Exploring the valued outcomes of school-based speech-language therapy services: a sequential iterative design

BackgroundAchieving outcomes that community members value is essential to high-quality, family-centred care. These valued outcomes should inform the production and interpretation of research evidence. To date, outcomes included in studies of service delivery models for speech-language services in sc...

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Main Authors: Peter T. Cahill (Author), Stella Ng (Author), Lyn S. Turkstra (Author), Mark A. Ferro (Author), Wenonah N. Campbell (Author)
Format: Book
Published: Frontiers Media S.A., 2024-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Peter T. Cahill  |e author 
700 1 0 |a Stella Ng  |e author 
700 1 0 |a Stella Ng  |e author 
700 1 0 |a Lyn S. Turkstra  |e author 
700 1 0 |a Mark A. Ferro  |e author 
700 1 0 |a Mark A. Ferro  |e author 
700 1 0 |a Wenonah N. Campbell  |e author 
700 1 0 |a Wenonah N. Campbell  |e author 
245 0 0 |a Exploring the valued outcomes of school-based speech-language therapy services: a sequential iterative design 
260 |b Frontiers Media S.A.,   |c 2024-01-01T00:00:00Z. 
500 |a 2673-6861 
500 |a 10.3389/fresc.2024.1290800 
520 |a BackgroundAchieving outcomes that community members value is essential to high-quality, family-centred care. These valued outcomes should inform the production and interpretation of research evidence. To date, outcomes included in studies of service delivery models for speech-language services in schools have been narrowly defined, and do not match the outcomes suggested as important by families, teachers, and children. The most important outcomes of school-based, speech-languages services have not been directly and systematically investigated. We aimed to address this gap by asking school community members what outcomes were most relevant to evaluating and improving the delivery of speech-language services in schools.MethodsA sequential, iterative mixed-method study was conducted using interviews with 14 family members, educators, and speech-language therapists that asked what outcomes or impacts of school-based services they considered most important or valuable. Summative content analysis was used to analyse the data. Structural topic modelling between rounds of qualitative analysis was used to describe both the quality and the quantity of the interview content. School community members' perspectives were compared through estimation of topic proportions within interviews from each member group and through qualitative comparison.ResultsStructural topic modelling diagnostics and qualitative interpretation of topic output suggested a six-topic solution. This solution was estimated successfully and yielded the following topics: (1) meeting all needs appropriately, (2) teamwork and collaboration, (3) building capacities, (4) supporting individual student needs in context, (5) coordinating care, and finally (6) supporting core educational goals. Families focused on school-based services meeting all needs appropriately and coordinating care, while educators highlighted supporting individual student needs in context. By contrast, speech-language therapists emphasized building capacities and supporting core educational goals. All school community members agreed that current assessment tools and outcome measures were inadequate to capture the most important impacts of school-based services.ConclusionsOutcomes identified by school community members as important or valuable were broad, and included individual student outcomes, interpersonal outcomes, and systems-level outcomes. Although these outcomes were discussed by all member groups, each group focused on different outcomes in the interviews, suggesting differences in the prioritization of outcomes. We recommend building consensus regarding the most important outcomes for school-based speech-language services, as well as the prioritization of outcomes for measure development. 
546 |a EN 
690 |a outcomes 
690 |a speech-language therapy 
690 |a speech-language pathology 
690 |a service delivery model 
690 |a content analysis 
690 |a mixed methods 
690 |a Other systems of medicine 
690 |a RZ201-999 
690 |a Medical technology 
690 |a R855-855.5 
655 7 |a article  |2 local 
786 0 |n Frontiers in Rehabilitation Sciences, Vol 5 (2024) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fresc.2024.1290800/full 
787 0 |n https://doaj.org/toc/2673-6861 
856 4 1 |u https://doaj.org/article/22699a1c30964ab1b10c8c37e5a5d452  |z Connect to this object online.