Speak Out OCTOBER 2021 DIGITAL EDITION

FEATURE

Cognitive load In video-based telehealth, participants must work harder to send and receive the nonverbal communication signals that support conversational turn-taking, understanding of attention and mental states, and agreement. All day mirror Videoconference platforms often include a video feed of all participants. This effectively causes speech pathologists and clients to see themselves in a “mirror” for large periods of time. People in this situation are more likely to evaluate themselves, which may be stressful. Reduced mobility During a videoconference, participants need to stay within a small area to be observed by others. Likewise, participants need to access hardware like a keyboard or mouse during the interaction. Both factors significantly reduce mobility. Aside from the implications for reduced physical activity, this is different than how we would normally participate in onsite meetings where we often stand or move about the room.

What can speech pathologists do? To mediate some of the possible factors listed above, telepractitioners and clients might find the following helpful. • Adjust the size of other participants’ video feed where this will not impact the quality of the services provided. • Create activities in which clients interact with stimuli and objects in their environment, rather than on the screen. • Determine whether meetings can be effectively held over the phone rather than through videoconference. • When possible, hide or reduce the video feed of yourself. • Use hardware such as external webcams and remote keyboards that permit you to increase mobility. • Engage clients in therapeutic activities that require movement during sessions. • Create a workplace culture in which movement is encouraged during meetings and client consultations. Nathan Cornish-Raley Professional Support Advisor

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Speak Out | October 2021