Improving speech and language therapy for preschool children with primary speech and language impairments Sam Harding Senior Research Assistant Sam.Harding@Speech-therapy.org.uk

Who was involved Co-applicants Advisory Group Research team Sue Roulstone, University of the West of England Norma Daykin, University of the West of England Jane Powell, University of the West of England Jon Pollock, University of the West of England Linda Lascelles, Afasic Jenny Moultrie, North Bristol NHS Trust Gaye Powell, Consultant speech and language therapist Yvonne Wren, Bristol Speech & Language Therapy Research Unit Julie Marshall, Manchester Metropolitan University Juliet Goldbart, Manchester Metropolitan University Tim Peters, University of Bristol Alan Emond, University of Bristol Will Hollingworth, University of Bristol Jane Coad, Coventry University Cres Fernandes, Assessment Research limited Advisory Group Supportive Parents Royal College of Speech & Language Therapists Barnardos NBT SLT clinical team Bristol City Council Early Years Manager and commissioner National Early Years Strategy Parents from Parent Panel UWE Early Years Education Health Visitor Lead Research team Rebecca Coad Sam Harding Lydia Morgan Naomi Parker Liz Lewis Anna Blackwell Karen Davies Helen Hambly Parent panel Heather Goddard Rebecca Hardy Helen Dacre Vickie Nutt Liz Sayles Jacob Wilcox Faye Langdon

Today’s presentation Overview of the successfully completed NIHR Programme Grant ‘Child Talk’ The four ongoing challenges that must be addressed if evidence-based practice is to be successful Number of potential future projects/objects What funding streams might be appropriate

Evidence-Based Practice

Child Talk Intervention Typology

Comprehension Interventions used E.g. Information Carrying Words/word level activity Reducing complexity of utterances Turn taking activities (strong/medium practice evidence) Research included book sharing, parent-child interaction, vocabulary activities Evidence score of 2.9(/6) (Harding et al in development)

Four Ongoing Challenges Descriptions of interventions Development of models of interventions Understanding the mechanism of change Enabling informed patient choice

Thank you for your comments and suggestions Sam.Harding@speech-therapy.org.uk Acknowledgments ‘Child Talk’ is an independent research programme funded by the National Institute for Health Research (NIHR) under its Programme Grant for Applied Research Programme (Grant Reference Number RP-PG-0109-10073). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.