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Coordinate Mapping of Hyolaryngeal Mechanics in Swallowing

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Establishing Clinical Swallowing Assessment Services via Telepractice: A Multisite Implementation Evaluation.

Elizabeth C Ward^1,2,3, Clare L Burns^2,3,4, Amy Gray⁵

¹Centre for Functioning and Health Research, Metro South Hospital and Health Service, Queensland, Australia.

American Journal of Speech-Language Pathology

|August 25, 2021

Summary

Telepractice enables clinical swallowing evaluations (CSEs) in rural areas. Successful implementation relies on strong local commitment and targeted support strategies, despite resource challenges.

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Area of Science:

Health Services Research
Implementation Science

Background:

Clinical swallowing evaluations (CSEs) are feasible via telepractice, but implementation faces challenges.
Telepractice delivery of CSEs is crucial for underserved regional and rural populations.

Purpose of the Study:

To examine implementation strategies for telepractice-based CSE services across multiple health sites.
To identify factors influencing the successful adoption of telepractice for CSEs using an implementation framework.

Main Methods:

A coordinated implementation strategy with remote training and support was applied to 18 sites.
Speech-language pathologists (SLPs) at hub sites were interviewed post-implementation.
Qualitative data were coded using the Consolidated Framework for Implementation Research (CFIR).

Main Results:

CSE services were successfully established and sustained at all 18 sites.
Positive influencing factors included the perceived advantages of telepractice and clinician motivation.
Key support strategies involved organized resources and external facilitators working with local champions.

Conclusions:

Successful telepractice implementation for CSEs involves a complex interplay of factors.
Strong local commitment to patient care and targeted support are vital for enabling services.
Structural characteristics and available resources presented consistent challenges across sites.