Internet images of the speech pathology professionNicole Byrne
School of Humanities and Social Science, Faculty of Education and Arts, University of Newcastle, GP2.28, General Purpose Building, University Drive, Callaghan, NSW 2308, Australia. Email: Nicole.Byrne@newcastle.edu.au
Australian Health Review - https://doi.org/10.1071/AH17033
Submitted: 22 July 2016 Accepted: 18 April 2017 Published online: 5 June 2017
Objective The Internet provides the general public with information about speech pathology services, including client groups and service delivery models, as well as the professionals providing the services. Although this information assists the general public and other professionals to both access and understand speech pathology services, it also potentially provides information about speech pathology as a prospective career, including the types of people who are speech pathologists (i.e. demographics). The aim of the present study was to collect baseline data on how the speech pathology profession was presented via images on the Internet.
Methods A pilot prospective observational study using content analysis methodology was conducted to analyse publicly available Internet images related to the speech pathology profession. The terms ‘Speech Pathology’ and ‘speech pathologist’ to represent both the profession and the professional were used, resulting in the identification of 200 images. These images were considered across a range of areas, including who was in the image (e.g. professional, client, significant other), the technology used and the types of intervention.
Results The majority of images showed both a client and a professional (i.e. speech pathologist). While the professional was predominantly presented as female, the gender of the client was more evenly distributed. The clients were more likely to be preschool or school aged, however male speech pathologists were presented as providing therapy to selected age groups (i.e. school aged and younger adults). Images were predominantly of individual therapy and the few group images that were presented were all paediatric.
Conclusion Current images of speech pathology continue to portray narrow professional demographics and client groups (e.g. paediatrics). Promoting images of wider scope to fully represent the depth and breadth of speech pathology professional practice may assist in attracting a more diverse group of people into the profession in the future.
What is known about the topic? To date, research has not considered the promotional profile of allied health professionals on the Internet. There has been a lack of consideration of whether the way in which the professions are promoted may affect clients accessing allied health services or people entering careers.
What does this paper add? This paper raises awareness of the lack of promotion of a diverse workforce in speech pathology and considers how this may affect changing the professional demographics in the future. It also provides a starting point for documentation in the form of a baseline for tracking future changes. It allows consideration of the fact that when designing health promotional and educational materials, it is crucial that diversity is displayed in the professional role, the client role and the setting in order to provide information and education to the general public about the health services provided.
What are the implications for practitioners? The presentation of narrow demographics of both the professional and client may potentially affect people considering speech pathology as a future career. The appearance of narrow client demographics and diagnosis groups may also deter people from accessing services. For example, if the demonstrated images do not show older people accessing speech pathology services, then this may suggest that services are only for children. The results from the present case example are transferrable to other health professions with similar professional demographic profiles (e.g. occupational therapy). Consideration of the need to display a diverse client profile is relevant to all health and medical services, and demonstrates steps towards inclusiveness and increasing engagement of clients who may be currently less likely to access health services (including people who are Aboriginal or from a culturally and linguistically diverse background).
Additional keywords: allied health, career choice, content analysis, workforce.
References Ellis G. The history of speech therapy in Australia. J Aust College Speech Therapists 1962; 12 24–6.
 Speech Pathology Australia Celebrating fifty years. ACQ 1999; 1 3–21.
 Powers G. Communication sciences and disorders: the discipline. In: Gillam R, Marquardt T, Martin F, editors. Communication sciences and disorders: from science to clinical practice. San Diego: Singular Publishing Group; 2000. pp. 3–24.
 Australian Institute of Health and Welfare (AIHW). Allied health workforce 2012. National Health Workforce Series no. 5. Catalogue no. HWL 51. Canberra: AIHW; 2013. Available at: http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129544590 [verified 20 December 2016].
 Australian Council Education Research. The teacher workforce in Australia: Supply, demand and data issues. 2015. Available at: http://research.acer.edu.au/cgi/viewcontent.cgi?article=1001&context=policyinsights [verified 20 December 2016].
 Health Workforce Australia. Australia’s future health workforce – nurses. Detailed report. 2014. Available at: http://www.health.gov.au/internet/main/publishing.nsf/content/34AA7E6FDB8C16AACA257D9500112F25/$File/AFHW%20-%20Nurses%20detailed%20report.pdf [verified 20 December 2016].
