18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL

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3/09/2015  |   11:35 AM - 12:05 PM   |  Providers' Use of Coaching Behaviors in Telepractice   |  Stopher   |  1

Providers' Use of Coaching Behaviors in Telepractice

The Individuals with Disabilities Education Act (IDEA) assures infants and toddlers with disabilities, and their family members, receive family-centered early intervention (FCEI). There is an extant body of evidence documenting the use, or lack of use, of FCEI provider behaviors when therapy is delivered in the traditional face-to-face (F2F) condition. This disparity – between best practice and actual practice - was investigated in a recent research study. I investigated the use of a different service delivery platform – telepractice – to deliver FCEI to infants and toddlers who are deaf or hard of hearing (DHH). Telepractice utilizes telecommunication technologies to deliver health-related services and information to support patient care and is provided from a distance to a client. In this exploratory study, I investigated the potential of telepractice to enhance providers’ use of participatory-based FCEI behaviors. The results of the study review how often selected FCEI provider behaviors occur in the telepractice condition in contrast to the frequency of each behavior as it occurs in the F2F condition reported in the literature. I also investigated the relationship between characteristics of providers (i.e., training discipline, experience with telepractice) and the providers’ use of FCEI behaviors. The findings from this study will be discussed in the context of improved implementation of FCEI. If providers use more FCEI behaviors in telepractice, there may be benefits to our families and their children who are DHH; family members who are more engaged in the intervention may influence the outcomes for their children. In addition, providers could benefit from training in the use of both telepractice and integral coaching behaviors. There also may be implications for changes to our systems of care; the use of telepractice is expanding, but it is expanding without regulatory support or secure access to commonly-used funding streams.

  • Attendees will be able to define specific provider behaviors that are representative of a family-centered early intervention coaching model.
  • Attendees will be able to compare and contrast the delivery of FCEI in the traditional face-to-face condition and the telepractice condition.
  • Attendees will have additional information to support current use of telepractice and/or to justify benefit when engaging in the use of telepractice.

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Presenters/Authors

Arlene Stredler-Brown (Primary Presenter), Colorado EHDI, astredlerbrown@coehdi.org;
Arlene Stredler-Brown, PhD, CCC-SLP provides consultation and technical assistance to programs working with children who are deaf or hard of hearing in the United States and internationally. She has graduate degrees in Speech/Language Pathology, Education of the Deaf/Hard of Hearing, and a doctoral degree in Special Education. Her recent research focuses on telehealth and the use of coaching strategies in the delivery of family-centered early intervention. Having worked many years in program administration and policy development, Dr. Stredler-Brown brings this skill set to her role as Director of the Colorado Early Hearing Detection and Intervention (EHDI) Program. Common themes guiding her work are: inclusiveness, collaboration, evidence-based practice and a commitment to infants and toddlers who are deaf or hard of hearing and their families.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.