Academic Journal
Consideration of Child and Family Information in Clinical Decision Making.
| Τίτλος: | Consideration of Child and Family Information in Clinical Decision Making. |
|---|---|
| Συγγραφείς: | Sulek, Rhylee1,2 (AUTHOR), Schmedding‐Bartley, Janine3 (AUTHOR), Bayley, Sheri4 (AUTHOR) sheri.bayley@nevadastate.edu |
| Πηγή: | International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.). Sep/Oct2026, Vol. 61 Issue 5, p1-7. 7p. |
| Θεματικοί όροι: | *Professional practice, *Data analysis, *Information resources, *Descriptive statistics, *Statistics, *Social support, *Continuing education, Treatment of communicative disorders, Speech therapists, Family health, Family services, Early medical intervention, Health, Two-way analysis of variance, Decision making in clinical medicine, Family attitudes, Attitudes of medical personnel, Family-centered care, Family assessment, Evidence-based medicine, Data analysis software, Patients' attitudes, Psychosocial factors, Social participation |
| Γεωγραφικοί όροι: | United States |
| Περίληψη: | Background: With persistent challenges in determining the 'right' therapy or support for autistic children, there is a growing need for clinicians to integrate the preferences and priorities of clients and their families in their clinical decision making. Aims: The purpose of the current study was to investigate speech‐language pathologists' perspective of client factors that clinicians consider when planning supports and therapies for young children with social communication delays. Methods and Procedures: A sample of 264 United States‐based SLPs completed a survey that collected information about SLP professional training (e.g., amount and type of training) and clinical decision making (e.g., the types of information considered when making decisions regarding supports). Outcomes and Results: The SLPs rated the importance of several internal sources they consider when planning support and therapies for young children with social communication delays. More participants rated family/child preferences as highly important to planning than any other client source. Participant engagement in autism‐specific continuing education was related to clinicians' likelihood to rate a child's diagnosis as very important to clinical decision making, whereas continuing education related to early intervention was not related to the importance of child diagnosis. Conclusions and Implications: Findings suggest that SLPs give importance to internal sources within an evidence‐based practice framework as they make clinical decisions. These findings support the need for professional development programs that emphasize client‐centered care and equip clinicians to integrate family preferences into early intervention planning. WHAT THIS PAPER ADDS: What is already known on this subjectClinical decision making when selecting therapies and supports for autistic children is complex and often guided by the evidence‐based practice (EBP) model, which includes research evidence, clinical expertise, and client values. However, research has disproportionately emphasized research evidence, while the use of client‐specific sources ‐ such as family preferences and contextual information ‐ has been under‐examined. Speech‐language pathologists (SLPs) are crucial in supporting communication development in young autistic children, yet their training in autism and early intervention can be inconsistent, and how they consider different internal sources of information is not well understood.What this study adds to existing knowledgeThis study provides novel insights into how U.S.‐based SLPs rate the importance of child and family sources of information sources when planning interventions for young children with social communication delays. Family and child preferences emerged as the most valued internal source, more so than diagnosis or procedural details. This study also highlighted that continuing education was positively associated with greater emphasis child and family preferences, familiarity with the child, and the child and family schedule. These findings suggest continuing professional development plays a critical role in promoting evidence‐based, family‐centered care.What are the clinical implications of this study?These findings underscore the importance of promoting continuing education opportunities that emphasize client and family‐centered care, especially in autism and early intervention contexts. Clinical decision‐making that prioritizes family preferences and individual child contexts is aligned with evidence‐based best practice and shared decision‐making models. Service providers and professional bodies should ensure that clinicians are equipped to integrate these child and family sources of information into therapy planning. Embedding structured training in these areas can enhance clinical outcomes and family satisfaction in early autism services. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Βάση Δεδομένων: | Business Source Index |
| FullText | Text: Availability: 0 CustomLinks: – Url: https://resolver.ebsco.com/c/fiv2js/result?sid=EBSCO:bsx&genre=article&issn=14606984&ISBN=&volume=61&issue=5&date=20260901&spage=1&pages=1-7&title=International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.)&atitle=Consideration%20of%20Child%20and%20Family%20Information%20in%20Clinical%20Decision%20Making.&aulast=Sulek%2C%20Rhylee&id=DOI:10.1111/1460-6984.70300 Name: Full Text Finder (for New FTF UI) (ns324271) Category: fullText Text: Full Text Finder MouseOverText: Full Text Finder |
|---|---|
| Header | DbId: bsx DbLabel: Business Source Index An: 197284053 RelevancyScore: 1435 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 1435 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Consideration of Child and Family Information in Clinical Decision Making. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sulek%2C+Rhylee%22">Sulek, Rhylee</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schmedding‐Bartley%2C+Janine%22">Schmedding‐Bartley, Janine</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bayley%2C+Sheri%22">Bayley, Sheri</searchLink><relatesTo>4</relatesTo> (AUTHOR)<i> sheri.bayley@nevadastate.edu</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Language+%26+Communication+Disorders+%28John+Wiley+%26+Sons%2C+Inc%2E%29%22">International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.)</searchLink>. Sep/Oct2026, Vol. 61 Issue 5, p1-7. 