 Health Workforce Australia. Australia’s health workforce series. Speech pathologists in focus. 2014. Available at: http://industry.gov.au/Office-of-the-Chief-Economist/SkilledOccupationList/Documents/2015Submissions/Speech-Pathology-Australia.pdf [verified 16 February 2016].
 Byrne N. Diversity on speech pathology: endangered or extinct? J Clin Pract Speech Lang Pathol 2015; 17 32–6.
 Litosseliti L, Leadbeater C. Speech and language therapy/pathology: perspectives on a gendered profession. Int J Lang Commun Disord 2013; 48 90–101.
| Speech and language therapy/pathology: perspectives on a gendered profession.CrossRef |
 Boyd S, Hewlett N. The gender imbalance among speech and language therapists and students. Int J Lang Commun Disord 2001; 36 167–72.
| The gender imbalance among speech and language therapists and students.CrossRef |
 McAllister L, Neve B. A pilot study of males in speech pathology: reasons for and experiences of entry leaving and continuing in the profession. In: Heine, C and Brown, L (eds), editors. Proceedings of the Speech Pathology Australia National Conference, Practicality and Impact: Making a difference in the real world. 29 May–2 June 2005, Canberra, Australia. Speech Pathology Australia: 2005; pp.1–8.
 Pryor R, Taylor N. What would I do if I couldn’t do what I wanted to do? Investigating compromise strategies. Aust Psychol 1986; 21 363–76.
| What would I do if I couldn’t do what I wanted to do? Investigating compromise strategies.CrossRef |
 IER. General public perceptions on speech pathology and its meaning. Melbourne: Australian Association of Speech and Hearing; 1995.
 Glazer H, Parker HJ, Rasberry JL, Buentello J, DeVaney A, Goodman MS, Hucks LH, Lee C, Chan F. Perceived prestige. J Healthc Educ Train 1994; 8 13–17.
| 1:STN:280:DyaK2M7msFeisg%3D%3D&md5=88f49781714d6b94a437561e218cf45fCAS |
 Stapleford J, Todd C. Why are there so few ethnic minority speech and language therapists? Int J Lang Commun Disord 1998; 33 261–6.
| Why are there so few ethnic minority speech and language therapists?CrossRef |
 Speech Pathology Australia. Speech pathology 2030 – making futures happen. 2016. Available at: https://www.speechpathologyaustralia.org.au/spaweb/Document_Management/Public/Speech_Pathology_2030.aspx [verified 4 September 2016].
 Hallam J. Nursing the image: media, culture and professional identity. London: Routledge; 2000.
 Kalisch B, Begeny S, Neumann S. The image of the nurse on the Internet. Nurs Outlook 2007; 55 182–8.
| The image of the nurse on the Internet.CrossRef |
 Beauregard M, Deck D, Kay K, Haynes J, Inman J, Perry M, Richardson S, Rose BA, Silver KN, White C, George E. Improving our image a nurse at a time. J Nurs Adm 2003; 33 510–11.
| Improving our image a nurse at a time.CrossRef |
 Byrne N. Factors influencing the choice of speech pathology as a career: a comparative study. PhD thesis, The University of Newcastle, Newcastle; 2007.
 Bimrose J. Constructivism in online career counselling. In: McMahon M, editor. Career counselling. Constructivist approaches. 2nd edn. Abington: Routledge; 2017.
 Bernstam E, Shelton D, Walji M, Meric-Bernstam F. Instruments to assess the quality of health information on the World Wide Web: what can our patients actually use? Int J Med Inform 2005; 74 13–19.
| Instruments to assess the quality of health information on the World Wide Web: what can our patients actually use?CrossRef |
 Ricker J. Clinical and methodological considerations in the application of telerehabilitation after traumatic brain injury: a commentary. NeuroRehabilitation 2003; 18 179–81.
 Fox S. Online health search 2006. Most Internet users start at a search engine when looking for health information online. Very few check the source and date of the information they find. Washington, DC: Pew Internet and American Life Project; 2006. Available at: http://www.pewinternet.org/files/old-media/Files/Reports/2006/PIP_Online_Health_2006.pdf.pdf [verified 16 February 2016].
