Academic Journal
An international survey of assessment and treatment practice for discourse in paediatric Acquired Brain Injury
| Title: | An international survey of assessment and treatment practice for discourse in paediatric Acquired Brain Injury |
|---|---|
| Authors: | Elizabeth Hill, Anne Whitworth, Mark Boyes, Mary Claessen |
| Source: | International Journal of Speech-Language Pathology. 25:577-588 |
| Publisher Information: | Informa UK Limited, 2022. |
| Publication Year: | 2022 |
| Subject Terms: | Audiology & Speech-Language Pathology, assessment, Social Sciences, TRAUMATIC BRAIN-INJURY, CHILDREN, Speech Therapy, RECOMMENDATIONS, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, SOCIAL-SKILLS, ADOLESCENTS, Humans, Child, CONVERSATIONS, Science & Technology, COGNITIVE-COMMUNICATION DISORDERS, treatment, Rehabilitation, Linguistics, 3. Good health, Brain Injuries, Communication Disorders, Language Therapy, discourse, 0305 other medical science, Life Sciences & Biomedicine, NARRATIVE DISCOURSE, INTERVENTIONS |
| Description: | Guidelines recommend routine discourse assessment and treatment in paediatric acquired brain injury (ABI) but provide little guidance for clinical practice. The degree to which this has influenced the nature of discourse assessment and treatment in clinical practice has not been examined in detail. Speech-language pathologists working in paediatric ABI (clients aged n = 77). Clinicians from Australia and New Zealand comprised over half of a responses (53%). The largest proportion had over 10 years’ experience (60%), worked in the metropolitan area (58%), and with secondary school-age children (64%). Routine discourse assessment was undertaken by 80% of respondents, focussing on a limited range of genres. No preferred intervention approach was identified. One-quarter of clinicians routinely considered holistic factors during clinical decision-making. Limited normative data and treatment evidence, insufficient time and training were identified as clinical barriers. Assessment practices were consistent with guidelines, yet interventions were highly variable, reflecting limited evidence, client heterogeneity, time constraints, and limited training. A biopsychosocial approach to practice was evident, yet a focus on impairment level factors was prominent. Findings support the need for standardised discourse assessment and discourse intervention methods. Translation into practice guidelines would promote consistency and confidence in clinical practice. |
| Document Type: | Article Other literature type |
| File Description: | fulltext |
| Language: | English |
| ISSN: | 1754-9515 1754-9507 |
| DOI: | 10.1080/17549507.2022.2079724 |
| DOI: | 10.6084/m9.figshare.23932174 |
| DOI: | 10.6084/m9.figshare.23932174.v1 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/35642559 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....9b1df3c6f5a3c7b1adf108a5dccc016d |
| Database: | OpenAIRE |
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