Table 2.

Nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework domain definitions and example tweets.

NASSS domain	Example	Example tweet content
1. Condition	Focus on use of telepractice for a specific communication disorder, such as aphasia, social communication disorder, or Parkinson's disease	Check out this video demonstrating effective telepractice with individuals with motor speech disorders.
2. Technology	General telehealth hardware or software, such as webcams, monitors, or videoconferencing programs	Does anyone use a wireless webcam for telepractice? Which one works best?
3. Value proposition	Focus on the value of telepractice for patients, providers or clinics; evidence for the efficacy, effectiveness, and/or cost-effectiveness of telepractice	Here is a link to a summary of the research evidence on using telepractice in the school setting.
4. Adopters	Experiences, adjustments, needs, and opinions of clinicians, patients, or caregivers; experience of or resistance to trying telehealth; clinician training needs or resources	We had our first day of delivering services via telepractice at work today. I'm exhausted but learned a lot.
5. Organization	Organizational capacity for telepractice, workflow, routines and logistical concerns; developing private practice telepractice procedures	This webinar will help you adapt your private practice business routines to the new online format.
6. Wider system	Reimbursement or policy change, regulatory issues (e.g., privacy and licensure), and professional bodies' (e.g., ASHA) response to telepractice	Call your state representative and ask them for support legislature to reimburse emergency telepractice services for kids.
7. Adaptation/embedding over time	Sustainability of telepractice long term or postpandemic	(No tweets were found, but this category would involve addressing how current telepractice systems can be reinforced to continue into the future.)

Note. ASHA = American Speech-Language-Hearing Association.