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- Title
Evaluating the Use of Telepractice to Deliver Pediatric Feeding Assessments.
- Authors
Raatz, Madeline; Ward, Elizabeth C.; Marshall, Jeanne; Burns, Clare L.
- Abstract
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.
- Subjects
PARENT attitudes; NUTRITIONAL assessment; ATTITUDES of medical personnel; PEDIATRICS; FISHER exact test; INTER-observer reliability; DESCRIPTIVE statistics; CHI-squared test; QUESTIONNAIRES; RESEARCH funding; TELEMEDICINE; SPEECH therapists; PARENTS
- Publication
American Journal of Speech-Language Pathology, 2021, Vol 30, p1686
- ISSN
1058-0360
- Publication type
Article
- DOI
10.1044/2021_AJSLP-20-00323