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Rachael Rietdijk1,2,3, Leanne Togher1,2,3 & Emma Power1,3
1 Discipline

of Speech Pathology, Faculty of Health Sciences, U...
Why investigate using telehealth with TBI?
Service access barriers for TBI (O’Callaghan et al., 2011):
1. Location of spec...
Reliability Study: In-Person vs Skype Assessment
› Participants: People with TBI and family members / close friends
› Proc...
Qualitative Study: In-Person vs Skype

- Satisfaction and qualitative data
- Pre-assessment preferences
- Post-Skype asses...
Three preliminary findings from pilot data

1. Skype has been adequate for conducting the
assessment sessions.
2. People t...
Next steps
› Reliability study
- Analysis will occur in consultation with a stakeholder reference
group including key peop...
Collaboration
› Areas of interest
- Suitability of Skype for telehealth purposes?
- Screening of communication skills over...
Contact details
› Rachael Rietdijk, PhD student; rman7827@uni.sydney.edu.au

› Professor Leanne Togher, Professor of Commu...
References
› Aphasia Institute. (2010). Communicative access measures for stroke.
› Babbitt, E. M., Heinemann, A. W., Semi...
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The perspectives of people with traumatic brain injury and their family members on telehealth rehabilitation services. Ms Rachael Rietdijk, Faculty of Health Sciences

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Transcript of "The perspectives of people with traumatic brain injury and their family members on telehealth rehabilitation services. Ms Rachael Rietdijk, Faculty of Health Sciences "

  1. 1. Rachael Rietdijk1,2,3, Leanne Togher1,2,3 & Emma Power1,3 1 Discipline of Speech Pathology, Faculty of Health Sciences, University of Sydney, Australia 2 NHMRC CRE in Brain Recovery (Moving Ahead) 3NHMRC CCRE in Aphasia Rehabilitation Acknowledgement: Australian Postgraduate Award, Institute for Safety Compensation and Recovery Research, NHMRC CRE in Brain Recovery (Moving Ahead) Seed Grant
  2. 2. Why investigate using telehealth with TBI? Service access barriers for TBI (O’Callaghan et al., 2011): 1. Location of specialist services (centralised expertise) 2. Cognitive impairments (organisation, motivation) 3. Mobility impairments (transport, carer burden) 4. Population demographics (working, caring for children) The focus of our project: - Assessing social communication after TBI using Skype 2
  3. 3. Reliability Study: In-Person vs Skype Assessment › Participants: People with TBI and family members / close friends › Procedure: Communication assessment protocol completed during both an inperson and Skype session. Order of assessment randomly allocated. Sessions at least one week apart. - Primary outcome measures: - Measure of Participation in Conversation (Adapted) (Togher et al., 2010) - Measure of Support in Conversation (Adapted) (Togher et al., 2010) - Secondary outcome measures - Global ratings of conversational quality (Bond & Godfrey, 1997) - La Trobe Communication Questionnaire (Douglas et al., 2007) - Impact on Participation and Autonomy Questionnaire (Cardol et al., 2001) - Communication Confidence Rating Scale for Aphasia (Babbitt et al., 2011) - Communicative Access Measures for Stroke (Adapted) (Aphasia Institute, 2010) 3
  4. 4. Qualitative Study: In-Person vs Skype - Satisfaction and qualitative data - Pre-assessment preferences - Post-Skype assessment questionnaire - Semi-structured qualitative interview after participants had completed the two sessions 4
  5. 5. Three preliminary findings from pilot data 1. Skype has been adequate for conducting the assessment sessions. 2. People tend to become more positive about Skype after experiencing it. 3. Main concerns about Skype are about the quality of the connection, and the interaction with the therapist, rather than privacy. 5
  6. 6. Next steps › Reliability study - Analysis will occur in consultation with a stakeholder reference group including key people working in the field of TBI within NSW Health - Use results to assist planning an RCT of in-person vs. Skype communication skills treatment for TBI (adapting the existing treatment manual TBI Express, Togher et al., 2010) 6
  7. 7. Collaboration › Areas of interest - Suitability of Skype for telehealth purposes? - Screening of communication skills over telehealth by other healthcare workers - Exploring patient-led models of service planning around use of telehealth - Comparing clinical discourse between in-person vs. telehealthbased sessions 7
  8. 8. Contact details › Rachael Rietdijk, PhD student; rman7827@uni.sydney.edu.au › Professor Leanne Togher, Professor of Communication Disorders Following Traumatic Brain Injury, Senior NHMRC Research Fellow; leanne.togher@sydney.edu.au › Dr Emma Power, Lecturer in Neurogenic Communication Disorders, emma.power@sydney.edu.au 8
  9. 9. References › Aphasia Institute. (2010). Communicative access measures for stroke. › Babbitt, E. M., Heinemann, A. W., Semik, P., & Cherney, L. R. (2011). Psychometric properties of the Communication Confidence Rating Scale for Aphasia (CCRSA): Phase 2. Aphasiology, 25(6-7), 727-735. › Bond, F., & Godfrey, H. P. D. (1997). Conversation with traumatically brain-injured individuals: A controlled study of behavioural changes and their impact. Brain Injury, 11(5), 319-329. › Cardol, M., de Haan, R. J., de Jong, B. A., van den Bos, G. A., & de Groot, I. J. (2001). Psychometric properties of the Impact on Participation and Autonomy Questionnaire. Archives of Physical Medicine and Rehabilitation, 82(2), 210-216. › Douglas, J. M., Bracy, C. A., & Snow, P. C. (2007). Measuring perceived communicative ability after traumatic brain injury: The reliability and validity of the La Trobe Communication Questionnaire. Journal of Head Trauma Rehabilitation, 22(1), 31-38. › O'Callaghan, A. M., McAllister, L., & Wilson, L. (2011). Experiences of care: Perspectives of carers of adults with traumatic brain injury. International Journal of Speech-Language Pathology, 13(3), 218-226. › Togher, L., McDonald, S., Tate, R., Power, E., Ylviskaker, M., & Rietdijk, R. (2010). TBI express: A social communication training manual for people with traumatic brain injury (TBI) and their communication partners. Sydney: Australian Society for the Study of Brain Impairment (ASSBI). › Togher, L., Power, E., Tate, R., McDonald, S., & Rietdijk, R. (2010). Measuring the social interactions of people with traumatic brain injury and their communication partners: The adapted Kagan scales. Aphasiology, 24(6-8), 914-927. 9
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