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支持黎巴嫩幼儿园的语言发展:言语治疗师和学前言语治疗师对角色的实践和认知。

Supporting language development in Lebanese preschools: SLT and pre-KT practice and perception of roles.

机构信息

Higher Institute of Speech and Language Therapy, Saint Joseph University of Beirut, Beirut, Lebanon.

Research Unit on Childhood, University of Liège, Liege, Belgium.

出版信息

Int J Lang Commun Disord. 2020 Nov;55(6):988-1004. doi: 10.1111/1460-6984.12576. Epub 2020 Oct 5.

Abstract

BACKGROUND

Speech and language therapists (SLTs) are increasingly engaging in school-based interventions targeting children with language difficulties. Collaborative work between teachers and SLTs has shown to be beneficial in fostering language development in all children. Both groups of professionals have different but complementary roles in offering language support, according to children's needs. Effective collaboration between SLTs and teachers requires both parties to understand their roles and practices in schools. However, little is known about language support practices in Lebanese preschools and the roles of SLTs in these contexts.

AIMS

(1) To explore the perceptions and reported practices among preschool teachers (pre-KTs) to support language development; (2) to investigate the current practices of SLTs in preschools; and (3) to understand pre-KTs' and SLTs' perceptions of the SLTs' role in Lebanese preschools.

METHOD & PROCEDURES: Using a quantitative method, the study reports the results of two questionnaires (one for pre-KTs and one for SLTs) that were developed based on a review of the academic literature and adapted to the contextual realities. Questionnaires were completed in hard or soft copy by pre-KTs and through an online survey by SLTs.

OUTCOMES & RESULTS: The questionnaires were completed by 1259 out of 1442 pre-KTs from 175 Lebanese preschools, and by 200 out of 391 SLTs from across Lebanon. First, the findings show that both professional groups recognize they have a role in supporting language development. Second, differences in reported practices were identified regarding language strategies for children with communication needs. In particular, pre-KTs reported less use of specific language strategies targeting children with language difficulties, while SLTs reported that their practices in schools remain primarily focused on children with communication needs. Finally, the analysis of perceptions showed a lack of acknowledgement of the SLTs' role in the prevention of communication and language disorders among all children.

CONCLUSIONS & IMPLICATIONS: This study provides an overview of the perceptions and reported practices of language development support in Lebanese preschools. The majority of SLTs and pre-KTs acknowledge their role in supporting language development. However, the slight differences in perceptions of SLT roles in prevention interventions highlight the necessity for SLTs to promote their active involvement in services targeting all children. Future research will investigate how SLTs are beginning to reconceptualize their role in intervention for preschool children. This will help to better define SLTs' roles and responsibilities in educational settings and foster effective professional collaboration. What this paper adds What is already known on the subject Collaboration between teachers and SLTs has been shown to be beneficial in supporting language among all children. The way SLTs and pre-KTs view each other's roles could result in more effective professional collaboration. The SLT profession in Lebanon emerged about 20 years ago, yet SLTs are still struggling to define a framework for the scope of their practice in Lebanese preschools and to increase awareness of the relevance of their intervention in language. What this paper adds to existing knowledge The results revealed that there are major agreements between pre-KTs and SLTs concerning the support of language development in preschools. However, the findings highlight slight differences in the perception of the SLTs' role in the prevention of communication, language and literacy disorders in educational settings. It seems that their role is more commonly acknowledged for children with identified language and communication needs. Moreover, despite the strong agreement between both professionals on the role of the SLT to target all children, SLTs' practices in preschools are still mostly limited to meeting only referred and diagnosed needs in children. What are the potential or actual clinical implications of this work? This study's findings contribute to a better understanding of the perceptions regarding the roles and practices of both groups of professionals in language development. The differences in how the SLTs' roles are perceived could lead to a more difficult implementation of collaborative language practices in preschools. It is therefore necessary to ensure a better understanding of the roles played by professionals, who could receive the relevant training in undergraduate education programmes. There is also a pressing need to provide a clearer definition of SLTs' roles in educational settings by reconceptualizing them into a preventive approach in collaboration with teachers.

