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Table 3 Interaction workability qualitative data from parents' and practitioners' perspectives.

From: The applicability of normalisation process theory to speech and language therapy: a review of qualitative research on a speech and language intervention

  Parent Perspective SLT Perspective
   Co-operation Parents believe that the SLT will identify a problem in their child and treat it
Parents expect to have their expectations met
Parents are not sure how effective SLT intervention is
Parents have hopes and fears about having their child's difficulties identified
SLTs believe they will locate problems in the parents and that they will treat those problems
SLTs believe the intervention can be successful
SLTs believe that the intervention is not successful for all participants
SLTs believe that the intervention may highlight the chronicity of the child's difficulties for the parents
   Legitimacy Parents expect SLT to work on a 1:1 basis with their child
Parents expect to follow advice from the SLT
Parents expect this to lead to change in their child
SLTs believe that the parents are the legitimate focus of the intervention SLTs expect parents to follow advice from SLT and change their interaction with their child
   Conduct Parents expect to be able to have discussion
Parents value partnership approach in relation to child's speech/language impairment
Parents expect the SLT to help the child produce normal speech behaviours and they expect to be able to observe that happening in the SLT sessions
SLTs expect parents to follow their advice
SLTs expect to see demonstrable change in the parent using video examples in the sessions
   Goals Parents accept that the goal of the intervention is related to their interaction strategies with their child SLTs believe that HPP helps them set joint goals with parents
SLTs adjust the components of the HPP intervention due to parental feedback/preference
   Meaning Parents accept that they are the focus of the intervention and can recognise change in their interaction and they attribute this change to the HPP SLTs believe that the HPP will lead to predicted changes in the parent and they can theorise that this will impact positively on the child, but they know that this has not always been demonstrated in research studies
   Outcomes Parents would like to see outcomes in everyday activities and value an increase in normality in their child's behaviour SLTs look for outcomes of the intervention in the verbal and non-verbal interaction between the parent and the child
  1. A complex intervention is disposed to normalisation if it confers an interactional advantage in flexibly accomplishing congruence and disposal
  2. Note HPP - Hanen Parent Programme