Joginder Singh Susheel, Chan Min Yen, Ahmad Rusli Yazmin
a Universiti Kebangsaan Malaysia , Kuala Lumpur , Malaysia.
Int J Speech Lang Pathol. 2016 Dec;18(6):560-570. doi: 10.3109/17549507.2016.1139624. Epub 2016 Feb 23.
Children with speech and language delay/disorder (SLD) in the developing language stage (DLS) are one of the largest populations served by speech-language pathologists (SLPs) working in paediatric settings. The aim of this study was to investigate the practise patterns adopted by Malaysian SLPs when managing these children.
A web-based questionnaire was developed to obtain information about SLPs' practises during assessment, planning and treatment.
A total of 53 SLPs completed the questionnaire. When assessing the children, participants either always or usually involved parents, suggesting that they understood the importance of family involvement in services provided. When planning goals, the SLPs relied mostly on their clinical experience and less on research evidence. Participants reported that, most often, they employed a one-to-one approach when providing treatment. There was, however, great variation in the frequency of treatment provided, reflecting the different workplaces of participants.
Generally, findings from this study indicated that some practises employed by Malaysian SLPs when managing children with SLD in the DLS are on par with the best practise guidelines, but there is still room for improvement in certain areas such as team collaboration and evidence-based practise. Clinical and research implications are discussed.
处于语言发展阶段(DLS)的言语和语言延迟/障碍(SLD)儿童是在儿科环境中工作的言语语言病理学家(SLP)所服务的最大群体之一。本研究的目的是调查马来西亚言语语言病理学家在管理这些儿童时所采用的实践模式。
开发了一份基于网络的问卷,以获取有关言语语言病理学家在评估、规划和治疗过程中的实践信息。
共有53名言语语言病理学家完成了问卷。在评估儿童时,参与者总是或通常会让家长参与,这表明他们理解家庭参与所提供服务的重要性。在制定目标时,言语语言病理学家主要依靠他们的临床经验,而较少依赖研究证据。参与者报告说,他们在提供治疗时最常采用一对一的方法。然而,所提供治疗的频率存在很大差异,这反映了参与者不同的工作场所。
总体而言,本研究结果表明,马来西亚言语语言病理学家在管理处于语言发展阶段的言语和语言延迟/障碍儿童时所采用的一些实践与最佳实践指南相当,但在团队协作和循证实践等某些领域仍有改进空间。讨论了临床和研究意义。