安大略省学校语音语言服务的核心成果:一组概念映射研究和指导框架
Peter T Cahill1, Mark A Ferro2,3, Stella Ng4,5
1School of Rehabilitation Science, Institute of Applied Health Sciences, McMaster University, Room 403, 1400 Main Street West, Hamilton, ON, L8S 1C7, Canada. cahillp@mcmaster.ca.
BMC health services research
|March 16, 2024
概括
确定了学校语音语言治疗的七个核心结果,以指导未来的研究和计划评估. 这些结果,包括整体方法和可访问的服务,在重要性方面获得了很高的评价,但在可行性方面存在差异.
科学领域:
- 语音语言病理学 语言病理学
- 医疗服务研究 医疗服务研究
- 教育心理学教育心理学
背景情况:
- 建立核心结果集 (COS) 对于指导学校语音语言治疗的研究和计划评估至关重要.
- 许多卫生学科使用COS来定义特定服务的基本结果.
- 本研究的重点是为加拿大学校环境中COS制定指导框架.
研究的目的:
- 为学校语音语言治疗服务制定一个核心成果集 (COS) 的指导框架.
- 确定对学校语音语言治疗中利益相关者重要的关键结果.
- 在教育环境中建立对有沟通需求的儿童最关键结果的共识.
主要方法:
- 采用了一种集体概念映射方法,涉及语音语言治疗师,教师和家庭成员.
- 从采访成绩单中提取了103个潜在的结果,并将它们分成概念上相似的组.
- 参与者通过多维缩放和分层集群分析,使用5点评分表来评分结果的重要性和可行性.
主要成果:
- 确定了安大略省学校语音语言服务的七个核心结果:基于课堂的服务,整体方法,教师支持,护理协调,可访问的服务,家庭支持和学生成功.
- 所有识别的结果都得到了参与者的高度重要性评分.
- 可行性评级始终低于重要性评级,其中"可访问服务"被认为是最不可能实现的.
结论:
- 建议确定七个结果,以指导为学校提供语音语言服务的综合性COS的开发.
- 这些新成果应纳入未来的研究和计划评估,超越传统的干预特异性指标.
- 建议利用行政数据并确保机构支持,以利用这些结果进行有效的项目评估.
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