Journal article
Clinical Reasoning for Speech Sound Disorders: Diagnosis and Intervention in Speech-Language Pathologists' Daily Practice
American journal of speech-language pathology, Vol.29(3), pp.1529-1549
08/01/2020
DOI: 10.1044/2020_AJSLP-19-00040
PMID: 32479738
Abstract
Purpose: This study aims to give an insight in clinical reasoning (diagnosis and intervention) of speech-language pathologists (SLPs) in the Netherlands for children with speech sound disorder (SSD).
Method: The study featured a mixed-method (qualitative and quantitative) design. Semistructured interviews containing nondirective, open-ended questions were conducted with 33 SLPs, which were analyzed using a constant comparative analysis. Other SLPs (137) filled out a questionnaire on the same topics. Multiple-choice questions were analyzed by descriptive frequencies, while open-ended questions were analyzed thematically.
Results: The results indicate that SLPs use a variety of assessments to diagnose SSD, complemented by observation and, often, case history. In total, 85 different diagnostic labels were reported. The choice of intervention is based on what is appealing to the child and what matches his or her age as well as on the specific diagnosis and severity. Interventions are used for multiple speech disorders, and according to SLPs, parents play a large role in diagnostics and intervention.
Conclusion: These results reveal the need for (a) a clear and consistent terminology of diagnoses in the field of pediatric SSD, (b) a fast and easy-to-administer comprehensive differential diagnostic instrument in combination with an instrument to assess participation in everyday life, and (c) a tool to conduct a case history online.
Details
- Title: Subtitle
- Clinical Reasoning for Speech Sound Disorders: Diagnosis and Intervention in Speech-Language Pathologists' Daily Practice
- Creators
- Sanne Diepeveen - HAN University of Applied SciencesLeenke van Haaften - Radboud University NijmegenHayo Terband - Utrecht UniversityBert de Swart - HAN Univ Appl Sci, Nijmegen, NetherlandsBen Maassen - University of Groningen
- Resource Type
- Journal article
- Publication Details
- American journal of speech-language pathology, Vol.29(3), pp.1529-1549
- DOI
- 10.1044/2020_AJSLP-19-00040
- PMID
- 32479738
- NLM abbreviation
- Am J Speech Lang Pathol
- ISSN
- 1058-0360
- eISSN
- 1558-9110
- Publisher
- AMER SPEECH-LANGUAGE-HEARING ASSOC
- Number of pages
- 21
- Language
- English
- Date published
- 08/01/2020
- Academic Unit
- Communication Sciences and Disorders
- Record Identifier
- 9984258853602771
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