Hong Kong and Macao Speech-Language Pathologists’ Experiences in the Clinical Practice of Cleft Palate Speech/Velopharyngeal Dysfunction

Abstract

Objectives

To explore individual speech-language pathologists’ (SLPs) experiences in the clinical practice of cleft palate speech/velopharyngeal dysfunction (VPD), and to identify the need for and type of (further) training necessary.

Design

Descriptive and exploratory survey using QualtricsXM online platform, with subsequent in-person/Zoom Workplace platform interviews.

Setting

University research and clinical team

Participants

Members of the Hong Kong Association of Speech Therapists and the Macao Association of Speech Therapists

Interventions

The survey consisted of 39 items across 7 sections, for example, continuing professional development and assessment and treatment practices of cleft palate speech. Skip logic was applied to enhance survey efficiency and experience. Interviews were conducted in various modes.

Main Outcome Measure(s)

The Checklist for Reporting Results of Internet E-Surveys (CHERRIES) was used. Quantitative measures include proportions and percentages; qualitative data were summarized from the survey and subsequent interviews.

Results

90% reported receiving teaching in cleft palate speech/VPD ranging from 0 to 96 h (M = 12.7, SD = 15.58). Over half of respondents felt not (very) confident when undertaking assessment (61%) and treatment (54%). Lack of exposure to real clients was a key reason for low confidence levels. Almost all respondents expressed a strong need for continuing professional development in the area.

Conclusions

Study findings highlight the need for further training in cleft palate speech/VPD for SLPs in the region and emphasize the importance of continuing professional development to enhance skills and confidence in assessment and treatment, ultimately improving care and outcomes for individuals with cleft palate with or without lip.