Publication: Speech therapy model for patients with cleft palate in Lao People's Democratic Republic: Lack of speech services
Issued Date
2020-11-01
Resource Type
ISSN
18728464
01655876
01655876
Other identifier(s)
2-s2.0-85091225963
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Pediatric Otorhinolaryngology. Vol.138, (2020)
Suggested Citation
Benjamas Prathanee, Tawitree Pumnum, Phanomwan Yoodee, Kalyanee Makarabhirom Speech therapy model for patients with cleft palate in Lao People's Democratic Republic: Lack of speech services. International Journal of Pediatric Otorhinolaryngology. Vol.138, (2020). doi:10.1016/j.ijporl.2020.110366 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/59140
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Title
Speech therapy model for patients with cleft palate in Lao People's Democratic Republic: Lack of speech services
Abstract
© 2020 Elsevier B.V. Background: A majority of children with cleft lip and palate (CLP) have persistent speech and language problems after repair. Speech services are critically needed for these children in some developing countries where there is a lack of or no speech services. This includes the Lao People's Democratic Republic (LPDR) where accessibility to speech therapy is not an attainable medical specialty. Objective: To establish and determine the effectiveness of speech therapy model in reduction of the number of articulation errors for children with CLP in LPDR where these services are lacking. Methods: Speech therapy for children with CLP in LPDR by using the adapted Khon Kaen University Speech Therapy Model based on combining the principles of Community-Based Rehabilitation (CBR), Primary Health Care (PHC) and institutional medical approaches was provided for children with CLP in Bokeo, LPDR. Twelve children with CLP (3.6–16 years) were recruited for this study. Demonstration and teaching services for both speech assistants (SAs), who were local health care providers, and caregivers were performed in 3-day intensive speech camps. Three 1-day follow-up speech camps and 3 site visits were conducted by Thai speech and language pathologists (TSLPs) and their teams. SAs provided speech correction at local health care units based on TSLPs’ individual monitoring and supervision. Caregivers practiced assigned exercises at home. Speech Therapy Model in LPDR was undertaken for 1 year. Results: The Speech Therapy Model in LPDR was one of the effective models and significantly reduced number of articulatory errors (mean difference = 6.42; 95% confidence interval = 3.01, 9.83).