Purpose: Most speech-language pathologists (SLPs) working with children with developmental language disorder (DLD) do not perform language sample analysis (LSA) on a regular basis, although they do regard LSA as highly informative for goal setting and evaluating grammatical therapy. The primary aim of this study was to identify facilitators, barriers, and needs related to performing LSA by Dutch SLPs working with children with DLD. The secondary aim was to investigate whether a training would change the actual performance of LSA. Method: A focus group with 11 SLPs working in Dutch speech-language pathology practices was conducted. Barriers, facilitators, and needs were identified using thematic analysis and categorized using the theoretical domain framework. To address the barriers, a training was developed using software program CLAN. Changes in barriers and use of LSA were evaluated with a survey sent to participants before, directly after, and 3 months posttraining. Results: The barriers reported in the focus group were SLPs’ lack of knowledge and skills, time investment, negative beliefs about their capabilities, differences in beliefs about their professional role, and no reimbursement from health insurance companies. Posttraining survey results revealed that LSA was not performed more often in daily practice. Using CLAN was not the solution according to participating SLPs. Time investment remained a huge barrier. Conclusions: A training in performing LSA did not resolve the time investment barrier experienced by SLPs. User-friendly software, developed in codesign with SLPs might provide a solution. For the short-term, shorter samples, preferably from narrative tasks, should be considered.
Purpose: Most speech-language pathologists (SLPs) working with children with developmental language disorder (DLD) do not perform language sample analysis (LSA) on a regular basis, although they do regard LSA as highly informative for goal setting and evaluating grammatical therapy. The primary aim of this study was to identify facilitators, barriers, and needs related to performing LSA by Dutch SLPs working with children with DLD. The secondary aim was to investigate whether a training would change the actual performance of LSA. Method: A focus group with 11 SLPs working in Dutch speech-language pathology practices was conducted. Barriers, facilitators, and needs were identified using thematic analysis and categorized using the theoretical domain framework. To address the barriers, a training was developed using software program CLAN. Changes in barriers and use of LSA were evaluated with a survey sent to participants before, directly after, and 3 months posttraining. Results: The barriers reported in the focus group were SLPs’ lack of knowledge and skills, time investment, negative beliefs about their capabilities, differences in beliefs about their professional role, and no reimbursement from health insurance companies. Posttraining survey results revealed that LSA was not performed more often in daily practice. Using CLAN was not the solution according to participating SLPs. Time investment remained a huge barrier. Conclusions: A training in performing LSA did not resolve the time investment barrier experienced by SLPs. User-friendly software, developed in codesign with SLPs might provide a solution. For the short-term, shorter samples, preferably from narrative tasks, should be considered.
Grondslagen van ergotherapieDit boek is hét standaardwerk over ergotherapie en de professie van de ergotherapeut in Nederland en Vlaanderen. Het is daarmee onmisbaar voor de opleidingen ergotherapie en voor ergotherapeuten in de praktijk.Dit is de zesde druk van Grondslagen van ergotherapie. Inhoudelijk zijn alle hoofdstukken geactualiseerd en meer toegankelijk gemaakt. Ieder hoofdstuk heeft nu een basisdeel gericht op de eerstejaars student en een verdiepend deel voor ouderejaars en professionals. Daarnaast zijn er drie nieuwe hoofdstukken. Onder meer over participatie, gezondheid en welzijn, de ergotherapeut in individueel perspectief en over het Person-Evironment-Occupation (PEO-)model.Grondslagen van ergotherapie bestaat uit vier delen. Het eerste gaat onder meer in op beroepsvorming, dagelijks handelen, diversiteit en de ergotherapeut. Het tweede deel beschrijft de kernelementen van ergotherapie en de handelingsgebieden. Deel drie bespreekt veel gebruikte modellen en frameworks. Het laatste deel zoomt in op de praktische toepassing van ergotherapie, methodisch handelen, assessmentinstrumenten, technologie en kwaliteit in zorg en welzijn. Bij dit boek hoort een website voor naslag en studie.Deze nieuwe druk is een Nederlands-Vlaamse co-creatie. Beide landen zijn vertegenwoordigd in de redactie en alle hoofdstukken hebben zowel een Nederlandse als Vlaamse auteur. Er schreven 45 auteurs mee. De redactie bestaat uit Margo van Hartingsveldt (opleidingsmanager en lector Ergotherapie aan de Hogeschool van Amsterdam), Daphne Kos (professor Ergotherapeutische Wetenschap aan de KU Leuven en onderzoekscoördinator in het Nationaal MS Centrum Melsbroek) en Mieke le Granse (oud-docent Ergotherapie en coördinator van de Duitse bacheloropleiding).
