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Challenges and solutions in speech-language pathology service delivery across Australia and Canada

Jacqueline Lim, Patricia McCabe, Alison Purcell

Abstract


Background, aims and objectives: This study aimed to compare the perception of barriers to service delivery among speech-language pathologists (SLPs) in Canada and Australia and the extent to which they used parent or carer training to overcome these barriers. 

Methods: Participants were 81 Australian and 63 Canadian SLPs who completed an online survey. Questions comprised open ended and forced choice questions with some ranking of questions also required. Chi-square analyses were conducted comparing Canadian and Australian SLPs. 

Results: Few differences existed among the respondents. Respondents overwhelmingly selected “not enough speech-language pathology positions to meet demand” as their main barrier. This barrier along with “parents/carer’s lack of knowledge about the need for speech-language pathology”, “lack of parent/carer engagement” and “lack of awareness of role of speech-language pathologist” were the principal barriers. Training parents and carers to conduct therapy at home was the most used strategy among both Canadian and Australian SLPs. 

Discussion: The finding that the SLPs perceive low engagement from parents both in the training sessions and when working with their child may suggest that there is a need for speech-language pathologists to determine more effective ways to train and engage parents and carers. 

Conclusion: More research into the efficacy of parent or carer training across a wider range of speech-language pathology practice areas and across a more diverse range of parents or carers needs to be undertaken.


Keywords


Barriers, carer education, communication strategies, facilitators, parent education, person-centered healthcare, professional issues, service delivery, speech-language pathology, training

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References


Speech-Language and Audiology Canada. SAC's 2015 Vote Communication Health Campaign. SAC in Action: Advocacy news from SAC. Autumn 2015.

Speech Pathology Australia. (2014). Submissions to theinquiry into the prevalence of different types of speech, language and comunication disorders and Speech Pathology Services in Australia. Melbourne: Speech Pathology Australia.

Sachgau, O. (2015). Speech therapy can prevent a lifetime of struggles, so why are kids waiting so long for it? The Globe and Mail. August 30 2015.

Ruggero, L., McCabe, P., Ballard, K.J. & Munro, N. (2012). Paediatric speech-language pathology service delivery: An exploratory survey of Australian parents. International Journal of Speech-Language Pathology 14 (4) 338-350.

Hersh, D. (2010). I can't sleep at night with discharging this lady: The personal impact of ending therapy on speech-language pathologists. International Journal of Speech-Language Pathology 12 (4) 283-291.

Boyle, T. (2014). Changes in speech-language service will harm kids, health official says. Toronto Star 7/2/2014.

Pownall, A. (2013). Speech therapy demand soars. The West Australian 21/11/2013.

Wilson, L., Lincoln, M. & Onslow, M. (2002). Availability, access, and quality of care: inequities in rural speech pathology services for children and a model for redress. Advances in Speech Language Pathology 4 (1) 9-22.

Baker, E. (2010). The experience of discharging children from phonological intervention. International Journal of Speech-Language Pathology 12 (4) 325-328.

O'Callaghan, A.M., McAllister, L. & Wilson, L. (2005). Barriers to accessing rural paediatric speech pathology services: Health care consumers' perspectives. Australian Journal of Rural Health 13, 162-171.

Verdon, S., Wilson, L., Smith-Tamaray, M. & McAllister, L. (2011). An investigation of equity of rural speech-language pathology services for children: A geographic perspective. International Journal of Speech-Language Pathology 13 (3) 239-250.

Roberts, M.Y. & Kaiser, A.P. (2011). The Effectiveness of Parent-Implemented Language Interventions: A Meta-Analysis. American Journal of Speech-Language Pathology 20 (3) 180-199.

Roberts, M.Y., Kaiser, A.P., Wolfe, C.E., Bryant, J.D. & Spidalieri, A.M. (2014). Effects of the Teach-Model-Coach-Review instructional approach on caregiver use of language support strategies and children's expressive language skills. Journal of Speech, Language, and Hearing Research 57 (5) 1851-1869.

