Proposed framework and knowledge synthesis of services delivered by specialized professionals in childcare settings: A scoping review.

Autor: Pratte G; Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada.; Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada.; Centre de Recherche du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada., Trottier N; Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada.; Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada.; Centre de Recherche du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada., Couture M; Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada.; Centre de Recherche du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada.; Institut Universitaire en Déficience Intellectuelle et Troubles du Spectre de L'autisme, Trois-Rivières, Canada., Beaudoin AJ; Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada.; Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada., Camden C; Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada.; Institut Universitaire de Première Ligne en Santé et Services Sociaux du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada.; Centre de Recherche du CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada.
Jazyk: angličtina
Zdroj: Child: care, health and development [Child Care Health Dev] 2024 Jul; Vol. 50 (4), pp. e13282.
DOI: 10.1111/cch.13282
Abstrakt: Background: Services from specialized professionals in childcare settings contribute to support early childhood development. Little is known, however, about how services are delivered in this context. The aims of this scoping review were to propose a framework to describe services delivered by specialized professionals in childcare contexts and synthesize knowledge about those services.
Methods: Documents published between 2000 and 2022 in APA PsychINFO, ERIC, CINAHL and MEDLINE were included. These documents described services delivered by a range of specialized professionals (e.g., speech-language pathologists, occupational therapists, physical therapists and early childhood special education teachers) in childcare contexts and whose aim was to support motor, cognitive, affective, language or social development of children. Deductive and inductive qualitative analyses and descriptive statistics were carried out.
Results: The review included 47 documents. The Description of Services delivered by specialized Professionals in Early Childhood (D-SPEC) Framework emerged from qualitative analyses. The D-SPEC Framework included 11 dimensions: three actors and their context, specialized professionals involved, children served, purpose of service, type of service, service duration and intensity, mode of service delivery, mode of access to services and funding. Most services delivered by specialized professionals in childcare were provided by a single professional and targeted language. Two documents described multitiered service delivery models with a continuum of services ranging from general support for all children to individualized interventions for children with specific needs. In-context services were preferred to pull-out services in most documents reviewed.
Conclusions: The D-SPEC Framework may be a useful tool to assist researchers in documenting and comparing services delivered by specialized professionals. More importantly, this framework will facilitate the development of intersectoral and interdisciplinary services essential for supporting early childhood development. Multitiered service delivery models appeared to be a promising way to develop those services addressing the various needs encountered in childcare.
(© 2024 The Author(s). Child: Care, Health and Development published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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