Bristol Speech and Language Therapy Research Unit, 1982North Bristol NHS Trust and University of Bristol, England, UK.
Cleft Palate Craniofac J. 2021 Apr;58(4):455-469. doi: 10.1177/1055665620954734. Epub 2020 Sep 18.
Children born with a cleft palate ± lip are at risk of developing speech and language difficulties, which may require intervention from a speech and language therapist (SLT). To date, there is no strong evidence to support one approach to intervention over another, neither is it clear which approaches or methods of provision are commonly used.
To describe the range of speech and language therapy interventions being used with children born with cleft palate in the United Kingdom up to 5 years of age. To explore the different ways, interventions are being delivered.
A prospective study to conduct 9 semi-structured focus groups. Iterative content analysis was completed.
Regional Cleft Lip and Palate Centers in the United Kingdom.
Sixty-two speech and language therapy professionals from specialist cleft teams and community services.
Four main codes were identified: "intervention approaches," "service delivery models," "decision-making and rationale," and "patient-centered care." Participants frequently discussed how they adopt an eclectic style when delivering intervention, the importance of an individualized approach for each child and service delivery constraints, such as a lack of resources.
Insight into the multitude of intervention approaches used by SLTs, aspects which influence their decision-making and the variability of service delivery models were gained. Uncertainty regarding which intervention approaches and methods for delivery are most effective provides rationale for future research, to improve the effectiveness of speech and language intervention for children with cleft palate ± lip.
患有唇腭裂的儿童有发展言语和语言障碍的风险，这可能需要言语治疗师（SLT）的干预。迄今为止，没有强有力的证据支持一种干预方法优于另一种，也不清楚哪些方法或提供方式通常被使用。
描述英国 5 岁以下患有腭裂的儿童所接受的言语治疗干预措施的范围。探讨干预措施的不同实施方式。
一项前瞻性研究，共进行了 9 次半结构化焦点小组讨论。完成了迭代内容分析。
英国区域唇腭裂中心。
来自专门的唇腭裂团队和社区服务的 62 名言语治疗专业人员。
确定了四个主要代码：“干预方法”、“服务提供模式”、“决策和基本原理”和“以患者为中心的护理”。参与者经常讨论他们在提供干预措施时如何采用折衷的方法，为每个孩子制定个性化方法的重要性以及服务提供的限制，例如资源匮乏。
深入了解言语治疗师使用的多种干预方法，影响他们决策的因素以及服务提供模式的可变性。对于哪种干预方法和提供方法最有效存在不确定性，这为未来的研究提供了依据，以提高腭裂儿童言语治疗的效果。
