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Integrating external evidence of intervention effectiveness with both practice and the parent perspective : development of 'What Works' for speech, language, and communication needs

LAW J; ROULSTONE S; LINDSAY G
DEV MED CHILD NEUROL , 2015, vol. 57, n° 3, p. 223-228
Doc n°: 172685
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/dmcn.12630
Descripteurs : AD61 - TROUBLES DU LANGAGE. APHASIE

The aim of the study was to develop an ecologically valid synthesis of the
evidence underpinning interventions for children with speech, language, and
communication needs (SLCN), integrating a range of different data sources.
METHOD: Three sources of information were integrated: the Cochrane Review of
interventions for children with primary speech and language delays/disorder;
current practice from an online survey of 534 speech and language therapists and
other professionals working with children with SLCN; and parent reports of
preferred outcomes. Evidence was ranked as strong, moderate, or indicative.
RESULTS: Of the 58 interventions identified, three (5%) were found to have a
strong level of evidence, 32 (56%) had moderate evidence, and 23 (39%) had
indicative evidence. Five were universal interventions, the remainder targeted
and universal. The integrated findings were then turned into an online
interactive database, which is moderated and updated at regular intervals.
INTERPRETATION: There are a number of interventions that have a moderate or
strong level of evidence underpinning them but they tend not to be those used by
practitioners who often favour well-established familiar programmes even if they
have only indicative evidence. There is a degree of complementarity between
professional and parent views about outcomes, albeit with different emphases.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS

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