ÖZEL EĞİTİMDE TELE-SAĞLIK UYGULAMALARI

Yıl 2021, Cilt: 22 Sayı: 3, 2034 - 2052, 31.12.2021

Mine Kizir

https://doi.org/10.17679/inuefd.899546

Cited By: 1

Öz

Tele-sağlık hem uzun hem de kısa mesafelerde hizmet sağlayıcıları ve / veya alıcılar arasında fiziksel bir ayrımın olduğu durumlarda sağlık hizmetleri sunmak için bilgi ve iletişim teknolojilerinin kullanılması olarak tanımlanmaktadır. Tele-sağlık, sağlık hizmetlerinin tanı, tedavi, önleyici ve iyileştirici yönlerini kapsamakta ve hizmet alıcıları, birincil ve diğer bakıcıları, uzmanları ve eğitimcileri içermektedir. Günümüzde tele-sağlık uygulamalarının en temel yararlarının, ulaşım zorluğunu ortadan kaldırması, maliyetleri düşürmesi ve esnek zaman sağlaması olduğu pek çok araştırmada belirtilmektedir. Özel eğitim genellikle geleneksel ortamlarda yüz yüze yürütülmektedir. Ancak son on yılda, farkındalığın kısmen de olsa artması ve teknolojik engellerin azalması nedeniyle tele-sağlığa olan ilgi ve talep artmıştır. Ancak Covid-19 salgını nedeniyle ani bir şekilde geleneksel eğitim ortamlarında yürütülen özel eğitim hizmetlerinin uzaktan eğitim, özellikle de tele-sağlık uygulamalarına dönüşmesi, alanda çalışan uzmanlar için zorlayıcı olmuştur. 2020 yılı içerisinde yapılmış olan araştırmalar, alan uzmanlarının tele-sağlık yoluyla özel eğitim hizmeti sunma konusunda sınırlı bilgi ve deneyime sahip olduklarını göstermektedir. Dolayısıyla bu çalışmada özel eğitimde tele-sağlık uygulamalarına ilişkin bilgi sunmak amaçlanmaktadır.

Anahtar Kelimeler

Özel eğitim, Tele-sağlık, Özel gereksinimli birey, Uzaktan eğitim

TELE-HEALTH APPLICATIONS IN SPECIAL EDUCATION

Öz

Tele-health is defined as the use of information and communication technologies to provide health services in situations where there is a physical separation between service providers and / or recipients, both over long and short distances. Tele-health covers the diagnostic, therapeutic, preventive and curative aspects of health services and includes service recipients, primary and other caregivers, experts and educators. Today, many studies indicate that the main benefits of tele-health applications are that it eliminates transportation difficulties, reduces costs and provides flexible time. Special education is usually conducted face-to-face in traditional settings. However, in the last decade, interest and demand for tele-health have increased due to the increased awareness, albeit partially, and the reduction of technological barriers. However, due to the Covid-19 outbreak, the transformation of special education services carried out in traditional education settings into distance education, especially tele-health applications, has been challenging for experts working in the field. Studies conducted in 2020 show that field experts have limited knowledge and experience in providing special education services through tele-health. Therefore, this study aims to provide information on tele-health applications in special education.

Anahtar Kelimeler

Special education, Tele-health, Individual with special needs, Disatance education

