Joffe Victoria, Pring T
Department of Language and Communication Science, City University, London, UK.
Int J Lang Commun Disord. 2008 Mar-Apr;43(2):154-64. doi: 10.1080/13682820701660259.
Children with phonological problems are a significant proportion of many therapists' caseloads. However, little is known about current clinical practice with these children or whether research on the effects of therapy have influenced this practice.
To investigate the methods of assessment and remediation used by therapists working in the UK.
METHODS & PROCEDURES: A questionnaire was sent to therapists working with pre- and primary school-aged children.
OUTCOMES & RESULTS: Ninety-eight clinicians of varying experience responded. Most used the South Tyneside Assessment of Phonology to assess children, were confident in choosing therapy, and were aware of evidence that therapy is beneficial. They used a variety of therapies. Auditory discrimination, minimal contrast therapy, and phonological awareness were popular and often used in combination. Most involved parents. In planning therapy, clinicians were more influenced by children's language and cognitive abilities and the motivation of parents than by the nature of the impairment.
Constraints upon clinicians make it difficult for them to convert research findings to practice. In particular, assessments that allow more individualized and targeted interventions appear little used. Clinicians are aware of research but there is a danger that clinical practice and research are diverging.
语音问题儿童在许多治疗师的病例量中占相当大的比例。然而，对于当前针对这些儿童的临床实践，或者治疗效果的研究是否影响了这种实践，人们知之甚少。
调查英国治疗师所使用的评估和矫治方法。
向从事学前和小学年龄段儿童工作的治疗师发放了一份问卷。
98名经验各异的临床医生做出了回应。大多数人使用《南泰恩赛德语音评估》来评估儿童，对选择治疗方法有信心，并且知晓治疗有益的证据。他们使用了多种治疗方法。听觉辨别、最小对比疗法和语音意识疗法很受欢迎，且经常结合使用。大多数治疗都让家长参与。在规划治疗时，临床医生受儿童语言和认知能力以及家长积极性的影响，比受损伤性质的影响更大。
临床医生面临的限制使他们难以将研究结果转化为实践。特别是，那些能实现更个性化和针对性干预的评估方法似乎很少被使用。临床医生了解研究情况，但存在临床实践与研究正在脱节的风险。
