Date of Award

12-2024

Degree Type

Thesis

Degree Name

<--Please Select Degree-->

Department

Communication Sciences and Disorders

First Advisor

Alison King

Second Advisor

Erin Wallace

Third Advisor

Ronda Walker

Abstract

This study explores how caregivers and speech-language pathologists (SLPs) perceive caregiver involvement in pediatric speech therapy services. The research addresses how and when caregiver input is solicited, and to what extent the services children receive reflect caregivers’ expressed concerns and priorities. Using a two-phase survey design, caregivers and speech-language pathologists from private practices in Virginia provided quantitative responses on the importance, frequency, and effectiveness of collaboration. Overall, caregivers reported moderate levels of involvement (mean score: 3.88/5). Contrary to conventional wisdom, caregivers’ level of involvement was not directly correlated with their level of satisfaction, suggesting other factors, such as communication quality or therapy outcomes, may play a larger role. While caregivers and speech-language pathologists were generally aligned on the overall importance and frequency of parental involvement, important differences emerged. While 95% of speech-language pathologists reported soliciting caregiver input regarding augmentative and alternative communication (AAC), only 18% of caregivers recalled such discussions. Similarly, engagement around respecting families of culturally and linguistically diverse backgrounds was reported by 68% of speech-language pathologists, but only 6% of caregivers. The findings illustrate the need for structured opportunities to engage caregivers and promote inclusive practices in therapy. These results have implications for improving collaboration between caregivers and speech-language pathologists through enhanced training, clearer communication, and standardized processes for caregiver input. Future research should focus on larger, more diverse populations and explore longitudinal changes in caregiver satisfaction and engagement.

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