Speech and language therapists' approaches to communication intervention with children and adults with profound and multiple learning disability
Abstract
People with profound intellectual and multiple disabilities (PMLD) have communication impairments as one defining characteristic. To explore speech and language therapists' (SLTs) decision making in communication interventions for people with PMLD, in terms of the intervention approaches used, the factors informing the decisions to use specific interventions and the extent to which the rationales underpinning these decisions related to the components of evidence based practice (EBP), namely empirical evidence, clinical experience and client/carer views and values. A questionnaire on communication assessment and intervention for people with PMLD was sent to SLTs in the UK to elicit information on: the communication intervention approaches they used; their rationales for their intervention choices; their use of published evidence to inform decision making. Intensive interaction and objects of reference were the communication interventions most often used with people with PMLD, with some differences between children and adults evident. Rationales provided conformed somewhat to the EBP framework though extension of the existing framework and addition of practical and organizational considerations led to a revised typology of rationale for decision making. Rationales most frequently related to the empowerment, development and behavioural preferences of the person with PMLD.Citation
Goldbart, J., Chadwick, D. and Buell, S. (2014), 'Speech and language therapists’ approaches to communication intervention with children and adults with profound and multiple learning disability', International Journal of Language & Communication Disorders, 49 (6) pp. 687-701. doi:10.1111/1460-6984.12098Publisher
WileyJournal
International Journal of Language & Communication DisordersPubMed ID
24925590Additional Links
https://onlinelibrary.wiley.com/doi/abs/10.1111/1460-6984.12098Type
Journal articleLanguage
enISSN
1460-6984ae974a485f413a2113503eed53cd6c53
10.1111/1460-6984.12098
Scopus Count
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- Creative Commons
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