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Implementing the language comprehension test C-BiLLT: a qualitative description study using the COM-B model of
J N Bootsma1,2, M Phoenix3,4, J J M Geytenbeek5
1School of Rehabilitation Science, McMaster University, Hamilton, Canada. bootsj1@mcmaster.ca.
BMC Health Services Research
|November 29, 2022
Summary
Implementing the Computer Based instrument for Low motor Language Testing (C-BiLLT) presented unique challenges for clinicians assessing children with severe impairments. Understanding clinician capability, opportunity, and motivation is key to improving assessment tool adoption.
Area of Science:
- Speech-language pathology
- Clinical assessment tools
- Child development
Background:
- Assessing language comprehension in children with severe motor and speech impairments is challenging with traditional tools.
- The Computer Based instrument for Low motor Language Testing (C-BiLLT) enables assessment via non-traditional methods like eye gaze.
- This study investigates factors influencing C-BiLLT implementation by clinicians in the Netherlands and Norway.
Purpose of the Study:
- To understand clinician-reported barriers and facilitators to C-BiLLT implementation.
- To explore the influence of clinician capability, opportunity, and motivation on C-BiLLT use.
- To inform strategies for improving the adoption of novel assessment tools.
Main Methods:
- Qualitative study using semi-structured interviews with 15 clinicians.
- Data analyzed deductively using a COM-B model codebook.
- Thematic analysis applied abductively to identify patterns within COM-B components.
Main Results:
- Clinicians used C-BiLLT with both its target population and other clients.
- More complex barriers were experienced when using C-BiLLT with the intended population.
- Barriers and facilitators were identified across clinician capability, opportunity, and motivation.
Conclusions:
- Insights into capability, opportunity, and motivation factors are crucial for sustained assessment behavior change.
- Tailored interventions can improve the implementation of novel assessment tools.
- Findings support enhanced service delivery for children with complex communication needs.
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