Operationalizing Culturally Responsive Research Practices: Documenting the Communication Skills of Children With Confirmed or Possible Exposure to the Zika Virus in Saint Lucia, West Indies

Abstract

Purpose The purpose of this study is to describe a culturally responsive research investigation of communication and interaction skills in Saint Lucian children impacted by the Zika virus (ZIKV). Method Both quantitative and qualitative data collection strategies that align with positivist and interpretivist strategies were used to gain knowledge about communication and interaction development in a cohort of children impacted by ZIKV in Saint Lucia. Thirty participants received a neurodevelopmental assessment, which included a medical assessment, caregiver interview, participant observation, and data collection using the Bayley Scales of Infant and Toddler Development–Third Edition. Twenty-six participants in the cohort received a communication and interaction assessment, which included a caregiver interview, participant observation, and data collection using the Rossetti Infant–Toddler Language Scale. Results Approximately half of our cohort demonstrated typical neurodevelopment, including typical communication and interaction skills, and half demonstrated delays in neurodevelopmental domains, including communication and interaction. Qualitatively, parents expressed a need for resources about mental health, emotional well-being, financial assistance, and peer support. Conclusions There is a continued need to create knowledge about the impact of ZIKV on communication and interaction development in children worldwide. Moreover, culturally responsive research components should be included in research training programs in communication sciences and disorders.