A Survey of Malaysian Speech-Language Pathologists' Perception of Articulation and Phonological Assessments

Phoon, Hooi San; Maclagan, Margaret

doi:10.1179/136132809805335256

Cited by 5 publications

(6 citation statements)

References 15 publications

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“…This may be due to nature of service provision at SLPs' workplaces. More than 80% of study participants reported to work in acute hospitals, which is a trend that has been reported in other studies 17,18,34,35 . According to Ahmad and colleague, the Malaysian Ministry of Health has been a primary source of employment for graduates of local SLP university programs, thus, many SLPs are working in public hospitals through the country 19 .…”

Section: Aphasia Evaluation: Practices Of Malaysian Slpssupporting

confidence: 79%

“…Due to cultural and linguistic diversity in Malaysia, SLPs are likely to experience difficulties in ensuring the validity of finding from language and communication evaluations. Previous research demonstrated a lack of psychometrically sound assessment tools in Malaysian local languages 17,18 . A lack of appropriate tools for local populations was reported to be a common challenge across various disorders 19 .…”

Section: Language Evaluation In Culturally and Linguistically Diverse Contextsmentioning

confidence: 99%

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Evaluation of aphasia in a culturally and linguistically diverse context: Practices of and challenges faced by speech-language pathologists

Hassan

Heng²,

Kamal

2020

Preprint

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Rationale, aims and objectives: Cultural and linguistic diversity is a major challenge faced by speech-language pathologists (SLPs) in conducting evaluation of aphasia, especially in low-resource regions. Without proper consideration of cultural and linguistic issues when adapting English-based language tests to other languages, performance of individual with aphasia may not be valid and reliable. The present study was conducted: (a) to identify the practices of SLPs in conducting aphasia evaluation in Malaysia, which is a country consisting of multiethnic populations, and (b) to determine challenges faced by SLPs when conducting aphasia evaluation involving a diverse group of individuals. Methods: An online survey was distributed to SLPs who are practicing in Malaysia involved in the management of aphasia during the period of data collection. The questionnaire was developed to gather data on participants' background, their practices in evaluating people with aphasia, and challenges that they face related to aphasia evaluation. Proportions were calculated for each item in the questionnaire to determine patterns related to background information, SLP practices and related challenges. Results: Malaysian SLPs were found to gather information about their patients via interviews with caregivers, medical records, and direct testing and observation. Abilities of people with aphasia that were consistently reported to be assessed frequently include auditory language comprehension, verbal expression, repetition of words and sentences, and social communication. Two major challenges identified were linguistic barrier and lack of standardized assessment tools for aphasia evaluation. Conclusions: There are some similarities in terms of SLP practices and challenges faced by the participants in comparison with other studies conducted in diverse contexts. Issues related to cultural and linguistic diversity complicates the development of appropriate resources for aphasia evaluation. Consideration of those issues in development of original and adapted evaluation tools may improve the accuracy of diagnosis, identification of severity, and planning of intervention.

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Section: Aphasia Evaluation: Practices Of Malaysian Slpssupporting

confidence: 79%

Section: Language Evaluation In Culturally and Linguistically Diverse Contextsmentioning

confidence: 99%

Evaluation of aphasia in a culturally and linguistically diverse context: Practices of and challenges faced by speech-language pathologists

Hassan

Heng²,

Kamal

2020

Preprint

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“…Regarding service materials, several studies discussed challenges with providing appropriate assessment materials, treatment planning, treatment materials, and treatment goals [ 33 , 36 , 38 – 40 , 42 , 46 , 47 , 49 , 50 , 52 ]. In particular, studies reported a lack of appropriate assessment/screening instruments creating barriers to culturally competent service delivery [ 33 , 36 , 38 , 40 – 42 , 49 , 50 , 52 ]. Such limitations become increasingly worrisome when there are already difficulties in differentiating a language difference from a language disorder [ 41 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…language samples, checklists), translated materials, toys familiar to children, communication equipment (e.g. video conferencing materials) for rural and remote patients, and selecting culturally-meaningful treatments [ 40 , 45 , 46 , 50 – 52 , 54 , 55 , 58 , 59 ].…”

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators to cultural competence in rehabilitation services: a scoping review

