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Training for the Delivery of a Comprehensive High-Dose Aphasia Therapy Program via Telerehabilitation: Effectiveness and Satisfaction With the TeleCHAT Training Package
Journal article   Open access   Peer reviewed

Training for the Delivery of a Comprehensive High-Dose Aphasia Therapy Program via Telerehabilitation: Effectiveness and Satisfaction With the TeleCHAT Training Package

Shu En Lee, Genevieve Vuong, Jade Dignam and Annie Hill
International journal of language & communication disorders, Vol.61(4), pp.1-11
07/2026
PMID: 42444558
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Abstract

aphasia intensive and comprehensive aphasia program speech-language pathologists telerehabilitation training
Background: TeleCHAT is the Comprehensive High-dose Aphasia Treatment program delivered via telerehabilitation. TeleCHAT is a complex intervention, with delivery challenges arising from its comprehensive scope and individualised therapeutic and technological requirements. Thus, training for speech-language pathologists (SLPs) in the delivery of TeleCHAT is necessary. Aims: This study aimed to evaluate the acceptability and effectiveness of a training package in equipping SLPs with the knowledge, skills and confidence to deliver TeleCHAT via telerehabilitation. Methods and Procedures: Three cohorts of SLPs (n = 14) completed the TeleCHAT training package, which consisted of theoretical content and practical training. Participants completed a 13-item satisfaction survey using a 5-point Likert scale and an observation of technological skills checklist (OTSC) post-training. Video recordings of four SLPs' delivery of their first TeleCHAT session was observed by researchers. The SLPs' independence delivering therapy was rated using the OTSC. Quantitative and qualitative data were analysed using descriptive statistics (mean, standard deviation and range) and content analysis, respectively. Data from each cohort informed improvements to the training package for the next cohort. Outcomes and Results: Participants self-rated as moderately to totally independent in the use of telerehabilitation technology post-training, with high levels of understanding, confidence and preparedness of delivering TeleCHAT. Observations of SLPs' first TeleCHAT sessions demonstrated total independence with delivering TeleCHAT and troubleshooting technological issues. Content analysis revealed suggestions to improve (a) the content and (b) the structure and delivery of training. The theoretical components transitioned to self-paced online modules to address the time constraints in SLPs' workload for Cohorts 2 and 3. Conclusion and Implications: The training package was well received by participants. Multimodal learning approaches, practical training and specificity of the components of the intensive, comprehensive aphasia program were essential in building confidence in SLPs.

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