An Investigation of Barriers and Enablers for Genetics in Speech-Language Pathology Explored Through a Case Study of Childhood Apraxia of Speech
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Le résumé fourni par la source
PURPOSE: Advancements in genetic testing and analysis have allowed improved identification of the genetic basis of childhood apraxia of speech, a rare speech presentation. This study aimed to understand speech-language pathologists' (SLPs') consideration of incorporation of genetics in clinical practice using a theory-informed qualitative approach. METHOD: Semistructured interviews were conducted with 12 pediatric SLPs using a behavior change theory (Theoretical Domains Framework [TDF]) within a case study describing a child with complex co-occurring features, including childhood apraxia of speech. Interviews focused on three stages of the patient journey (prereferral, referral, and postreferral). Interviews were analyzed to identify barriers and enablers to considering incorporation of genetics in current clinical practice. Barriers and enablers were grouped and mapped onto a contextually relevant TDF-coded analysis framework. RESULTS: Barriers were identified across several TDF domains, through all stages of the patient journey. Lack of confidence, relevance, and level of experience were most common prereferral, and connection to and awareness of genetics services and contextual factors were barriers in the referral stage. Perception of professional role, knowledge, and beliefs about effects on families were barriers postreferral. Associated enablers were also identified, including seeing value in genetic diagnosis, support from other health care professionals, supervision, and relationships with genetics services. CONCLUSIONS: Results of this qualitative study highlight barriers and enablers to incorporating genetics into speech-language pathology clinical practice. These findings will assist in the development of theory-informed implementation strategies to support SLPs into the future. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.24112800.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- An Investigation of Barriers and Enablers for Genetics in Speech-Language Pathology Explored Through a Case Study of Childhood Apraxia of Speech
- Date Crossref
- 26/09/2024
- Éditeur
- American Speech Language Hearing Association
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Google (United States) pays non établi dans la noticeEntreprise
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Murdoch Children's Research Institute Australian Genomics pays non établi dans la noticeOrganisation à but non lucratif
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Royal Children's Hospital pays non établi dans la noticeÉtablissement de santé
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The University of Melbourne Sir Peter MacCallum Department of Oncology pays non établi dans la noticeUniversité ou école supérieure
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Peter MacCallum Cancer Centre pays non établi dans la noticeÉtablissement de santé
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Victorian Comprehensive Cancer Centre pays non établi dans la noticeÉtablissement de santé
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Australian Genomics Health Alliance pays non établi dans la noticeOrganisation à but non lucratif
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The University of Queensland pays non établi dans la noticeUniversité ou école supérieure
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Google Scholar pays non établi dans la noticeInstitution
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Faculty of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Department of Health Services Research pays non établi dans la noticeInstitution
Google (United States), Australian Genomics — Murdoch Children's Research Institute et Royal Children's Hospital, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.