Implementation science: Multilingual speech (Margetson & McLeod, 2026)
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Purpose: The Speech Assessment of Children’s Home Language(s) (SACHL) offers a new, evidence-based clinical protocol for speech-language pathologists (SLPs) to assess speech in unfamiliar languages. This study used implementation science to investigate SLPs’ current multilingual speech assessment practices, determine the prospective acceptability of the SACHL, and compare current confidence to prospective confidence with the SACHL.Method: The Consolidated Framework for Implementation Research and the Theoretical Framework of Acceptability were used to explore innovation deliverers’ (SLPs and student SLPs) prospective acceptability of the innovation (SACHL). Attendees at in-person and online SACHL presentations were invited to participate. A total of 360 participants responded to an online questionnaire exploring current practices, transcription skills, confidence, and acceptability of the SACHL. Statistical tests compared attendees at different presentations, SLPs and student SLPs, and monolingual and multilingual participants.Results: The majority of participants indicated low current confidence in assessing multilingual children. Most SLPs assessed, transcribed, and analyzed multilingual children’s speech in English but rarely or never applied these practices in children’s home language(s). The majority of participants rated the SACHL as being culturally responsive, well designed, and easy to understand and that it could increase diagnostic accuracy. There were concerns around the time burden in using the SACHL. Most (87.45%) indicated they would like to use the SACHL in clinical practice, and there was a statistically significant improvement between current confidence and prospective confidence.Conclusion: The SACHL was evaluated by SLPs and student SLPs to be an acceptable clinical protocol to assess children’s speech in unfamiliar languages.Supplemental Material S1. The Speech Assessment of Children’s Home Language(s) (SACHL).Supplemental Material S2. Phase 1 Questionnaire: Acceptability of the Speech Assessment of Children’s Home Language(s) (SACHL).Margetson, K., & McLeod, S. (2026). Multilingual speech assessment: Using an implementation science framework to explore acceptability of the Speech Assessment of Children’s Home Language(s) (SACHL). American Journal of Speech-Language Pathology, 35(1), 226–241. https://doi.org/10.1044/2025_AJSLP-25-00141
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