Kaynakça

• Agree, E. M. (2014). The potential for technology to enhance independence for those aging with a disability. Disability and Health Journal, 7(1), 33–39. https://doi.org/10.1016/j.dhjo.2013.09.004
• Alfuraydan, M., Croxall, J., Hurt, L., Kerr, M., & Brophy, S. (2020). Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review. PloS one, 15(7), e0236415. https://doi.org/10.1371/journal.pone.0236415
• Baharav, E., & Reiser, C. (2010). Using telepractice in parent training in early autism. Telemedicine and e-Health, 16(6), 727-731. https://doi.org/10.1089/tmj.2010.0029
• Barkaia, A., Stokes, T. F., & Mikiashvili, T. (2017). Intercontinental telehealth coaching of therapists to improve verbalizations by children with autism. Journal of Applied Behavior Analysis, 50(3), 582-589. https://doi.org/10.1002/jaba.391
• Benson, S. S., Dimian, A. F., Elmquist, M., Simacek, J., McComas, J. J., & Symons, F. J. (2018). Coaching parents to assess and treat self‐injurious behaviour via telehealth. Journal of Intellectual Disability Research, 62: 1114– 1123. https://doi.org/10.1111/jir.12456.
• Boisvert, M., & Hall, N. (2014). The use of telehealth in early autism training for parents: a scoping review. Smart Homecare Technology and Telehealth, 2, 19-27. https://doi.org/10.2147/SHTT.S45353
• Cole, B., Pickard, K., & Stredler-Brown, A. (2019). Report on the use of telehealth in early intervention in Colorado: Strengths and challenges with telehealth as a service delivery method. International Journal of Telerehabilitation, 11(1), 33-40. https://doi.org/10.5195/ijt.2019.6273
• Coogle, C. G., Ottley, J. R., Storie, S., Rahn, N. L., & Burt, A. K. (2017). eCoaching to enhance special educator practice and child outcomes. Infants & Young Children, 30(1), 58-75. https://doi.org/10.1097/IYC.0000000000000082
• Coogle, C., Ottley, J. R., Rahn, N. L., & Storie, S. (2018). Bug-in-ear eCoaching: Impacts on novice early childhood special education teachers. Journal of Early Intervention, 40(1), 87-103. https://doi.org/10.1177/1053815117748692
• Coogle, C. G., Rahn, N. L., Ottley, J. R., & Storie, S. (2016). ECoaching across routines to enhance teachers’ use of modeling. Teacher Education and Special Education, 39(4), 227-245. https://doi.org/10.1177/0888406415621959
• Çattık, E. O., & Ergenekon, Y. (2020). Özel eğitimde işitsel teknoloji koçluğu: Bug-in-Ear (BIE). Pamukkale Üniversitesi Eğitim Fakültesi Dergisi, (50), 511-532. https://doi.org/10.9779/pauefd.575809
• Daczewitz, M. (2015). Delivering the parent-implemented communication strategies (PICS) intervention using distance training and coaching with a father and his child who is hard of hearing. [Doctoral dissertation, Illinois State University.] https://ir.library.illinoisstate.edu/cgi/viewcontent.cgi?article=1384&context=etd
• Demir, E. (2014). Uzaktan eğitime genel bir bakış. Dumlupınar Üniversitesi Sosyal Bilimler Dergisi. 39, 203-212.
• Devran, Y, & Elitaş, T. (2017). Uzaktan eğitim: Fırsatlar ve tehditler. AJIT-e: Bilişim Teknolojileri Online Dergisi, 8(27), 31-40. https://doi.org/10.5824/1309‐1581.2017.2.003.x
• Dimitropoulos, A., Zyga, O., & Russ, S. (2017). Evaluating the feasibility of a play-based telehealth intervention program for children with Prader–Willi syndrome. Journal of autism and developmental disorders, 47(9), 2814-2825. https://doi.org/10.1007/s10803-017-3196-z
• Ferguson, J., Craig, E. A., & Dounavi, K. (2019). Telehealth as a model for providing behaviour analytic interventions to individuals with autism spectrum disorder: A systematic review. Journal of autism and developmental disorders, 49(2), 582-616. https://doi.org/10.1007/s10803-018-3724-5
• Gerow, S., Radhakrishnan, S., S. Akers, J., McGinnis, K. & Swensson, R. (2021), Telehealth parent coaching to improve daily living skills for children with ASD. Jnl of Applied Behav Analysis. 9999, 1–16. https://doi.org/10.1002/jaba.813
• Gogia, S. (2020). Fundamentals of Telemedicine and Telehealth. Academic Press.
• Hall, S. S., Monlux, K. D., Rodriguez, A. B., Jo, B., & Pollard, J. S. (2020). Telehealth-enabled behavioral treatment for problem behaviors in boys with Fragile X Syndrome: a randomized controlled trial. Journal of Neurodevelopmental Disorders, 12(1), 1-15. https://doi.org/10.1186/s11689-020-09331-4
• Hebert, M. (2001). Telehealth success: evaluation framework development. Medinfo, 10, 1145-1149.
