{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T07:58:42Z","timestamp":1784447922356,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:00:00Z","timestamp":1675123200000},"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; Comm Disor"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background &amp; Aims<\/jats:title><jats:p>Even though evidence for the use of linguistic\u2013phonological intervention approaches in children with a cleft (lip and) palate (CP\u00b1L) is still limited, these approaches are being used by speech\u2013language pathologists (SLPs) to treat active or compensatory cleft speech disorders in clinical practice. It is, however, unknown to what extent linguistic\u2013phonological intervention is acceptable to SLPs. The aim of this study is to investigate the retrospective acceptability of linguistic\u2013phonological intervention in children with a CP\u00b1L from the perspective of SLPs using the theoretical framework of acceptability (TFA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>A total of 18 female community SLPs, aged between 23 and 63 years, were included in the study. An independent interviewer conducted semi\u2010structured interviews. Data were analysed using a deductive coding approach. Statements of the SLPs were related to the seven constructs of the TFA: affective attitude, burden, ethicality, intervention coherence, opportunity costs, perceived effectiveness and self\u2010efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>The affective attitude and perceived effectiveness of linguistic\u2013phonological intervention differed among the SLPs: some therapists had positive attitudes towards these approaches, while others did not. Positive attitudes were related to the successful use of linguistic\u2013phonological intervention in the past. The construct \u2018ethicality\u2019 revealed that negative attitudes towards these approaches were attributed to the limited available scientific evidence or negative experiences while using these approaches. In contrast, SLPs who had positive attitudes considered these interventions as \u2018important\u2019 and \u2018valuable\u2019. Some SLPs had negative reflections on linguistic\u2013phonological intervention as these approaches were considered demanding in terms of time needed to gain knowledge on using them in children with a CP\u00b1L (constructs \u2018burden\u2019 and \u2018opportunity costs\u2019). Additionally, some SLPs doubted their self\u2010efficacy to use these approaches in clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>The acceptability of linguistic\u2013phonological intervention differed between the SLPs in this sample and was most likely related to their previous experiences with these linguistic\u2013phonological approaches. It is important to increase not only the amount of scientific evidence for linguistic\u2013phonological approaches but also the supply of evidence\u2010based workshops and training courses on this topic. These initiatives should distribute scientific information that is translated into guidelines that are immediately applicable in clinical practice. This may potentially reduce the time\u2010related burden that some SLPs currently experience to gain expertise in this matter. In future research, it is necessary to investigate if there exist differences in acceptability between the different types of linguistic\u2013phonological therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>What This Paper Adds<\/jats:title><jats:sec><jats:title>What is already known on this subject<\/jats:title><jats:p>Linguistic\u2013phonological speech intervention approaches are often used by SLPs to treat active or compensatory cleft speech disorders in clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p>This study investigated whether linguistic\u2013phonological intervention cleft speech intervention is acceptable to SLPs. Some therapists had positive attitudes towards these approaches, while others did not. Positive attitudes were related to the successful use of these approaches in the past. If SLPs indicated having negative attitudes, these negative feelings were attributed to the limited available scientific evidence or negative experiences while using these approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work<\/jats:title><jats:p>Even though linguistic\u2013phonological speech intervention approaches are being used in clinical practice, these approaches are not always considered acceptable by SLPs. Acceptability could be enhanced by increasing the amount of scientific evidence for linguistic\u2013phonological approaches, but also by increasing the supply of workshops and training courses on this topic. These initiatives should distribute hands\u2010on information that is immediately applicable in clinical practice. This may potentially reduce the time\u2010related burden that some SLPs currently experience to gain expertise in this matter.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12852","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T07:43:43Z","timestamp":1675237423000},"page":"1191-1203","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["How acceptable is the use of linguistic\u2013phonological intervention in children with cleft palate? 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