Assessment of children's literacy via an Internet-based telehealth system

Waite, Monique C., Theodoros, Deborah G., Russell, Trevor G. and Cahill, Louise M. (2010) Assessment of children's literacy via an Internet-based telehealth system. Telemedicine Journal and e-Health, 16 5: 564-575. doi:10.1089/tmj.2009.0161

Author Waite, Monique C.
Theodoros, Deborah G.
Russell, Trevor G.
Cahill, Louise M.
Title Assessment of children's literacy via an Internet-based telehealth system
Journal name Telemedicine Journal and e-Health   Check publisher's open access policy
ISSN 1530-5627
Publication date 2010-06
Sub-type Article (original research)
DOI 10.1089/tmj.2009.0161
Volume 16
Issue 5
Start page 564
End page 575
Total pages 12
Place of publication New Rochelle, NY, United States
Publisher Mary Ann Liebert
Collection year 2011
Language eng
Subject C1
890106 Videoconference Services
730303 Occupational, speech and physiotherapy
119999 Medical and Health Sciences not elsewhere classified
Formatted abstract
Interactive telehealth applications have potential for the assessment of reading disability in school-aged children. However, there is currently a lack of research on the validity of such applications. The aim of this study was to investigate the validity and reliability of an Internet-based videoconferencing system for the assessment of children's literacy on a battery of standardized assessments.

Materials and Methods:
Twenty children aged 8–13 years were simultaneously assessed in real-time both face-to-face and over a 128-Kbps Internet link. The assessments included eight subtests of the Queensland University Inventory of Literacy (QUIL), the South Australian Spelling Test, and the Neale Analysis of Reading Ability, 3rd edition (Neale-3).

The limits of agreement for the majority of raw scores fell within predetermined clinical criteria, with the exception of the QUIL nonword reading and nonword spelling measures and the rate score of the Neale-3. Weighted kappa analyses on the tests' scaled scores indicated very good agreement for all parameters (κ 0.92–1.00). Percentage levels of agreement were adequate (above 80%) for most measures except for the nonword reading raw score of the QUIL and the reading error classification component of the Neale-3. Very good intra- and interrater reliability was determined for all online parameters (intraclass correlation coefficient 0.98–1.00).

As issues with audio latency, break-up, and echo were observed, some modifications to the technology may improve system effectiveness and usability. However, the overall positive results of this study support the validity and reliability of the assessment of children's literacy skills via telehealth.
Copyright © 2011 Elsevier B.V. All rights reserved.
Keyword Telehealth
Reading disability
Speech-language pathology
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 11 Jul 2010, 00:01:03 EST