• Hodge, M. A., Sutherland, R., Jeng, K., Bale, G., Batta, P., Cambridge, A., ... & Silove, N. (2019). Agreement between telehealth and face-to-face assessment of intellectual ability in children with specific learning disorder. Journal of Telemedicine and Telecare, 25(7), 431-437. https://doi.org/10.1177/1357633X18776095
• Hrastinski, S. (2008). Asynchronous and synchronous e-learning. Educause quarterly, 31(4), 51-55.
• Ihrig, C. (2016). Steps to offering low vision rehabilitation services through clinical video telehealth. Journal of Visual Impairment & Blindness, 110(6), 441-447.
• İşman, A., Barkan, M., & Demiray, U. (2003). Online distance education book. The Turkish Online Journal of Educational Technology. http://www.tojet.net/e-book/ebook.htm
• Kemp, P., & Turnbull, A. P. (2014). Coaching with parents in early intervention: An interdisciplinary research synthesis. Infants & Young Children, 27(4), 305-324. https://doi.org/10.1097/IYC.0000000000000018
• Kizir, M. (2019). Reviewing of telehealth (distance) coaching practices for Autism Spectrum Disorder. Çukurova Üniversitesi Eğitim Fakültesi Dergisi, 48(2), 1072-1110. https://doi.org/10.14812/cufej.569720
• Kizir, M. (2021). Otizm Spektrum Bozukluğu olan bireylere iletişim becerilerinin öğretiminde uzaktan aile eğitim uygulamaları. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 22(1), 253-281. https://doi.org/10.21565/ozelegitimdergisi.554714
• Lerman, D. C., O’Brien, M. J., Neely, L., Call, N. A., Tsami, L., Schieltz, K. M., Berg, W. K., Graber, J., Huang, P., Kopelman, T., & Cooper-Brown, L. J. (2020). Remote coaching of caregivers via telehealth: Challenges and potential solutions. Journal of Behavioral Education, 29(2), 195-221. https://doi.org/10.1007/s10864-020-09378-2
• Lindgren, S., Wacker, D., Suess, A., Schieltz, K., Pelzel, K., Kopelman, T., Lee, J., Romani, P., & Wladron, D. (2016). Telehealth and autism: Treating challenging behavior at lower cost. Pediatrics,137(S2), S167–S175. https://doi.org/10.1542/peds.2015-2851o.
• Looi, J. C., & Pring, W. (2020). Private metropolitan telepsychiatry in Australia during Covid-19: current practice and future developments. Australasian Psychiatry, 28(5), 508-510. https://doi.org/10.1177/1039856220930675
• Machalicek, W., Lequia, J., Pinkelman, S., Knowles, C., Raulston, T., Davis, T., & Alresheed, F. (2016). Behavioural telehealth consultation with families of children with autism spectrum disorder. Behavioural Interventions, 31(3), 223-250. https://doi.org/10.1002/bin.1450
• Meadan, H., & Daczewitz, M. E. (2015). Internet-based intervention training for parents of young children with disabilities: A promising service-delivery model. Early child development and care, 185(1), 155-169. https://doi.org/10.1080/03004430.2014.908866
• Meadan, H., Snodgrass, M. R., Meyer, L. E., Fisher, K. W., Chung, M. Y., & Halle, J. W. (2016). Internetbased parent-implemented intervention for young children with autism: A pilot study. Journal of Early Intervention, 38(1), 3-23. https://doi.org/10.1177/1053815116630327
• Monlux, K. D., Pollard, J. S., Rodriguez, A. Y. B., & Hall, S. S. (2019). Telehealth delivery of function-based behavioral treatment for problem behaviors exhibited by boys with fragile X syndrome. Journal of autism and developmental disorders, 49(6), 2461-2475. https://doi.org/10.1007/s10803-019-03963-9
• Nazneen, N., Rozga, A., Smith, C. J., Oberleitner, R., Abowd, G. D., & Arriaga, R. I. (2015). A novel system for supporting autism diagnosis using home videos: iterative development and evaluation of system design. JMIR mHealth and uHealth, 3(2), e68. https://doi.org/10.2196/mhealth.4393
• Neely, L., Rispoli, M., Gerow, S., & Hong, E. R. (2016). Preparing interventionists via telepractice in incidental teaching for children with autism. Journal of Behavioral Education, 25(4), 393-416. https://doi.org/10.1007/s10864-016-9250-7
• Nelson, E. L., Duncan, A. B., Peacock, G., & Bui, T. (2012). Telemedicine and adherence to national guidelines for ADHD evaluation: A case study. Psychological services, 9(3), 293. https://doi.org/10.1037/a0026824
• Pellegrino, A. J., & DiGennaro Reed, F. D. (2020). Using telehealth to teach valued skills to adults with intellectual and developmental disabilities. Journal of Applied Behavior Analysis, 53(3), 1276-1289. https://doi.org/10.1002/jaba.734
• Reay, R. E., Looi, J. C., & Keightley, P. (2020). Telehealth mental health services during COVID-19: Summary of evidence and clinical practice. Australasian Psychiatry, 28(5), 514-516. https://doi.org/10.1177/1039856220943032