Grandpierre

Milloy

Sikora

et al. 2018

BMC Health Serv Res

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BackgroundThere is an important need to evaluate whether rehabilitation services effectively address the needs of minority culture populations with North America’s increasingly diverse population. The objective of this paper was therefore to review and assess the state of knowledge of barriers and facilitators to cultural competence in rehabilitation services.MethodOur scoping review focused on cultural competence in rehabilitation services. Rehabilitation services included in this review were: audiology, speech-language pathology, physiotherapy, and occupational therapy. A search strategy was developed to identify relevant articles published from inception of databases until April 2015. Titles and abstracts were screened by two independent reviewers according to specific eligibility criteria with the use of a liberal-accelerated approach. Full-text articles meeting inclusion criteria were then screened. Key study characteristics were abstracted by the first reviewer, and findings were verified by the second reviewer.ResultsAfter duplicates were removed, 4303 citations were screened. Included articles suggest that studies on cultural competence occur most frequently in occupational therapy (n = 17), followed by speech language pathology (n = 11), physiotherapy (n = 6), and finally audiology (n = 1). Primary barriers in rehabilitation services include language barriers, limited resources, and cultural barriers. Primary facilitators include cultural awareness amongst practitioners, cultural awareness in services, and explanations of health care systems.ConclusionTo our knowledge, this review is the first to summarize barriers and facilitators to cultural competence in rehabilitation fields. Insufficient studies were found to draw any conclusions with regards to audiological services. Minimal perspectives based on patient/caregiver experiences in all rehabilitation fields underscore a research gap. Future studies should aim to explore both patient/caregiver and practitioner perspectives as such data can help inform culturally competent practices.

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“…Play‐based interactions and observations have been often used as an informal measure in the assessment of children with SSD (Bleile, 2002; Phoon & Maclagan, 2009). Currently, in Sri Lanka there is a lack of standardised assessments in Sinhalese and Tamil languages.…”

Section: Discussionmentioning

confidence: 99%

Consensus on an assessment protocol for children with speech sound disorders in Sri Lanka

Hamza

Unicomb

Hewat

2023

Intl J Lang & Comm Disor

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BackgroundSpeech sound disorders (SSDs) are the most common form of communication disorders in children. SSD have an impact on children's abilities to make themselves understood to their listeners and can influence a child's social and emotional well‐being as well as their academic achievements. Therefore, it is important to identify children with an SSD early, in order to provide appropriate intervention. A wealth of information on best practice in the assessment of children with SSD is available in countries where the speech and language therapy profession is well established. In Sri Lanka, there is a paucity of research evidence supporting assessment practices that are culturally and linguistically appropriate in SSDs. Therefore, clinicians rely on informal assessment methods. There is a need to understand more about how clinicians in Sri Lanka assess this caseload in order to get general agreement regarding comprehensive and consistent procedures for assessment of paediatric SSD in Sri Lanka. This would support speech and language therapists’ (SLTs’) clinical decision‐making in relation to choice of appropriate goals and intervention for this caseload.AimTo develop and gain consensus on an assessment protocol for Sri Lankan children with SSD that is culturally appropriate and based on existing research.MethodA modified Delphi method was utilised to gather data from clinicians currently working in Sri Lanka. The research involved three rounds of data collection, exploring current assessment practices in Sri Lanka, ranking these in order of priority and establishing consensus on a proposed assessment protocol. The proposed assessment protocol was based on the results of the first and second rounds as well as previously published best practice guidelines.Outcome and ResultsThe proposed assessment protocol achieved consensus in relation to content, format and cultural appropriateness. SLTs affirmed the usefulness of the protocol within the Sri Lankan context. Further research is required to assess the feasibility and effectiveness of this protocol in practice.Conclusions & ImplicationsThe assessment protocol supports practicing SLTs with a general guide to assessing children with suspected SSDs in Sri Lanka. The application of this protocol built upon consensus enables clinicians to improve their individual practice patterns based on best practice recommendations in the literature and the evidence on culturally and linguistically appropriate practices. This study has identified the need for further research in this area, including the development of culturally and linguistically specific assessment tools that would complement the use of this protocol.What this paper addsWhat is already known on the subject The assessment of children with speech sound disorders (SSDs) requires a comprehensive and holistic approach due to their heterogeneous nature. Although there is evidence to support the assessment of paediatric SSDs in many countries where the profession of speech and language therapy is established, there is limited evidence to support the assessment of children with SSDs in Sri Lanka.What this study adds This study provides information about current assessment practices in Sri Lanka and consensus on a proposed culturally appropriate protocol for the assessment of children with SSDs in this country.What are the clinical implications of this work? The proposed assessment protocol provides speech and language therapists in Sri Lanka with a guide for assessment of paediatric SSDs to support more consistent practice in this area. Future evaluation of this preliminary protocol is required; however, the methodology used in this research could be applied to the development of assessment protocols for other range of practice areas in this country.

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A Survey of Malaysian Speech-Language Pathologists' Perception of Articulation and Phonological Assessments

Cited by 5 publications

References 15 publications

Evaluation of aphasia in a culturally and linguistically diverse context: Practices of and challenges faced by speech-language pathologists

Evaluation of aphasia in a culturally and linguistically diverse context: Practices of and challenges faced by speech-language pathologists

Barriers and facilitators to cultural competence in rehabilitation services: a scoping review

Consensus on an assessment protocol for children with speech sound disorders in Sri Lanka

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