Eslami Jahromi, Maryam

Simorgh Research Repository

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",.':ur-[-i o":l-q;l 6 sy6 xt .1L1.: .5'r --,. el # f +.t,;U; c;(l, ;L p jif,,,lqr cSr;cqL).t, 1 f ol, ;l,;:";19;,.- l(-l :dafl5WWAbstractBackground and Objectives: The shortage of speech therapists and their poor distribution insome parts of the vast countries affect the provision of effective speech therapy services.Investigating the necessary infrastructures for the implementation of telemedicine technology,as well as accepting and using it as facilitator of the delivery of services, is required. The aimof this study was to Investigating the satisfaction and recovery rate ofpatients with stutter usingtelespeech therapy interventions in Jahrom.Methods: This is an interventional study that was conducted descriptive-analytical in 2017.The study population consisted of patients visiting rehabilitation centers affiliated with theJahrom Social Welfare Bureau, among them 30 patients with stutter, aged 14-39 years, wereparticipated in tele-speech therapy sessions via Skype. Stuttering Severity Instrument-FourthEdition was used to determine the severity of stutter before and after the intervention. In orderto investigate the change in stuttering severity, the pre-test and post-test scores were comparedusing paired samples t-test. A Point-biserial correlation coefficient test was used to examine therelationship between gender and stuttering severity, syllables stuttered, and naturalness ofspeech. The Spearman Correlation Coefficient test was also used to examine the relationshipbetween the educational level and stuttering severity, syllables stuttered, and naturalness ofspeech. Pearson Correlation Coefficient test was used to examine the relationship between ageand stuttering severity, syllables stuttered, and naturalness of speech. Satisfaction of patientsivith telespeech therapy was collected by a researcher-made questionnaire whose contentr alidity was confirmed by three medical informatics experts. the corelation coefficient was:alculated which was equal to 0.93. The non-parametric point-biserial correlation coefficient.-st was used to examine the relationship between participants gender and the research:riables, i.e. overall satisfaction and satisfaction with the infrastructure and the treatment.-:rhod. Spearman's correlation coefficient was used to evaluate the relationship of participants'xxage, education, and the number of their therapeutic sessions, with their overall satisfaction, andthe satisfaction regarding the infrastructure and treatment method. Data were analyzed usingSPSS software version 19.Results: The results showed a significant difference in the mean scores of stuttering severitybefore and after tele-speech therapy (P=0.001). Our findings showed a mean reduction of 13 .8ohin stuttering scores. There was no significant relationship between demographic variablesincluding age, gender, and education with stuttering severity, the mean of syllables stuttered,and natural speech (p>0.05). The mean and standard deviation of patient satisfaction scoresfrom the applied infrastructures and the telespeech therapy method were 3.15+0.52 and3.49*0.52, respectively. No significant relationship was found between gender, education leveland age with satisfaction (p>0.05). The results of the study showed that the number of speechtherapy sessions did not affect the overall satisfaction of patients (p>0.05), but the number oftherapeutic sessions had a direct relationship with the satisfaction of the infrastructure used forremote therapy (p<0/05).Conclusion: Tele-speech therapy has been effective for the treatment of stuttering patients ofany age, gender and educational background, and has improved their speech and decreasedstuttering. Civen the effectiveness of tele-speech therapy showed by this study, the use of thismethod can improve patients' access to speech therapy services in the community, and help:hem to continue their treatment and adhere to follow-up care plans. The present study showed:atients' satisfaction with telespeech therapy. Due to slow internet connection speed in the:,,untry. which were raised by most patients as a challenge, planners should invest more to:,.rease bandwidth. This can help health authorities to benefit more from tele-practice method- :roviding health care especially when the therapist is not available.YYKeywords: Skype, Tele-rehabilitation, Patient Satisfaction, Speech Therapy, Stuttering,Videoconferencing.....1{. rv. i. x.. : e-,,bJLtj a.," ra"U Otrtr. 1l gtlr @ sy.ley.I.17..AAY.,u;Ot".f *<*;f pglc ot(*J':olS,;ijlt {J.,oSJ d,Y*a>J*tcllUal ,J.rfE dj) r;)1 ._""h,,K 6rz;1: .,,o1f .r.y*f N{J. et- ,!,->s a"L ;t-1,-, a^.cG-: o.*.-.g,r^^o0.r-ti),J!tr dSl;19o;,>; 6t-rs ;<;i p9I" .L(;l: eblSWll *r-11* o,r5;;l: c*oY*\f1o Jb rr fH* t) r9) ol, 1l jLor:rl,iS c,Vil.u e*;l gL;c*<J q rt.^-" cll.rt rt )9*r,.:;l ,$-;;;lr9l:.-!+ p;>,^ rgL;s.l ,r;> tt lftv/f/h ir, @ )y y \. c_"cl*_---*f jfr*.L' ,,,r Yo or-- 9 ............-..........r4.,]1.*......... d+.,) L c-9- o- + ,s,l{t1 ,:*, -u-),5,rs,rlftr pU r pU.r!.-r--rl YJ F, nuL Lall:h-l :,Jl*fu+-rllt+c ;*"tl 15: .sti1 rgl;o :L'l :.'.i.9+19' L;) F) Ls\3i (*Elr) ;11e1: oLa e,a.e:e6-ra) D-r /:.5G1 (*:rt;) ;1191-: ol*e' yae :).5:11 ,;,s g:j,- {>: ,"5: .5U1 I //.. -- \l .. 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بررسی میزان رضایت مندی و بهبود بیماران مبتلا به لکنت زبان از طریق مداخلات گفتار درمانی از راه دور در جهرم در سال ۱۳۹۵

http://eprints.kmu.ac.ir/27190/1/6519_20180520_0001.pdf

بررسی میزان رضایت مندی و بهبود بیماران مبتلا به لکنت زبان از طریق مداخلات گفتار درمانی از راه دور در جهرم در سال ۱۳۹۵

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