Addressing Communicative Participation in Treatment Planning for Adults: A Survey of U.S. Speech-Language Pathologists Purpose In speech-language pathology, there is increasing attention on participation-focused interventions to optimize participation in valued life roles. The purpose of this study was to investigate how speech-language pathologists (SLPs) in the United States address life participation in therapy programs, as well as their opinions regarding barriers and facilitators to ... Research Article
Research Article  |   August 01, 2016
Addressing Communicative Participation in Treatment Planning for Adults: A Survey of U.S. Speech-Language Pathologists
 
Author Affiliations & Notes
  • Janaki M. Torrence
    University of Washington, Seattle
  • Carolyn R. Baylor
    University of Washington, Seattle
  • Kathryn M. Yorkston
    University of Washington, Seattle
  • Kristie A. Spencer
    University of Washington, Seattle
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Carolyn Baylor: cbaylor@u.washington.edu
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Daniel Kempler
    Associate Editor: Daniel Kempler×
Article Information
Speech, Voice & Prosodic Disorders / Dysarthria / Voice Disorders / Research Issues, Methods & Evidence-Based Practice / Language Disorders / Aphasia / Research Articles
Research Article   |   August 01, 2016
Addressing Communicative Participation in Treatment Planning for Adults: A Survey of U.S. Speech-Language Pathologists
American Journal of Speech-Language Pathology, August 2016, Vol. 25, 355-370. doi:10.1044/2015_AJSLP-15-0049
History: Received May 5, 2015 , Revised September 15, 2015 , Accepted November 20, 2015
 
American Journal of Speech-Language Pathology, August 2016, Vol. 25, 355-370. doi:10.1044/2015_AJSLP-15-0049
History: Received May 5, 2015; Revised September 15, 2015; Accepted November 20, 2015

Purpose In speech-language pathology, there is increasing attention on participation-focused interventions to optimize participation in valued life roles. The purpose of this study was to investigate how speech-language pathologists (SLPs) in the United States address life participation in therapy programs, as well as their opinions regarding barriers and facilitators to participation-focused intervention.

Method An online questionnaire presented case scenarios for aphasia, dysarthria, and laryngectomy to 66 SLPs who have worked with adults. SLPs were asked to write goals and describe therapy activities for the scenarios. The final section of the questionnaire was an open-ended question regarding barriers and facilitators to participation-focused intervention.

Results Many SLPs addressed participation in their rationales for therapy; 50% of goals had a participation-focused rationale. However, the goals, activities, and outcomes measures typically focused more on impairment and skill performance. Only 8% of goals specifically referenced participation. Although many SLPs stated that participation-focused intervention is important, they identified many barriers to implementation including time and productivity constraints, limits of clinical settings, and documentation challenges.

Conclusions There is potential for gaps between SLPs' participation-focused rationale for therapy and activities or outcomes measures that often do not include participation elements. SLPs are interested in participation-focused treatment resources.

Acknowledgments
This study was made possible by the Department of Rehabilitation Medicine, University of Washington. We thank all of the participants who gave their time and energy to complete our questionnaire.
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