Application of telepractice for head and neck cancer management: a review of speech language pathology service models

Ward, Elizabeth C., Wall, Laurelie R., Burns, Clare L, Cartmill, Bena and Hill, Anne J. (2017) Application of telepractice for head and neck cancer management: a review of speech language pathology service models. Current Opinion in Otolaryngology and Head and Neck Surgery, 25 3: 169-174. doi:10.1097/MOO.0000000000000357


Author Ward, Elizabeth C.
Wall, Laurelie R.
Burns, Clare L
Cartmill, Bena
Hill, Anne J.
Title Application of telepractice for head and neck cancer management: a review of speech language pathology service models
Journal name Current Opinion in Otolaryngology and Head and Neck Surgery   Check publisher's open access policy
ISSN 1531-6998
1068-9508
Publication date 2017-03-01
Sub-type Article (original research)
DOI 10.1097/MOO.0000000000000357
Open Access Status Not yet assessed
Volume 25
Issue 3
Start page 169
End page 174
Total pages 6
Place of publication London, United Kingdom
Publisher Lippincott Williams & Wilkins
Collection year 2018
Language eng
Formatted abstract
Purpose of review: Head and neck cancer (HNC) is a complex and heterogeneous disease, requiring specialist intervention from a multidisciplinary team including speech language pathology (SLP). Unfortunately, multiple patient and service-related challenges exist which currently limit equitable access to SLP support for all individuals. This review highlights the existing evidence for different telepractice models designed to help patients and services optimize management of swallowing and communication disorders arising from HNC.

Recent Findings: Emerging evidence exists for using computerized screening to enhance the identification of treatment-related toxicities and assist referrals to services, including SLP. Asynchronous telepractice applications are being used to assist delivery of intensive home-based dysphagia therapy, whereas videoconferencing can offer a feasible and effective method to support ongoing management for patients with limited access to local specialist SLP services. Patient and clinician satisfaction with all models has been high.

Summary: SLP services can be redesigned to incorporate a range of telepractice models to optimize clinical care at different stages of the HNC survivorship pathway. Early evidence supports telepractice can improve patient access to services, enhance outcomes, and optimize health service efficiency; however, further systematic research is needed into these models, particularly relating to large-scale implementation and costs/economic analyses.
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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