Randomized controlled trial of a multisite speech pathology telepractice service providing swallowing and communication intervention to patients with head and neck cancer: evaluation of service outcomes

Burns, Clare L. , Ward, Elizabeth C. , Hill, Anne J. , Kularatna, Sanjeewa, Byrnes, Joshua and Kenny, Lizbeth M. (2017) Randomized controlled trial of a multisite speech pathology telepractice service providing swallowing and communication intervention to patients with head and neck cancer: evaluation of service outcomes. Head and Neck, . doi:10.1002/hed.24706


Author Burns, Clare L.
Ward, Elizabeth C.
Hill, Anne J.
Kularatna, Sanjeewa
Byrnes, Joshua
Kenny, Lizbeth M.
Title Randomized controlled trial of a multisite speech pathology telepractice service providing swallowing and communication intervention to patients with head and neck cancer: evaluation of service outcomes
Journal name Head and Neck   Check publisher's open access policy
ISSN 1097-0347
1043-3074
Publication date 2017-02-22
Sub-type Article (original research)
DOI 10.1002/hed.24706
Open Access Status Not yet assessed
Total pages 8
Place of publication Hoboken, NJ, United States
Publisher John Wiley & Sons
Collection year 2018
Language eng
Formatted abstract
Background: The purpose of this study was to present our evaluation of a new speech pathology telepractice service supporting the swallowing and communication management of patients with head and neck cancer.

Methods: A multicenter randomized controlled trial was conducted within a large public cancer service. Referrals from speech pathologists at 3 regional sites (spoke sites) were managed by a specialist clinician from a cancer center (hub site) either via standard care (phone/email support/appointments at the hub site) or a newly established telepractice service (online consultation between the hub site and spoke site).

Results: Eighty-two referrals (39 for standard care and 43 for telepractice care) were managed. Service efficiency favoring the telepractice model was reported with a significant reduction in the number (p = .004) and duration (p = .024) of contact events required to manage the referrals. Higher consumer and clinician satisfaction was also reported for the telepractice service.

Conclusion: A speech pathology telepractice service benefits both the patient and health provider through higher service efficiency and treatment satisfaction.
Keyword Head and neck cancer
Speech pathology
Telepractice
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
 
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