Utilize este identificador para referenciar este registo:
http://hdl.handle.net/10773/21430
Título: | Speech and language therapy service delivery: overcoming limited provision for children |
Autor: | Jesus, Luís Miguel Teixeira de Martinez, Joana Valente, Ana Rita Costa, Maria da Conceição |
Palavras-chave: | Service delivery, Speech and language therapy, School-based services, Children |
Data: | Out-2017 |
Editora: | Elsevier |
Resumo: | Objectives: To test an alternative Speech and Language Therapy (SLT) service delivery model based on partnerships between a University and local schools and charities, and to report on the impact and feasibility of intervention based on long-term outcome measures and three case studies with individual analysis of Reliable Change. Study design: The following six-step model was tested: 1—establishing partnerships; 2—flagging children; 3—pre-treatment SLT assessment; 4—reporting and discussion with parents and teachers; 5—treatment; 6—post-treatment assessment. Case studies are presented. Methods: A partnership was established with one kindergarten in a pre-test and a total of 25 kindergartens during the second phase of the process. A group of 139 children were then flagged and assessed. The following long-term outcomes (18 months post-therapy) were investigated: phonetic-phonological standardised test percentiles and raw scores; receptive and expressive language percentiles and raw scores according to a standardised language test; percentage of syllables stuttered; duration of stuttering moments; academic achievement in norm-tests’ core areas (mathematics, Portuguese language and social studies). Case studies and a 95% credible interval analysis to assess Reliable Change are presented. Results: Seventy five (54%) children needed SLT support. Fifty (67%) of those children returned to the clinic for long-term assessments and the analysis of all outcome measures showed significant improvements in their performance, 18 months post-therapy. Case Studies Reliable Change analysis revealed a statistically significant improvement, which also clearly shows the feasibility and the positive impact of the intervention. Conclusions: This specialised and differentiated care network constitutes an alternative delivery system of SLT services that addresses the lack of support currently experienced by children and their families. The long-term outcome measures and the 95% credible interval analysis are reliable methods to determine the impact of interventions. |
Peer review: | yes |
URI: | http://hdl.handle.net/10773/21430 |
DOI: | 10.1016/j.puhe.2017.06.013 |
ISSN: | 0033-3506 |
Aparece nas coleções: | CIDMA - Artigos IEETA - Artigos ESSUA - Artigos PSG - Artigos |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
---|---|---|---|---|
JesusMartinezValenteCosta2017v11.pdf | Versão Post-Print | 382.21 kB | Adobe PDF | Ver/Abrir |
Todos os registos no repositório estão protegidos por leis de copyright, com todos os direitos reservados.