Summary of the Systematic Review

Article Citation

A Scoping Review of Australian Allied Health Research in eHealth

Iacono, T., Stagg, K., et al. (2016).
BMC Health Services Research, 16(1), 543.
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Sponsoring Body

No funding received

Article Quality Ratings

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Indicators of Review Quality

  • Yes The review states a clearly focused question/aim.
  • Yes Criteria for inclusion of studies are provided.
  • Yes Search strategy described in sufficient detail for replication.
  • No Included studies are assessed for study quality.
  • N/A Quality assessments are reproducible.
  • Yes Characteristics of the included studies are provided.

Article Details

Description

This is a systematic review of studies investigating whether providing allied health services via an e-health service delivery model results in the same level of care and outcomes as in-person services for patients in Australia. While 44 studies are included in this review, 28 are specific to speech-language pathology services provided via telehealth.

Questions/Aims Addressed

"The specific questions were:
  1. What aspects of ehealth use by allied health clinicians have been addressed in research conducted in Australia? and 
  2. What are the outcomes of this research?" (p. 2).

Population

Individuals receiving speech-language pathology intervention

Intervention/Assessment

Telehealth for speech-language services

Number of Studies Included

44 total studies included in the review; 28 studies specific to speech-language pathology

Years Included

January 2004-June 2015


Conclusions from This Systematic Review

What are Conclusions?

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Treatment

Five studies investigating the use of telepractice to provide evidence-based fluency interventions to children, adolescents, and adults found telehealth "to be at least as effective as therapy delivered face-to-face, with both parent and client satisfaction reported" (p. 4).

Keywords: Adults, Children, Adolescents/Adults, Fluency

Service Delivery

Five studies investigating the use of telepractice to provide evidence-based fluency interventions to children, adolescents, and adults found telehealth "to be at least as effective as therapy delivered face-to-face, with both parent and client satisfaction reported" (p. 4).

Keywords: Adults, Children, Adolescents/Adults, Fluency

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Assessment

Studies investigating the ability to conduct speech-language pathology assessment via telepractice "demonstrated good agreement between measures recorded or clinician judgement made across face-to-face and the telerehabilitation system" (p. 4). Many of the studies used simulated telepractice settings.

Treatment

Efficacy studies investigating the ability to provide speech-language pathology intervention via telepractice demonstrated "similar intervention outcomes across e-health and face-to-face delivery, but the actual experience of e-health was at best a simulated one in many studies" (p. 5).

Five studies investigating the use of telepractice to provide evidence-based fluency interventions to children, adolescents, and adults found telehealth "to be at least as effective as therapy delivered face-to-face, with both parent and client satisfaction reported" (p. 4).

Keywords: Adults, Children, Adolescents/Adults, Fluency

Service Delivery

Speech-language pathology client perspectives "reflected a more positive attitude and willingness to participate in e-health" (p. 5). Audiology client perspectives "suggested a lack of awareness of tele-enabled service delivery and a preference for in-person consultations" (p. 5).

Keywords: Healthcare, Provider

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