Caregivers' Perceptions of Their Child's Language Disorder: Alignment between Caregivers and Speech–Language Pathologists

Jennifer Selin; Margaret S. Hill; Mary Beth Schmitt

doi:10.1055/s-0038-1670671

Seminars in Speech and Language, Table of Contents

Semin Speech Lang 2018; 39(05): 427-442
DOI: 10.1055/s-0038-1670671

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Caregivers' Perceptions of Their Child's Language Disorder: Alignment between Caregivers and Speech–Language Pathologists

Jennifer Selin

¹Speech-Language Pathologist, South Plains Rehabilitation Center, Lubbock, Texas

,

Margaret S. Hill

²Department of Communication Disorders and Counseling, School, and Educational Psychology, Indiana State University, Terre Haute, Indiana

,

Mary Beth Schmitt

³Department of Speech, Language, and Hearing Sciences, Texas Tech University Health Sciences Center, Lubbock, Texas

› Author Affiliations

Abstract

Caregivers' perceptions regarding their child's language disorder may influence caregivers' involvement in therapy as well as daily home interactions, thus impacting developmental outcomes. However, little is known about the alignment between caregivers' perceptions of their child's language disorder and those of speech–language pathologists (SLPs), nor of factors that might relate to alignment between caregivers and SLPs. This study addressed three aims: (1) to characterize caregivers' perceptions regarding children's quality of communicative interactions, competence in communicative abilities, and outcomes of communicative improvement; (2) to measure alignment between caregivers' and SLPs' perceptions; and (3) to explore caregiver- and child-level factors that might relate to alignment. Caregivers and SLPs of 3- to 4-year-old children currently receiving treatment for language disorders completed questionnaires to assess perceptions along with two caregiver factors (maternal education and self-efficacy) and child language disorder severity. Caregivers' perceptions were more positive and more variable than those of SLPs. However, caregivers and SLPs agreed in rating perceptions of present and future outcomes higher than either quality or competence. Maternal education, caregiver's self-efficacy, and children's language disorder severity were not related to alignment between caregivers and SLPs. Given the variability in caregivers' perceptions, future research should explore the role of perceptions in children's language intervention outcomes.

