{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T21:16:09Z","timestamp":1792530969579,"version":"4.5.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Evidence suggests telehealth in speech and language therapy can enhance access to care, cost\u2010effectiveness and satisfaction. However, little is known about use of telehealth in the United Kingdom. Moreover, many assessments\/outcome measures for aphasia have been tested for face\u2010to\u2010face administration only, posing challenges to reliable use within the telehealth context. We explored the experiences and views of speech and language therapists (SLTs) working with people with aphasia on using telehealth to conduct assessments\/outcome measures, perceived barriers and facilitators in telehealth, and their priorities for research in telehealth aphasia assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We explored views of UK SLTs through an online cross\u2010sectional survey (2021) delivered through the Qualtrics platform. The survey covered three main areas: (i) participant demographics; (ii) experience of using telehealth and doing telehealth assessments with people with aphasia post\u2010stroke during the COVID\u201019 pandemic; and (iii) plans for telehealth post\u2010pandemic. Response formats included yes\/no, multiple choice, 5\u2010point Likert scales and open\u2010ended text responses. The survey was expected to take no more than 10\u00a0min to complete. Survey data were analysed through descriptive statistics and content analysis of open\u2010ended questions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred twenty\u2010four SLTs responded to the survey. The majority (&gt;80%) used telehealth during the COVID\u201019 pandemic and &gt;90% planned to continue to use telehealth in the future. The most used platforms were Zoom, Microsoft Teams and Attend Anywhere. Access to internet and telehealth platforms, and practical problems (e.g., difficulties sharing resources online, limited functionality of telehealth platforms for assessment) were common barriers. Therapists highlighted that training, resources and materials that assist the administration of assessments were important. Most participants responded that there was a need for existing measures to be tested for administration via telehealth (<jats:italic>n<\/jats:italic> = 68, 70.8%). Participants overall felt there was a need for online interactive assessments, more online resources that have been trialled for use via telehealth, accessible formats for resources for people with aphasia and clear instructions for how people with aphasia can access resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study provides new insights into the current use of telehealth assessment with people with aphasia in the United Kingdom and directions for future research. Barriers and facilitators identified can support the implementation of telehealth assessment in SLT services.<\/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>The use of telehealth in speech and language therapy has advantages in terms of access to care, cost\u2010effectiveness and satisfaction with care. However, little is known about the use of telehealth in aphasia rehabilitation in the United Kingdom, especially in the area of assessment and outcome measurement.<\/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>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study identified that the majority (&gt;80%) of aphasia therapists used telehealth during the COVID\u201019 pandemic and &gt;90% planned to continue to use telehealth in the future. A need was identified for existing measures to be tested for administration via telehealth and for training, resources (e.g., online interactive assessments) and materials (e.g., accessible formats for people with aphasia).<\/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>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>To facilitate the successful implementation of telehealth assessment, there is a need for measures validated for use via telehealth and more online resources that have been trialled for use via telehealth.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12996","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T07:48:58Z","timestamp":1703836138000},"page":"1296-1307","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Telehealth practice in aphasia: A survey of UK speech and language therapists, with a focus on assessment"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2091-4849","authenticated-orcid":false,"given":"Katerina","family":"Hilari","sequence":"first","affiliation":[{"name":"Centre for Language and Communication Science Research, School of Health and Psychological Sciences, City University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6950-6294","authenticated-orcid":false,"given":"Abi","family":"Roper","sequence":"additional","affiliation":[{"name":"Centre for Language and Communication Science Research, School of Health and Psychological Sciences, City University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8229-5452","authenticated-orcid":false,"given":"Sarah","family":"Northcott","sequence":"additional","affiliation":[{"name":"Centre for Language and Communication Science Research, School of Health and Psychological Sciences, City University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9356-9957","authenticated-orcid":false,"given":"Nicholas","family":"Behn","sequence":"additional","affiliation":[{"name":"Centre for Language and Communication Science Research, School of Health and Psychological Sciences, City University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"American Speech\u2010Language\u2010Hearing Association. 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