Laura Desha

Health-related quality-of-life of children with speech and language difficulties: A review of the literature

Abstract A review of the literature has been undertaken to examine health-related quality-of-life (HRQoL) of children and adolescents with speech and language difficulties (SaLD), with a particular focus on evidence regarding the domains of HRQoL most affected by SaLD. Twelve electronic databases were searched for articles on this topic published from 1966 to January 2011. Seven studies suitable for inclusion were identified. These papers were reviewed in relation to their participants, sample size, study design, and outcome measures, which differed considerably across studies. From the studies reviewed, there is emerging evidence that HRQoL can be compromised for children and adolescents with SaLD relative to their peers, and some consensus that the social domain of HRQoL is most impacted. Overall, the review highlights a paucity of research in this area and recommendations are made as to how research may advance. Most importantly, studies examining the effect of child and family factors in mediating or moderating the relationship between SaLD and HRQoL are required. This knowledge will support the identification of children with SaLD at risk of poorer HRQoL outcomes and inform intervention strategies through the identification of relevant risk and protective factors.

A qualitative study exploring high school students’ understanding of, and attitudes towards, health information and claims

Exposure to health claims, particularly in the media and social media, is pervasive, and the information conveyed is often inaccurate, incomplete or misleading. Some young people of high school ages are already making decisions about using readily available health interventions (such as sports drinks and beauty products).Although previous research has assessed adults’ understanding of health claims, no research has examined this issue in young adults who are attending high school.

Contribution of speech and language difficulties to health-related quality-of-life in Australian children: A longitudinal analysis.

Abstract Purpose: The trajectory of health-related quality-of-life (HRQoL) for children aged 4–9 years and its relationship with speech and language difficulties (SaLD) was examined using data from the Longitudinal Study of Australian Children (LSAC). Method: Generalized linear latent and mixed modelling was used to analyse data from three waves of the LSAC across four HRQoL domains (physical, emotional, social and school functioning). Four domains of HRQoL, measured using the Paediatric Quality-of-Life Inventory (PedsQL™), were examined to find the contribution of SaLD while accounting for child-specific factors (e.g. gender, ethnicity, temperament) and family characteristics (social ecological considerations and psychosocial stressors). Result: In multivariable analyses, one measure of SaLD, namely parent concern about receptive language, was negatively associated with all HRQoL domains. Covariates positively associated with all HRQoL domains included child’s general health, maternal mental health, parental warmth and primary caregiver’s engagement in the labour force. Conclusion: Findings suggest that SaLD are associated with reduced HRQoL. For most LSAC study children, having typical speech/language skills was a protective factor positively associated with HRQoL.

Healthcare students' experiences of an interprofessional, student-led neuro-rehabilitation community-based clinic.

ABSTRACT Student-led clinics are becoming more prominent as educators seek alternate models of clinical education for health professionals. The purpose of this study was to evaluate healthcare students’ experiences of an interprofessional student-led clinic for clients with neurological conditions. Thirteen students representing occupational therapy, physiotherapy, and speech pathology were recruited for the study. A sequential mixed-methods evaluation was employed and the results from the Interprofessional Education Scale and focus group revealed that the students experienced positive perceptions of working collaboratively with other professions, forming good relationships with others, as well as an increased respect for the roles of other professions. The findings suggest that providing a capstone opportunity, where students can work as part of an interprofessional team with a real client, in a format they may come across in future clinical practice, may be beneficial in providing them with essential interprofessional skills as new graduate health professionals.

Aspects of activity participation as risk factors for conduct problems in children and adolescents: a literature review using ecological systems theory

This article reviews a wide range of risk factors associated with the development of conduct problems in children, with a particular focus on the influence of time spent engaged in different types of activities. The review reveals the behavioral benefits to children and adolescents of participation in activities with physical, social, and restful properties and those that can be described as structured. Further highlighted is the need for parents and occupational therapists to be aware of childrens time use and daily activity participation, and the potential for these activities to be harnessed to facilitate positive behavioral outcomes for children.