Lawler, K., Taylor, N.F. & Shields, N. (2013). Outcomes After Caregiver-Provided Speech and Language or Other Allied Health Therapy: A Systemic Review. Archives of Physical Medicine and Rehabilitation 94, 1139-1160.

Lincoln, M. & Onslow, M. (1997). Long-term Outcome of Early Intervention for Stuttering. American Journal of Speech-Language Pathology 6, 51-58.

Bruno, J. & Dribbon, M. (1998). Outcomes in AAC: evaluating the effectiveness of a parent training program. AAC: Augmentative & Alternative Communication 14 (2) 59-70.

Kent-Walsh, J., Binger, C. & Hasham, Z. (2010). Effects of parent instruction on the symbolic communication of children using augmentative and alternative communication during storybook reading. American Journal of Speech-Language Pathology 19 (2) 97-107.

Pile, E.J.S., Girolametto, L., Johnson, C.J. & Cleave, P.L. (2010). Shared book reading intervention for children with language impairment: using parents-as-aides in language intervention. Canadian Journal of Speech-Language Pathology & Audiology 34 (2) 96-109.

Bowen, C. & Cupples, L. (2004). The role of families in optimizing phonological therapy outcomes. Child Language Teaching & Therapy 20 (3) 245-260.

Lancaster, G., Keusch, S., Levin, A., Pring, T. & Martin, S. (2010). Treating children with phonological problems: Does an eclectic approach to therapy work? International Journal of Language & Communication Disorders 45 (2) 174-181.

Togher, L., Power, E., Rietdijk, R., McDonald, S. & Tate, R. (2012). An exploration of participant experience of a communication training program for people with traumatic brain injury and their communication partners. Disability and Rehabilitation 34 (18) 1562-1574.

Behn, N., Togher, L., Power, E. & Heard, R. (2012). Evaluating communication training for paid carers of people with traumatic brain injury. Brain Injury 26 (13-14) 1702-1715.

Simmons-Mackie, N., Raymer, A., Armstrong, E., Holland, A. & Cherney, L.R. (2010). Communication partner training in aphasia: a systematic review. Archives of Physical Medicine & Rehabilitation 91 (12) 1814-1837.

Watts Pappas, N., McLeod, S., McAllister, L. & McKinnon, D.H. (2008). Parental involvment in speech intervention: A national survey. Clinical Linguistics and Phonetics 22 (4-5) 335-344.

Reynolds, A.L., Vick, J.L. & Haak, N.J. (2009). Telehealth applications in speech-language pathology: A modified narrative review. Journal of Telemedicine and Telecare 15 (6) 310-316.

Yates, F. (1934). Contingency tables involving small numbers and the chi-square test. Journal of the Royal Statistical Society 1, 217-235.

Girolametto, L., Pearce, P.S. & Weitzman, E. (1996). Interactive focused stimulation for toddlers with expressive vocabulary delays. Journal of Speech & Hearing Research 39 (6) 1274-1283.

Onslow, M. & Packman, A. (2001). The Lidcombe Program of early stuttering intervention: awaiting the results of a randomized controlled trial. Asia Pacific Journal of Speech, Language & Hearing 6 (2) 85-89.

Togher, L. (2013). Improving communication for people with brain injury in the 21st century: The value of collaboration. Brain Impairment 14 (1) 130-138.

Woods, J.J., Wilcox, M.J., Friedman, M. & Murch, T. (2011). Collaborative Consultation in Natural Environments: Strategies to Enhance Family-Centered Supports and Services. Language, Speech & Hearing Services in Schools 42, 379-392.

Turner, S. & Whitworth, A. (2006). Conversational partner training programmes in aphasia: A review of key themes and participants' roles. Aphasiology 20 (6) 483-510.

Fernald, A., Marchman, V.A. & Weisleder, A. (2013). SES differences in language processing skill and vocabulary are evident at 18 months. Developmental Science 16 (2) 234-248.




DOI: http://dx.doi.org/10.5750/ejpch.v5i1.1244

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