Assessment and Treatment of Cognition and Communication Skills in Adults With Acquired Brain Injury via Telepractice: A Systematic Review 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 ... Review Article
Review Article  |   May 2015
Assessment and Treatment of Cognition and Communication Skills in Adults With Acquired Brain Injury via Telepractice: A Systematic Review
 
Author Affiliations & Notes
  • Jaumeiko J. Coleman
    National Center for Evidence-Based Practice, American Speech-Language-Hearing Association, Rockville, MD
  • Tobi Frymark
    National Center for Evidence-Based Practice, American Speech-Language-Hearing Association, Rockville, MD
  • Nicole M. Franceschini
    National Center for Evidence-Based Practice, American Speech-Language-Hearing Association, Rockville, MD
  • Deborah G. Theodoros
    School of Health and Rehabilitation Sciences, The University of Queensland, St. Lucia, Brisbane, Queensland, Australia
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication.×
  • Correspondence to Jaumeiko J. Coleman: jcoleman@asha.org
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Pauline Mashima
    Associate Editor: Pauline Mashima×
  • Copyright © 2015 American Speech-Language-Hearing Association
Article Information
Research Issues, Methods & Evidence-Based Practice / Telepractice & Computer-Based Approaches / Attention, Memory & Executive Functions / Traumatic Brain Injury / Review Articles
Review Article   |   May 2015
Assessment and Treatment of Cognition and Communication Skills in Adults With Acquired Brain Injury via Telepractice: A Systematic Review
American Journal of Speech-Language Pathology, May 2015, Vol. 24, 295-315. doi:10.1044/2015_AJSLP-14-0028
History: Received February 26, 2014 , Revised August 8, 2014 , Accepted December 23, 2014
 
American Journal of Speech-Language Pathology, May 2015, Vol. 24, 295-315. doi:10.1044/2015_AJSLP-14-0028
History: Received February 26, 2014; Revised August 8, 2014; Accepted December 23, 2014
Acknowledgments
This EBSR was supported by ASHA's National Center for Evidence-Based Practice in Communication Disorders. We thank Lyn Tindall, who served as a consultant for this project. We also express gratitude to Janet Brown and Cheris Frailey, who reviewed a later version of the article. No author had a paid consultancy or any other conflict of interest with this document. This EBSR was conducted under the auspices of ASHA; however, this is not an official position statement of the Association.

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.

Order a Subscription
Pay Per View
Entire American Journal of Speech-Language Pathology content & archive
24-hour access
This Article
24-hour access