Tele-clinical item rating_dataset.xlsx

<b>Abstract </b><br><b>Background:</b> Tele-clinical supervision has extended beyond the COVID-19 pandemic, providing continuity in healthcare training while addressing accessibility, cost, and flexibility challenges. This study evaluates the first implementation of tele-clinical supervision in an undergraduate Speech and Language Therapy program, aiming to assess student experiences and validate an evaluation tool for tele-clinical education. <b>Methodology: </b>The study used a mixed-methods approach. Quantitative data from 128 students were collected using a 23-item evaluation tool covering Learning Environment, Supervisory Attributes, and Telehealth Teaching Practices. Qualitative insights from 13 participants were thematically analyzed. The tool was validated for reliability and psychometric robustness using expert feedback and statistical evidence.<b> Results: </b>The study involved 128 and 13 students in quantitative and qualitative phases respectively. Quantitative analysis showed high domain scores: Learning Environment 80.64%, Supervisory Attributes 81.67%, and Telehealth Teaching Practices 80.31%. Strong positive correlations between domains (r &gt; 0.86, p &lt; 0.001) indicated their interconnectedness. The 23-item evaluation tool demonstrated high internal consistency (Cronbach Alpha = 0.98) and a single-factor structure (Eigenvalue = 17.12, 74.44% variance explained). Qualitative data highlighted strengths in supervisor interaction and resource availability but noted challenges like session structure, connectivity, and limited peer learning. Students valued structured feedback and supervisor presence during tele-clinical sessions. <b>Conclusions: </b>Tele-clinical supervision effectively addresses training needs in resource-limited settings, achieving high student acceptance when systematically designed. Key strengths include professionalism, meaningful learning, and supervisor preparation. Challenges like peer learning, session structure, and connectivity must be addressed. The validated 23-item tool offers a reliable framework for improving tele-clinical education programs.