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Speech diagnosis and intervention in children with a repaired cleft palate : a qualitative study of Flemish private community speech-language pathologists’ practices

Cassandra Alighieri (UGent) , Kim Bettens (UGent) , Sofie Verhaeghe (UGent) and Kristiane Van Lierde (UGent)
Author
Organization
Abstract
Purpose. This study investigated the practice patterns of private community speech-language pathologists (SLPs) when treating children with a repaired cleft of the palate ± a cleft of the lip (CP±L). Practices were explored in terms of diagnostics and treatment focus, treatment dosage and experienced difficulties when treating children with a CP±L. Method. Eleven female private community SLPs, who lived in Flanders (i.e., the northern part of Belgium) and were aged between 23 and 62 years participated in this study. Data were collected from semi-structured face-to-face interviews. The qualitative software program NVivo 12 was used for data analysis. The interviews were analysed using an inductive thematic approach. Result. SLPs reported a lack of available information on speech-related cleft care. SLPs expressed the need to receive a referral letter from the hospital in order to make an adequate speech diagnosis. Most therapists reported that they performed an articulatory assessment combined with a language assessment. Most SLPs used a hybrid treatment model including a variety of intervention techniques. These techniques were not always in line with available scientific evidence. SLPs reported the desire to receive practical step-by-step guidelines on how to provide speech intervention to children with a CP±L. In contrast, there was a strong consensus among the therapists that an individualised treatment plan is necessary. Conclusion. The results of this study have revealed gaps in the dissemination and implementation of scientific evidence relevant to speech services for children with a CP±L (i.e., a research-practice gap) in Flanders. Research evidence needs to be adequately translated into clinical practice by providing concrete and practical guidelines.
Keywords
cleft palate, speech-language pathologists assessment, treatment practice, qualitative, VELOPHARYNGEAL INSUFFICIENCY, OF-LIFE, LIP, ISSUES, RESPONSIVENESS, DISORDERS, VALIDITY, VELO, FLOW

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MLA
Alighieri, Cassandra, et al. “Speech Diagnosis and Intervention in Children with a Repaired Cleft Palate : A Qualitative Study of Flemish Private Community Speech-Language Pathologists’ Practices.” INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 2021, doi:10.1080/17549507.2021.1946153.
APA
Alighieri, C., Bettens, K., Verhaeghe, S., & Van Lierde, K. (2021). Speech diagnosis and intervention in children with a repaired cleft palate : a qualitative study of Flemish private community speech-language pathologists’ practices. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY. https://doi.org/10.1080/17549507.2021.1946153
Chicago author-date
Alighieri, Cassandra, Kim Bettens, Sofie Verhaeghe, and Kristiane Van Lierde. 2021. “Speech Diagnosis and Intervention in Children with a Repaired Cleft Palate : A Qualitative Study of Flemish Private Community Speech-Language Pathologists’ Practices.” INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY. https://doi.org/10.1080/17549507.2021.1946153.
Chicago author-date (all authors)
Alighieri, Cassandra, Kim Bettens, Sofie Verhaeghe, and Kristiane Van Lierde. 2021. “Speech Diagnosis and Intervention in Children with a Repaired Cleft Palate : A Qualitative Study of Flemish Private Community Speech-Language Pathologists’ Practices.” INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY. doi:10.1080/17549507.2021.1946153.
Vancouver
1.
Alighieri C, Bettens K, Verhaeghe S, Van Lierde K. Speech diagnosis and intervention in children with a repaired cleft palate : a qualitative study of Flemish private community speech-language pathologists’ practices. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY. 2021;
IEEE
[1]
C. Alighieri, K. Bettens, S. Verhaeghe, and K. Van Lierde, “Speech diagnosis and intervention in children with a repaired cleft palate : a qualitative study of Flemish private community speech-language pathologists’ practices,” INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 2021.
@article{8712712,
  abstract     = {{Purpose. This study investigated the practice patterns of private community speech-language pathologists (SLPs) when treating children with a repaired cleft of the palate ± a cleft of the lip (CP±L). Practices were explored in terms of diagnostics and treatment focus, treatment dosage and experienced difficulties when treating children with a CP±L. Method. Eleven female private community SLPs, who lived in Flanders (i.e., the northern part of Belgium) and were aged between 23 and 62 years participated in this study. Data were collected from semi-structured face-to-face interviews. The qualitative software program NVivo 12 was used for data analysis. The interviews were analysed using an inductive thematic approach. Result. SLPs reported a lack of available information on speech-related cleft care. SLPs expressed the need to receive a referral letter from the hospital in order to make an adequate speech diagnosis. Most therapists reported that they performed an articulatory assessment combined with a language assessment. Most SLPs used a hybrid treatment model including a variety of intervention techniques. These techniques were not always in line with available scientific evidence. SLPs reported the desire to receive practical step-by-step guidelines on how to provide speech intervention to children with a CP±L. In contrast, there was a strong consensus among the therapists that an individualised treatment plan is necessary. Conclusion. The results of this study have revealed gaps in the dissemination and implementation of scientific evidence relevant to speech services for children with a CP±L (i.e., a research-practice gap) in Flanders. Research evidence needs to be adequately translated into clinical practice by providing concrete and practical guidelines.}},
  author       = {{Alighieri, Cassandra and Bettens, Kim and Verhaeghe, Sofie and Van Lierde, Kristiane}},
  issn         = {{1754-9507}},
  journal      = {{INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY}},
  keywords     = {{cleft palate,speech-language pathologists assessment,treatment practice,qualitative,VELOPHARYNGEAL INSUFFICIENCY,OF-LIFE,LIP,ISSUES,RESPONSIVENESS,DISORDERS,VALIDITY,VELO,FLOW}},
  language     = {{eng}},
  title        = {{Speech diagnosis and intervention in children with a repaired cleft palate : a qualitative study of Flemish private community speech-language pathologists’ practices}},
  url          = {{http://dx.doi.org/10.1080/17549507.2021.1946153}},
  year         = {{2021}},
}

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