摘要

背景

言语治疗师(SLTs)越来越多地参与以语言困难儿童为对象的学校基础干预。教师与 SLTs 之间的合作工作已证明对所有儿童的语言发展都有益。根据儿童的需求,两组专业人员在提供语言支持方面具有不同但互补的作用。SLTs 和教师之间的有效合作需要双方了解他们在学校中的角色和实践。然而,关于黎巴嫩幼儿园的语言支持实践以及 SLTs 在这些环境中的角色的了解甚少。

目的

(1)探讨幼儿园教师(学前教育工作者)支持语言发展的看法和报告实践;(2)调查 SLTs 在幼儿园的现行做法;(3)了解学前教育工作者和 SLTs 对 SLTs 在黎巴嫩幼儿园中的角色的看法。

方法和程序

本研究采用定量方法,报告了基于文献回顾和适应背景现实而开发的两份问卷(一份针对学前教育工作者,一份针对 SLTs)的结果。问卷以纸质或电子形式由学前教育工作者填写,SLTs 通过在线调查完成。

结果

175 所黎巴嫩幼儿园的 1442 名学前教育工作者中的 1259 人,以及黎巴嫩各地的 391 名 SLTs 中的 200 人完成了问卷。首先,研究结果表明,两个专业群体都认识到他们在支持语言发展方面有一定的作用。其次,报告的实践差异在于针对有沟通需求的儿童的语言策略。具体而言,学前教育工作者报告较少使用针对语言困难儿童的具体语言策略,而 SLTs 报告他们在学校的实践仍主要集中在有沟通需求的儿童上。最后,对看法的分析表明,对 SLTs 在所有儿童的沟通和语言障碍预防中的作用缺乏认可。

结论和影响

本研究概述了黎巴嫩幼儿园语言发展支持的看法和报告实践。大多数 SLTs 和学前教育工作者承认他们在支持语言发展方面的作用。然而,在 SLTs 在预防干预中的角色看法上的细微差异突出表明,SLTs 有必要促进他们积极参与针对所有儿童的服务。未来的研究将调查 SLTs 如何开始重新构想他们在学前儿童干预中的角色。这将有助于更好地定义 SLTs 在教育环境中的角色和责任,并促进有效的专业合作。本文的新增内容包括:

  • 主题领域内已有的知识:教师与 SLTs 的合作已被证明对支持所有儿童的语言发展有益。SLTs 和学前教育工作者对彼此角色的看法可能会导致更有效的专业合作。SLT 专业在黎巴嫩出现约 20 年前,但 SLTs 仍在努力定义他们在黎巴嫩幼儿园实践范围的框架,并提高他们干预在语言方面的相关性的意识。

  • 本文的新增知识:研究结果表明,学前教育工作者和 SLTs 就幼儿园支持语言发展的问题达成了主要共识。然而,研究结果突出了在预防沟通、语言和读写障碍方面 SLTs 角色的看法存在细微差异。似乎他们的角色在有已识别的语言和沟通需求的儿童中更为常见。此外,尽管两个专业人员都强烈认为 SLT 的作用是针对所有儿童,但 SLTs 在幼儿园的实践仍然主要局限于满足儿童的特定需求。

  • 临床应用的潜在或实际影响:本研究的发现有助于更好地理解两个专业群体在语言发展方面的角色和实践的看法。对 SLTs 角色的看法差异可能会导致在幼儿园中更难实施合作语言实践。因此,有必要确保专业人员更好地理解他们的角色,他们可以在本科教育课程中接受相关培训。此外,迫切需要通过与教师合作重新构想 SLTs 的角色,将其定义为预防性方法,以明确 SLTs 在教育环境中的角色。

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