Predictors and outcomes of speech and language therapists' treatment decisions.

This study investigated predictors of decisions made by speech and language therapists (SLTs) to offer intervention for preschool children and the children's outcomes relative to that decision. The study uses data from 347 children who were first assessed aged under 3 years 6 months by community spe...

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Publicado en:International Journal of Speech-Language Pathology Vol. 10; no. 3; pp. 146 - 156
Autores principales: Roulstone S, Peters TJ, Glogowska M, Enderby P
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2008
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Predictors and outcomes of speech and language therapists' treatment decisions.
      aug:
        au:
          Roulstone S
          Peters TJ
          Glogowska M
          Enderby P
        affil: University of the West of England, Bristol, UK
      sug:
        subj:
          Communicative Disorders Therapy
          Decision Making, Clinical
          Early Childhood Intervention
          Speech Therapy
          Analysis of Variance
          Child, Preschool
          Communication Skills
          Conceptual Framework
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          Female
          Funding Source
          Language Tests
          Logistic Regression
          Male
          Models, Theoretical
          Odds Ratio
          Outcome Assessment
          Parents of Children with Disabilities
          Post Hoc Analysis
          Predictive Value of Tests
          Prospective Studies
          Questionnaires
          Record Review
          Reference Values
          Retrospective Design
          Scales
          Secondary Analysis
          Sensitivity and Specificity
          Speech and Language Assessment
          Speech-Language Pathologists
          Treatment Outcomes
          United Kingdom
          Human
          Child, Preschool: 2-5 years
          Female
          Male
      ab: This study investigated predictors of decisions made by speech and language therapists (SLTs) to offer intervention for preschool children and the children's outcomes relative to that decision. The study uses data from 347 children who were first assessed aged under 3 years 6 months by community speech and language therapists in the UK. Of these, 158 were offered therapy, 189 were either discharged or offered only monitoring appointments. After adjusting for the child's age and gender, six variables were significantly associated with the therapist's original decision: being a quiet baby, not using two word utterances or making comments on their play, being unintelligible to strangers and the child's score on auditory comprehension and expressive language scales of the Preschool Language Scales (PLS-3). These show a focus on communication variables rather than broader demographic and medical variables. At follow-up, aged 7-9 years, 56% of the children were available for re-assessment. Therapists' decisions at initial assessment show a sensitivity of .85 and a specificity of .61 relative to children's outcomes. Of the 191 children seen at follow-up, 21 were deemed to have ongoing difficulties.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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