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Randomised Controlled Trial Evaluating Active versus Passive Waiting for Speech-Language Pathology.

Nicole McGill1, Sharynne McLeod2, Nicola Ivory2

  • 1Charles Sturt University, Bathurst, New South Wales, Australia, nmcgill@csu.edu.au.

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)
|August 7, 2020
PubMed
Summary

Providing a website for families on speech-language pathology waiting lists did not improve child or caregiver outcomes. Children showed minimal progress during the 6-month wait, highlighting the need for timely intervention.

Keywords:
CaseloadService deliverySpeech-language pathologyTechnologyWaiting listWebsite

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Area of Science:

  • Speech-language pathology
  • Pediatric healthcare
  • Health informatics

Background:

  • High demand for speech-language pathology services leads to prolonged waiting times for children, causing caregiver stress.
  • Active waiting strategies, such as information provision via websites, are explored to support families during these periods.
  • Caregiver empowerment and satisfaction are key outcomes influenced by waiting experiences.

Purpose of the Study:

  • To compare child speech, language, and literacy outcomes between active and passive waiting groups.
  • To evaluate caregiver satisfaction and empowerment in active versus passive waiting conditions.
  • To assess the impact of a purpose-built website on outcomes for children awaiting speech-language pathology services.

Main Methods:

  • Preschool children (n=42) with speech/language difficulties were randomized into active waiting (website access, n=20) or passive waiting (control, n=22) groups.
  • Children and caregivers underwent pre- and post-assessments after a 6-month waiting period.
  • Speech-language pathologists, blinded to group allocation, conducted all assessments.

Main Results:

  • No statistically significant differences were found between active and passive waiting groups for child speech, language, literacy, or caregiver outcomes.
  • Children in both groups demonstrated minimal developmental gains over the 6-month waiting period.
  • Per-protocol and intention-to-treat analyses yielded consistent findings regarding the lack of group differences.

Conclusions:

  • A purpose-built website for active waiting did not significantly improve child or caregiver outcomes.
  • Children made limited progress during the 6-month wait, underscoring the need for timely and effective speech-language pathology intervention.
  • Effective strategies to support families on waiting lists and the importance of early intervention require further investigation.