The current practices of Australian speech-language pathologists in providing communication services to children with autism spectrum disorder

Sandham, Victoria; Hill, Anne; Hinchliffe, Fiona

doi:10.1080/17549507.2021.1923800

Cited by 3 publications

(6 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our survey respondents reported that the primary innersetting and outer-setting barriers to delivering services were related to funding and time. The predominance of innersetting barriers at the organization level is consistent with previously conducted research in the field (e.g., prioritizing activities related to client flow over client care, lack of skills and resources, lack of time; Cheung et al, 2013;Harding et al, 2014;Sandham et al, 2021). Across our sample, large caseloads, long waitlists, and inadequate amount of and access to therapy were recurring themes.…”

Section: Clinical Implications and Future Directions Informed By Expl...supporting

confidence: 86%

“…Over the past decade, surveys exploring SLP practices used with autistic children have been conducted in Australia (Sandham et al, 2021), India (Mendonsa & Tiwari, 2018), Israel (Sinai-Gavrilov et al, 2019), the United States (Cascella & Colella, 2004; Plumb & Plexico, 2013; Stone, 1987) and Taiwan (Hsieh et al, 2018). While these surveys have examined SLPs” training, knowledge, and current practices with autistic individuals in different countries, there is limited data specific to SLPs and SLP-assistants (e.g., Communication Disorders Assistants; CDAs) working with preschool-aged autistic children.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Current practices, supports, and challenges in speech-language pathology service provision for autistic preschoolers

Binns

Cunningham

Andres

et al. 2022

Autism & Developmental Language Impairments

View full text Add to dashboard Cite

Background Speech-language pathology services are among the most frequently accessed services for young autistic children. Therefore, understanding the nature of these services, what challenges these clinicians face, and what supports they value is critical for developing appropriate policies and practices that can maximize positive outcomes for children and families. This study had two primary aims. The first was to examine the self-reported assessment and intervention practices of community-based Speech Language Pathologists (SLPs) and communicative disorders assistants (CDAs; who provide services under the supervision of a SLP) in supporting preschool children with suspected and diagnosed autism. The second aim was to identify barriers and supports (facilitators) to providing services in the community using the Consolidated Framework for Implementation Research (CFIR) as a framework. Methods A cross-sectional online survey was used to collect qualitative and quantitative data from clinicians in Ontario Canada who were providing speech and language services to preschool children with suspected or diagnosed autism. Quantitative data were used to describe clinicians” practices, and qualitative data captured their perspectives on barriers and supports to providing services. Results A total of 258 clinicians participated in the survey. On average, clinicians reported almost half of the preschoolers on their caseload had either diagnosed or suspected autism. There was consistency across the skill development areas assessed by SLPs, and targeted during therapy sessions, with the top four areas targeted being: foundational social communication, language, play and pragmatics. However, there was wide variation in speech and language assessment and intervention practices reported by this sample of clinicians (i.e., service delivery models, tools or programs used, length and duration of therapy services, level of collaboration with other professionals). Clinicians identified several barriers to providing services: limited funding and time, lack of inter-professional collaboration, difficulty accessing services, community messaging about autism services, family readiness and clinician knowledge. Supports (facilitators) included: access to autism-focused professional development, inter- and intra-professional collaboration, and access to additional supports in the community.

show abstract

Section: Clinical Implications and Future Directions Informed By Expl...supporting

confidence: 86%

mentioning

confidence: 99%

Current practices, supports, and challenges in speech-language pathology service provision for autistic preschoolers

Binns

Cunningham

Andres

et al. 2022

Autism & Developmental Language Impairments

View full text Add to dashboard Cite

show abstract

“…Speech pathologists who reported working clinically in Australia with children with Autism Spectrum Disorder (ASD) were recruited via convenience sampling. This included participants across Australia who indicated an interest in participating in future research during a previous study (Sandham et al., 2021 ) and clinical speech pathologists identified from the first author's professional networks, working in Queensland, Australia. A total of 15 clinical speech pathologists who provided services in Australia participated in this study.…”

Section: Methodsmentioning

confidence: 99%

“…This group size is recommended to retain the small‐group intimacy that allows disclosure (Krueger & Casey, 2015 ; Terry et al., 2017 ). Disclosure was a particularly important consideration, as clinicians’ use of EBP may not reflect their knowledge, and may therefore be a sensitive topic (Sandham et al., 2021 ). The groups were conducted via Zoom videoconferencing or in face‐to‐face mode, according to participant location and preference.…”

