As a speech-language therapist (SLT), the shift to telerehabilitation during the COVID-19 pandemic has provided unique challenges and opportunities, particularly when working with children with autism spectrum disorder (ASD). A recent study, "The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder," offers valuable insights into how SLTs can enhance their practice through data-driven strategies and techniques. Here, we delve into the findings to help practitioners improve their skills and encourage further research.
Key Strategies for Effective Telerehabilitation
Online Assessment Strategies
SLTs have found creative ways to conduct assessments online. Some of the effective strategies include:
- Using video recordings of the child in multiple contexts to analyze behaviors.
- Collaborating with caregivers and other healthcare professionals for comprehensive assessment information.
- Utilizing synchronous methods like presenting pictures on PowerPoint and play-based observation with real objects.
Treatment Approaches
Several approaches have proven effective in telerehabilitation:
- Family-Centered Approach: Involves caregivers actively in sessions, improving their understanding of the child's challenges.
- Functional Approach: Helps clients apply learned skills to everyday environments.
- DIR/Floortime Approach: Uses techniques like mirroring and problem-solving to engage children.
Transitioning Methods
To prepare children for the transition from face-to-face therapy to telerehabilitation, SLTs used social stories and interactive strategies like show and tell. Establishing a consistent environment and routine was crucial for maintaining the child's focus and attention.
Family Collaboration
Active family involvement is critical for successful telerehabilitation. SLTs found that coaching caregivers to facilitate sessions led to better generalization of skills and more effective interventions.
Maintaining Attention
Incorporating caregivers into sessions and using play-based activities were effective strategies for keeping children engaged. Collaborating with other professionals, such as occupational therapists, also helped in maintaining the child's attention.
Benefits of Telerehabilitation
Caregiver Satisfaction and Involvement
High levels of caregiver satisfaction were reported, primarily due to the convenience and reduced travel requirements. However, it was essential for SLTs to set ground rules to avoid over-prompting by caregivers.
Clinician Satisfaction
SLTs expressed satisfaction with the opportunity to observe parent-child interactions in the home environment, providing real-time feedback. Many SLTs plan to continue offering telerehabilitation services post-pandemic.
Cost-Effectiveness
Telerehabilitation reduced travel costs and allowed SLTs to offer more affordable rates. This was particularly beneficial for reaching clients in rural areas.
Client Progress
Telerehabilitation was found to be as effective as face-to-face interventions, with significant progress observed in clients.
Increased Awareness of SLT Role
Telerehabilitation provided an opportunity to educate caregivers about the role of SLTs, improving their understanding of intervention goals and techniques.
Conclusion and Recommendations
The study highlights the effectiveness of telerehabilitation for children with ASD, emphasizing the importance of caregiver involvement and the potential for reaching underserved areas. SLTs are encouraged to continue professional development in telerehabilitation and to advocate for its inclusion in undergraduate training programs. Future research should explore telerehabilitation's use in different contexts and for various assessment techniques.
To read the original research paper, please follow this link: The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder.
