffery in Journal of Telemedicine and Telecare

Purpose: This study aimed to investigate the interrater reliability of pediatric feeding assessments conducted via synchronous (real-time) telepractice. Secondary aims were to investigate parent and clinician satisfaction.Method: The eating and/or cup drinking skills of 40 children (aged 4 months to 7 years) were simultaneously assessed by one speech-language pathologist (SLP) leading the appointment via telepractice and a second SLP present in the family home. A purpose-designed assessment form was used to assess (a) positioning, (b) development, (c) oral sensorimotor function, (d) prefeeding respiratory status, (e) observation of eating and drinking, (f ) parent–child interaction, (g) overall feeding skills, and (h) feeding recommendations. The telepractice SLP completed a postappointment satisfaction questionnaire, and parents completed five questionnaires specifically investigating perceptions of and satisfaction with the telepractice feeding appointment.Results: Agreement for all assessment components except intraoral examination (palate integrity and tonsils) was > 85%. All appointments were able to be conducted via telepractice, and for 90% of these (n = 36), clinicians agreed that telepractice was an effective service delivery method. Parents reported high levels of satisfaction with telepractice, with 76% reporting that the telepractice appointment was similar to a traditional in-person appointment.Conclusion: Study results demonstrated that synchronous pediatric feeding assessments conducted in family homes via telepractice were feasible, reliable, and acceptable to both clinicians and parents.Supplemental Material S1. Telepractice Assessment Form. Raatz, M., Ward, E. C., Marshall, J., & Burns, C. L. (2021). Evaluating the use of telepractice to deliver pediatric feeding assessments. American Journal of Speech-Language Pathology. Advance online publication. https://doi.org/10.1044/2021_AJSLP-20-00323

Purpose: Conducting and interpreting videofluoroscopic swallow studies (VFSS) is a complex, multi-dimensional task, requiring post-qualification training to develop knowledge, skill and competence. Speech-language pathology (SLP) managers must continually ensure staffs are adequately trained to deliver safe and effective VFSS services. However, VFSS training is resource intensive, variable in content and not consistently accessed universally. This study examined managers’ perceptions of a new VFSS eLearning programme and its impact on VFSS training and service delivery. The eLearning programme incorporated theoretical and procedural aspects of VFSS, accessed free of charge by speech-language pathologists working in a large public health service in Queensland, Australia. Method: Twenty-two SLP managers participated in semi-structured interviews, which were evaluated using inductive content analysis. Result: Four themes were identified relating to eLearning benefits: (1) design and content facilitated widespread uptake, (2) enhanced training opportunities, (3) increased clinical skill and workforce capacity and (4) benefits and efficiencies for SLP services. A fifth theme described contextual considerations for using the programme. Conclusion: This study contributes information about the benefits of eLearning for delivering consistent, accessible VFSS training, in a resource-efficient manner. Managers perceived the eLearning programme as a valuable resource to supplement practical VFSS training, to ultimately support VFSS service provision.