Processes and challenges in clinical decision-making for children with speech-sound disorders

International Journal of Language & Communication Disorders
Lisa FurlongMeg E Morris

Abstract

Children with speech-sound disorders (SSD) constitute a significant proportion of speech-language pathologists' (SLPs) caseloads. Previous research has investigated the clinical practice of SLPs intervening with children with SSD; however, little is known about the clinical decision-making underpinning their practice. The clinical decision-making of SLPs working with children with SSD was explored to understand how their clinical decisions were influenced by: (1) beliefs about what works in therapy; (2) prior clinical experience; and (3) client and service-related variables. Semi-structured, individual, in-depth interviews were conducted with 11 SLPs. Inductive thematic analysis was used to identify and explore key ideas and themes. Four themes emerged: (1) clinical decision-making procedures were highly individualized; (2) parental involvement was viewed as central to the success and progression of therapy; (3) therapy procedures were influenced by practice-setting constraints; and (4) engaging in evidence-based practice within clinical settings was perceived as challenging. In clinical settings, a range of factors influence decision-making and therapy provided by SLPs to children with SSD. These SLPs had a high regard for cli...Continue Reading

References

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Citations

Jul 9, 2020·International Journal of Speech-language Pathology·Natalie HegartyLaurence Taggart
Sep 19, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Caroline WilliamsYvonne Wren
Apr 7, 2021·Language, Speech, and Hearing Services in Schools·David M Rehfeld, Tracey N Sulak
Jan 16, 2020·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Barbara Dodd

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