{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:00:39Z","timestamp":1765807239386},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,3,20]],"date-time":"2015-03-20T00:00:00Z","timestamp":1426809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Non\u2010attendance and inappropriate referrals affect the effective and efficient running of healthcare services. Non\u2010engagement with speech and language therapy (SLT) services may lead to negative long\u2010term consequences for children in need of SLT intervention. Currently there is a dearth of research on non\u2010attendance and non\u2010engagement with SLT services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To identify factors associated with (1) non\u2010attendance and (2) parents\u2019 non\u2010engagement with SLT services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>Demographic data were collected from 140 case files of children (aged 5;0\u201317;11 years) discharged from a public community SLT service (November 2011\u2013October 2013) with no intervention provided. Logistic regression analyses explored relationships between demographic data and (1) non\u2010attendance and (2) non\u2010engagement with the SLT service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>There was an increased probability of non\u2010attendance during winter (i.e. September\u2013February inclusive; OR = 3.14; <jats:italic>p<\/jats:italic> = 0.028) relative to summer, and with each month a child waited for SLT assessment (OR = 1.19; <jats:italic>p<\/jats:italic> = 0.066). There was decreased probability of non\u2010attendance with children referred for speech (OR = 0.08; <jats:italic>p<\/jats:italic> = 0.011) or language difficulties (OR = 0.15; <jats:italic>p<\/jats:italic> = 0.050) relative to dysfluency. The probability of non\u2010engagement with the SLT service increased in each of the following conditions: with each month a child waited for assessment (OR = 1.27; <jats:italic>p<\/jats:italic> = 0.004); in urban (OR = 2.40; <jats:italic>p<\/jats:italic> = 0.066) relative to rural locations; during winter (OR = 2.65; <jats:italic>p<\/jats:italic> = 0.021) relative to summer; and with referrals made by occupational therapists, physiotherapists, psychologists and social workers (OR = 18.65; <jats:italic>p<\/jats:italic> = 0.016) relative to doctor referrals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>Non\u2010attendance is influenced by wait times, season and the reason for referral. Location (urban versus rural), referral source, wait times and season are factors related to non\u2010engagement with SLT services. Targeted policies to improve efficiency and effectiveness of SLT services could be designed around these study findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1460-6984.12165","type":"journal-article","created":{"date-parts":[[2015,3,20]],"date-time":"2015-03-20T16:53:28Z","timestamp":1426870408000},"page":"665-675","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Non\u2010attendance and utilization of a speech and language therapy service: a retrospective pilot study of school\u2010aged referrals"],"prefix":"10.1111","volume":"50","author":[{"given":"Amy","family":"Curran","sequence":"first","affiliation":[{"name":"Department of Speech and Language Therapy, School of Health Sciences Aras Moyola, National University of Ireland  Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Therapy, School of Health Sciences Aras Moyola, National University of Ireland  Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanislava","family":"Antonijevic\u2010Elliott","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Therapy, School of Health Sciences Aras Moyola, National University of Ireland  Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rena","family":"Lyons","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Therapy, School of Health Sciences Aras Moyola, National University of Ireland  Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549500903104447"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820310001625589"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2834.2004.00484.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.56.3.344"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1258\/135581902760082517"},{"key":"e_1_2_8_7_1","first-page":"317","article-title":"Patient, hospital, and general practitioner characteristics associated with non\u2010attendance: a cohort study","volume":"52","author":"Hamilton W.","year":"2002","journal-title":"British Journal of General Practice"},{"key":"e_1_2_8_8_1","volume-title":"Applied Logistic Regression","author":"Hosmer D. 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