PMID- 30851010
OWN - NLM
STAT- MEDLINE
DCOM- 20200124
LR  - 20210109
IS  - 1460-6984 (Electronic)
IS  - 1368-2822 (Linking)
VI  - 54
IP  - 2
DP  - 2019 Mar
TI  - Feasibility of parent communication training with remote coaching using 
      smartphone apps.
PG  - 265-280
LID - 10.1111/1460-6984.12468 [doi]
AB  - BACKGROUND: Communication training for parents of young children with 
      neurodisability is often delivered in groups and includes video coaching. Group 
      teaching is problematic when there is wide variation in the characteristics and 
      needs amongst participants. AIMS: To assess the potential feasibility and 
      acceptability of delivering one-to-one parent training supported by remote 
      coaching using smartphone apps and of conducting further trials of the 
      intervention. METHODS & PROCEDURES: We aimed to recruit eight children aged 12-48 
      months with motor disorders and communication difficulties and to provide 
      families with individual parent training in six weekly home visits supplemented 
      by remote coaching via smartphone apps. For outcome measurement, parents recorded 
      their interaction with their child thrice weekly during baseline (3 weeks), 
      intervention, post-intervention (3 weeks) and follow-up (1 week). Measures 
      comprised parent responsiveness and counts of children's communication and 
      vocalization. Research design feasibility was measured through rates of 
      recruitment, attrition, outcome measure completion and agreement between raters 
      on outcome measurement. Intervention feasibility was assessed through the 
      proportion of therapy sessions received, the number of videos and text messages 
      shared using the apps in remote coaching, and message content. Parents were 
      interviewed about the acceptability of the intervention and trial design. 
      Interviews were transcribed and analyzed using inductive thematic analysis. 
      OUTCOMES & RESULTS: Nine children were recruited over 16 weeks. All fitted the 
      inclusion criteria. Four families withdrew from the study. Five families 
      completed the intervention. No family submitted the target number of video 
      recordings for outcome measurement. Interrater agreement was moderate for child 
      communication (K = 0.46) and vocalization (K = 0.60) and high for The Responsive 
      Augmentative and Alternative Communication Style scale (RAACS) (r(s) = 0.96). 
      Parents who completed the intervention reported positive experiences of the 
      programme and remote coaching via the apps. Therapist messages via the app 
      contained comments on parent and child behaviour and requests for parental 
      reflection/action; parental messages contained reflections on children's 
      communication. CONCLUSIONS & IMPLICATIONS: The intervention and study design 
      demanded high levels of parental involvement and was not suitable for all 
      families. Recording shorter periods of interaction via mobile phones or using 
      alternative methods of data collection may increase feasibility of outcome 
      measurement.
CI  - (c) 2019 Royal College of Speech and Language Therapists.
FAU - Stockwell, Katy
AU  - Stockwell K
AD  - Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
FAU - Alabdulqader, Ebtisam
AU  - Alabdulqader E
AD  - Open Lab, Newcastle University, Newcastle upon Tyne, UK.
FAU - Jackson, Dan
AU  - Jackson D
AD  - Open Lab, Newcastle University, Newcastle upon Tyne, UK.
FAU - Basu, Anna
AU  - Basu A
AD  - Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
FAU - Olivier, Patrick
AU  - Olivier P
AD  - Open Lab, Newcastle University, Newcastle upon Tyne, UK.
FAU - Pennington, Lindsay
AU  - Pennington L
AUID- ORCID: 0000-0002-4540-2586
AD  - Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
LA  - eng
GR  - CDF-2013-06-001/DH_/Department of Health/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Int J Lang Commun Disord
JT  - International journal of language & communication disorders
JID - 9803709
SB  - IM
MH  - Child, Preschool
MH  - Communication Disorders/*rehabilitation
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Mentoring
MH  - *Mobile Applications
MH  - Parents/*education
MH  - Smartphone
OTO - NOTNLM
OT  - cerebral palsy
OT  - early intervention
OT  - motor speech development
OT  - parent coaching
OT  - single case series
OT  - technology
EDAT- 2019/03/10 06:00
MHDA- 2020/01/25 06:00
CRDT- 2019/03/10 06:00
PHST- 2018/02/14 00:00 [received]
PHST- 2019/02/22 00:00 [revised]
PHST- 2019/02/25 00:00 [accepted]
PHST- 2019/03/10 06:00 [entrez]
PHST- 2019/03/10 06:00 [pubmed]
PHST- 2020/01/25 06:00 [medline]
AID - 10.1111/1460-6984.12468 [doi]
PST - ppublish
SO  - Int J Lang Commun Disord. 2019 Mar;54(2):265-280. doi: 10.1111/1460-6984.12468.