“…Increased collaborative opportunities during remote working whilst reported in this survey are not replicated in the Hong Kong digital practice survey, which is the only other COVID‐19 study focusing solely on paediatric SLT (Fong et al., 2021 ). Existing research has demonstrated that the impact of a child's communication and/or feeding needs and the subsequent approach to SLT management can be influenced by a range of social, cultural, political and disability‐related factors (Babatsouli, 2021 ). Whilst beyond the scope of this paper, it would be useful for future research to consider whether there are implications in terms of digital provisions.…”
Background:The COVID-19 pandemic and subsequent measures to reduce transmission risk has led to unprecedented digital transformation across health, education and social care services. This includes UK paediatric speech and language therapy (SLT), which sits at the crossroads of these services. Given the rapid onset of this pandemic-induced digital transition, there is now a need to capture, reflect and learn from the SLT profession so that benefits can be sustained, and barriers addressed. Aims: To survey the impact of COVID-19 remote working on UK paediatric SLTs' digital views and experiences using the Capability, Opportunity, Motivation and Behaviour (COM-B) model. Methods & Procedures: An online survey was conducted from May to October 2020. Respondents were asked to rate their use of technology in service delivery before and during the pandemic, to select factors facilitating digital practice, and to provide open-response aspirations for the future role of technology in paediatric SLT which were analysed thematically using the COM-B behaviour change model. Outcomes & Results: A total of 424 UK paediatric SLTs responded to the survey.Findings indicate a marked increase in clinicians' perception of their frequency, convenience and confidence with digital practice during COVID-19 compared with before the pandemic. Respondents identified that specialist training (27%), funding for workplace devices (22%) and supportive leadership (19%) were most likely to facilitate sustained digital practice. Clinicians hoped for a blended approach going forward with technology enhancing existing best practice. Further prominent themes included digital accessibility for all and maintaining the increased opportunity for multidisciplinary working that videoconferencing has afforded. More service-specific aspirations were bespoke technologicalThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
“…Increased collaborative opportunities during remote working whilst reported in this survey are not replicated in the Hong Kong digital practice survey, which is the only other COVID‐19 study focusing solely on paediatric SLT (Fong et al., 2021 ). Existing research has demonstrated that the impact of a child's communication and/or feeding needs and the subsequent approach to SLT management can be influenced by a range of social, cultural, political and disability‐related factors (Babatsouli, 2021 ). Whilst beyond the scope of this paper, it would be useful for future research to consider whether there are implications in terms of digital provisions.…”
Background:The COVID-19 pandemic and subsequent measures to reduce transmission risk has led to unprecedented digital transformation across health, education and social care services. This includes UK paediatric speech and language therapy (SLT), which sits at the crossroads of these services. Given the rapid onset of this pandemic-induced digital transition, there is now a need to capture, reflect and learn from the SLT profession so that benefits can be sustained, and barriers addressed. Aims: To survey the impact of COVID-19 remote working on UK paediatric SLTs' digital views and experiences using the Capability, Opportunity, Motivation and Behaviour (COM-B) model. Methods & Procedures: An online survey was conducted from May to October 2020. Respondents were asked to rate their use of technology in service delivery before and during the pandemic, to select factors facilitating digital practice, and to provide open-response aspirations for the future role of technology in paediatric SLT which were analysed thematically using the COM-B behaviour change model. Outcomes & Results: A total of 424 UK paediatric SLTs responded to the survey.Findings indicate a marked increase in clinicians' perception of their frequency, convenience and confidence with digital practice during COVID-19 compared with before the pandemic. Respondents identified that specialist training (27%), funding for workplace devices (22%) and supportive leadership (19%) were most likely to facilitate sustained digital practice. Clinicians hoped for a blended approach going forward with technology enhancing existing best practice. Further prominent themes included digital accessibility for all and maintaining the increased opportunity for multidisciplinary working that videoconferencing has afforded. More service-specific aspirations were bespoke technologicalThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Purpose:
Diversity considerations are of paramount significance in the clinical assessment and treatment of speech disorders in bilingual children and adults who speak a less common language (and/or its dialects). While comprehensive assessment is essential for culturally and linguistically diverse (CLD) populations, this is clinically challenging due to the indeterminacy entailed in the process and incumbrances in access to resources. This clinical tutorial outlines key considerations necessary for holistic, ecological, and dynamic assessments of speech disorders internationally, focusing on Greek.
Method:
Pertinent literature is reviewed to provide the relevant theoretical backdrop for the ecosystemic protocol, both conceptually and schematically. Greek is utilized as an example language, aiming to underscore knowledge, tools, and other resources on clinically relevant aspects of dialectal, interlanguage (adult second language [L2]), and child multilingual (L2/third language) variation in Greek-dominant speakers.
Results:
The tutorial highlights facets of Greek speech and scripts a primary assessment model for clinical use mostly targeting clinicians that are not speakers or cognizant of the language, also viewing speech in linguistic diversity as a sociolinguistic construct. Recommendations for clinical practices are outlined proposing a specific action plan, exemplified by a case scenario.
Conclusions:
The demonstrated ecosystemic paradigm in holistic, ecological protocols for clinical assessment of speech disorder in CLD speakers addresses the need for nonlinear, multilevel assessment of variable language exposure and use; being sensitive to individual speaker specificities; the sociolinguistic environment; and employing people-first, culturally sensitive, and dynamic strategies in clinical assessment. The stance also simplifies disambiguation tasks regarding the difference disorder dichotomy, enhancing existing clinical procedures.
The present article proposes a sociolinguistic stance in the dissemination of information for use in the clinical context of speech language pathology (SLP) internationally. This practical guide to speech and culture aims to encourage the integration of linguistic and cultural facets in clinical practicum approaches, providing a useful and clinically relevant resource. This comes as a natural consequence of the systematic efforts worldwide to train and inform SLP workforces on providing equitable, targeted, and appropriate service to linguistically and culturally diverse clients such as minorities and immigrants. The specific focus of this guide is on Iranian Persian, a language and culture that is under-represented in published, clinically relevant literature. The paper provides an easily accessible reference manual on the phonological development and clinical assessment of Iranian Persian child speech in typical and atypical, monolingual and bilingual contexts, as well as on cultural aspects that may dictate the success of clinician and client/family interactions.
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