Keywords

language disorders - preschool children - caregivers' perceptions

Full Text

References

References
1 American Speech-Language-Hearing Association. Definitions of Communication Disorders and Variations. Available at: http://www.asha.org/policy . Accessed April 30, 2018
2 Paul R, Norbury C. Language Disorders from Infancy through Adolescence. 4th ed. St. Louis, MO: Elsevier; 2012
3 Shevell MI, Majnemer A, Webster RI, Platt RW, Birnbaum R. Outcomes at school age of preschool children with developmental language impairment. Pediatr Neurol 2005; 32 (04) 264-269
4 Law J, Garrett Z, Nye C. The efficacy of treatment for children with developmental speech and language delay/disorder: a meta-analysis. J Speech Lang Hear Res 2004; 47 (04) 924-943
5 Miedel WT, Reynolds AJ. Parent involvement in early intervention for disadvantaged children: Does it matter?. J Sch Psychol 1999; 37 (04) 379-402
6 Pancsofar N, Vernon-Feagans L. ; The Family Life Project Investigators. Fathers' early contributions to children's language development in families from low-income rural communities. Early Child Res Q 2010; 25 (04) 450-463
7 Skibbe LE, Justice LM, Zucker TA, McGinty AS. Relations among maternal literacy beliefs, home literacy practices, and the emergent literacy skills of preschoolers with specific language impairment. Early Educ Dev 2008; 19 (01) 68-88
8 Foster MA, Lambert R, Abbott-Shim M, McCarty F, Franze S. A model of home learning environment and social risk factors in relation to children's emergent literacy and social outcomes. Early Child Res Quarterly 2005; 20 (01) 13-36
9 Rodreguez ET, Tamis-LeMonda CS, Spellmann ME. , et al. The formative role of home literacy experiences across the first three years of life in children from low-income families. J Appl Dev Psychol 2009; 30 (06) 677-694
10 Kaiser AP, Roberts MY. Parent-implemented enhanced milieu teaching with preschool children who have intellectual disabilities. J Speech Lang Hear Res 2013; 56 (01) 295-309
11 Selkirk CG, McCarthy Veach P, Lian F, Schimmenti L, LeRoy BS. Parents' perceptions of autism spectrum disorder etiology and recurrence risk and effects of their perceptions on family planning: Recommendations for genetic counselors. J Genet Couns 2009; 18 (05) 507-519
12 Chien WT, Lee IY. An exploratory study of parents' perceived educational needs for parenting a child with learning disabilities. Asian Nurs Res (Korean Soc Nurs Sci) 2013; 7 (01) 16-25
13 McCabe PC. Social and behavioral correlates of preschoolers with specific language impairment. Psychol Sch 2005; 42 (04) 373-387
14 Wittke K, Spaulding TJ, Schechtman CJ. Specific language impairment and executive functioning: parent and teacher ratings of behavior. Am J Speech Lang Pathol 2013; 22 (02) 161-172
15 Hall NE, Segarra VR. Predicting academic performance in children with language impairment: the role of parent report. J Commun Disord 2007; 40 (01) 82-95
16 Romski M, Sevcik RA, Adamson LB, Smith A, Cheslock M, Bakeman R. Parent perceptions of the language development of toddlers with developmental delays before and after participation in parent-coached language interventions. Am J Speech Lang Pathol 2011; 20 (02) 111-118
17 Baxendale J, Lockton E, Adams C, Gaile J. Parent and teacher perceptions of participation and outcomes in an intensive communication intervention for children with pragmatic language impairment. Int J Lang Commun Disord 2013; 48 (01) 41-53
18 Hughes DM, Turkstra LS, Wulfeck BB. Parent and self-ratings of executive function in adolescents with specific language impairment. Int J Lang Commun Disord 2009; 44 (06) 901-916
19 Joffe VL, Black E. Social, emotional, and behavioral functioning of secondary school students with low academic and language performance: perspectives from students, teachers, and parents. Lang Speech Hear Serv Sch 2012; 43 (04) 461-473
20 McCormack J, McLeod S, Harrison LJ, McAllister L. The impact of speech impairment in early childhood: investigating parents' and speech-language pathologists' perspectives using the ICF-CY. J Commun Disord 2010; 43 (05) 378-396
21 World Health Organization. International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY). Geneva, Switzerland: WHO; 2007
22 Ayoub C, O'Connor E, Rappolt-Schlictmann G, Valloton C, Raikes H, Chazan Cohen R. Cognitive skill performance among young children living in poverty: risk, change, and the promotive effects of Early Head Start. Early Child Res Quarterly 2009; 24 (03) 289-305
23 Mistry RS, Benner AD, Biesanz JC, Clark SL, Howes C. Family and social risk, and parental investments during the early childhood years as predictors of low-income children's school readiness outcomes. Early Child Res Quarterly 2010; 25 (04) 432-449
24 Rindermann H, Baumeister AEE. Parents' SES vs. parental educational behavior and children's development: a reanalysis of the Hart and Risley study. Learn Individ Differ 2015; 37: 133-138
25 Dilworth-Bart JE. Does executive function mediate SES and home quality associations with academic readiness?. Early Child Res Quarterly 2012; 27 (03) 416-425
26 Leijten P, Raaijmakers MA, de Castro BO, Matthys W. Does socioeconomic status matter? A meta-analysis on parent training effectiveness for disruptive child behavior. J Clin Child Adolesc Psychol 2013; 42 (03) 384-392
27 Downer JT, Pianta RC. Academic and cognitive functioning in first grade: Associations with earlier home and child care predictors and with concurrent home and classroom experiences. School Psych Rev 2006; 35 (01) 11-30
28 Valloton CD. Infant signs as intervention? Promoting symbolic gestures for preverbal children in low-income families supports responsive parent-child relationships. Early Child Res Quarterly 2012; 27 (03) 401-415
29 Bandura A. Self-Efficacy: The Exercise of Control. New York: Freeman; 1997
30 Sadler J. Knowledge, attitudes and beliefs of the mainstream teachers of children with a preschool diagnosis of speech/language impairment. Child Lang Teach Ther 2005; 21 (02) 147-163
31 Harty M, Alant E, Uys CJE. Maternal self-efficacy and maternal perception of child language competence in pre-school children with a communication disability. Child Care Health Dev 2007; 33 (02) 144-154
32 Smith AL, Romski M, Sevcik RA, Adamson LB, Barker RM. Parent stress and perceptions of language development: comparing Down syndrome and other developmental disabilities. Fam Relat 2014; 63 (01) 71-84
33 Peña ED, Gutierrez-Clellen VF, Iglesias A, Goldstein BA, Bedore LM. Bilingual English-Spanish Assessment. San Rafael, CA: AR-Clinical Publications; 2014
34 Jindal-Snape D, Douglas W, Topping KJ, Kerr C, Smith EF. Effective education for children with autistic spectrum disorder: perceptions of parents and professionals. Int J Sp Ed 2005; 20 (01) 77-87
35 Huttunen K, Välimaa T. Perceptions of parents and speech and language therapists on the effects of paediatric cochlear implantation and habilitation and education following it. Int J Lang Commun Disord 2012; 47 (02) 184-196
36 Johnson C. Highlights of the basic components of evidence-based practice. J Manipulative Physiol Ther 2008; 31 (02) 91-92
37 DesJardin JL. Maternal perceptions of self-efficacy and involvement in the auditory development of young children with prelingual deafness. J Early Interv 2005; 27 (03) 193-209
38 Raudenbush SW, Bryk AS, Cheong YF, Congdon RT, du Toit M. Hierarchical Linear and Nonlinear Modeling. Chicago, IL: Scientific Software International; 2011