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Parent-implemented home therapy programmes for speech and language: a systematic review.
Rachel Tosh1, Wendy Arnott1,2, Nerina Scarinci1
1School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia.
International Journal of Language & Communication Disorders
|December 13, 2016
Summary
Parent-implemented home programs show promise for improving children's speech and language skills. Effectiveness hinges on high dosage and direct parent training, but more research is needed.
Area of Science:
- Child Development
- Speech-Language Pathology
- Health Services Research
Background:
- Parent-delivered home programs are common for pediatric speech and language difficulties.
- The existing evidence supporting this service delivery model is limited.
Purpose of the Study:
- To systematically review the effectiveness of parent-implemented home programs for children's speech and language development.
- To evaluate the cost-effectiveness and feasibility of this intervention approach.
Main Methods:
- A systematic literature search was conducted across PsycINFO, CINAHL, and ERIC databases.
- Individual studies underwent quality appraisal, and findings were synthesized.
Main Results:
- Preliminary evidence suggests home programs can enhance children's speech and language skills.
- These programs are more effective than no intervention when implemented with high dosage and direct parent training.
Conclusions:
- Parent-implemented home programs represent a potentially valuable service delivery model.
- Caution is advised when using these programs for broader service delivery challenges.
- Further high-level evidence is required to fully understand their multifaceted impact.
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