A zoom with a view: service user views on a digital information resource to support remote speech and language therapy (SLT) for inducible laryngeal obstruction (ILO)

Slinger, Claire and Prior, Katherine and Lever, Hannah and Slinger, Richard (2022) A zoom with a view: service user views on a digital information resource to support remote speech and language therapy (SLT) for inducible laryngeal obstruction (ILO). Thorax, 77 (Suppl.). ISSN 0040-6376

Abstract

Introduction Our tertiary Airways service offers assessment and treatment for Inducible Laryngeal Obstruction (ILO), (breathing difficulties due to inappropriate adduction of the larynx on inspiration). Speech and Language therapy (SLT) is identified as the ‘cornerstone’ of treatment for ILO. During the Covid-19 pandemic, we produced an online information and therapy resource to support as an adjunct to virtual therapy by SLTs. This included educational information about ILO, videos to support understanding and instructions on how to complete the SLT airway control techniques, as well as symptom monitoring measures. This paper summarises patient feedback on the resource. Methods An online survey was sent to 312 patients who had received the resource to support their virtual consultations. Survey questions gathered both quantitative and qualitative data based on Kirkpatrick’s (1993) model of training evaluation, focusing on: Reaction, Learning, Behaviour and Results. Results 69 patients (49 females, 19 males, median age= 64, age range=26–78) completed the survey (22% response rate). The resource was rated highly by patients for quality, interest and engagement (Reaction), and for learning from it. Diagrams and demonstration videos helped them understand ILO (Learning) and practice therapy techniques outside of therapy sessions (Behaviour) and were rated as the most helpful aspects of the resource. Following use of the resource 76% reported that their ILO symptoms were either ‘better’ or ‘a lot better’ (Results). Having the resource always accessible online was described as very useful, due to offering a reminder of techniques and to help explain ILO to others. Conclusion Digital resources are a useful adjunct to remote ILO therapy, and continue to be used in our service to support face to face, as well as virtual SLT sessions for the treatment of ILO.