Predictors of parental engagement in home-based speech therapy program for speech and language disordered children in the Klang Valley, Malaysia
Focusing on and improving parental engagement is perceived to increase the success of Speech Therapy outcome among speech-language disordered children. Despite the importance of improving parental engagement, there is a scarcity of empirical evidence examining factors related to engagement. Ther...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2021
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| Subjects: | |
| Online Access: | http://psasir.upm.edu.my/id/eprint/104386/1/NUR%20FARIHA%20BINTI%20MD%20SHAH%20-%20IR.pdf |
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| Summary: | Focusing on and improving parental engagement is perceived to increase the
success of Speech Therapy outcome among speech-language disordered
children. Despite the importance of improving parental engagement, there is a
scarcity of empirical evidence examining factors related to engagement.
Therefore, the current study was conducted to investigate if motivation,
communication, competence, expectation and barrier are predicting parental
engagement.
The study adopted a cross-sectional design to address the research inquiries
and to draw conclusions from the analyses. A sample of 384 respondent were
selected from 7 government hospitals in Klang Valley using systematic random
sampling. Six instruments were administered in this study namely Parent
Motivation Inventory, Parental Expectation Scale, Therapist-Parent
Communication Questionnaire, Perceived Competence Scale, Barrier to
Treatment Participation Scale (Treatment Demands and Issue) and Parent
Home-programme Compliance Questionnaire. Descriptive, bivariate and
multivariate statistics using SPSS and Smart-PLS software were used in data
analysis.
This study found that 54% of the respondents reported to have low parental
engagement. Findings from the independent sample t-test test indicated that
there were significant difference in parental engagement between one child and
more than one child in the family. The independent sample t-test test also
revealed that there were significant difference in parental engagement between
child with medical condition and child with no medical condition.
The study’s results obtained from the Partial Least Square Structural Equation
Modeling (PLS-SEM) showed there were significant positive relationship for
motivation (0.568), expectation (0.485), communication (0.470), competence
(0.577) with parental engagement. While significant negative relationship were
revealed between barrier (-0.510) and parental engagement. Competence was
the strongest predictor followed by barrier, motivation and communication with
R2 value of 0.559.
Additionally, barrier partially mediated the relationship between motivation and
parental engagement, while competence partially mediated the relationship
between communication and parental engagement. This indicate that motivation
and communication not only directly affect parental engagement but indirectly
through barrier and competence. Interestingly, competence fully mediated the
relationship between expectation and parental engagement, which means,
expectation does not directly affect parental engagement but indirectly through
competence.
It can be concluded that this study has critically important clinical and policy
implications for efforts to improve the quality and effectiveness of care. To
improve parental engagement in home-based Speech Therapy program for
speech and language disordered children, parent need to be competence and
strongly believe in their own capabilities. Policy maker and clinicians should offer
opportunities to modify parents barrier to treatment, as well as keep motivating
parents throughout intervention. Lastly, both parents and clinician need to make
an effort to have good relationship and improve communication. |
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