PDF(Pubmed)
Abstract：
Speech and language therapists (SLTs) worldwide report challenges with providing recommended, evidence-based intervention intensity for children with speech sound disorder (SSD). Challenges such as service constraints and/or family contexts impact on access to optimal therapy intensity. Existing research indicates that empowering and training parents to deliver intervention at home, alongside SLT support, offers one possible solution to increasing the intensity of intervention children with SSD receive. Digital health could increase accessibility to intensive home practice and help sustain engagement with therapy activities. Further exploration is needed around what makes parent-implemented interventions for children with SSD effective, for who and in which situations. This paper outlines the protocol for a realist review which aims to explore the active ingredients and contextual factors of effective digital parent-led interventions.
A realist review will explore the research question, following six stages. The scope of the review will be determined, and initial programme theories will be developed about what works in digital parent-implemented interventions for SSD, for whom, how, why and in what circumstances. Relevant secondary data, identified through a formal search strategy, will be selected, appraised, analysed and synthesised using realist principles to test and further refine the initial programme theories. This process will develop refined underpinning explanatory theories which capture the interaction between contexts, mechanisms and outcomes of the intervention. An expert steering group will provide insight to inform explanatory theories, searches, and dissemination.
Ethical approval is not required for this review. The refined programme theories from the review will inform the next stages of a wider study. A subsequent realist evaluation will test and further refine theories with key stakeholders. Following this, the underpinning programme theory will be used to coproduce a digital tool, to support parents to deliver home intervention alongside SLT support.
A realist review will explore the research question, following six stages. The scope of the review will be determined, and initial programme theories will be developed about what works in digital parent-implemented interventions for SSD, for whom, how, why and in what circumstances. Relevant secondary data, identified through a formal search strategy, will be selected, appraised, analysed and synthesised using realist principles to test and further refine the initial programme theories. This process will develop refined underpinning explanatory theories which capture the interaction between contexts, mechanisms and outcomes of the intervention. An expert steering group will provide insight to inform explanatory theories, searches, and dissemination.
Ethical approval is not required for this review. The refined programme theories from the review will inform the next stages of a wider study. A subsequent realist evaluation will test and further refine theories with key stakeholders. Following this, the underpinning programme theory will be used to coproduce a digital tool, to support parents to deliver home intervention alongside SLT support.
摘要：
背景：全球语音和语言治疗师（SLT）报告挑战，提供推荐，基于证据的干预强度为儿童的言语声音障碍（SSD）。诸如服务限制和/或家庭环境之类的挑战对获得最佳治疗强度的影响。现有的研究表明，授权和培训父母在家里提供干预，除了SLT支持，提供了一种可能的解决方案，以增加接受SSD的儿童的干预强度。数字健康可以增加密集家庭实践的可及性，并有助于维持对治疗活动的参与。需要进一步探索是什么使父母对SSD儿童实施的干预有效，对于谁和在什么情况下。本文概述了现实主义者审查的协议，旨在探索有效的数字父母主导干预措施的有效成分和环境因素。
方法：一个现实主义的综述将探讨研究问题，以下六个阶段。审查范围将确定,和最初的计划理论将被开发关于什么在数字父母实施的SSD干预中工作，为谁,如何,为什么和在什么情况下。相关二级数据，通过正式的搜索策略确定，将被选中，已评估,使用现实主义原则进行分析和综合，以测试和进一步完善初始计划理论。这个过程将发展精致的基础解释理论，捕捉上下文之间的相互作用，干预的机制和结果。一个专家指导小组将提供洞察力，为解释性理论提供信息，搜索,和传播。
背景：本审查不需要道德批准。审查中完善的计划理论将为更广泛的研究的下一阶段提供信息。随后的现实主义评估将与关键利益相关者一起测试和进一步完善理论。在此之后,基础程序理论将用于共同生产数字工具，支持父母提供家庭干预和SLT支持。
方法：一个现实主义的综述将探讨研究问题，以下六个阶段。审查范围将确定,和最初的计划理论将被开发关于什么在数字父母实施的SSD干预中工作，为谁,如何,为什么和在什么情况下。相关二级数据，通过正式的搜索策略确定，将被选中，已评估,使用现实主义原则进行分析和综合，以测试和进一步完善初始计划理论。这个过程将发展精致的基础解释理论，捕捉上下文之间的相互作用，干预的机制和结果。一个专家指导小组将提供洞察力，为解释性理论提供信息，搜索,和传播。
背景：本审查不需要道德批准。审查中完善的计划理论将为更广泛的研究的下一阶段提供信息。随后的现实主义评估将与关键利益相关者一起测试和进一步完善理论。在此之后,基础程序理论将用于共同生产数字工具，支持父母提供家庭干预和SLT支持。
