AI Article Synopsis
- The systematic review compares the assessment and treatment of cognitive and communicative abilities in individuals with acquired brain injuries via telepractice and in-person methods, guided by prior research focusing on functional outcomes and diagnostic accuracy.
- The literature search resulted in ten studies examining various impairments and restrictions related to motor speech and cognitive functions, finding that outcomes were generally similar across both telepractice and in-person service delivery.
- The authors conclude that current findings are limited and call for more thorough research to enhance understanding of telepractice efficacy, particularly in relation to diagnostic accuracy and the specific needs of individual assessments and interventions.
Article Abstract
Purpose: This is a systematic review of assessment and treatment of cognitive and communicative abilities of individuals with acquired brain injury via telepractice versus in person. The a priori clinical questions were informed by previous research that highlights the importance of considering any functional implications of outcomes, determining disorder- and setting-specific concerns, and measuring the potential impact of diagnostic accuracy and treatment efficacy data on interpretation of findings.
Method: A literature search of multiple databases (e.g., PubMed) was conducted using key words and study inclusion criteria associated with the clinical questions.
Results: Ten group studies were accepted that addressed assessment of motor speech, language, and cognitive impairments; assessment of motor speech and language activity limitations/participation restrictions; and treatment of cognitive impairments and activity limitations/participation restrictions. In most cases, equivalence of outcomes was noted across service delivery methods.
Conclusions: Limited findings, lack of diagnostic accuracy and treatment efficacy data, and heterogeneity of assessments and interventions precluded robust evaluation of clinical implications for telepractice equivalence and the broader area of telepractice efficacy. Future research is needed that will build upon current knowledge through replication. In addition, further evaluation at the impairment and activity limitation/participation restriction levels is needed.
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| http://dx.doi.org/10.1044/2015_AJSLP-14-0028 | DOI Listing |
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