As practitioners dedicated to improving the lives of children with speech, language, and communication needs (SLCN), it's essential to continually refine our methods and embrace evidence-based approaches. A recent review titled "The applicability of normalisation process theory to speech and language therapy: a review of qualitative research on a speech and language intervention" provides insightful data on how Normalisation Process Theory (NPT) can enhance the implementation of speech and language interventions.
Normalisation Process Theory (NPT) offers a framework for understanding how new interventions become embedded in practice. The theory emphasizes the importance of interpersonal processes and collective action, which are crucial in speech and language therapy. This blog post will highlight key findings from the review and offer practical advice for practitioners looking to integrate these insights into their practice.
Key Findings from the Review
The review focused on the Hanen Parent Programme (HPP), an intervention widely used in the UK. By analyzing qualitative data from parents and practitioners, the study uncovered several strengths and areas for improvement in the interpersonal processes involved in the intervention.
Strengths Identified
- Flexible Interpersonal Work: Both parents and practitioners demonstrated flexibility in adapting their roles and expectations. Parents, initially expecting direct therapy for their child, accepted their role as the primary agents of change, guided by the practitioner.
- Successful Co-construction: Practitioners were adept at helping parents understand the rationale behind the intervention, which facilitated the co-construction of goals and outcomes.
Areas for Improvement
- Outcome Measurement: There was a discrepancy between how parents and practitioners measured success. Parents focused on social changes in their child, while practitioners evaluated specific linguistic behaviors. Aligning these perspectives could enhance satisfaction and perceived effectiveness.
- Distribution of Accountability: The study found limited flexibility in how accountability and expertise were distributed. Practitioners held most of the expertise, with parents and other healthcare providers playing a more passive role.
Practical Advice for Practitioners
To integrate these findings into your practice, consider the following strategies:
1. Foster Flexibility
Encourage parents to take an active role in the intervention. Use clear, evidence-based explanations to help them understand their importance in the therapy process. Flexibility in your approach can lead to better outcomes and higher satisfaction.
2. Align Outcome Measurements
Work with parents to establish shared goals and agree on meaningful outcomes. Consider both linguistic and social changes as measures of success. This alignment can enhance the perceived effectiveness of the intervention.
3. Distribute Accountability
Empower parents and other healthcare providers by sharing knowledge and responsibilities. Training sessions, informational materials, and collaborative planning can help distribute expertise more evenly, leading to a more integrated approach.
Encouraging Further Research
While the review provides valuable insights, it also highlights the need for further research, particularly in exploring the perspectives of other stakeholders like primary healthcare providers. Understanding their views could offer additional strategies for improving the implementation and effectiveness of speech and language interventions.
For practitioners, staying informed about the latest research and incorporating evidence-based strategies into practice is crucial. By embracing the principles of NPT and continually seeking to improve, we can create better outcomes for children with SLCN.
To read the original research paper, please follow this link: The applicability of normalisation process theory to speech and language therapy: a review of qualitative research on a speech and language intervention.
