{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:13:27Z","timestamp":1777727607243,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T00:00:00Z","timestamp":1662336000000},"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;amp; Comm Disor"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Face\u2010to\u2010face class suspensions during the coronavirus disease (COVID\u201019) pandemic in 2019 increased telepractice in speech and language therapy. However, little is known about speech and language therapists\u2019 (SLTs) perceived effectiveness of telepractice and its antecedents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine the use of telepractice and the factors affecting its perceived effectiveness in Hong Kong mainstream schools during COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>Seventy\u2010two school\u2010based Hong Kong SLTs completed a 110\u2010item online survey with six structural components: (1) concerns, (2) adoption, (3) student selection criteria, (4) perceived effectiveness, (5) continuous professional development and (6) attitudes\/beliefs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>Over 90% of respondents adopted telepractice during the pandemic. Confirmatory factor analysis identified reliable constructs from their component measures. These participants reported great telepractice difficulties (especially in therapy preparation and managing students\u2019 attention and\/or communication). Mixed\u2010response analysis revealed that psychosocial factors (i.e., students\u2019 engagement and SLTs\u2019 attitudes towards telepractice) but not professional practice skill factors (i.e., student client selection criteria and SLTs\u2019 years of experience in school settings) contributed to SLTs\u2019 self\u2010perceived effectiveness of telepractice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>Our findings suggest that psychosocial factors play a more important role than professional practice skill factors in the self\u2010perceived effectiveness of telepractice.<\/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>Previous surveys reported that although SLTs were interested in using telepractice before the COVID\u201019 pandemic, they showed concern about its effectiveness, resulting in a low adoption rate. One critical question naturally arises: What factors may affect the perceived effectiveness of telepractice by SLTs?<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study demonstrates for the first time that despite the high adoption rate of telepractice during the COVID\u201019 pandemic, school\u2010based SLTs exhibited great difficulties, and the SLTs\u2019 self\u2010perceived effectiveness of telepractice was related to psychosocial factors instead of professional practice skill factors.<\/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>Professional support is needed to alter the attitudes of SLTs towards telepractice for enhancing their self\u2010perceived effectiveness and positive clinical practice experience.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12773","type":"journal-article","created":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T17:20:47Z","timestamp":1662398447000},"page":"111-123","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Psychosocial factors, but not professional practice skills, linked to self\u2010perceived effectiveness of telepractice in school\u2010based speech and language therapists during COVID\u201019 pandemic"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6068-3630","authenticated-orcid":false,"given":"Joseph Hin Yan","family":"Lam","sequence":"first","affiliation":[{"name":"Human Communication, Development, and Information Sciences, Faculty of Education The University of Hong Kong  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5721-1971","authenticated-orcid":false,"given":"Ming Ming","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Special Education and Counseling The Education University of Hong Kong  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0167-1810","authenticated-orcid":false,"given":"Stephen Man Kit","family":"Lee","sequence":"additional","affiliation":[{"name":"Human Communication, Development, and Information Sciences, Faculty of Education The University of Hong Kong  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3319-4609","authenticated-orcid":false,"given":"Shelley Xiuli","family":"Tong","sequence":"additional","affiliation":[{"name":"Human Communication, Development, and Information Sciences, Faculty of Education The University of Hong Kong  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,5]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"ASHA Telepractice Survey. 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