Journal of Speech Pathology & Therapy
Open Access

The global COVID-19 pandemic created unprecedented disruptions in healthcare systems worldwide, significantly impacting the delivery of speech and language services. In response to widespread lockdowns and restrictions on in-person interactions, speech-language pathologists (SLPs) were compelled to rapidly adapt their service delivery models. Telepractice—the use of telecommunications technology to provide assessment, intervention, and consultation—emerged as a critical and timely solution to maintain continuity of care. This shift not only addressed immediate access challenges but also accelerated innovation in clinical practices, highlighting the flexibility and potential of remote therapy. While initially adopted as a necessity, telepractice has since demonstrated lasting value in reaching diverse populations, including those in rural or underserved areas, individuals with mobility issues, and clients with demanding schedules [1, 2].

Efficacy of Telepractice in Speech Therapy

Multiple studies conducted during the pandemic indicate that telepractice achieves comparable outcomes to traditional face-to-face therapy across a range of disorders, including:

• Childhood speech sound disorders
• Adult aphasia and dysarthria
• Voice disorders
• Stuttering

Therapeutic activities adapted well to video conferencing platforms, with real-time feedback and interactive exercises effectively delivered remotely.

Patient and Caregiver Satisfaction

Surveys have generally shown high satisfaction rates, emphasizing benefits such as:

• Convenience and reduced travel time
• Increased access for patients in remote or underserved areas
• Flexibility in scheduling

However, some patients reported difficulties with technology, reduced personal connection, and distractions in the home environment.

Challenges and Considerations

• Digital Divide: Limited access to reliable internet and devices can hinder equitable service delivery.
• Engagement: Maintaining attention, especially in young children, requires creative strategies.
• Confidentiality: Ensuring privacy and data security in virtual sessions is critical.
• Clinical Limitations: Certain assessments and interventions requiring physical contact or specialized equipment may be less feasible [3-5].

Recommendations

• Training SLPs and patients in telepractice technology and etiquette.
• Utilizing caregiver support to facilitate sessions, especially for children.
• Developing culturally sensitive and accessible digital materials.
• Advocating for policies supporting telepractice reimbursement and infrastructure [6-10].

Conclusion

Telepractice emerged as a viable and effective mode of delivering speech-language therapy during the COVID-19 pandemic, ensuring continuity of care amidst widespread disruptions. It allowed clinicians to maintain therapeutic relationships, adapt intervention strategies, and expand access to services—particularly for individuals in remote, underserved, or high-risk populations.

The success of telepractice during this period has demonstrated its potential as more than a temporary solution. Continued integration of telepractice into routine service delivery, alongside traditional in-person models, offers a hybrid approach that can enhance flexibility, reduce barriers to access, and support individualized care.

As the field moves forward, it is essential to refine best practices, invest in clinician training, and address challenges related to technology, privacy, and equity. With thoughtful implementation, telepractice can remain a powerful tool in the evolving landscape of speech-language pathology, promoting greater accessibility and responsiveness to diverse client needs.