Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20222443722
Revista CEFAC
Relatos de Casos

A script for the telepractice of speech-language therapy and audiology services - what was learnt from the COVID-19 pandemic

Roteiro pré, durante e pós teleconsulta fonoaudiológica - o que aprendemos com a pandemia da COVID-19

Nathalia Avila Dimer; Gabrielle do Nascimento Rasquinha; Bárbara Niegia Garcia Goulart

Downloads: 0
Views: 58

Abstract

In this study, a script for the telepractice of speech language pathology and audiology services for adult patients at home, is presented. This tool was developed in three stages and used for a community project during the COVID-19 pandemic. A literature search was performed to identify the facilitators and barriers to remote patient care before implementing telepractice at a primary health care unit. This practical experience led to further discussions about the facilitators of clinical performance and different ways to remotely offer quality assessments and rehabilitation. Divided into three sections, the final script was organized into twenty items. To provide comprehensive patient care, detailed discussions were held about each item to verify the effectiveness and quality of the teleconsultations, for the script to be written. This guide is intended to be used as a tool for speech language pathology and audiology telepractice. However, it must be adapted to the cultural and social realities of the professionals and patients who use it. Additionally, it does not constitute a closed set of practices and procedures and should be updated as new procedures and technologies become available.

Keywords

Speech, Language and Hearing Sciences, Public Health, Rehabilitation, Coronavirus Infections, Remote Consultation

Resumo

Apresenta-se um roteiro de atuação em telessaúde para atendimento fonoaudiológico de pacientes adultos em domicílio que foi aplicado em um projeto comunitário durante a Pandemia da COVID-19. O roteiro foi desenvolvido em três etapas distintas. A partir de uma revisão de literatura para a identificação de facilitadores e barreiras para o atendimento de pacientes via telessaúde, foi feita a implementação de um serviço de telefonoaudiologia em uma Unidade Básica de Saúde, possibilitando a experiência para a discussão mediante a prática de facilitadores para a atuação clínica e maneiras de qualificar a teleconsulta fonoaudiológica. Por fim, deu-se a elaboração do roteiro, organizado em 20 itens, divididos em três seções. A sua elaboração incluiu, além da escrita, a discussão detalhada de cada item elencado, considerando a efetividade das ações propostas, qualificação das teleconsultas e integralidade do atendimento do paciente. O roteiro apresentado se propõe a ser suporte para a atuação em telefonoaudiologia. Entretanto, deve ser adaptado à realidade cultural e social dos profissionais e pacientes que a esta forma de atuação forem expostos. Visto que não se trata de um conjunto de práticas e procedimentos fechados em si, deverá ser atualizado conforme novos procedimentos e tecnologias estejam acessíveis para a atuação em telefonoaudiologia.

Palavras-chave

Fonoaudiologia; Saúde Pública; Reabilitação; Infecções por Coronavirus; Consulta Remota

Referências

1. Nestor ML. Telemedicine and the internet: a collaboration and history of communication technologies. Dermatologic Clinics. 2001;19(2):379-85. https://doi.org/10.1016/S0733-8635(05)70275-8

2. Brasil. Decreto nº 9.795, de 17 de maio de 2019. Aprova a Estrutura Regimental e o Quadro Demonstrativo dos Cargos em Comissão e das Funções de Confiança do Ministério da Saúde e dá outras providências. Diário Oficial da União; 20 Maio 2019.

3. Molini-Avejonas DR, Rondon-Melo S, Amato CAH, Samelli AG. A systematic review of the use of telehealth in Speech, Language and Hearing Science. J Telemed Telecare. 2015;21(7):367-76. http://dx.doi.org/10.1177/1357633X15583215.

4. Reginato TTP, Ferrari DV. Teleaudiology: professional-patient communication in hearing aid programming and fitting via teleconsultation. Audiol Commun Res. 2014;19(3):299-309. https://doi.org/10.1590/S2317-643120140003000015

5. Beukes EW, Andersson G, Fagelson M, Manchaiah V. Internet-based audiologist-guided cognitive behavioral therapy for tinnitus: randomized controlled trial. J Med Internet Res. 2022;24(2):e27584. http://dx.doi.org/10.2196/27584.

6. World Health Organization. Director-General's opening remarks at the media briefing on COVID-19. [Accessed 2020 Oct 8). Available at: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.

