Date of Award
M.S. in Communication Sciences and Disorders
Communication Sciences and Disorders
Introduction: Tele-practice has become an important service delivery method, especially since the Covid-19 pandemic. A majority of research investigated effectiveness in therapeutic outcomes among children and adolescents, while tele-practice studies among people with aphasia were relatively limited. Rapport building may present more challenges in tele-practice compared to in-person services, yet no study compared it across the two therapy delivery approaches among people with aphasia.
Method: This current study conducted interviews regarding how rapport building is affected in tele-practice from speech-language pathologists (SLPs) who have experienced both in-person and tele-practice among people with aphasia. Nine SLPs were interviewed about their perceptions and strategies involved with rapport building in tele-practice compared to in-person therapy among people with aphasia. All nine participants completed an interview that lasted around 40-50 minutes that involved a 1-7 Likert rating scale (i.e., 1 = much less than in-person, 4 = same as in-person, 7 = much more than in-person) followed by open-ended questions that elaborated on participant’s ratings. Qualitative data were coded to emerging themes and quantitative data were calculated for mean and frequency of responses.
Results: Six themes emerged: (1) Consistent Perspectives toward Rapport Building, (2) Needs for New Resources for Rapport Building in Tele-practice, (3) Changes in Communication Styles or Strategies Due to Limited Interpersonal Connectivity in Tele-practice, (4) Providing Extra Training and Education as Part of Rapport Building, (5) Increased Communication Outside of Clinical Therapy to Enhance Rapport Building, and (6) Increased Comfort and Accessibility for Clients.
Conclusion: This study investigated the perceptions and strategies of SLPs on rapport building via tele-practice compared to in-person among people with aphasia. Participants were able to provide positive attitudes and strategies implemented in tele-practice sessions to build a strong rapport with clients who present aphasic deficits. Building rapport among people with aphasia via tele-practice has been seen to be just as effective as in-person.
Hershberger, Emily, "THE PERCEPTION AND STRATEGIES OF SPEECH-LANGUAGE PATHOLOGISTS IN RAPPORT BUILDING WITH PEOPLE WITH APHASIA VIA TELE-PRACTICE: QUALITATIVE AND QUANTITATIVE MIXED DESIGN" (2022). Electronic Theses and Dissertations. 2225.
Available for download on Thursday, August 15, 2024