了解实施新干预措施的能力:对患有语音障碍的儿童进行语音和语言治疗服务的定性研究
Avril Nicoll1, Sue Roulstone2, Brian Williams3
1Aberdeen Centre for Women's Health Research, University of Aberdeen, Foresterhill, Aberdeen, UK.
International journal of language & communication disorders
|November 6, 2023
概括
实施新的语音声音障碍 (SSD) 干预措施需要支持性服务结构和专门的时间. 优先考虑这些变化的服务有助于将SSD儿童纳入常规实践.
科学领域:
- 语音语言病理学的实施科学
- 临床实践变化 语音声音障碍 (SSD)
- 医疗保健服务提供模式 医疗保健服务提供模式
背景情况:
- 许多基于证据的言语声音障碍 (SSD) 干预措施在临床实践中未得到充分利用.
- 医疗保健服务对采用新的SSD干预措施的影响仍未得到充分研究.
- 实施科学提供了潜在的解决方案,以弥合SSD的研究实践差距.
研究的目的:
- 调查影响言语和语言治疗服务能力的因素,以实施新的SSD干预措施.
- 解释不同临床环境中采用新的SSD干预措施的差异.
主要方法:
- 这是一项基于实例的定性研究,涉及42名语音和语言治疗师 (SLT) 在苏格兰的三个NHS和私人服务中.
- 通过28个个人访谈和5个重点小组收集数据,探索治疗师对SSD实践变化的经验.
- 利用规范化过程理论来分析服务环境在应对实践变化中的作用.
主要成果:
- 确定了涉及新的SSD干预措施的两种主要实践变化案例:"转型"和"风险投资".
- "转型"涉及成功地融入常规实践,受到有利的服务结构,支持的实施"推动"和专注的集体时间的推动.
- "冒险"发生在新的干预措施不是服务优先级时,实施依赖于个人或非正式治疗师在现有约束范围内的努力.
结论:
- 实施新的,基于证据的SSD干预措施需要熟练的应用语言学和灵活的服务提供治疗师.
- 服务经理和临床医生需要了解成功的例行实施所需的现实时间,资源和支持.
- 了解实践变革的复杂性对于有效地做出有关SSD干预优先事项和支持的决策至关重要.
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