7p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Professional+practice%22">Professional practice</searchLink><br />*<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Information+resources%22">Information resources</searchLink><br />*<searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br />*<searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br />*<searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br />*<searchLink fieldCode="DE" term="%22Continuing+education%22">Continuing education</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+communicative+disorders%22">Treatment of communicative disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+therapists%22">Speech therapists</searchLink><br /><searchLink fieldCode="DE" term="%22Family+health%22">Family health</searchLink><br /><searchLink fieldCode="DE" term="%22Family+services%22">Family services</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Health%22">Health</searchLink><br /><searchLink fieldCode="DE" term="%22Two-way+analysis+of+variance%22">Two-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making+in+clinical+medicine%22">Decision making in clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Family+attitudes%22">Family attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Family-centered+care%22">Family-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Family+assessment%22">Family assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence-based+medicine%22">Evidence-based medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Social+participation%22">Social participation</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: With persistent challenges in determining the 'right' therapy or support for autistic children, there is a growing need for clinicians to integrate the preferences and priorities of clients and their families in their clinical decision making. Aims: The purpose of the current study was to investigate speech‐language pathologists' perspective of client factors that clinicians consider when planning supports and therapies for young children with social communication delays. Methods and Procedures: A sample of 264 United States‐based SLPs completed a survey that collected information about SLP professional training (e.g., amount and type of training) and clinical decision making (e.g., the types of information considered when making decisions regarding supports). Outcomes and Results: The SLPs rated the importance of several internal sources they consider when planning support and therapies for young children with social communication delays. More participants rated family/child preferences as highly important to planning than any other client source. Participant engagement in autism‐specific continuing education was related to clinicians' likelihood to rate a child's diagnosis as very important to clinical decision making, whereas continuing education related to early intervention was not related to the importance of child diagnosis. Conclusions and Implications: Findings suggest that SLPs give importance to internal sources within an evidence‐based practice framework as they make clinical decisions. These findings support the need for professional development programs that emphasize client‐centered care and equip clinicians to integrate family preferences into early intervention planning. WHAT THIS PAPER ADDS: What is already known on this subjectClinical decision making when selecting therapies and supports for autistic children is complex and often guided by the evidence‐based practice (EBP) model, which includes research evidence, clinical expertise, and client values. However, research has disproportionately emphasized research evidence, while the use of client‐specific sources ‐ such as family preferences and contextual information ‐ has been under‐examined. Speech‐language pathologists (SLPs) are crucial in supporting communication development in young autistic children, yet their training in autism and early intervention can be inconsistent, and how they consider different internal sources of information is not well understood.What this study adds to existing knowledgeThis study provides novel insights into how U.S.‐based SLPs rate the importance of child and family sources of information sources when planning interventions for young children with social communication delays. Family and child preferences emerged as the most valued internal source, more so than diagnosis or procedural details. This study also highlighted that continuing education was positively associated with greater emphasis child and family preferences, familiarity with the child, and the child and family schedule. These findings suggest continuing professional development plays a critical role in promoting evidence‐based, family‐centered care.What are the clinical implications of this study?These findings underscore the importance of promoting continuing education opportunities that emphasize client and family‐centered care, especially in autism and early intervention contexts. Clinical decision‐making that prioritizes family preferences and individual child contexts is aligned with evidence‐based best practice and shared decision‐making models. Service providers and professional bodies should ensure that clinicians are equipped to integrate these child and family sources of information into therapy planning. Embedding structured training in these areas can enhance clinical outcomes and family satisfaction in early autism services. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=bsx&AN=197284053 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/1460-6984.70300 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 1 Subjects: – SubjectFull: Professional practice Type: general – SubjectFull: Data analysis Type: general – SubjectFull: Information resources Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Statistics Type: general – SubjectFull: Social support Type: general – SubjectFull: Continuing education Type: general – SubjectFull: Treatment of communicative disorders Type: general – SubjectFull: Speech therapists Type: general – SubjectFull: Family health Type: general – SubjectFull: Family services Type: general – SubjectFull: Early medical intervention Type: general – SubjectFull: Health Type: general – SubjectFull: Two-way analysis of variance Type: general – SubjectFull: Decision making in clinical medicine Type: general – SubjectFull: Family attitudes Type: general – SubjectFull: Attitudes of medical personnel Type: general – SubjectFull: Family-centered care Type: general – SubjectFull: Family assessment Type: general – SubjectFull: Evidence-based medicine Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Patients' attitudes Type: general – SubjectFull: Psychosocial factors Type: general – SubjectFull: Social participation Type: general – SubjectFull: United States Type: general Titles: – TitleFull: Consideration of Child and Family Information in Clinical Decision Making. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sulek, Rhylee – PersonEntity: Name: NameFull: Schmedding‐Bartley, Janine – PersonEntity: Name: NameFull: Bayley, Sheri IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep/Oct2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 14606984 Numbering: – Type: volume Value: 61 – Type: issue Value: 5 Titles: – TitleFull: International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) Type: main |
| ResultId | 1 |