Section: Methodsmentioning

confidence: 99%

“…This paper focuses exclusively on the views of speech pathologists, who are a significant implementer of autism services in Australia. In Australia, the dominant service model for speech pathologists, and many other health professionals, is private, clinic‐based therapy, at a dosage of less than 1 h per week, delivered in a one‐on‐one format (Sandham et al., 2021 ; Taylor et al., 2016 ). This research focuses on individual practitioners working in the non‐government and private sector and seeks to identify what individual‐level practitioner strategies are currently used by clinical speech pathologists.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The perspectives of Australian speech pathologists in providing evidence‐based practices to children with autism

Sandham

Hill

Hinchliffe

2022

Intl J Lang & Comm Disor

Self Cite

View full text Add to dashboard Cite

Background: Bridging the research-practice gap in autism communication services is an identified priority for improving services. Limited research has investigated the views of practitioners regarding this research-practice gap.Investigation of the barriers experienced and facilitators used in clinical practice may assist to identify scalable and sustainable strategies to increase use of evidence-based practices (EBPs) in the delivery of communication services to children with autism.Aims: To elucidate how Australian speech pathologists engage with external evidence and how communication outcomes are measured to demonstrate the effectiveness of service provision to children with autism.Methods & Procedures: A total of 15 Australian speech pathologists, with experience ranging from less than 1 to more than 16 years, participated in three focus groups. Data from focus groups were analysed using reflexive thematic analysis within an interpretive phenomenological paradigm. Outcomes & Results: Seven themes were identified. Participants reported on the diversity of individuals with autism, their experiences of resource constraints, seeking collegial advice and accessing a diverse range of evidence sources, the role of clinical expertise in translating evidence to practice, the barriers experienced in outcome measurement and use of stakeholders to facilitate data collection to demonstrate outcomes. Conclusions & Implications: Individual practitioner skill and beliefs are facilitators to translating research to practice. Interventions to improve clinician use of EBP should address the skill and belief barriers, aiming to increase a clinician's EBP self-efficacy and increasing their expectation that investing in EBP activities will result in improved services for children with autism. Modelling and reflective practice are two strategies that may have an application as interventions to improve EBP use in clinical practice.

show abstract

Demand Analysis of English Language Service Value Based on Data Mining Ecosystem

Shao

2023

ICST Transactions on Scalable Information Systems

View full text Add to dashboard Cite

INTRODUCTION: Language is a bridge between people, an indispensable component of information exchange and communication, and an essential part of social culture. As the most widely used language in the world, English occupies an essential position in the social language, generating value demands related to it, ranging from the needs of individuals for their development to the needs of social industries or fields for their development to the national language strategy. OBJECTIVES: The purpose of this paper is that due to the implementation of the "One Belt, One Road" policy, more and more cultures of the countries along the route are coming into China's vision, and at the same time, Chinese culture should also be promoted, and only through the correct use of language can we promote the Chinese civilization and other civilizations to seek common ground and put aside their differences, appreciate each other, and eliminate the clash of cultures in the process of mutual collision and fusion of different civilizations. METHODS: Based on the data mining ecosystem, this study examines the demand analysis of the value of English language services in today's environment, explores the explicit and implicit benefits regarding the value of English language services, and analyzes and explores the explicit and implicit economic benefits of language services and the economic, social, and cultural benefits they encompass at different levels. RESULTS: The research suggests that we need to focus on the value of multiform English language services, strengthen English language industry research and studies, and conduct a scientific English language economic program. CONCLUSION: Language services and language economy are two closely related concepts. Analyzing language services from multiple perspectives can reveal their explicit and implicit economic, social and cultural benefits.

show abstract

The current practices of Australian speech-language pathologists in providing communication services to children with autism spectrum disorder

Cited by 3 publications

References 33 publications

Current practices, supports, and challenges in speech-language pathology service provision for autistic preschoolers

Current practices, supports, and challenges in speech-language pathology service provision for autistic preschoolers

The perspectives of Australian speech pathologists in providing evidence‐based practices to children with autism

Demand Analysis of English Language Service Value Based on Data Mining Ecosystem

Contact Info

Product

Resources

About