OJPM  Vol.1 No.3 , November 2011
Factors influencing parent satisfaction with preventive health services for the early detection of speech and language delay in preschool children
The aim of this study was to identify parent and child characteristics which could influence parent satisfaction with preventive health services designed to detect preschool children with speech and language (SL) delay. This study was conducted on 101 children aged 18 to 36 months who participated in an organized SL delay early detection program. Validated instruments were used to assess children’s and parents’ characteristics. Satisfaction was evaluated using the client satisfaction questionnaire for the three activities of the program: 1) a public information session about SL development, 2) parent training sessions for parents concerned by their child SL development, and 3) a child’s SL assessment. Multiple logistic regressions were used to identify all independent factors (p < 0.05) associated with satisfaction and to estimate the odds ratios (OR) for satisfaction. Economically disadvantaged parents were less prone to participate in the first two activities of the early detection program. Older parents were more satisfied with the public information session (OR = 1.33 for 1 year increment; p = 0.001). Distressed parents were less satisfied with both the parent training sessions (OR = 0.28; p = 0.009) and the SL assessment (OR = 0.43; p = 0.046). Parents whose child had health problems at birth were less satisfied with the public information session (OR = 0.14, p = 0.03) and the SL assessment (OR = 0.33, p = 0.036). There is a need to better adapt the delivery of preventive services for the early detection of SL delay, especially for disadvantaged and distressed parents and for those whose child had suffered from health problems at birth.

Cite this paper
nullBairati, I. , Meyer, F. , Gueye, C. , Desmarais, C. , Rouleau, N. and Sylvestre, A. (2011) Factors influencing parent satisfaction with preventive health services for the early detection of speech and language delay in preschool children. Open Journal of Preventive Medicine, 1, 135-142. doi: 10.4236/ojpm.2011.13018.
[1]   Desmarais, C., Sylvestre, A., Meyer, F., Bairati, I. and Rouleau, N. (2008) Systematic review of the literature on characteristics of late-talking toddlers. International Journal of Language and Communication Disorders, 4, 361- 389. doi:10.1080/13682820701546854

[2]   National Institute on Deafness and Other Communication Disorders (2010) Statistics on voice, speech, and language. htpp://www.nidcd.nih.gov/health/statistics/vsl.asp

[3]   Law, J., Garrett, Z. and Nye, C. (2003) Speech and language therapy interventions for children with primary speech and language delay or disorder. Cochrane Data- base of Systematic Reviews, 3, 1-77. doi:10.1002/14651858.CD004110

[4]   McLeod, S. and Harrison, L.J. (2009) Epidemiology of speech and language impairment in a nationally representative sample of 4- to 5-year-old children. Journal of Speech, Language, and Hearing Research, 52, 1213-1229. doi:10.1044/1092-4388(2009/08-0085)

[5]   Allard, F., Grégoire, L. and Leclerc, M.C. (1998) Organisation des services de première ligne en déficience du langage et de la parole destinés aux enfants dans la région de Québec. Régie Régionale de Québec et de la Direction de la santé publique de Québec, Quebec City, Report No. ISBN 2-921332-70-1.

[6]   Buschmann, A., Jooss, B., Rupp, A., Feldhusen, F., Pietz, J. and Philippi, H. (2009) Parent based language intervention for a 2-year-old children with specific expressive language delay: a randomised controlled trial. Archives of Disease in Childhood, 94, 110-116. doi:10.1136/adc.2008.141572

[7]   Fey, M.E., Warren, S.F., Brady, N. Finestack, L.H., Bredin-Oja, S.L., Fairchild, M., Sokol, S. and Yoder, P.J. (2006) Early effects of responsivity education/ prelimguistic milieu teaching for children with developmental delays and their parents. Journal of Speech, Language, and Hearing Research, 49, 526-547. doi:10.1044/1092-4388(2006/039)

[8]   Girolametto, L. and Weitzman, E. (2006) It takes two to talk—The Hanen program for parents: early language intervention through caregiver training. In: MacCauley, R.J. and Fey, M.E. Eds, Treatment of language disorders in children, Brookes, M.A., Baltimore, 77-104.

[9]   Van Ripper, M. (1999) Maternal perceptions of family-provider relationship and well-being in families of children with Down Syndrom. Research in Nursing and Health, 22, 357-368. doi:10.1002/(SICI)1098-240X(199910)22:5<357::AID-NUR2>3.0.CO;2-Q

[10]   Rosenbaum, P., King, S., Law, M., King, G. and Evans, J. (1998) Family-centered services: A conceptual framework and research review. Physical and Occupational Therapy in Pediatrics, 18, 1-20. doi:10.1080/J006v18n01_01

[11]   Garland, A.F., Haine, R.A. and Lewczyl-Boxmeyer, C. (2007) Determinates of youth and parent satisfaction in usual care psychotherapy. Evaluation and Program Planning, 30, 45-54. doi:10.1016/j.evalprogplan.2006.10.003

[12]   Larsen, D.L., Attkisson, C., Hargreaves, W.A. and Nguyen, T.D. (1979) Assessment of client/patient satisfaction development of a general scale. Evaluation and Program Planning, 2, 197-207. doi:10.1016/0149-7189(79)90094-6

[13]   Crow, R., Gage, H., Hampson, S., Hart, J., Kimber, A., Storey, L. and Thomas, H. (2002) The measurement of satisfaction with health care: Implications for practice from a systematic review of the literature. Health Technology Assessment, 6, 1-244.