 Rainie L, Fox S. The online health care revolution: how the web helps Americans take better care of themselves. Washington, DC: Pew Charitable Trusts; 2000. Available at: http://www.pewinternet.org/2000/11/26/the-online-health-care-revolution/ [verified 16 February 2016].
 Rice R. Influences, usage, and outcomes of Internet health information searching: multivariate results from the Pew surveys. Int J Med Inform 2006; 75 8–28.
| Influences, usage, and outcomes of Internet health information searching: multivariate results from the Pew surveys.CrossRef |
 Krippendorff K. The content analysis reader. Thousand Oaks, CA: Sage Publications; 2009.
 Macnamara J. Media content analysis: its uses; benefits and best practice methodology. Asia Pacific Public Relations J 2005; 6 1–34.
 Neuendorf K. The content analysis guidebook. Thousand Oaks, CA: Sage Publications; 2002.
 Murton D. Australian Internet and social media statistics (January 2015). 2015. Available at: http://blog.marginmedia.com.au/our-blog/australian-internet-social-media-statistics-jan-2015 [verified 2 April 2016].
 Brunner M, Hemsley B, Palmer S, Dann S, Togher L. Review of the literature on the use of social media by people with traumatic brain injury (TBI). Disabil Rehabil 2015; 37 1511–21.
| Review of the literature on the use of social media by people with traumatic brain injury (TBI).CrossRef |
 Thayer A, Evans M, McBride A, Queen M, Spyridakis J. Content analysis as a best practice in technical communication research. J Tech Writ Commun 2007; 37 267–79.
| Content analysis as a best practice in technical communication research.CrossRef |
 Krippendorff K. The content analysis: an introduction to its methodology. 2nd edn. Thousand Oaks, CA: Sage Publications; 2004.
 Coulson N, Buchanan H, Aubeeluck A. Social support in cyberspace: a content analysis of communication within a Huntington’s disease online support group. Patient Educ Couns 2007; 68 173–8.
| Social support in cyberspace: a content analysis of communication within a Huntington’s disease online support group.CrossRef |
 Kim I, Kuljis J. Applying content analysis to web-based content. CIT J Comput Inf Technol 2010; 18 369–75.
| Applying content analysis to web-based content.CrossRef |
 Ramanadhan S, Mendez S, Rao M, Viswanath K. Social media use by community-based organizations conducting health promotion: a content analysis. BMC Public Health 2013; 13 1129
| Social media use by community-based organizations conducting health promotion: a content analysis.CrossRef |
 Liamputtong P, Ezzy D. Qualitative research methods. 2nd edn. Melbourne: Oxford University Press; 2005.
 Mendick H, Moreau M. New media, old images: constructing online representations of women and men in science, engineering and technology. Gen Educ 2013; 25 325–39.
 Rudy R, Popova L, Linz D. The context of current content analysis of gender roles: an introduction to a special issue. Sex Roles 2010; 62 705–20.
| The context of current content analysis of gender roles: an introduction to a special issue.CrossRef |
 Byrne N. Why do students from related professions choose not to enter the speech-language pathology program and what insights may this provide the profession? Int J Speech-Language Pathol 2010; 12 1–8.
 Sheridan J. A career in speech and language therapy: for white women only? RCSLT Bullet 1999; 562 3
 Nickless T. Why does speech pathology lack testosterone? ACQ 2004; 6 167–8.
 Byrne N. Differences in types and levels of altruism based on gender and program. J Allied Health 2008; 37 24–31.
 Speech Pathology Australia. Submission to the inquiry into the prevalence of different types of speech, language and communication disorders and speech pathology services in Australia. Senate Community Affairs References Committee February 2014. Melbourne: Speech Pathology Australia; 2014. Available at: http://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Speech_Pathology/Submissions [verified 2 May 2017].
 Speech Pathology Australia. Competency-based occupational standards for speech pathologists: entry level. Melbourne: Speech Pathology Australia; 2011. Available at: https://www.speechpathologyaustralia.org.au/spaweb/Document_Management/Public/CBOS.aspx [verified 2 May 2017].
 Speech Pathology Australia. Real men do speech pathology. Melbourne: Speech Pathology Australia; 2014. Available at: https://www.youtube.com/watch?v=cwn9ylaz70o [verified 15 May 2017].