Parental adherence to Speech Language Therapy treatments in children

  • Research type

    Research Study

  • Full title

    Parental adherence to Speech & Language Therapy (SLT) treatments in young children with Speech, Language and Communication Needs (SLCN): levels, predictors and relations with parent satisfaction and child outcomes.

  • IRAS ID

    129974

  • Contact name

    John Weinman

  • Contact email

    john.weinman@kcl.ac.uk

  • Research summary

    Between 5-8% of children under five have Speech Language Communication Needs (SLCN). Persistent communication difficulties can affect social, emotional and educational development, with long-term effects including an increased risk of unemployment. Speech and Language Therapy (SLT) is central to the diagnosis and provision of therapy for such children and interventions in pre-school children typically require a high degree of parental involvement however little is known about this or the factors which influence the level of parental adherence. This study will identify levels of parental adherence to SLT interventions with children under 5 years, test predictors of adherence and explore the relationship between adherence and child outcome following intervention in a sample of 300 parents. Predictor factors related to non-adherence include how parents perceive the nature of their child’s condition (illness perceptions), belief in their ability to carry out recommendations and in their parenting skills (self-efficacy). Other factors relate to the therapeutic relationship (therapeutic alliance) and practical barriers to attending clinic. Parents will complete a number of measures at two time points that assess these potential predictors as well as a measure of adherence. Information on their child’s SLCN and their treatment will be provided, with consent, by the local SLT department. This research will provide the rationale for future intervention studies to improve parental adherence. The potential benefits are improved parental participation in SLT, better outcomes and efficient and productive SLT services.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    13/SC/0341

  • Date of REC Opinion

    26 Jun 2013

  • REC opinion

    Favourable Opinion