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Clinicians' perspectives and experiences on using consistent terminology in speech-language pathology: A qualitative
Theresa Pham1, Alison Lynn Csercsics1, Lisa M D Archibald1
1School of Communication Sciences and Disorders, University of Western Ontario, London, N6G 1H1, Canada.
Speech-language pathologists found consistent terminology beneficial for communication but faced barriers to implementation. Systemic changes, including ongoing training and policy alignment, are crucial for successful practice change in labeling child communication disorders.
Area of Science:
- Speech-Language Pathology
- Clinical Linguistics
- Healthcare Implementation Science
Background:
- Speech-language pathologists (SLPs) received training on consistent terminology for childhood communication disorders.
- Despite high intentions, actual use of these clinical labels in practice was limited.
Purpose of the Study:
- To explore SLPs' perspectives on factors influencing the adoption of consistent terminology.
- To understand challenges and facilitators in communicating clinical labels to families and caregivers.
Main Methods:
- A qualitative online survey was administered to 97 SLPs.
- Data were collected after a three-month pilot implementation of recommended clinical labels.
Main Results:
- Supports for label use included enhanced communication, positive family experiences, and increased clinician confidence.
- Barriers comprised differing opinions, scope of practice issues, time constraints, and lack of clinician/family readiness.
Conclusions:
- Clinicians acknowledged benefits of consistent terminology but noted the need for systematic change.
- Effective implementation requires ongoing education, understanding family needs, and aligning with service structures and policies.
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