Abstract

Background: Parent-child interaction therapy refers to a group of interventions mediated by trained parents to address areas of developmental difficulties in children. In the field of speech and language therapy it is used in early intervention for children with speech, language and communication difficulties. The intervention involves training parents and caregivers on the importance of responsivity and language input in daily interactions and coaches them on strategies to implement these with the children. As the success of the intervention is heavily influenced by caregiver engagement, understanding and acceptance, it is important to consider their views. However, to date there has been limited work on synthesising parental views of this intervention. Methods: This is a protocol for a qualitative evidence synthesis of peer-reviewed qualitative papers addressing the experiences and perceptions of parent-child interaction therapy for parents of children with communication difficulties. We will complete a systematic search of 11 databases, review the reference lists and complete a cited reference search of all included studies. Two authors will independently screen tests for inclusion, initially by title and abstract, with full-text screening as necessary. Thematic synthesis will be used for all included studies. We will appraise the quality of included studies using CASP and confidence in the review findings using GRADE CERQual. Discussion: As the views of parents are pivotal in the success of this intervention, the findings from this synthesis should help to guide best practice and policy for the future implementation of parent child interaction therapy for children with communication difficulties..

Highlights

  • Parent-child interaction therapy refers to a group of interventions mediated by trained parents to address areas of developmental difficulties in children

  • Enhanced Milieu Teaching (EMT) or prelinguistic milieu teaching is another version of the intervention, which combines elements of responsivity education with behavioural strategies and milieu teaching through modelling and environmental arrangements in order to promote verbal and/or nonverbal language and communication (Hancock & Kaiser, 2007)

  • How the intervention might work Parent-child interaction therapy (PCIT) comes from social-interactionist/constructivist theories of language development, which state that children naturally learn to communicate based on how adults in their environment respond to and interact with them in daily activities (Klatte et al, 2019; Warren et al, 2008)

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Summary

16 Dec 2019

Any reports and responses or comments on the article can be found at the end of the article. Enhanced Milieu Teaching (EMT) or prelinguistic milieu teaching is another version of the intervention, which combines elements of responsivity education with behavioural strategies and milieu teaching through modelling and environmental arrangements in order to promote verbal and/or nonverbal language and communication (Hancock & Kaiser, 2007) This intervention is mostly delivered intensively through one-to-one sessions and involves the clinician working directly with the child in addition to coaching the parent. How the intervention might work PCIT comes from social-interactionist/constructivist theories of language development, which state that children naturally learn to communicate based on how adults in their environment respond to and interact with them in daily activities (Klatte et al, 2019; Warren et al, 2008) This theory holds that helping children to intentionally use broader and more frequent verbal and/or nonverbal means of communicating and by helping parents to recognise and respond to this in appropriate ways enhances language learning. The findings from the synthesis will be useful in guiding practice and policy for the implementation of PCIT, by capturing the parent voice in how they view their role in improving their child’s language and communication outcomes

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