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

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-05-27 DOI:10.1111/cch.13282

Gabrielle Pratte, Nathalie Trottier, Mélanie Couture, Audrée Jeanne Beaudoin, Chantal Camden

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Abstract

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.

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儿童保育机构专业人员所提供服务的拟议框架和知识综述：范围审查。

背景：儿童保育机构中专业人员提供的服务有助于支持儿童早期发展。然而，人们对在这种情况下如何提供服务知之甚少。本次范围界定综述的目的是提出一个框架来描述专业人员在儿童保育环境中提供的服务，并综合有关这些服务的知识：方法：纳入 2000 年至 2022 年期间在 APA PsychINFO、ERIC、CINAHL 和 MEDLINE 上发表的文献。这些文献描述了一系列专业人员（如言语病理学家、职业治疗师、物理治疗师和幼儿特殊教育教师）在儿童保育环境中提供的服务，其目的是支持儿童的运动、认知、情感、语言或社交发展。我们进行了演绎和归纳定性分析以及描述性统计：审查包括 47 份文件。通过定性分析，得出了 "幼儿专业人员提供的服务描述（D-SPEC）框架"。D-SPEC 框架包括 11 个方面：三个参与者及其背景、所涉及的专业人员、所服务的儿童、服务目的、服务类型、服务期限和强度、提供服务的方式、获得服务的方式和资金。大多数由儿童保育专业人员提供的服务都是由单一专业人员和针对语言提供的。有两份文件介绍了多层次的服务提供模式，包括从为所有儿童提供一般支持到为有特殊需要的儿童提供个性化干预等一系列服务。在审查的大多数文件中，"情境内服务 "比 "抽离式服务 "更受青睐：D-SPEC 框架可能是一个有用的工具，有助于研究人员记录和比较专业人员提供的服务。更重要的是，该框架将促进跨部门和跨学科服务的发展，这对支持儿童早期发展至关重要。多层次的服务提供模式似乎是一种很有前途的方式，可以发展这些服务来满足儿童保育中遇到的各种需求。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.