7. Adroher Mas C, Esposito Català C, Batlle Boada A, Casadevall Llandrich R, Millet Elizalde M, García García JJ et al. Pediatric tele-home care compared to usual care: cost-minimization analysis. JMIR Pediatr Parent. 2022;5(1):e31628. http://dx.doi.org/10.2196/3162

8. Almathami GKY, Win KT, Vlahu-Gjorgievska E. Barriers and facilitators that influence telemedicine-based, real-time, online consultation at patients' homes: systematic literature review. J Med Internet Res. 2020;22(2):e16407. https://doi.org/10.2196/16407

9. Salisbury C, Thomas C, O'Cathain A, Rogers A, Pope C, Yardley L et al. Telehealth in chronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation. BMJ Open. 2015;5(2):e006448. http://dx.doi.org/10.1136/bmjopen-2014-006448

10. Mañago MM, Swink LA, Hager ER, Gisbert R, Earhart GM, Christiansen CL et al. The impact of COVID-19 on community-based exercise classes for people with Parkinson disease. Phys Ther. 2021;101(11):pzab203. http://dx.doi.org/10.1093/ptj/pzab20

11. Buckingham SA, Sein K, Anil K, Demain S, Gunn H, Jones RB et al. Telerehabilitation for physical disabilities and movement impairment: a service evaluation in South West England. J Eval Clin Pract. 2022 Apr 19. http://dx.doi.org/10.1111/jep.13689

12. American Speech-Language-Hearing Association. Survey Report on Telepractice Use Among Audiologists and Speech-Language Pathologists. Maryland; 2002.

13. Ciccia AH, Whitford B, Krumm M, McNeal K. Improving the access of young urban children to speech, language and hearing screening via telehealth. J Telemed Telecare. 2011;17(5):240-4. https://doi.org/10.1258/jtt.2011.100810

14. Reynolds AL, Vick JL, Haak NJ. Telehealth applications in speech-language pathology: a modified narrative review. J Telemed Telecare. 2009;15(6):310-6. https://doi.org/10.1258/jtt.2009.081215

15. Gately ME, Tickle-Degnen L, Voydetich DJ, Ward N, Ladin K, Moo LR. Video telehealth occupational therapy services for older veterans: national survey study. JMIR Rehabil Assist Technol. 2021;8(2):e24299. http://dx.doi.org/10.2196/24299. PMID: 33904825; PMCID: PMC8114160

16. Sly J, Clarke B, Sanabria A. Telemedicine tools for patients and providers: systematic review. Iproceedings. 2018;4(2):e11866. https://doi.org/10.2196/11866

17. Tachakra S, Sivakumar A, Hayes J, Dawood M. A protocol for telemedical consultation. J Telemed Telecare. 1997;3(3):163-8. https://doi.org/10.1258/1357633971931084.

18. Demiris G, Speedie SM, Finkelstein S. Change of patients' perceptions of TeleHomeCare. Telemed J E Health. 2004;7(3):241-8. https://doi.org/10.1089/153056201316970948

19. Dimer NA, Canto-Soares N, Santos-Teixeira L, Goulart BNG. The Covid-19 pandemic and the implementation of telehealth in speech-language and hearing therapy for patients at home: an experience report. CoDAS. 2020;32(3):e20200144. https://doi.org/10.1590/2317-1782/20192020144

20. Eslami Jahromi M, Ahmadian L. Evaluating satisfaction of patients with stutter regarding the tele-speech therapy method and infrastructure. Int J Med Inf. 2018;115:128-33. https://doi.org/10.1016/j.ijmedinf.2018.03.004

21. Peel NM, Russell TG, Gray LC. Feasibility of using an in-home video conferencing system in geriatric rehabilitation. J Rehabil Med. 2011;43(4):364-6. https://doi.org/10.2340/16501977-0675

22. Kruse CS, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M. Evaluating barriers to adopting telemedicine worldwide: a systematic review. J Telemed Telecare. 2018;24(1):4-12. http://dx.doi.org/10.1177/1357633X16674087
 


Submetido em:
25/06/2022

Aceito em:
23/09/2022

66818f35a9539540064466b4 cefac Articles

Revista CEFAC

Share this page
Page Sections