Feasibility and outcome evaluation of a telemedicine application in speech–language pathology

J Telemed Telecare 2003;9:253-258
doi:10.1258/135763303769211256
© 2003 Royal Society of Medicine Press

 

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Original articles


Claude Sicotte,
Pascale Lehoux,
Julie Fortier-Blanc and
Yves Leblanc


Department of Health Administration, Faculty of Medicine, University of Montreal, Quebec, Canada;
Department of Health Administration, Faculty of Medicine, University of Montreal, Quebec, Canada;
Department of Speech-Language Pathology, Faculty of Medicine, University of Montreal, Quebec, Canada;
Department of Health Administration, Faculty of Medicine, University of Montreal, Quebec, Canada

This evaluative study assessed the feasibility and outcome ofdelivering speech–language services from a distance tochildren and adolescents who stutter. All six patients who formedthe first cohort seen in the telespeech programme were includedin the study. The results demonstrated that interactive videoconferencingcan provide a feasible and effective care delivery model. Patientattendance was maintained throughout the intervention. All participantsshowed improved fluency. Stuttering ranged from 13% to 36% beforetreatment and 2% to 26% after treatment. All participants maintainedat least part of their improved fluency during the six-monthfollow-up, when stuttering ranged from 4% to 32%. The studydemonstrates that full assessment and treatment of stutteringin children and adolescents can be accomplished successfullyvia telemedicine.

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