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“创可贴式服务”:言语治疗师对支持患有小儿喂养障碍的儿童及其家庭所面临挑战的看法

"'A band-aid service': Speech-language pathologists' perspectives on the challenges they face to support children with paediatric feeding disorder and their families".

作者信息

Tan Julie, Hersh Deborah, Claessen Mary, Fernandes Christina Clare, Cocks Naomi

机构信息

School of Allied Health, Curtin University, Perth, Australia.

Speech Pathology, School of Allied Health, Curtin University, Perth, Australia.

出版信息

Int J Speech Lang Pathol. 2025 Aug 23:1-14. doi: 10.1080/17549507.2025.2547824.

Abstract

PURPOSE

Speech-language pathologists support children with paediatric feeding disorder and their families. However, international research highlights challenges, including inadequate training. While some Australian parents perceive speech-language pathologists as having limited knowledge and interest in paediatric feeding disorder, no studies have explored speech-language pathologists' experiences in this context.

METHOD

This study examined the perspectives of 11 experienced speech-language pathologists working in a community setting in one Australian city. Semi-structured interviews were conducted and data were analysed using an interpretative phenomenological analysis approach to explore factors that support or hinder service delivery.

RESULT

Participants emphasised the importance of collaboration with families and multidisciplinary teams to ensure holistic care. They identified a lack of awareness of paediatric feeding disorder among referring professionals and reported feeling underprepared due to insufficient training and the absence of competency guidelines. Systemic barriers including policies and funding constraints and limited families' access to support, contributed to the perception that speech-language pathologists lack expertise in paediatric feeding disorder.

CONCLUSION

These findings align with international research, emphasising the need for improved training and systemic changes. In the Australian context, addressing funding limitations and developing competency guidelines are critical to enhancing service delivery for children with paediatric feeding disorder.

摘要

目的

言语语言病理学家为患有小儿喂养障碍的儿童及其家庭提供支持。然而,国际研究凸显了一些挑战,包括培训不足。尽管一些澳大利亚家长认为言语语言病理学家在小儿喂养障碍方面的知识和兴趣有限,但尚无研究探讨言语语言病理学家在此背景下的经历。

方法

本研究调查了在澳大利亚一个城市的社区环境中工作的11名经验丰富的言语语言病理学家的观点。进行了半结构化访谈,并采用解释性现象学分析方法对数据进行分析,以探索支持或阻碍服务提供的因素。

结果

参与者强调了与家庭和多学科团队合作以确保全面护理的重要性。他们指出,转诊专业人员对小儿喂养障碍缺乏认识,并报告称由于培训不足和缺乏能力指导方针而感到准备不足。包括政策和资金限制以及家庭获得支持的机会有限等系统性障碍,导致人们认为言语语言病理学家在小儿喂养障碍方面缺乏专业知识。

结论

这些发现与国际研究一致,强调需要改进培训和系统性变革。在澳大利亚的背景下,解决资金限制和制定能力指导方针对于加强为患有小儿喂养障碍的儿童提供的服务至关重要。

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