HU University of Applied Sciences Utrecht, research group Speech and Language Therapy - Participation is Communication, Utrecht, the Netherlands.
Bristol Speech and Language Therapy Research Unit, Southmead Hospital, Bristol, UK.
Int J Lang Commun Disord. 2019 Jul;54(4):553-564. doi: 10.1111/1460-6984.12459. Epub 2019 Feb 7.
Parents' play an essential role in Parent-Child Interaction Therapy (PCIT) as the primary agent of intervention with their child. Unfortunately, speech and language therapists (SLTs) report that parents' engagement is challenging when conducting PCIT. Although focusing on and stimulating the engagement of parents, when needed, can increase the success of PCIT, little is known about what factors influence parent engagement.
To explore SLTs' views about the factors that facilitate or pose barriers to parents' engagement in PCIT.
METHODS & PROCEDURES: A secondary analysis of 10 interview transcripts about SLTs' views on delivering PCIT with parents of children with developmental language disorder (DLD) was conducted. Codes from the original analysis where checked for their relevance to parents' engagement by the first author. Potential themes were identified iteratively with all authors.
OUTCOMES & RESULTS: Four themes were identified in the SLTs' description of their experiences with the engagement of parents: mutual understanding, creating a constructive relationship between the SLT and parent, parental empowerment, and barriers. It became clear that SLTs were focusing on different aspects of engagement.
CONCLUSIONS & IMPLICATIONS: This study makes an initial contribution to our understanding of SLTs' view of parents' engagement and about what stimulates parent engagement or effects disengagement. SLTs play an important role in supporting parents to engage and stay engaged with therapy. Training SLTs on how best to engage parents, focusing on mutual understanding, creating constructive relationships between the SLT and parent, parental empowerment, and barriers, is necessary. However, more research is needed on how to train relevant skills in SLTs. Clearer definitions of engagement would improve understanding and judgements about how best to support parents.
父母在亲子互动疗法 (PCIT) 中扮演着至关重要的角色，是干预孩子的主要执行者。然而，言语治疗师 (SLT) 报告称，在进行 PCIT 时，父母的参与具有挑战性。尽管关注并在需要时激发父母的参与可以提高 PCIT 的成功率，但对于影响父母参与的因素知之甚少。
探讨 SLT 对促进或阻碍父母参与 PCIT 的因素的看法。
对 10 份关于 SLT 对有发育性语言障碍 (DLD)儿童父母进行 PCIT 的看法的访谈记录进行了二次分析。首先对原始分析中的代码进行检查，以确定其与父母参与的相关性。所有作者都在迭代中确定潜在的主题。
在 SLT 对父母参与的描述中，确定了四个主题：相互理解、在 SLT 和父母之间建立建设性的关系、赋予父母权力和障碍。很明显，SLT 关注的是参与的不同方面。
本研究首次有助于我们理解 SLT 对父母参与的看法，以及是什么激发了父母的参与或影响了他们的不参与。SLT 在支持父母参与并保持对治疗的参与方面发挥着重要作用。培训 SLT 如何最好地与父母建立联系，重点是相互理解、在 SLT 和父母之间建立建设性的关系、赋予父母权力和克服障碍，是必要的。然而，需要更多关于如何在 SLT 中培训相关技能的研究。更明确的参与定义将提高对如何最好地支持父母的理解和判断。
