{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T22:02:45Z","timestamp":1772834565479,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T00:00:00Z","timestamp":1630195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite emerging evidence of validity and reliability, speech and language therapists\u2019 (SLT) uptake of telehealth has been limited and barriers remain to the effective and confident use of this service model. The COVID\u201019 pandemic has caused significant disruption to essential health services, including speech and language therapy assessment and intervention, meaning that telehealth must now be considered as part of the suite of service delivery options for all clinicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore the perceived barriers and facilitators of telehealth among community paediatric SLTs before and after their use of a telehealth platform with an embedded standardised assessment tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>Mixed\u2010methods questionnaires were developed for this study and completed by SLTs before and after the 3\u2010month trial of the telehealth platform. A total of 38 SLTs completed the pre\u2010trial questionnaire and training in the use of telehealth platform (Coviu), including instruction in using a standardised, norm referenced language test as an integrated tool within the Coviu platform. A total of 27 SLTs went on to use the telehealth platform, and 25 of these completed the post\u2010trial questionnaire on which subsequent qualitative and quantitative analysis was completed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>Prior to using the platform, perceived barriers included technology issues, limited clinician experience and concerns around parent acceptance of the service. Potential facilitators included access to appropriate platforms, tools and resources as well as increased clinician confidence with telehealth. Following the trial, barriers to telehealth use continued to include technology barriers, particularly internet stability, and client issues, including suitability for telehealth services. Facilitators for future telehealth use included access to appropriate platforms for telehealth, stable and appropriate internet connectivity, and more extensive telehealth resources for both assessment and intervention for this mode of service delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>This study provides insights into the perceptions of the barriers and facilitating factors for telehealth use among community\u2010based SLTs. This information will be useful in developing strategies to promote uptake and effective and confident use of telehealth as a mode of service delivery beyond the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Research about telehealth has shown that it is a reliable and valid way of delivering speech pathology services, yet many clinicians have been wary of its use and uptake of telehealth prior to COVID\u201019 had been limited. We wanted to know what SLTs thought about using telehealth before and after participating in a 3\u2010month trial of a telehealth platform with an embedded formal language assessment.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this study adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study indicates that technology issues including internet stability are a barrier to effective telehealth services, but that appropriate telehealth platforms, resources and experience are facilitators of uptake and successful use of telehealth.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This information will be useful in developing strategies to promote uptake and effective and confident use of telehealth as a mode of service delivery for children during and beyond the pandemic, including those isolated by geographical or transport barriers.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12666","type":"journal-article","created":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T17:20:35Z","timestamp":1630257635000},"page":"1263-1277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Barriers and facilitators: Clinicians' opinions and experiences of telehealth before and after their use of a telehealth platform for child language assessment"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4522-058X","authenticated-orcid":false,"given":"Rebecca","family":"Sutherland","sequence":"first","affiliation":[{"name":"Child Development Unit The Children's Hospital at Westmead  Westmead NSW 2145 Australia"},{"name":"Discipline of Speech Pathology University of Sydney and University of Canberra  Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoinette","family":"Hodge","sequence":"additional","affiliation":[{"name":"Child Development Unit The Children's Hospital at Westmead  Westmead NSW 2145 Australia"},{"name":"University of New South Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Chan","sequence":"additional","affiliation":[{"name":"Child Development Unit The Children's Hospital at Westmead  Westmead NSW 2145 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Silove","sequence":"additional","affiliation":[{"name":"Child Development Unit The Children's Hospital at Westmead  Westmead NSW 2145 Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158753"},{"issue":"1","key":"e_1_2_7_4_1","first-page":"11","article-title":"Five\u2010point likert items: t test versus Mann\u2010Whitney\u2010Wilcoxon (Addendum added October 2012)","volume":"15","author":"De Winter J.F.C.","year":"2010","journal-title":"Practical Assessment, Research, and Evaluation"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549500903456607"},{"issue":"3","key":"e_1_2_7_6_1","first-page":"110","article-title":"A survey of the clinical use of telehealth in speech\u2013language pathology across Australia","volume":"14","author":"Hill A.J.","year":"2012","journal-title":"Journal of Clinical Practice in Speech\u2013Language Pathology"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15604555"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X18776095"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0189"},{"issue":"3","key":"e_1_2_7_10_1","first-page":"147","article-title":"Telehealth: why not? 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