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Parents' perceptions on speech therapy delivery models in children with a cleft palate: A mixed methods study
Cassandra Alighieri1, Kim Bettens1, Laure Vanoost1
1Department of Rehabilitation Sciences, Ghent University, Corneel Heymanslaan 10, 2P1, 9000, Gent, Belgium.
International Journal of Pediatric Otorhinolaryngology
|November 4, 2021
Summary
Parents found both high-intensity speech intervention (HISI) and low-intensity speech intervention (LISI) equally satisfying. However, HISI led to greater perceived speech progress and improved the patient-therapist relationship for children with cerebral palsy.
Area of Science:
- Pediatric Speech-Language Pathology
- Childhood Neurodevelopmental Disorders
- Clinical Intervention Models
Background:
- Children with cerebral palsy (CP) often require speech therapy.
- Therapy delivery models vary in intensity and frequency.
- Understanding parental perceptions is crucial for optimizing interventions.
Purpose of the Study:
- To compare parental perceptions of two speech therapy models for children with CP.
- Investigate parent views on high-intensity speech intervention (HISI) versus low-intensity speech intervention (LISI).
- Assess satisfaction, perceived progress, and intervention burden.
Main Methods:
- Qualitative study involving 12 parents of children with CP who received either HISI or LISI.
- Data collection via questionnaires and semi-structured interviews.
- Thematic analysis of interview data to identify key parental concerns and expectations.
Main Results:
- No significant differences in general satisfaction or perceived speech intelligibility improvement between HISI and LISI.
- Parents reported greater perceived improvements in spontaneous speech and disorder resolution with HISI.
- Key parental themes included treatment expectations, burden, and the patient-therapist relationship; HISI raised concerns about daily intervention monotony and emotional burden.
Conclusions:
- Parents reported equal satisfaction with both HISI and LISI speech therapy models.
- HISI was associated with greater perceived speech progress and an enhanced patient-therapist relationship.
- Informing parents about HISI benefits is essential to encourage adoption and address potential concerns.
