The University of Sydney, Discipline of Speech Pathology, Faculty of Medicine and Health, 75 East Street, Lidcombe, New South Wales, 2141, Australia.
The University of Sydney, Discipline of Speech Pathology, Faculty of Medicine and Health, 75 East Street, Lidcombe, New South Wales, 2141, Australia.
Int J Pediatr Otorhinolaryngol. 2021 Jan;140:110484. doi: 10.1016/j.ijporl.2020.110484. Epub 2020 Nov 4.
An objective of early intervention for children with hearing loss is to enhance family engagement in therapy to maximise a child's speech and language potential. However, requiring a service provider to work collaboratively with a child's family can create problems in developing and underdeveloped countries, where skilled service providers and services for children with hearing loss are lacking and where an expert model of intervention prevails.
To determine the preliminary effectiveness of a new training package Connect, Communicate and Collaborate (3Cs), in improving the knowledge and confidence of service providers in the delivery of family responsive services in an early intervention program for children with hearing loss.
Five learning modules were developed based on service provider experience working with children with hearing loss, and parents of children with hearing loss. Six participants completed the training package comprising five training modules and an introductory session over a 6-week period. Participants' confidence and knowledge in providing family responsive practice was measured pre and post training using visual analogue scales, and participants were also invited to provide their reflections on the program.
Pre- and post-training confidence ratings revealed significant improvements in the perceptions of participants in the implementation of responsive family practice across four of five of programme learning modules (p < 0.002). Participant reflection statements indicate they became more considerated in their family responsive practice. Despite positive experiences working with parents, participants stated they had ongoing difficulties guiding families through the decision-making processes of habilitation. The reflection process assisted learning and improved practice by supporting participants to build on their strengths.
The 3Cs package improved the confidence in and knowledge of delivery of responsive family services for six participants in Kuwait. It also improved the participant's self-evaluation skills. The 3Cs provides professional development that meets the needs of service providers working with children with hearing loss to improve inclusion of families in the therapy process.
儿童听力损失早期干预的目标之一是增强家庭对治疗的参与度，以最大限度地提高儿童的言语和语言能力。然而，要求服务提供者与儿童家庭合作可能会在发展中和不发达国家造成问题，这些国家缺乏有技能的服务提供者和听力损失儿童服务，并且专家干预模式占主导地位。
确定新的培训包 Connect、Communicate and Collaborate (3Cs) 在提高服务提供者在听力损失儿童早期干预计划中提供家庭响应服务的知识和信心方面的初步效果。
根据服务提供者与听力损失儿童及其家长合作的经验，开发了五个学习模块。六名参与者在六周的时间内完成了培训包，包括五个培训模块和一个入门课程。在培训前后，使用视觉模拟量表测量参与者在提供家庭响应实践方面的信心和知识，并邀请参与者对该计划发表意见。
培训前后的信心评分显示，在五个学习模块中的四个模块中，参与者对实施响应式家庭实践的看法有了显著改善（p<0.002）。参与者的反馈表明，他们在家庭响应实践中更加体贴。尽管与家长合作的经验积极，但参与者表示，他们在指导家庭完成康复决策过程方面仍存在困难。反馈过程通过支持参与者利用自己的优势来提高学习和实践，从而提高了实践。
3Cs 包提高了科威特六名参与者提供响应式家庭服务的信心和知识。它还提高了参与者的自我评估技能。3Cs 提供了满足与听力损失儿童合作的服务提供者专业发展需求的服务，以提高家庭在治疗过程中的参与度。