[14]   Urden, L.D. (2002) Patient satisfaction measurement: current issues and implications. Lippincotts Case Management, 7, 194-200. doi:10.1097/00129234-200209000-00006

[15]   Rodger, S., Keen, D., Braithwaite, M. and Cook, S. (2008) Mothers’ satisfaction with a home based early intervention programme for children with ASD. Journal of Applied Research in Intellectual Disabilities, 21, 174-182. doi:10.1111/j.1468-3148.2007.00393.x

[16]   Wood, D.L., McCaskill, Q.E., Winterbauer, N., Jobli, E., Hou, T., Wludyka, P.S., Stowers, K. and Livingood, W. (2009) A multi-method assessment of satisfaction with services in the medical home by parents of children and youth with special health care needs. Maternal and Child Health Journal, 13, 5-17. doi:10.1007/s10995-008-0321-9

[17]   Favez, N., Métral, E. and Govaerts, P. (2008) Parental satisfaction with a home-based intervention for developmentally delayed children in Switzerland: A survey over a 10-year period. Child Care in Practice, 14, 147- 163. doi:10.1080/13575270701868751

[18]   Mrazek, P.J. and Haggerty, R.J. (1994) New directions in definitions. In: Mrazek, P.J. and Haggerty, R.J. Eds, Reducing risks for mental disorders: Frontiers for preventive intervention research, National Academy Press, Washington, 19-29.

[19]   Desmarais, C., Sylvestre, A., Meyer, F., Bairati, I. and Rouleau, N. (2010) Three profiles of language abilities in toddlers with an expressive vocabulary delay: variations on a theme. Journal of Speech, Language, and Hearing Research, 53, 699-709. doi:10.1044/1092-4388(2009/07-0245)

[20]   Abidin, R. (1990) Parenting stress index short form— test manual. Pediatric Psychology Press, Charlottesville.

[21]   Rowland, V.T., Dodder, R.A. and Nickols, S.Y. (1985) Perceived adequacy of resources: Development of a scale. Home Economics Research Journal, 14, 218-225. doi:10.1177/1077727X8501400205

[22]   Achenbach, T.M. and Rescorla, L. (2000) Manual for ASEBA preschool forms & profiles. University of Vermont, Research Center for Children, Youth and Families, Burlington.

[23]   Rossetti, L. (1990) Infant toddler language scales. Linguisystems, East Moline.

[24]   Bailey, N. (1993) Bayley Scales of Infant and Toddler Development, 2nd Edition, Harcourt Assessment, San Antonio.

[25]   Rahi, J.S., Manaras, I., Tuomainen, H. and Hundt, G.L. (2004). Meeting the needs of parents around the time of diagnosis of disability among their children: evaluation of a novel program for information, support, and liaison by key workers. Pediatrics, 114, e477-e482. doi:10.1542/peds.2004-0240

[26]   Rahi, J.S., Manaras, I., Tuomainen, H. and Hundt, G.L. (2005) Health services experiences of parents of recently diagnosed visually impaired children. British Journal of Ophthalmology, 89, 213-218. doi:10.1136/bjo.2004.051409

[27]   Koch, L.C. and Merz, M.A. (1995) Assessing client satisfaction in vocational rehabilitation program evaluation: a review of instrumentation. Journal of Rehabilitation, 61, 24-30.

[28]   Hosmer, D.W. and Lemeshow, S. (2007) Applied logistic regression, John Wiley and Sons, New York.

[29]   Fayers, P.M. and Machin, D. (2007) Quality of life. The assessment, analysis and interpretation of patient-reported outcomes. John Wiley and Sons, New York.

[30]   Levois, M., Nguyen, T.D. and Attkisson, C. (1981) Artifact in client satisfaction assessment: experience in community mental health settings. Evaluation and Program Planning, 4, 139-150. doi:10.1016/0149-7189(81)90004-5

[31]   Garwick, A.W., Kohrman, C., Wolman, C. and Blum, R.W. (1998) Families’ recommandations for improving services for children with chronic conditions. Archives of Pediatrics and Adolescent Medicine, 152, 440-448.

[32]   Ford, A.F., Reddick, K., Browne, M.C., Robins, A., Thomas, S.B. and Crouse-Quinn, S. (2009) Beyond the cathedral: Building trust to engage the African American community in health promotion and disease promotion. Health Promotion Practice, 10, 485-489. doi:10.1177/1524839909342848

[33]   Lowoko, S. and Soares, J.J.F. (2004) Satisfaction with care: A study of parents of children with congenital disease and parents of children with other diseases. Scandinavian Journal of Caring Sciences, 18, 90-102. doi:10.1111/j.1471-6712.2004.00264.x

[34]   Mitchell, D.B. and Hauser-Cram, P. (2008) The wellbeing of mothers of adolescents with developmental disabilities in relation to medical care utilization and satisfaction with health care. Research in Developmental Disabilities, 29, 97-112. doi:10.1016/j.ridd.2006.12.002

[35]   Brown, J.D. and Wissow, L.S (2008). Discussion of maternal stress during pediatric primary care visits. Ambulatory Pediatrics, 8, 368-374. doi:10.1016/j.ambp.2008.08.004

[36]   Nelson, H.D., Nygren, P., Walker, M. and Panoscha, R. (2006) Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Forces. Pediatrics, 117, e298- e319. doi:10.1542/peds.2005-1467