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De la formation ouverte à distance à la rééducation orthophonique à distance : vers une nouvelle approche enrichie de l'orthophonie ?

Abstract : This search arose from a practical reality of a cabinet of speech therapy located in the crossroads of medical deserts.Starting from the problem bound to the necessity of ensuring a fair offer of care for all and worried of adapting these offers by benefiting from technological evolutions and from evolutions of the social community uses, we led our search in an exploratory prospect Our main hypothesis is that the useof tools and ICTS services, especially e-learning, is a solution to face organizational and logistic difficulties concerning the implementation of care for all.Speech therapy is a health profession and by the way, it cannot be sum-up to an educational practice. The relation of care with the patient makes its sense. The practice brings the speech therapist to choose of a re-educational project which is articulated around a guideline locating the patient at the core of the problem, instrumented by educational methods. That is why, we wondered about the contributions of the researches in the field of the e-learning that could contribute to empower the speech therapy practice.The objective is thus double: To contribute to enrich the scientific research in the domain of the e-speech therapy and to propose solutions to the growing demand of care to counterbalance an insufficient offer in some regions.We base our approach on the perspectives and the teachings of the FOAD, in a project of educational change that under the hypothesis of the validity of these perspectives for the practice of care and "reeducation" that is the speech therapy practice.In a first step, to be in a theoretical perspective, we described the reality of speech-therapy practice as a face-to-face.Then, we have shown the benefits of the FOAD processes. We also conducted a literature review on e-speech therapy and the various experiments carried out.From a historical point of view, we have discussed the evolution of face to face speech-therapy, ICT and remote re-education.We have also oriented our work towards a techno-pedagogical point of view, in the field of educational sciences, with the changing roles in the relation to knowledge, driven by the technical advantages offered by the FOAD platforms, which initiate autonomy, interactivity, flexibility, and social constructivism.Concerning the method, we decided to carry out an action-research project.Thus, our collection of information was initially settled on a survey questionnaire exploring the feeling of patient of e-speech therapy and then on a clinical practice experiment presented in the form of clinical cases.The results led to perspectives of enrichment of the clinical practice and the speech-therapic skills.They also allowed us to make some recommendations for other researches.Our analysis confirmed the hypothesis according to which, e-reeducation, can meet the challenges of the quality of the speech-therapy practice while joining the societal evolution introduced by the e-technologies.However, if the reluctance to e-speech therapy are still existing, our vision of the future of the e-speech therapy converges on the conception of hybrid methods, mutualizing the skills and the offers of care, where both face-to-face and virtual modes will exist with other informal and social modes of reeducation, widely favored by the tools of Web 2.0.These approaches answer in an innovative way to the growing demand of quality security of the care and the skills of the practitioners by showing itself as successful tools in the offer of care, training and expertise.
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Pascaline Dufournier. De la formation ouverte à distance à la rééducation orthophonique à distance : vers une nouvelle approche enrichie de l'orthophonie ?. Education. Université de Lyon, 2017. Français. ⟨NNT : 2017LYSE2034⟩. ⟨tel-01807657⟩

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