• Rispoli, M., & Machalicek, W. (2020). Advances in telehealth and behavioral assessment and intervention in education: Introduction to the special issue. J Behav Educ 29, 189–194. https://doi.org/10.1007/s10864-020-09383-5
• Schieltz, K. M., Romani, P. W., Wacker, D. P., Suess, A. N., Huang, P., Berg, W. K., Lindgren, S. D., & Kopelman, T. G. (2018). Single-case analysis to determine reasons for failure of behavioural treatment via telehealth. Remedial and Special Education, 39(2), 95-105. https://doi.org/10.1177/0741932517743791
• Schieltz, K. M., & Wacker, D. P. (2020). Functional assessment and function‐based treatment delivered via telehealth: A brief summary. Journal of Applied Behavior Analysis, 53(3), 1242-1258. https://doi.org/10.1002/jaba.742
• Shelden, M. L., & Rush, D. D. (2010). A primary –coach approach to teaming and supporting families in early childhood intervention. In R. A. McWilliam (Ed.). Working with families of young children with special needs (pp. 175-203). Guilford Press.
• Simacek, J., Dimian, A.F. & McComas, J.J. (2017). Communication intervention for young children with severe neurodevelopmental disabilities via telehealth. J Autism Dev Disord, 47, 744–767. https://doi.org/10.1007/s10803-016-3006-z
• Simacek, J., Elmquist, M., Dimian, A. F., & Reichle, J. (2020). Current trends in telehealth applications to deliver social communication interventions for young children with or at risk for autism spectrum disorder. Current Developmental Disorders Reports, 1-9. https://doi.org/10.1007/s40474-020-00214-w
• Sivaraman, M., & Fahmie, T. A. (2020). A systematic review of cultural adaptations in the global application of ABA‐based telehealth services. Journal of Applied Behavior Analysis, 53(4), 1838-1855. https://doi.org/10.1002/jaba.763
• Smith, C. J., Rozga, A., Matthews, N., Oberleitner, R., Nazneen, N., & Abowd, G. (2017). Investigating the accuracy of a novel telehealth diagnostic approach for autism spectrum disorder. Psychological assessment, 29(3), 245. https://doi.org/10.1037 / pas0000317
• Solomon D., & Soares N. (2020) Telehealth approaches to care coordination in Autism Spectrum Disorder. In: McClain M., Shahidullah J., & Mezher K. (eds) Interprofessional care coordination for pediatric Autism Spectrum Disorder. Springer, Cham. https://doi.org/10.1007/978-3-030-46295-6_19
• Spencer, T., Noyes, E., & Biederman, J. (2020). Telemedicine in the Management of ADHD: Literature Review of Telemedicine in ADHD. Journal of attention disorders, 24(1), 3-9. https://doi.org/10.1177/1087054719859081
• Sutherland, R., Trembath, D., & Roberts, J. (2018). Telehealth and autism: A systematic search and review of the literature. International journal of speech-language pathology, 20(3), 324-336. https://doi.org/10.1080/17549507.2018.1465123
• Şenol, F. B., & Yaşar, M. C. (2020). Covid-19 pandemisi sürecinde öğretmen ve ebeveyn gözünden “özel eğitim”. Milli Eğitim Dergisi, 49(1), 439-458. https://doi.org/10.37669/milliegitim.787808
• Tomlinson, S. R. L., Gore, N., & McGill, P. (2018). Training individuals to implement applied behavior analytic procedures via telehealth: A systematic review of the literature. Journal of Behavioral Education, 27, 172–222. https://doi.org/10.1007/s10864-018-9292-0.
• Unholz-Bowden, E., McComas, J. J., McMaster, K. L., Girtler, S. N., Kolb, R. L., & Shipchandler, A. (2020). Caregiver training via telehealth on behavioral procedures: A systematic review. Journal of Behavioral Education, 29(2), 246-281. https://doi.org/10.1007/s10864-020-09381-7
• Valdez, R. S., Rogers, C. C., Claypool, H., Trieshmann, L., Frye, O., Wellbeloved-Stone, C., & Kushalnagar, P. (2021). Ensuring full participation of people with disabilities in an era of telehealth. Journal of the American Medical Informatics Association, 28(2), 389-392. https://doi.org/10.1093 / jamia / ocaa297
• Wallisch, A., Little, L., Pope, E., & Dunn, W. (2019). Parent perspectives of an occupational therapy telehealth intervention. International Journal of Telerehabilitation, 11(1), 15. https://doi.org/10.5195/ijt.2019.6274
• Westwood, P. (2007). Commonsense methods for children with special educational needs. London: Routledge.
• Xie, Y., Dixon, J. F., Yee, O. M., Zhang, J., Chen, Y. A., DeAngelo, S., et al. (2013). A study on the effectiveness of videoconferencing on teaching parent training skills to parents of children with ADHD. Telemedicine and E-Health, 19(3), 192–199. https://doi.org/10.1089/tmj.2012.0108