Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach.
<h4>Introduction</h4>Although frequently seen in clinical services, there are few interventions which have been developed specifically to meet the needs of pre-school children with co-occurring features of a phonological speech sound disorder (P-SSD) and developmental language disorder (...
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0326072 |
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| author | Lucy Rodgers Nicola Botting Helen Stringer Natalie Abdo Meriem Amer-El-Khedoud Emma Baker Sophie Franks Dave Harford Patrycja Salimi-Tabar Laura Temple Ros Herman |
| author_facet | Lucy Rodgers Nicola Botting Helen Stringer Natalie Abdo Meriem Amer-El-Khedoud Emma Baker Sophie Franks Dave Harford Patrycja Salimi-Tabar Laura Temple Ros Herman |
| author_sort | Lucy Rodgers |
| collection | DOAJ |
| description | <h4>Introduction</h4>Although frequently seen in clinical services, there are few interventions which have been developed specifically to meet the needs of pre-school children with co-occurring features of a phonological speech sound disorder (P-SSD) and developmental language disorder (DLD). This study aims to achieve consensus on the core elements of a novel intervention for pre-school children with co-occurring features of P-SSD and DLD ("SWanS"- Supporting Words and Sounds), where expressive vocabulary and speech comprehensibility are joint outcomes of interest.<h4>Methods</h4>Forty-seven potential core intervention elements, based on a priori findings and the wider literature, were generated by a diverse steering group of professionals and people with lived experience within a systematic co-design process. This was followed by a modified, two round, e-Delphi with expert Speech and Language Therapists (SLTs) to achieve consensus on the elements. Consensus was defined as over 75% of participants (minimum 30 SLTs) rating the elements as either appropriate or very appropriate on a Likert of 1-5, with an inter-quartile range of one or below. If consensus was not achieved in round 1, free text comments were used to generate amended statements for the second round.<h4>Results</h4>Consensus was achieved on 42/47 statements in round 1. During the revision process, one statement was discarded; six statements which did not achieve consensus were re-worded; two statements which required further clarity had examples added; four statements were merged into two statements. Consensus was reached on 8/8 statements presented in round 2, resulting in 44 final statements achieving consensus in total.<h4>Conclusions</h4>Core elements of a novel intervention have been identified through co-design with a diverse group of stakeholders followed by consensus with expert SLTs. Additional flexibility was required within some core elements in order to achieve consensus. Implications for future implementation are discussed. |
| format | Article |
| id | doaj-art-88abca679fc04b7cb9a458be20b6c348 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-88abca679fc04b7cb9a458be20b6c3482025-08-20T03:22:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032607210.1371/journal.pone.0326072Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach.Lucy RodgersNicola BottingHelen StringerNatalie AbdoMeriem Amer-El-KhedoudEmma BakerSophie FranksDave HarfordPatrycja Salimi-TabarLaura TempleRos Herman<h4>Introduction</h4>Although frequently seen in clinical services, there are few interventions which have been developed specifically to meet the needs of pre-school children with co-occurring features of a phonological speech sound disorder (P-SSD) and developmental language disorder (DLD). This study aims to achieve consensus on the core elements of a novel intervention for pre-school children with co-occurring features of P-SSD and DLD ("SWanS"- Supporting Words and Sounds), where expressive vocabulary and speech comprehensibility are joint outcomes of interest.<h4>Methods</h4>Forty-seven potential core intervention elements, based on a priori findings and the wider literature, were generated by a diverse steering group of professionals and people with lived experience within a systematic co-design process. This was followed by a modified, two round, e-Delphi with expert Speech and Language Therapists (SLTs) to achieve consensus on the elements. Consensus was defined as over 75% of participants (minimum 30 SLTs) rating the elements as either appropriate or very appropriate on a Likert of 1-5, with an inter-quartile range of one or below. If consensus was not achieved in round 1, free text comments were used to generate amended statements for the second round.<h4>Results</h4>Consensus was achieved on 42/47 statements in round 1. During the revision process, one statement was discarded; six statements which did not achieve consensus were re-worded; two statements which required further clarity had examples added; four statements were merged into two statements. Consensus was reached on 8/8 statements presented in round 2, resulting in 44 final statements achieving consensus in total.<h4>Conclusions</h4>Core elements of a novel intervention have been identified through co-design with a diverse group of stakeholders followed by consensus with expert SLTs. Additional flexibility was required within some core elements in order to achieve consensus. Implications for future implementation are discussed.https://doi.org/10.1371/journal.pone.0326072 |
| spellingShingle | Lucy Rodgers Nicola Botting Helen Stringer Natalie Abdo Meriem Amer-El-Khedoud Emma Baker Sophie Franks Dave Harford Patrycja Salimi-Tabar Laura Temple Ros Herman Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach. PLoS ONE |
| title | Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach. |
| title_full | Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach. |
| title_fullStr | Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach. |
| title_full_unstemmed | Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach. |
| title_short | Co-design to consensus: Identifying the core elements of a novel intervention for pre-school children with co-occurring phonological speech sound disorder (SSD) and developmental language disorder (DLD) using a modified e-Delphi approach. |
| title_sort | co design to consensus identifying the core elements of a novel intervention for pre school children with co occurring phonological speech sound disorder ssd and developmental language disorder dld using a modified e delphi approach |
| url | https://doi.org/10.1371/journal.pone.0326072 |
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